牙髓腔解剖学.ppt

牙髓腔解剖 南方医科大学口腔系 刘阳 内容要点 髓腔各部名称 髓室、根管系统 髓腔的增龄变化及病理变化 髓腔解剖的临床意义 恒牙髓腔形态 乳牙髓腔形态 Digestive System Each tooth is made of a few different layers. Enamel covers the top of the tooth . Below that is the dentin. Each tooth has a cavity called the pulp cavity or root canal. This cavity is home to a connective tissue pulp as well as blood vessels and nerves. Below the Gingiva (gums) the tooth is surrounded by a substance called cementum and held in place by a Peridontal Ligament. Teeth Dentition Deciduous (= milk, baby teeth) 6 months - ~ 12 yr. 20 teeth Each jaw has 4 incisors 2 canines 4 premolars Dental formula 2. 1. 2 2. 1. 2 Teeth Dentition Adult (permanent) 6 yr. - ~ 21 yr. on 32 teeth Each jaw has 4 incisors 2 canines 4 premolars 6 molars Dental formula 2. 1. 2. 3 2. 1. 2. 3 Tooth Structure Incisor- teeth in the very front, sharpest teeth, built to cut food and shaped to shovel the food toward the back of the mouth.. Dentin-Surface directly beneath enamel that is less calcified, similar to bone, becomes visible with excessive wear to the teeth. Pulp- Inner most part of the tooth, houses the nerve and blood supply to the tooth. Damage could cause the tooth to die. Periodontal disease: Progressive disease that results in loss of attachment, bone, and surrounding structures. *Some forms of periodontal disease are due to the progression of gingivitis Check for oral risks Recommend the correct type of prevention for the child Answer any questions Decide on follow up exams Ctn. Structure and Function of the Normal GI System Figure 22.11 三、髓腔解剖的临床意义 髓腔形态是临床进行牙体、牙髓和牙周疾病治疗的重要依据，它包括髓室的大小、位置、髓角的高低、根管口的位置、根管数目、根管的类型、弯曲程度和方向以及根管与牙周组织间的关系等，否则可发生意外 高耸的髓角，在备洞或作嵌体针道时容易发生意外穿髓，弯曲的根管，进行去髓和扩大时，容易造成器械折断或根管侧穿；根尖孔或牙根尚未完全形成者，器械、药物或充填物容易穿出根尖孔，刺激根尖周组织引起根尖周炎 四 恒牙髓腔形态 前牙 共同特点：1 髓室和根管间无明显界限 2 根管多为单根管 3 根尖孔多位于根尖顶 切牙组 近远中剖面 三角形，顶位于冠中1/3 唇舌剖面 梭形，最宽处在颈缘处，向切缘及根方逐 渐缩小 横剖面 圆三角形 较圆，唇舌径大于近远中径 恒牙