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  4. the treatment method of dental caries, how to do dental caries, and the medication for dental caries

the treatment method of dental caries, how to do dental caries, and the medication for dental caries

the treatment method of dental caries, how to do dental caries, and the medication for dental caries

Knowledge of diagnosis and treatment of dental caries

Visiting department: stomatology treatment cost: about (500-1000 yuan) in the top three hospitals in the city. Cure rate: treatment cycle: treatment method: drug treatment and dental treatmentGeneral treatment of dental caries

First, Western medicine treatment of dental caries

The purpose of caries treatment is to stop the pathological process, prevent it from continuing to develop and restore the inherent shape and function of teeth. Because of the special structure of teeth, although they have remineralization ability, they have no self-repair ability for substantive defects. Except for a few cases where drugs can be used, filling, inlay or artificial crown should be used according to the scope and volume of tooth defects to restore their shape and function.

1. Drug treatment

Drug therapy is a method of inhibiting the development of caries by using drugs on the basis of grinding away caries, which is suitable for shallow caries of permanent teeth and shallow and middle caries cavities of primary anterior teeth. Commonly used drugs include silver aminopiate and sodium fluoride.

Treatment: First, grind away the caries tissue as much as possible, and grind away the tooth slices at the edge of the hole to make the hole open; Isolate saliva with cotton sliver, dry the tooth surface, dip a small cotton ball in ammonia silver nitrate solution and rub the carious tooth surface for 1-2 minutes, blow dry with a warm air gun and then apply it twice, then rub it with a small cotton ball dipped in clove oil to reduce it to black, and blow dry it to complete the treatment. The formed reduced silver precipitates in dentinal tubules and blocks dentinal tubules, thus preventing the development of caries. Generally, it is carried out once a week, with 3-4 times as a course of treatment, and reexamination after 3-6 months. Soft tissue burns should be prevented during treatment.

2. Amalgam filling

At present, filling is the most widely used and effective method for teeth with substantial defects. Its basic process can be divided into two steps: first, remove caries tissue and weak tooth tissue without support, and make cavities into reasonable shapes according to certain requirements. Then, it is filled with filling material to restore its inherent shape and function. It is suitable for filling posterior teeth and anterior tooth cavities in concealed parts.

(1) Basic principles of cavity preparation

Remove carious tissues and prevent secondary caries. One of the cavities is similar to debridement, in which carious tissues must be removed, so that cavities can be established on healthy tooth tissues to prevent secondary infection.

Protecting dental pulp Dental pulp is a living tissue with sensation and metabolism. Because dentin and dental pulp are closely related, when cutting dental tissue, it will stimulate dental pulp tissue to varying degrees, which can lead to congestion and inflammatory reaction of dental pulp in severe cases. Therefore, attention should be paid to protecting dental pulp during operation. The picture of acenaphthene is shambling and carbon is shambling?

Prepare resistance form and retention form

Because teeth need to bear chewing function after restoration, they should meet two requirements after filling restoration. On the one hand, they can keep the restoration from loosening and falling off for a long time, that is, they should have retention shape; On the other hand, the restoration and the remaining tooth tissue will not be broken due to chewing force, that is, they should have resistance shape. Both should be taken into account in the preparation of cavities.

(2) Filling repair process (amalgam):

Remove caries tissue and establish cavity shape;

Preparing resistance form and retention form;

Cave shape trimming and cave cleaning;

Wodong detoxification;

Mat base;

Filling amalgam;

Polishing.

3. Composite resin filling

It is suitable for filling anterior teeth and posterior teeth cavities that do not bear chewing force. The filling points are as follows:

Prepare a certain hole shape

② Caverns above moderate level should be used as basement

③ Mixing utensils should be clean and dry. Use a non-metallic mixing knife, pay attention to the proportion of components, and fully mix evenly.

(4) Wet-proof when filling, avoid bubbles, and use polyester film or cellophane to compress the material, and finally modify and polish it.

4. Acid etching photosensitive composite resin filling

The indications are the same as composite resin filling, and it is also suitable for teeth with more defects, poor retention and covering discolored teeth. The main points of filling are:

(1) Thoroughly clean the tooth surface.

② Cover exposed dentin with zinc phosphate cement and calcium hydroxide preparation.

③ Etching the tooth surface with 35% or 50% phosphoric acid for 1-2 minutes.

④ Thoroughly wash the dry tooth surface to prevent re-pollution.

5. After coating adhesive and filling photosensitive composite resin, respectively irradiate with visible light for 20-40 seconds to solidify it, and finally grind it.

5. Inlay

Made of metal or other materials, the restoration suitable for the cavity of teeth is embedded in the cavity, which is called inlay; The cover on the joint surface is the cover inlay. Applicable to:

(1) The posterior occlusal surface is larger or the posterior teeth may be fractured.

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③ As abutment teeth of semi-fixed bridge.

Its main points are:

(1) Remove carious tissues and suspended glaze columns.

The depth of the hole is not less than 2.5 mm, and there is a slope of 45 degrees at the edge of the hole, and the outward opening angle of the wall is less than 5 degrees.

③ Nails and grooves can be added to assist retention.

④ Those with thin wall and weak tip should be prepared for full surface.

Make wax model and embed it in timeAs far as possible, continuous mold casting is adopted.

Treatment of dental caries based on syndrome differentiation

Second, the treatment of dental caries with traditional Chinese medicine

1). If the gums are red, swollen, hot and painful or have cold and heat,

Those with filthy odor in the mouth, pus in the perforations, yellow and greasy fur and wiry pulse are wind-heat and excess fire, which should be treated to clear away excess heat in Yangming. Prescription: 30g of gypsum, 6g of bamboo leaves, 9g of gardenia, 16g of honeysuckle, 15g of forsythia suspensa, 10g of red peony root, 9g of picrocoptis chinensis and 9g of scutellaria baicalensis Georgi, which are decocted with water. 2. If the gums are not swollen, the pain is light and heavy day and night, the emblem is cold and not hot, the mouth is not filthy and smelly, and the root of the tooth

Dental caries is easy to shake, with red tongue and little fur, and thin pulse strings, which is yin deficiency and fire hyperactivity, so it is advisable to nourish yin and reduce fire. Prescription: Radix Rehmanniae 25g, Radix Scrophulariae 10g, Radix Ophiopogonis 12g, Cortex Moutan 9g, Rhizoma Anemarrhenae 9g, Cortex Phellodendri 6g, Radix Cyathulae 9g, Radix Achyranthes Radix 10g, Radix Cinnamomi 3g, decocted with water.

2) Acupuncture therapy

Excessive fire pain, upper teeth take Xiaguan, inner court, lower teeth pain take buccal car, Hegu, all should use diarrhea method, keep needle for 10 ~ 15 minutes. For patients with pain due to deficiency fire, Taixi acupoint and Xiexingjian acupoint must be supplemented on the basis of the upper part, and the deficiency and the excess must not be confused.

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