犬猫牙科学精品.pptVIP

Routine periodontal treatment口腔检查(Dental chart) Gingivitis 0：normal gingiva, no inflammation, no discoloration, no bleeding 1：mild inflam, slight color change, no bleeding 2：moderate inflam, erythema, swelling, bleeding on probing 3: severe inflam, spontaneous hemorrhage, some ulceration * Routine periodontal treatment口腔检查(Dental chart) Mobility 0：normal 1：增加活动 2：活动超过0.5mm 3：活动超过1mm 4：高度活动，牙无功能 * Routine periodontal treatment口腔检查(Dental chart) Furcation 0：no 1：3 mm probed in horizontal 2：more than 3 mm 3：through and through furcation * * Routine periodontal treatment Removal of supra and subgingival calculus and plaque by periodontal debridement removal of pathogenic plaque and toxins from the crown (with the help of bactericidal lavage also) and root surface without removing exposed cementum. 移除calculus及exposed cementum现在被认为不是最重要，最重要的是必须要移除gingiva pocket中的plaque。 * Routine periodontal treatmentPower scaler Machines Ultrasonic (20000 Hz)：以metal tip vibration 及cavitation来移除calculus及消毒。 tip愈薄，产热愈多 * * Routine periodontal treatmentPower scaler Sonic scaler oscillate between 2000-6000 Hz Come with air-driven machine Less powerful , but less damaging to the tooth surface Little or no heat generated * Routine periodontal treatmentPower scaler Principles Never press hard on the tip: it relies on vibration to effect. Adequate water spray (水可以降温，而且在超音波后形成泡沫及震波，造成细菌细胞壁的破坏 (cavitation，气穴现象)。有的机器还能用antiseptic solution) * Never spend more than 5-10 seconds on one tooth Do not use the tip subgingivally (unless specially designed) Do not direct the tip at a 90 degree to the enamel surface. * Routine periodontal treatmenthand instruments periodontal sickle scaler 尖头，用来remove supragingival calculus 种类：(有混合两头的，称为Towner-Jacquette scaler) straight (Jacquette scaler): 2 straight blades ，背面三角较钝 curved: 2 curved blades，背面三角较锐 使用：blade与平面呈45-90度，以pull stroke来移除calculus，可在ultrasonic scaler前使用。 * Routine periodontal treatmenthand instruments Periodontal curettes 圆头，圆背，主要用于