Green-mutsvuku indekisi. nemumuromo utsanana indekisi. Clinical kuongororwa nachiremba wemazino

Unoziva sei kuti kuchenesa rurimi rwako zvakanaka? Kana uchida kuva vakapfeka kunyemwerera, unofanira kudzidza kutarisira ake nomumukanwa mhango. Zvino tichaedza kukudzidzisa ichi.

Utsanana indekisi

Utsanana Index of Green-mutsvuku unokubvumira kufungidzira kukosha tartar uye Dombo yoga. Kuti usarudze kudzidza ichi nhanhatu meno 31, 11, 16, 26 - vestibular ndege, uye 36, 46 - lingual. Dombo inogona kungoonekwa chete värjäys zvinogadzirisa ( "Magenta", Schiller Pisareva "Erythrosin") kana nemaziso.

Zvinotevera Codes uye nzira ine mazino Dombo :

• 0 - hapana layering;
• 1 - nyoro Dombo rakavhara asingasviki 1/3 of zino ndege, kana kuvapo chero nhamba Stained deposits (brown, mutema, etc.).
• 2 - kusimba layering dziri pamusoro asingasviki 2/3, asi kupfuura 1/3 pakati pemvura matadza;
• 3 - nyoro Dombo, achitora kupfuura 2/3 yacho zino pamusoro.

Kutsunga sub- uye supragingival matadza ibwe yakabereka kushandisa dantistskogo vachiongorora.

Vanodarika indekisi of Green-mutsvuku wakanaka? Kunyatsoongorora tartar (nzira uye Codes) riri sezvinotevera:

• 0 - Mabwe hazvisi kuwanikwa;
• 1 - supragingival deposition anovhara asingasviki 1/3 of zino ndege;
• 2 - maumbirwo, yakaiswa pamusoro chingamu kufukidza asingasviki 2/3, asi 1/3 ane zino ndege, kana kuvapo nomunhu nodules wayo nharaunda remuromo;
• 3 - supragingival layering anovhara zvinopfuura 2/3 of zino Ndege kana ibwe guru nodules yaiva pamusoro wayo pamutsipa.

Green-mutsvuku indekisi vari dzaona nokuwedzera tsika anobudiswa mumwe nomumwe zvinhu dzaro weboka nenhamba ndege uye vakadzidza ne shangu vose zvakawanda.

cliche

dzemaitirwe fomura rinoshandisirwa riri sezvinotevera:

IGR-Y = Verengai bheji racho / ndege nhamba + Verengai ibwe / nhamba hukawanika.

Kududzirwa indekisi (GPI-tsika pachiyero mushonga) iri dzichitaurwa:

• 0,0-1,2 - tsvinda;
• 1.3-3.0 - bvumidzwa;
• 3,1-6,0 - pasi.

Green-mutsvuku indekisi ane anotevera tsika zvinodiwa Dombo:

• 0,0-0,6 - tsvinda;
• 0,7-1,8 - zvinotonzi;
• 1,9-3,0 - zvakaipa.

KPU indices

Kuti kutaura maindex noutsanana of nomumukanwa mhango? Chimwe chedzidziso mazino coefficients (KPU) inoratidza kusimba ari kuorera mazviri. Tsamba "K" rinoreva chitsama kukuvadzwa mazino, "P" - kuwanda chisimbiso, "U" - meno nhamba kubviswa kana namambo mumwe chete dzakaparara. Verengai tsika idzi zvinopa pfungwa pamusoro pokumuka kuorera mazviri kwacho neimwe munhu.

Kune mhando nhatu CPU coefficient:

• KPUz - uwandu carious mazino uye munguva bvunzo;
• KPU ndege (KPUP) - Nhamba vakaparadzwa zviso;
• KPUpol - uwandu mumakomba uye caries pakadzika.

Zvinotevera zviratidzi inoshandiswa mazino non-zvachose:

• KP - nhamba worutsanga mazino uye akaporesa pfupi nokuruma;
• KP - Verengai raderera hukawanika;
• CPR - Nhamba carious Makomba uye zvisimbiso.

