náplň oboru záchovná stomatologie – konzervační zubní ... · dental caries infectious...
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PreclinicalPreclinical DentistryDentistryI.I.
Dental Dental CariesCaries
Lenka Lenka RoubalRoubalííkovkováá
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Dental caries
tooth
microbs
sugar
caries
time
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Dental Dental CariesCaries
InfectiousInfectious microbiologicalmicrobiological diseasedisease ofof thethe teethteeth thatthatresultsresults in in localizedlocalized dissolutiondissolution andand destructiondestruction ofofthethe calcifiedcalcified tissuestissues
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Dental Dental BiofilmBiofilm –– Dental Dental PlaquePlaque
A A gelatinousgelatinous massmass ofof bacteriabacteria adheringadhering to to thethetoothtooth surfacesurface. .
No shedding
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SugarSugar
FermentableFermentable (mono(mono--, , didi-- tritri-- sacharidessacharides))
Sucrose, glucose, lactose Acids
Demineralization
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SalivaSaliva
PlaquePlaque formationformation
MicrobialMicrobial sourcesource
MicrobialMicrobial clearenceclearence
BufferBuffer capacitycapacity
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PredictablePredictable dirtydirty placesplaces
PitsPits andand fissuresfissuresProximalProximal surfacessurfacesCervicalCervical areaarea
No No selfself cleaningcleaning
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PredictablePredictable cleanclean placesplaces
CuspsCuspsProximalProximal ridgeridge, , cristacrista transversatransversa, , cristacrista obliquaobliquaBuccalBuccal oror oral oral surfacesurface uponupon thethe maximalmaximalconvexityconvexity
SelfSelf cleaningcleaning
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CariesCaries -- depthdepth
SurfaceSurface cariescaries ((cariescaries superficialissuperficialis))MiddleMiddle cariescaries ((cariescaries media)media)CariesCaries closeclose to pulp (to pulp (cariescaries pulpaepulpae proximaproxima))CariesCaries penetratingpenetrating intointo thethe pulp (pulp (cariescaries ad ad pulpampulpampenetranspenetrans))
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CariesCaries -- TopographyTopography
CoronalCoronal cariescariesRootRoot surfacesurface cariescaries
EnamelEnamel cariescariesDentinDentin cariescariesCementumCementum cariescaries
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CariesCaries
AcuteAcuteChronicChronicStoppedStopped
PenetratingPenetratingUnderminingUndermining
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PrimaryPrimary cariescariesSecondarySecondary cariescariesRecurrentRecurrent cariescaries
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DiagnosisDiagnosis
XX--rayray: B: Biteite WWinging
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Sedelmayer
BBiteite WWinging
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DiagnosisDiagnosis
FOTIFOTI FFibreibre OOpticptic TTrans rans IIlluminationllumination
IRLF IRLF IInfranfra RReded LLaseraserFFluorescenceluorescence
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Dental Dental CariesCaries -- TreatmentTreatment
NonNon cavitatedcavitated lesionlesion::On On molecularmolecular basisbasis-- Dental Dental hygienehygiene-- FluoridesFluorides, , CalciumCalcium, , PhosphatesPhosphates-- DietDiet-- AntimicrobialAntimicrobial agentsagents
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Dental Dental CariesCaries -- TreatmentTreatment
CavitatedCavitated lesionlesion::
PreparationPreparationFillingFilling Drill anf fill
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PreparationPreparation
InstrumentalInstrumental treatmenttreatmentRemoveRemove cariescariesLeaveLeave thethe rest rest ofof thethe dental dental tissuestissues-- to to bebe restoredrestored-- to to bebe resistentresistent againstagainst thethe bite bite forcesforces-- to to bebe preventedprevented againstagainst thethe recurrentrecurrent cariescaries((BlackBlack 1914)1914)
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ClassifivationClassifivation ofof cavitiescavitiesaccordingaccording to to BlackBlack
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ClassClass I. I.
FissuresFissures andand pitspits
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ClassClass II. II.
ProximalProximal surfacessurfaces ofof molarsmolars andand premolarspremolars
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ClassClass III. III.
ProximalProximal surfacessurfaces ofof incisorsincisors andand caninescanines withoutwithoutlossloss ofof thethe incisalincisal edgeedge
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ClassClass IV IV
ProximalProximal surfacessurfaces ofof incisorsincisors andand caninescanines withwith thethelossloss ofof incisalincisal edgeedge
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ClassClass V. V.
CervicalCervical area area
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TurbineTurbine
400.000 400.000 rpmrpm
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Electromotors – maximum 40.000/min
Airmotors – maximum 20.000/min
Gearing to fast speedGearing to slow speedOscillation
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1 : 1 as far as 40.000 rpm
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Preparace strojovPreparace strojováá –– pohonypohony
1:4 až 1:5 as far as 160.000 – 200.000 rpm
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Preparace strojovPreparace strojováá -- pohonypohony
2,7:1 7,4:1
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Preparace strojovPreparace strojováá -- pohonypohony
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1:1
2:1
nerotuje
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ISO6360
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FillingFilling materialsmaterials
TemporaryTemporaryZinkoxidsulphateZinkoxidsulphate cementcementOneOne componentcomponent cementscements basedbased on on gypsumgypsum andandorganicorganic luteluteZinoxidphosphateZinoxidphosphate cementcementDefinitiveDefinitiveAmalgamAmalgamCompositesComposites
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FillingFilling materialsmaterials
Amalgam:Amalgam:MercuryMercuryPowderPowder –– metal metal alloyalloy::SilverSilverTinTinCopperCopperZincZinc
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ChiselChisel –– forfor enamelenamel
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ChiselChisel forfor enamelenamel
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ExcavatorExcavator