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(完整word版)儿童口腔医学重点总结,推荐文档.pdf

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1、第1页儿童口腔病学第一节龋病一、乳牙龋病（一）乳牙的患龋特点1 岁开始上升，6、8 岁达到高峰。下磨牙、上磨、上前、下前牙最少乳牙龋病的好发部位：乳磨牙（牙合）面，第一乳磨牙的远中面，第二乳磨牙的近中面，乳前牙的唇面，乳切牙的近中面。1 2岁前牙唇面，邻面3 4岁乳磨牙窝沟龋4 5岁乳磨牙邻面龋乳牙的患龋因素：1、乳牙解剖特点：颈 1/3 隆起；邻牙面面接触；窝沟及生理间隙容易滞留食物2、乳牙组织特点：牙体薄，钙化低，抗酸力弱3、食物：软质食物，黏稠、含糖量高，易发酵产酸4、口腔自洁和清洁作用差精品资料-欢迎下载-欢迎下载名师归纳-第 1 页，共 17 页 -第2页例题：不易患龋的乳牙是A

2、.上颌乳磨牙B.下颌乳磨牙C.上颌乳前牙D.下颌乳前牙E.上颌乳尖牙【答案】D【解析】乳牙的患龋的好发牙位，以上颌乳切牙、下颌乳磨牙多见，其次是上颌乳磨牙、上颌乳尖牙，下颌乳尖牙和下颌乳切牙较少，即下颌乳前牙患龋最少，所以 D正确。例题：乳牙患龋的最好发牙位是A.上颌乳磨牙B.下颌乳磨牙C.上颌乳切牙D.上颌乳尖牙E.下颌乳前牙【答案】B【解析】乳牙以下颌乳磨牙患龋多见，其次是上颌乳前牙、上颌乳磨牙、上颌乳尖牙和下颌乳尖牙。因此本题选B。精品资料-欢迎下载-欢迎下载名师归纳-第 2 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码

3、:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3

4、HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 Z

5、K10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档

6、编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B

7、3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5

8、 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3

9、文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3第3页（二）临床表现分类进展程度：急性龋与慢性龋；湿性龋与干性龋临床分类：浅龋、中龋、深龋损害部位：窝沟龋及平滑面龋低龄儿童龋：6 岁严重低龄儿童龋：3 岁，3 岁 dmfs4，4 岁 dmfs5，5 岁 dmfs 6 喂养龋（奶瓶龋）：上颌切牙的唇面猖獗龋：侵及下颌乳前牙环状龋：乳前牙唇面、邻面龋围绕牙颈部例题：奶瓶龋主要发生在A.下颌乳磨牙舌面B.

10、上颌乳磨牙腭侧面C.下颌乳切牙的唇面D.上颌乳切牙的唇面E.下颌乳切牙的舌面【答案】D 【解析】由于长期用奶瓶人工喂养，瓶塞帖附于上颌乳前牙，而奶瓶内多为牛奶、砂糖、果汁等易产酸发酵的饮料，所以奶瓶龋易发生于上颌乳前牙的唇面，所以 D正确。考点：奶瓶龋的好发牙面精品资料-欢迎下载-欢迎下载名师归纳-第 3 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6

11、J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D

12、2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K

13、3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5

14、H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L

15、3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U

16、2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3

17、D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3第4页（三）治疗方法乳牙龋齿治疗的目的是终止龋蚀的发展、保护牙髓的正常活力。1.避免因龋而引发的并发症；2.恢复牙体的外形和咀嚼功能；3.维持牙列的完整性；4.使乳牙能够正常替换；5.有利于颌骨的生长发育。1、药物治疗临床上常采用药物治疗。无腐蚀性：2氟化钠、8氟化亚锡、1.23 酸性氟磷酸钠溶液、氟保护漆、75氟化钠甘油腐蚀性：10氨硝酸银、38氟化氨银2、充填治疗：防止磨穿髓角。3、乳牙嵌体：形态好，继发龋少，接触好，磨牙多4、金属成品冠：多个面龋，抗力固位差，颈部缺损无龈壁，龋活跃，固位体，冠折精品资料-欢迎下载-欢迎下

