牙体硬组织非龋性疾病牙体慢性损伤温医《牙体牙髓病学》ppt课件.pptVIP

牙体硬组织非龋性疾病;牙体慢性损伤;-Note the incisal surfaces of lower anterior teeth -What causes change of teeth? ;;磨 损;病 因 ;牙本质：死区、透明层形成 修复性牙本质形成 牙髓： 营养不良性变化 牙髓腔变小;釉质;创伤性溃疡 白斑;全口牙 重度磨损; attrition;; 生理意义 ; 生理性磨损，无症状无需治疗 去除引起病理性磨损的原因 治疗相应的并发症 ;1、去除病因：改变不良习惯，调整咬合等 2、对症治疗: 牙本质过敏 →脱敏治疗 高陡牙尖→调合 牙髓牙周病→牙髓牙周治疗 牙体组织缺损严重→牙髓治疗后全冠修复 多个牙齿重度磨损→合垫恢复颌间距离后冠修复;;;;Cause 2;Add Your Text;requires high amount of concentration, precision or physical activity ;临 床 分 型;临 床 表 现;牙本质过敏;牙髓病;根尖周病;牙 折;合创伤;肌肉酸痛;This 45 year old male has excessive wear of his teeth due to his habit of grinding his teeth at night. ;减少紧张（stress reduction ） 自身调节 生物反馈机制 保护牙齿（tooth care） 合垫mouth guard or night guard 粘接bonding 全冠crown; Common Acrylic Splint ;safe?liquid (e.g., sea water), is inserted into, and sealed in,small ?plastic capsules. Whenever bruxism is attempted, the capsule(s) rupture and the liquid is released into the mouth. The liquid then draws the bruxers conscious attention to, and forestalls, any attempt of teeth clenching or grinding.?;;GrindAlert is a battery-powered device worn on the forehead during sleep. Applying the well documented principles of biofeedback, it emits a gentle tone that alerts you when you grind, and triggers you to stop. You relax your tight, clenched muscles naturally. ;No more headaches. No more sore jaw. -- GrindAlert customer L. Russell. ;Bonding; Before ;YES: Try taking a warm bath before bedtime Relaxing muscles, especially on the neck area Exercise regularly by walking, cycling or swimming;NO: Do not eat sugar before going to bed Drink less alcohol and caffeine;-This cervical abrasion is caused by tooth brush -What are some other causes of ‘abrasion’? -What tooth surfaces are affected?;概念 牙唇、颊侧颈部硬组织发生缓慢消耗所致的缺损，由于这种缺??常呈楔形;其它因素： 牙颈部的结构 酸的作用 牙体组织的疲劳 ;刷 牙 ;酸 的 作 用 ;牙 颈 部 结 构 ;A;应 力 疲 劳 ;临床表现;Wedge-shaped defect;缺损少;光敏树脂修复法;垫底;;65-year-old female with s