Kurasika somugumisiro hwokunyama kuchinja kana zvikaramba mazino kusagadzikana mune occlusion vari kuteerera. In vana kana zvinofamba mazino uchishandisa mubatanidzwa coefficients maviri: CPU uye CP. Kuziva zvinonyatsorehwa kusimba chirwere muchidimbu zvose inegumi. CPU 6 kusvika 10 zvinosimbisa yakakwirira zvikuru kuora 3-5 - mwero, 1-2 - yakaderera.

ratios izvi haaratidzi mufananidzo chaiwo, nekuti vane zvikanganiso zvakadaro:

• funga uye zvikaramba mazino, uye disinfected;
• unogona chete kuwedzera nezera uye pamusoro nguva kutanga kuridza yapfuura carious maronda;
• usaregawo nhoroondo kutanga kukuvara.

zvakakomba zvaunokanganisa

Rinokosha zvaunokanganisa zviratidzi KPUz uye KPUP vari nechokwadi yavo kuwedzera kuora nokuda nokuumbwa in vatsva mazino aporeswa, kurasikirwa chezvisimbiso, yechipiri caries uye zvakafanana zvinhu.

Muzvizhinji caries vanoratidza chikamu. Nokuti ichi chikamu vanhu vakawana chirwere ichi (kunze zvatichiri demineralization), yakakamurwa vagari kuongororwa mune chikwata ichi uye kane zana.

Kuti kuongorora kumutswa mazino mune imwe nharaunda, vachishandisa zvakadai Zvinofungidzirwa hwakapararira mwero pakati ezvinhu vana gumi:

• Low kuchinyanya pamwero - 0-30%;
• Hama - 31-80%
• guru - 81-100%.

indekisi CPITN

Qualification Utsanana nezvevakafa nomumukanwa mhango kunoitika nokushandisa indices siyana. Funga CPITN coefficient. Rinoshandiswa kurapwa tsika kuongorora uye kundorondedzera mamiriro periodontal. With indekisi ichi chakanyorwa avo chete zviratidzo angatanga kuva negwara (tartar, kuzvimba matadza, ayo kutongwa ropa), uye asingagamuchiri kufunga kusingarapiki kuchinja (mufambo kwemeno, chingamu kudzikira, kurasikirwa epithelial kuda).

With hapana yakamisirwa muitiro CPITN basa. chinhu ichi haina kushandiswa nokuronga kuporeswa. Chinonyanya kukosha anobatsirwei kumhanya zvitupa, mashoko zvirimo, nyore uye kukwanisa enzanisa zvabuda. Kudiwa bata kutsunga pachishandiswa hunhu izvi:

• Bumbiro X kana 0 zvinoreva kuti hapana chikonzero kuti kurapa murwere;
• 1 inoratidza kuti munhu anofanira kutarisira nani kwavo nomumukanwa mhango;
• 2 kuti zvakakosha kubvisa zvinhu kukanganisa kunonoka kuti Dombo uye zvibereko nyanzvi utsanana;
• Code 3 inoratidza hunokosha nomumukanwa utsanana uye curettage, izvo kazhinji kunoderedza kuzvimba uye muhomwe kudzika zvinoderedza kuunhu muduku pane kana kuenzana 3 mm;
• 4 zvinoreva kuti pave yakakwana mucosal nemumuromo utsanana, uyewo rakadzika curettage. Muchiitiko ichi rakabatanidzwa kurapwa.

PMA

Saka, tinofanira kuramba kuti uzive kuti indekisi utano. alveolar-papillary-shoma indekisi (PMA) rinoshandiswa kuona kwokuomerwa gingivitis. Kune mhando dzakawanda nhamba iyi, asi anonzi vakawanda chinhu PMA Parma nadzurudzo. Pamberi mazino (apo kuramba kubatana dentition) yakanyorwa maererano makore 15 uye vakwegura - meno 30, makore 6-11 - 24 12-14 - 28. Kazhinji PMA coefficient ndiyo razero.

Vana Care

Chii indekisi Fedorov-Volodkina? Chishandisei kuona kana murwere wakanaka yokurinda pamusoro meno ake. chakarurama Izvi zvinofanira kushandiswa kuongorora mamiriro ezvinhu muromo muvana kusvikira makore 5-6. Kuti asimbise achidzidziswa labial chiso mazino matanhatu.

