Tus neeg laus uas tsis tshua muaj neeg paub tsis paub hais tias qhov twg yog qhov twg thiab zam tsis tau txais kev kho hniav. Hmoov tsis, noob caj noob ces, tsis nyiam huv, tej yam mob, kev noj zaub mov tsis zoo thiab ntau lwm yam ua rau txoj kev loj hlob ntawm cov kab. Thiab vim muaj coob npaum li 32 tus hniav hauv ib tus neeg laus, ntxov dua lossis tom qab ntawd txhua tus neeg tau ntsib ib tus kws kho mob.
Cov kev kho mob ntawm caries thiab nws cov teeb meem yog tsis tsuas yog tsis kaj siab, tab sis kuj tseem kim, yog li nws yog yooj yim dua them nyiaj rau kev tiv thaiv ntawm kev kho hniav caries.
Ua rau muaj kev txhim kho kev mob
Lub ntsiab yog vim li cas rau kev nkag mus ntawm cov kab mob cariogenic mus rau hauv cov ntaub so ntswg ntawm cov hniav yog qhov demineralization ntawm tus niam laus. Ib qho pH poob qis dua 4.5 tau tshwm sim hauv qhov pib ntawm qhov deg. Ntau yam tseem ceeb ua rau:
- kev tu cev tsis txaus ntawm lub qhov ncauj;
- lack of minerals los ntawm cov zaub mov thiab dej;
- kev tsim txom ntawm carbohydrates;
- anatomical qauv ntawm tus hniav;
- noob caj noob ces;
- muaj pes tsawg leeg ntawm qaub ncaug.
Txoj kev ua dej num tsis tshwm sim sai li sai tau, nws tuaj yeem siv li ob peb xyoos, yog li ntawd kev tiv thaiv kev tiv thaiv tuaj yeem raug nqa tawm hauv thawj theem (stain theem).
Txoj kev tiv thaiv kev tiv thaiv ntawm cov neeg laus nyob hauv cov laus
Primary yog hu ua kev tiv thaiv, uas yog xyuas kom tiv thaiv tau tus kab mob, thaum thawj pom tshwm sim ntawm nws tsis tau. Tsis zoo li secondary tiv thaiv, uas muaj nyob rau hauv kev kho mob ntawm caries thiab nws cov teeb meem. Qib prophylaxis ntawm caries yuav endogenous thiab exogenous.
Exogenous kev tiv thaiv ntawm caries
Hom kev tiv thaiv no muaj nyob rau hauv kev ua qee yam kev ua ub no, uas ua rau cov tshuaj tiv thaiv kab mob hniav tuaj mus rau cariogenic yam. Cov no suav nrog:
- Tu lub cev ntawm qhov ncauj. Kev xaiv tus txhuam hniav thiab muab tshuaj yuav tsum siv ob zaug ib hnub rau 2-3 feeb. Tawm yuav tsum sweeping - ntawm cov pos hniav mus rau lub kaus mom ntawm tus hniav. tshwj xeeb yuav tsum them nyiaj rau kev zom hniav. Yog xav paub ntxiv txog kev ntxuav lub qhov ncauj ntawm qhov ncauj tom qab noj mov tag nrho (rinses - nrog dej los yog yaug, zom cov pos hniav, cov hniav looj , cov tshuaj txhuam hniav). Qhov no suav tus kws tu cov hniav hauv ib lub rooj zaum hauv chaw kho hniav ntawm tus kws kho hniav.
- Fluoridation (siv cov tshuaj fluorinated cov tshuaj txhuam hniav, kua, kua xaws, cov tshuaj tua kab mob hauv zos nrog cov tshuaj fluoride, fluoride txheej ntawm cov hniav, electrophoresis nrog cov tshuaj fluoride thiab cov tshuaj calcium).
- Fissure sealing yog kev sib khi ntawm cov grooves ntuj thiab cov pits ntawm cov hniav uas muaj qhov tshwj xeeb sealants tiv thaiv kom tsis txhob kis cov kab mob cariogenic tob rau hauv cov ntaub so ntswg.
- Kev mus ntsib tus kws kho hniav tsis tu ncua. Txawm hais tias koj tsis txhawj xeeb txog ib yam dab tsi, txhua txhua rau lub hlis twg koj yuav tsum tau mus kuaj mob ntawm tus kws kho hniav kom txheeb xyuas cov teeb meem tshwm sim thaum ntxov.
Endogenous kev tiv thaiv ntawm caries
Qhov kev tiv thaiv kab mob hauv lub ntiaj teb tuaj yeem yog lam tshuaj thiab tsis muaj mob. Thawj qhov xyuas txog kev siv cov tshuaj fluoride, cov vitamins thiab minerals, xws li cov khoom noj khoom haus ntxiv, thiab dej haus, mis nyuj thiab ntsev, uas yog cov tshuaj fluorinated tshwj xeeb rau lub hom phiaj no. Txoj kev tiv thaiv no yuav tsum tau xaiv los ntawm tus kws kho mob, vim tias cov tshuaj fluoride ua rau cov tshuaj fluorosis, uas kuj muaj cov nyhav tsis zoo ntawm cov hniav.
Kev tiv thaiv tshuaj tiv thaiv tsis zoo yuav hloov hloov kev coj cwj pwm. Carbohydrate khoom noj txom ncauj, yog li tau tsim los ntawm ntau tus neeg, nqa ib qho kev ntshiab rau cov ntaub so ntswg - tom qab tag nrho, tsawg tsawg tus neeg txhuam lawv cov hniav tom qab ib qho qhaub cij los sis ib khob kua txiv qab zib. Tsis tas li, tag nrho kev noj haus yuav tsum ua tib zoo balanced rau cov proteins, cov rog thiab carbohydrates, as Well as lwm yam minerals thiab vitamins.