Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE

Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 4 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Mistakes and complications at treatment sick with periodontitis. Chronic intoxication and sepsis. the lecturer: professor Komilov H. P. Tashkent 2013

The Purpose to lectures: n Acquaint student with mistake and complications at treatment sick with periodontitis, chronic intoxication and sepsis

The Problems to lectures: n Student must know mistakes and complications at treatment sick with periodontitis, chronic intoxication and sepsis

The Plan to lectures: n n General notion Mistakes and complications, appearing in process of the stating the diagnosis of the Mistake and complications, appearing in process of the treatment Chronic intoxication Sepsis Findings

MISTAKES And COMPLICATIONS APPEARING AT TREATMENT of the DISEASE PERIODONTA n n Mistakes appearing when stating the diagnosis of the Mistake and complications appearing at anesthetization 3. The Mistakes and complications appearing under mechanical processing the carious cavity. 4. The Mistakes and complications appearing under mechanical and medical to processing channel. 5. The Mistakes and complications appearing under sealing root channel.

Otlom needles Gematoma Mistakes and complications appearing at anesthetization Paresteziya allergic shock Wrong introduction anesthetic Obmork Kollaps

First aid at swoon n n n 1. Sick will add horizontal position 2. Caffeine 10%-1. 0 ml pk 3. Кордиамин 1. 0 l pk, vm 4. Camphor 2%-2. 0 ml pk (in couched in type) 5. Atropine 0. 1%-0. 5 ml pk (when arising bradycardia ) 6. Hot tea, coffee, rest

First aid under коллапсе n Sick will add the horizontal position. Head place on side Poliglyukin 400 ml vv droplet Mezaton 1%-1. 0 ml vv, droplet with 5% 200 ml solution of the glucose Prednizalon 90 -120 mg ( on 1 kgs masses of the body 2 -3 mg) or 600 -800 mg hydrocortisone or 16 -32 mg dexamethasone vv Korglikon 0. 06%-0. 5 -1. 0 ml vv Calcium chloride 10%-10. 0 ml solution since 10. 0 ml- 0, 89% solution sodium chloride vv droplet Hospitalization patient in permanent establishment

First aid at анафилактическом shock n The Cessation introduction allergen Sick will add the horizontal position. IVL+MASSAZH heart cut away place аллергена 0. 1% adrenaline with 5 -10 ml fiz. solution Introduction Tavegil 0. 1%-2. 0 ml or Suprastin 2%-2. 0 ml or diphenhydramine 1%-3 -4 ml vm or vv Reopoliglyukin 200 -400 ml vv droplet Prednizalon 90 -120 mg (on 1 masses of the body 2 -3 mg) or 600 -800 mg hydrocortisone or 16 -32 mg dexamethasone vv Warmhearted glycosides on evidence: Korglikon 0. 06%-0. 5 -1. 0 ml vv Export resuscitation crews Hospitalization patient in permanent establishment

MISTAKES And COMPLICATIONS APPEARING UNDER MECHANICAL PROCESSING the CARIOUS CAVITY

Perforation

MISTAKES and Complications APPEARING UNDER MECHANICAL And Medication PROCESSING the ROOT CHANNEL

Shaping to cavities of the teeth

Blocade of the bright spot of the channel dentinal sawdust n The Reason. Premature use the n n The Reason. Premature use the instrument of the big size and non-observance of the rules of the return to file of the small size for checking the pass abilities of the channel all through. To blocade of the bright spot also to bring incomplete removing the pulp and lack of irrigation channel during instrumental processing

The formation of the apical (qanaqa kasallik qob ketgat apical+ot kelishi kerak) n The Reason. Use under curved channel made someone look fat, inflexible, not curly channel on the form of the instrument. Under rough rotation of the instrument in channel him transferred form sand hours.

Apical perforation of the wall of the root channel (via falsa) n The Reason. 1) pass the channel with exhibit of the big effort when blocking the bright spot dentinal sawdust; n n dentinal sawdust; n n n 2). Use the instrument with aggressive top; 3). Use machine instrument when processing curved channel. The Preventive maintenance. 1) When functioning (working) follows to use the technical methods directed on warning blocking the bright spot of the channel n 2). Before introduction to channel instrument his (its) it is necessary curly on the form of the channel; 3). At extension of the channel file follows make sawing motion, n amount rotational motion must be minimum; 4). The Preference is added instrument with nonaggressive by top (batt-tip).

