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Лечение кариеса

АКЦИЯ: Световая пломба "Под ключ" 2000 рублей с 1 по 30 ноября 2017 года* при лечении кариеса, пульпита, периодонтита, клиновидного дефекта.

В стоимость входит: стерильный набор, любые виды анестезии, обработка полости, снятие старых пломб, матрицы, световая пломба  любого размера, реставрация, пришлифовка.

В стоимость НЕ входит: лечение каналов зуба, любые виды штифтов, ренгенография, аксессуары, восстановление полностью разрушенных зубов.

Кариес — это самое распространенное стоматологическое заболевание, которое возникает в результате ежедневного неизбежного скопления микроорганизмов в полости рта. В течение дня не всегда представляется возможным почистить зубы после еды, это приводит к образованию зубного налета, который оказывает разрушительное влияние на твердые ткани зуба. Сначала поражается зубная эмаль, затем дентин, появляется реакция на сладкие продукты и это уже первые симптомы развития кариозного процесса. Однако, микроорганизмы – не единственная причина возникновения кариеса. Огромное значение имеют такие факторы как качество и количество слюны, насыщенность зубной эмали фтором, генетический фактор, качество пищи, экология и многие другие.

Кариес различают по стадиям, формам, глубине, остроте и по возникновению процесса, также по локализации.

 Кариес

 

По глубине процесса кариес подразделяется на:

  • Кариес в стадии пятна – начальная форма кариеса. На этой стадии диагностировать кариес самостоятельно без помощи квалифицированного стоматолога практически невозможно, так как протекает он бессимптомно. Лечение кариеса на этой стадии осуществляется путем реминерализации (восстановления пораженного участка) эмали кальций- и натрийсодержащими препаратами.
  • Поверхностный кариес. На этой стадии заболевания появляются первые симптомы – кариодная область приобретает шероховатость, появляется чувствительность при приеме горячей, холодной и сладкой пищи. Метод лечения кариеса на этой стадии заключается также в восстановлении эмали, предварительно обработав область поражения специальными шлифовальными инструментами.
  • Средний кариес. Когда кариес не был диагностирован и вылечен на начальной стадии развития, кариесогенные микробы начинают проникать под эмаль, поражая дентин. На этой стадии заболевания болевые ощущения все более выражены и продолжительны, появляются внешний признаки пораженных кариесом областей. Метод лечения среднего кариеса основывается на тщательном удалении инфицированных тканей зуба, обработке кальцийсодержащими препаратами и установке пломбы. При лечении кариеса в этой стадии самым важным становится полностью обработать полость, чтобы не допустить развития вторичного кариозного процесса.
  • Глубокий кариес. Стадия, при которой кариозный процесс развивается глубоко в зубе и начинает поражать пульпу. Нередко при такой форме заболевания приходится удалять нервы, обрабатывать и пломбировать корневые каналы зуба и только после этого устанавливать пломбу.

 

Лечение кариеса

При первоначальном осмотре большинство кариозных полостей кажется совсем небольшими по размеру.

Лечение кариеса

 

Начало обработки

Уже при начальной обработке кариозной полости выясняется: то, что видно на поверхности зуба - только малая часть кариозной полости.

Начало обработки

 

Подготовка полости

После окончательной обработки полости видно, что кариозным процессом был поражен вдвое больший объем, чем предполагалось при первоначальном осмотре. Данная особенность характерна для 90% полостей, так как кариес распространяется гораздо быстрее внутри зуба, чем снаружи.

 Подготовка полости

 

Пломбирование

После пломбирования зубов  фотокомпозитом уже сложно отличить, где именно был кариес. При соблюдении адгезивной технологии и хорошей полировке очень сложно увидеть границу соединения пломбы и зуба.

 Пломбирование

 
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                    [possible_keys] => PRIMARY
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [33] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='3' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_page
                    [type] => const
                    [possible_keys] => PRIMARY,type
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [34] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='37' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_page
                    [type] => const
                    [possible_keys] => PRIMARY,type
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [35] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='7' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_page
                    [type] => const
                    [possible_keys] => PRIMARY,type
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [36] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='46' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_page
                    [type] => const
                    [possible_keys] => PRIMARY,type
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [37] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='23' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 0 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => 
                    [type] => 
                    [possible_keys] => 
                    [key] => 
                    [key_len] => 
                    [ref] => 
                    [rows] => 
                    [Extra] => Impossible WHERE noticed after reading const tables
                )

        )

    [38] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='43' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_page
                    [type] => const
                    [possible_keys] => PRIMARY,type
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [39] => Array
        (
            [0] => SELECT * FROM tl_page WHERE id='47' AND type!='root' AND type!='error_403' AND type!='error_404' AND (start='' OR start<1542378004) AND (stop='' OR stop>1542378004) AND published=1 LIMIT 0,1
            [1] => 0 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => 
                    [type] => 
                    [possible_keys] => 
                    [key] => 
                    [key_len] => 
                    [ref] => 
                    [rows] => 
                    [Extra] => Impossible WHERE noticed after reading const tables
                )

        )

    [40] => Array
        (
            [0] => SELECT * FROM tl_content WHERE id='1' LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_content
                    [type] => const
                    [possible_keys] => PRIMARY
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

    [41] => Array
        (
            [0] => SELECT * FROM tl_content WHERE id='71' LIMIT 0,1
            [1] => 1 rows returned
            [2] => Array
                (
                    [id] => 1
                    [select_type] => SIMPLE
                    [table] => tl_content
                    [type] => const
                    [possible_keys] => PRIMARY
                    [key] => PRIMARY
                    [key_len] => 4
                    [ref] => const
                    [rows] => 1
                    [Extra] => 
                )

        )

)