Chaizvo zvingaitwa mazino yakasvibiswa uye dzinoongororwa kuvapo Dombo pamusoro pavo. Kutsunga sub- uye supragingival ibwe dantistskogo akaita vachishandisa vachiongorora. Kukarukureta of coefficient Verengai nhamba vakawana mumwe nomumwe chinhu maererano nokuwanda weboka ndege vakadzidza, uchiteverwa shangu kuti vaviri tsika.

wokuyera

Fedorov-Volodkina Index (1968) uye rava kushandiswa munyika yedu.

Chokutanga, potassium-iodide mhinduro kubva ayodhini-yakasvibiswa nomuromo penyika matanhatu ezasi mazino mberi. Utsanana indekisi Akatsunga kubva kusimba kunoguma ruvara, ipapo zvakanzi dzinoongororwa noruoko shanu-pfungwa nzira, uye vari akaverenga maererano nzira Kcp = (ΣKu) / N, apo:

• DAC - mukuru Utsanana rokuchenesa reshiyo;
• Ku - utano yokunatsa yevanhu zino rimwe;
• N - nhamba kwemeno.

Colorization yose ndege rekorona ndiyo 5 pfungwa; 3/4 - 4; 1/2 - 3; 1/4 - 2 pfungwa; kushaya ruvara - 1. In zvazvingava zvisingatomboiti utano havafaniri pfuura 1.

PHP

Uye ndeapi yakanakisisa indices nomumukanwa utano? Zvikuru zvakafanana ndiye kunyatsoshanda chinhu (PHP). Total zvibodzwa kuti Dombo kupendwa mazino matanhatu. Indekisi rinowanikwa Nokufunga bumbiro remitemo rimwe zino nokuda Achipfupikisa ari Codes nechimwe mapazi. Uyezve, Codes zvose kwemeno yokuongororwa wakawedzera kunoguma Verengai yakakamurwa nokuwanda kwemeno.

The aesthetic zvinoriumba

indekisi utano inowanzoshandiswa nokuda vanachiremba vemazino. Zvakarurama aesthetic mazino nokuruma paakati kuziva chinzvimbo. It unocherekedza nzvimbo mazino uye nokuruma chivako chiri transversal, sagittal uye tote nzira. It rinoshandiswa kwemakore 12-vane vana vane makore.

kuonorora

Uye chii Migumisiro kuita kunyatsoongorora kuongororwa yezvokurapa nachiremba wemazino? Zvinozivikanwa kuti misoro Ongororo vagari inoratidza nzira yavo utano chinosanganisira kugovera zvinhu zvavo kwomuviri akakwana, kudzivirira zvirwere nokuita Utsanana zvakakodzera, prophylactic, kuchirapa uye nevamwe.

Chinangwa ndechokuti kusimbaradza kunotoda kuongororwa uye kuchengetedzwa paruzhinji utano, kuwedzera urefu hwavo.

Kuongorora Medical rinotarisirwa kugadzirisa matambudziko akadai:

• Kudzokorora pagore utano hwevanhu;
• nzwisisika richiona dzevarwere;
• nokuora zvakaipa tsika, kuonekwa uye kubviswa zvinokonzera mazino;
• Active uye nenguva maitiro kuzvivaraidza uye dzokurapwa matanho;
• Kusimudzira kunyatsoshanda uye unhu rubatsiro dzokurapa kuti yevagari pachishandiswa anotevedzana uye interconnected basa marudzi ose masangano, pamwero mukuru Kushanda vanachiremba mabasa ounyanzvi hwokugadzira siyana, okusuma unyanzvi rutsigiro, itsva marudzi kubatana, pakusikwa zvemaziso enyika nokuda vakaongorora nevanovhota pamwe kukura panorongwa.

Kuona vana

Pakuverenga indekisi of Green-mutsvuku, vanachiremba vanogona kuumba boka dispensary akataura navana

• Group 1 - Vana vasina zvokurwara;
• 2nd boka - chokwadi, utano vana vane nhoroondo chero chirwere kana rikwanise chirwere haadi kuchinja mashandiro zvinokosha nhengo;
• boka rechitatu - Vana vane zvirwere ari pakati nepakati, sub- uye decompensated nzira dzavo.