18、载名师归纳-第 4 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10

19、J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:

20、CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 H

21、X6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK

22、10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编

23、码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3

24、 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3第5页二、年轻恒牙龋病（一）临床特点年轻恒牙：萌出 2 3年牙根长度，3 5年后根尖发育1、硬度、弹性差，袋状龈缘不断退缩2、进展较快，易侵犯牙髓3、组织恢复能力强（二）治疗1、年轻恒牙避免髓腔穿通-间接盖髓 10 20周

25、2、恢复解剖外形，不强调恢复邻接材料选择：1、银汞合金-后牙 I 类和 II 类洞2、复合树脂-前牙 I、III、IV、V 和后牙 I、V3、玻璃离子-乳前牙 I 类、III 类和 V 类，乳磨牙颊、舌面I 类和 V 类精品资料-欢迎下载-欢迎下载名师归纳-第 5 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10

26、J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:

27、CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 H

28、X6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK

29、10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编

30、码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3

31、 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5

32、ZK10J1U2K3Z3第6页第二节牙髓病与根尖周病一、乳牙牙髓病和根尖周病特点1、瘘管可能在根分歧2、乳牙、年轻恒牙牙槽脓肿可以由龈沟排脓3、乳牙和年轻恒牙可能出现某一根牙髓已经坏死，其他根管仍可能为活髓或残留活髓4、慢性炎症，或慢性炎症急性发作（根尖炎相同）乳牙牙髓病治疗技术（1）间接盖髓：氢氧化钙（2）直接盖髓术：意外穿髓，直径小于 1mm（3）乳牙牙髓切断术：深龋露髓，冠髓牙髓炎，外伤露髓。药物甲醛甲酚/2%戊二醛（1：5 FC 浴 1min），氢氧化钙、硫酸铁、MTA 等精品资料-欢迎下载-欢迎下载名师归纳-第 6 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1

33、L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1

34、U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW

35、3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6

36、N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10

37、J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:

38、CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 H

39、X6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3第7页乳牙根尖周病乳牙根尖周病的特点（1）早期症状不明显，急性炎症时才就诊（2）慢性炎症或慢性根尖周炎急性发作（3）牙周疏松，脓液从龈沟排出，治疗后松动恢复正常乳牙根管治疗主要事项：术前 X 线片局麻下或失活。失活剂-多聚甲醛或金属砷。亚硝酸禁忌根管预备：勿超根尖孔冲洗：3%H2O2，2%5.25%次氯酸

40、钠，生理盐水根管消毒剂：氢氧化钙，甲醛甲酚、樟脑酚、木溜油根管充填：封药3 7天，用糊剂充填-氧化锌、碘仿糊剂、氧化锌碘仿糊剂、氢氧化钙不能搔刮瘘管精品资料-欢迎下载-欢迎下载名师归纳-第 7 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5

41、 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3

42、文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J

43、6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2

44、B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3

45、Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H

46、6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3第8页二、年轻恒牙（一）年轻恒牙牙髓病和根尖周病

47、的临床特点1、年轻恒牙牙髓炎多由龋病引起2、慢性炎症为主或慢性牙髓炎急性发作3、组织疏松，血运丰富，炎症易扩散，如治疗及时，炎症也易控制和恢复根尖诱导成形术1.适应证牙髓病已经波及根髓，而不能保留或不能全部保留根髓的年轻恒牙。牙髓全部坏死或并发根尖周病的年轻恒牙。2.治疗阶段第一阶段为消除感染和根尖周病变，诱导牙根发育。第二阶段为牙根根尖孔闭合后进行根管治疗严密封闭根管。一般间隔6 个月2 年左右。根管消毒：刺激性小的药物，如樟脑酚、木溜油、碘仿糊剂、抗生素糊剂药物诱导：首选氢氧化钙3 6个月复查一次，X 线片显示根尖延长或根端闭合后，进行常规根管充填精品资料-欢迎下载-欢迎下载名师归纳-

48、第 8 页，共 17 页 -文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z

49、3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6

50、J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D2B5 ZK10J1U2K3Z3文档编码:CW3D5H6J6B3 HX6N1L3D

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