Formation symptom via falsa

Surplus expansion of the channel in average one third on internal curvature root ( stripping ) n n The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument. The Preventive maintenance. To avoid the surplus extension in small curvature , follows beforehand to bend the files in accordance with curvature of the channel, when n n processing to use anti perforation technology , when file snuggles to big curvature. Avoid this complications under премениении gimlet Safety hedstroem and fine files possible. follow. Ushould Anecessary Avoiding the surplus extension narrow, twisted channel: their follows expand not more on 2 -4 sizes from initial width.

excessive expansion apical holes ( breakup )

Under VWVbreak off instrument to channel their extract from channel by means of complex Masserana, ultrasonic scaler or special endodontic ferrule, for instance Sonic Air.

The Process of the work. 1) Otlomok instrument. 2) microwelding electrode; 3) removing instrument; 3) expansion artificial fragment crowns; 4) By means of microwelding of the removing fragment instrument.

Ledging equipment in Portenko canada additional gouge n The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument.

Perforation of the bottom to cavities of the teeth and root channel n n The Ignorances topography to cavities of the teeth; The Insufficient expansion of the bottom to cavities of the teeth Wrong choice and using endodontic instrument Insufficient expansion mouth of the root channel. The Offset to axis of the teeth in cheek or lingual direction. Endodontic treatment of the teeth under artificial by crown.

Mistakes and complications at sealing channel

Perforation of the channel under filling channel

Perforation of the channel under filling

Perforation of the channel under filling

Perforation of the channel under filling

Pereplombirovka channel

n Stomatogennyy centre localized chronic inflammatory diseases organ and fabric cavity рта, that can be a reason of the internal organ or the other system diseases of the organism or aggravate their current.

To стоматогенным centre pertain: n n n periodontium (periodontitis ). The Inflammation of the pulp (pulpitis ). The Disease periodontal. Chronic osteomyelitis jaws. odontogenic subdermal granuloma Retinirovannye, Impacted and supernumerary teeths, complicated by The Inflammation chronic inflammation. alveolitis. n Chronic n The Chronic inflammation of the salivary ferrics.

odontogenic centre chronic inflammatory process, connected with teeth n As such centre are considered apical periodontitis, cysts, chronic forms of the inflammation of the pulp, as well as periodontal pocket, osteomyelitis (G. D. OVRUCKIY, 1993).

The Septic centres on location are divided: n n n 1. Odontogen sepsis. 2. Отоген sepsis. 3. Tonzilar sepsis. 4. Urogen sepsis. 5. Киндик sepsises. 6. Parodontol sepsis

CONCLUSION n Odontogennye, often hidden centres to infections melt in itself threat of the heavy influence on organism. About this follows to remember the physician of any profile and more so stomatologist, which must in obligatory order to conduct sanitation cavities рта, using different modern methods (therapeutic and surgical) of the treatment.

LITERATURE n n n n Summary: 1. Borovsky EV et al "dentistry". - M. 2002. - 736 s. 2. Borovsky EV Barisheva YD, YM Maksimovskiy "Dentistry", Moscow 1998 3. Lutzky IK "Prakticheskeaya dentistry" Minsk: Belarusian Science, 2001. 359. 4. Nikolaev, AI, LM Tsepov "Practical preventive dentistry, " Moscow: Inform MEDpress, 2004. With 548. MORE: 5. Dmitriev, LN etc. "dentistry. " -M. , 2004. 6. Skorikova L. et al "Propedeutics dental diseases. " Rostov n/d. . 2002 was 7. Lutzky, "Guide to Dentistry", Rostov-N / A: Phoenix, 2002. -544 with. 8. Dmitrienko. S. V Krayushkin A. , Sapin M. R "Anatomy of human teeth", Moscow-Nizhny Novgorod: Med. kniga NSMA, 2000. - 196. 9. Leus PA, Goreglyad AA, Chudakov Acting "Diseases of the teeth and mouth, " Minsk High School. 1998. 288 s. www. medinfo. homeml. org/E-mail: medinfo. @ mail. admiral. ru www. doctor. ru

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