Pakuita mazino bvunzo vana vanopemberera zvikamu zvitatu:

• In wokutanga chokutambudzika, Kuedzwa rinoitwa kuti mumwe mwana nomumwe kunyoresa, chimwezve tikaongorora kuchipatara, uye ipapo kuziva boka outpatient pakuongorora, kufungidzira nezvokutsungirira mwana mumwe uye unoratidza prioritization bvunzo.
• Wechipiri - contingent inoumbwa nemapoka curation akagadza kuroorwa phasing mamiriro uye chinoramba kudzidza, proportionally kugoverwa pakati varwere dispensary vanachiremba, inoda wakaguta vakaongororwa contingent inpatient uye outpatient kurapwa.
• In wechitatu - vanachiremba kuziva kakawanda uye hunhu vanoshingaira zvokuongorora kuti mwana mumwe nomumwe, akarurama chirwere uye dzokurapwa nezviyero, maererano nokuchinja utano chinzvimbo, kuyera kubudirira arambe.

Zvikuru ndiro sangano basa rokudzidzisa kuti kudzivirira mazino zvirwere muvana uye zvisikwa kuchishandiswa zvinotikurudzira mazino ipapo itsva.

rokuongorora pamuviri

Kuti vawane kunonyanyisa chaizvoizvo ari kudzivirira mazino zvirwere, zvinoda kushanda kuti mazino uye Gynecology, uye vakadzi utano bvunzo panguva yepamuviri. Munguva mazino hofisi, vanachiremba kunze:

• kutsvinda of nomumukanwa mhango;
• rubatsiro wokusarudza chikuru uye zvimwe achishandisa utsanana, kurovedza zvakanaka nemumuromo hanya;
• Occupational utano;
• remineralizing kurapa kunowedzera nemishonga ine mazino enamel.

caries Prevention

Definition of Green-mutsvuku indekisi inoita basa rinokosha iri kudzivirira zvirwere kwemeno vevanaamai kutarisira kusununguka, rakaitirwa kuzadzisa zvinangwa zviviri: kudzivisa pokumuka caries mune vana utero uye kuvandudza mazino mamiriro vakadzi.

Zvinozivikanwa kuti utano raamai zvarinoita muitiro nokuisa mazino mwana kuti inotanga dzimwe kwevhiki 6-7 kubva gestation. Vanachiremba vangosarudza kuti pathologies siyana fetus DZEMUNHU DZINODZORA mineralization kuti mazino enamel uye kupota Anodzivisawo panguva padariro chinonyanya calcification. Muna postpartum nguva, unogona ndokutangazve, asi kwete kusvika mureza chechetere.

The mukadzi kare ari tanga pamuviri kuipa mazino munyama zvakaoma uye periodontal nokuda murombo Utsanana ezvinhu nomumukanwa mhango. Ndokusaka anofanira tiite matanho sokuvapo mwana asina kuzvarwa. Doctors angarayira vakadzi kuomerera zvakarurama kwadzinoita basa uye zororo, maekisesaizi uye zvakanaka kunovaka muviri vhitamini mishonga.

odontolith

The zino pamusoro inonyatsoziva siyana zvinofurira. Zvinonzi akaumba concretions nokuda kwezvikonzero zvinotevera:

• kutyora märehtiä urongwa;
• tsika snacking uye kudyiwa anoyevedza uwandu carbonated zvinwiwa uye makabhohaidhiretsi;
• kugamuchirwa kunyanya nyoro zvokudya;
• zvirwere zvomukati;
• kusvuta uye kudhakwa.

In ayo akafanana, pamusoro-uye subgingival matombo kubva mumwe siyanei. In wokutanga koshesa karusiyamu carbonate, magnesium uye calcium yakawanda phosphate. Uyezve, zvakaoma chaizvo. Yechipiri achiumbwa kubva mazino Dombo, iyo ine yakawanda residues zvokudya, masero epithelial, madzihwa, mabhakitiriya chokuita viscous mate.

