_牙折课件.ppt

松动明显，牙周破坏严重或单根牙的牙根纵裂，均应拔除。 The tooth should be extracted if it is very loose or of severe periodontal lesion or vertical root fracture in single rooted tooth. 牙周病损局限且牙稳固的磨牙，可在根管治疗后行牙半切术或截根术。 Tooth hemiresection or root resection is performed after RCT if the molar is steady and of limited periodontal lesion. 牙半切术 tooth hemiresection 截根术 root resection 慢性损伤 磨损 楔状缺损 磨牙症 牙隐裂 酸蚀症 楔状缺损是牙齿唇、颊颈部硬组织缓慢磨耗所致，因该缺损常呈楔状而得名。 Wedge-shaped defect is caused by tardy abrasion of buccal cervix hard tissues. 刷牙不当 牙颈部结构 Structure of tooth cervix Improper teeth brushing Etiology 酸作用 牙体组织疲劳 Acid erosion Weariness of hard tissues 由2～3个平面组成，坚硬光滑，为牙本色。 Usually have 2 or 3 surfaces,hard and smooth,tooth-like color。 Clinic characteristics 根据缺损程度分浅型、深型和穿髓3型 前磨牙好发，常左右对称，有牙龈退缩 随年龄增长，楔状缺损有增加趋势 Be classified with shallow,deep and pulp exposure according to the depth of the lesion Most commonly occur on the buccal surface of bicuspids symmetrically and accompany with gingival recession The sizes of abrasions increase with age 改正刷牙方法 牙体缺损少无牙本质过敏，不需处理。 Correct tooth brushing Treatment and prevention Careful observation if there is no tooth sensitivity and the lesions are small 有牙本质过敏，可用药物、激光等脱敏。 牙体缺损多，可充填修复。 Fillings if the lesions are extension Desensitization with medicine or laser if there is dentin hypersensitive 牙髓感染或根尖病变时，作髓病或根管治疗。 缺损导致牙齿横折时，根据情况作根管治疗或拔除。 Root canal therapy is performed if there is pulpitis or periapical periodontitis. Root canal therapy or extraction are performed if tooth fracture is occurred. 又称不全牙裂或牙微裂，指牙冠表面非生理性细小裂纹。 Fine non-physiological crack on the surface of the crown 牙齿结构薄弱环节 牙尖斜度大 创伤合力 Weak tache of tooth structure Big cuspid pitch Traumatic occlusal force Etiology 隐裂牙发生于上颌磨牙最多，其次是下颌磨牙，第一磨牙多于第二磨牙。 Clinic characteristics Most commonly occur on maxillary molar, and secondly on mandibular molar.The crack occurs on first molar is more than that on second molar. 隐裂线 上颌 下颌 mandibular maxillar Cracked line 表浅者无症状，较深时，遇冷热刺激敏感或咬合不适。 深隐裂有牙髓炎症状和定点咀嚼痛。 隐裂线 碘酊等可渗入隐裂处 探针撬动隐裂处