Chii kucheneswa dzaiita zvokutaurwa mhango? Narwo kudzivisa paumbwe concretions. Doctors vanokurudzira kugara mazino uchishanyira uye kushandisa mazino floss, mushonga wemazino uye kwakakwana yepamusoro brushes. Zvinogonekawo kushandisa toothpicks uye rinses dzaiita zvokutaurwa mhango.

mutauro

Uye ikozvino tarira sei yakachena rurimi. Kana muviri ichi haisi bvuta - yako zvomudumbu hurongwa utano. Kubva pamazuva Hippocrates, vanachiremba akakumbira murwere kuratidza mutauro. Zvinozivikanwa kuti kubva muviri kuburikidza wayo pamusoro kudzingwa anoyevedza huwandu gang. Kana mutauro kuunganidza utachiona, vanova muchetura.

On muviri ichi ane vakawanda papillae, anorovera uye makomba, kusanganisira tudukuduku nezvimedu kunyura zvokudya. Ndokusaka mutauro uri kutaurwa utachiona. Vari vakatakura nemate pamusoro mazino, uye mberi anooneka zvinosemesa mweya - halitosis.

Kana munhu anogara rabvisa mutauro, kuwana utachiona pamuviri wake rakaoma, asi aikanganiswa kuravidza receptors kunowedzera, kunotadzisa gingivitis, zvomudumbu turakiti wenyonganyonga, periodontal chirwere, zino kuora.

muviri ichi vanofanira vadzime zvose, kunyanya vanosvuta uye vaya vane mutauro "nenzvimbo", pamusoro pemvura izvo zvakadzama pazvirugu uye mihoronga.

Kutarisira mutauro kuitwa pashure vakachenesa mazino uye muromo vypoloschen. Chokutanga, utachiona vanobviswa anotsvaira matanho (kubva napamaruva yokutenda) parutivi rumwe muviri uye kune vamwe. Zvadaro, mhiri mutauro kuchengeta bhurasho 3-4 nguva, akapfeka wake Pasta uye zvinyoronyoro vadzime muviri kubva pamudzi kusvikira kumucheto. Next unofanira sukurudza muromo wako, shandisa gel zvakare uye mira kuti 2 kwemaminitsi. Pashure manipulations izvi zvose zvinogona shambidza nemvura.

Kuchenesa rurimi kunokosha chezvinonhuwira hanya. Kubvisa Dombo, madzihwa, zvokudya vakasara, kukanganisa pemvura zino, nani anokosha itsvedzerere kana mumakwenzi (inogona nyoro). Disinfectant gel rakachengetedzwa pamusoro Groomer, anozadza pakakoromorwa pakati filamentous papillae. Panguva liquefaction, aishingaira anosunungura okisijeni, iro rine simba antibacterial basa iri anaerobic microflora ari nomumukanwa mhango. Kana nguva nenguva vanoita nzira iyi, iyo inotungamirwa mazino Dombo iri kuderedzwa 33%.

Mouthrinse

Varwere vakawanda vanobvunza kuti: "Chii kurigeza muromo wako," Kana uine rirwadze matadza zvinogona kushandiswa inorwisa utachiona (akambozvishandisa kuuraya utachiona) uye Anti-inflammatories. zvinodhaka Andisepitiki chiito utachiona kuti anokonzera suppuration. Anti-anogumbura zvinodhaka zvinenge hapana zvainoita nemavhairasi, asi vanogona kuderedza budiriro chirwere wacho.

Saka chii kurigeza muromo wako kana rirwadze matadza? Doctors vanoti:

• Kana periodontitis kana gingvite kushandisa zvose mhando mari, kunyange inorwisa utachiona ichava tibudirire.
• Kana kuzvimba zino kure matsime vanofanira kushandisa akambozvishandisa kuuraya utachiona mumiririri Somuenzaniso, "Chlorhexidine".

Kana iwe pamberi kudya achagara kugeza maoko avo, uye ipapo - kuchenesa mazino uye rurimi, iwe uchava akapa ikapenya uchinyemwerera kwemakore anouya.