tashkent medical academy pulpit to therapeutic stomatology lecture 1 for student 4 courses 7...
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Tashkent Medical Academy PULPIT to THERAPEUTIC Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE STOMATOLOGY LECTURE 11
FOR STUDENT 4 COURSES 7 SEMESTERS FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY STOMATOLOGICHESKOGO FACULTY
Subject: the periodontium. Subject: the periodontium. Structure and function. Structure and function.
Periodontitis. Periodontitis.
The etiology, The etiology, pathogenesis, classification. pathogenesis, classification.
Lecturer: Prof. Komilov H.P. Lecturer: Prof. Komilov H.P.
www.tma. Uzwww.tma. Uz
Tashkent 201Tashkent 20133
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Purpose: To familiarize Purpose: To familiarize students with the structure students with the structure of the periodontium, the of the periodontium, the functions functions inflammatory processes inflammatory processes occurring in the occurring in the periodontium, periodontium, the the classification of classification of periodontitis.periodontitis.
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• Objectives: To teach students to Objectives: To teach students to diagnose periodontitis, conduct diagnose periodontitis, conduct
• differential diagnosis differential diagnosis of similar diseases of similar diseases
• familiarize with the familiarize with the classification of periodontitis.classification of periodontitis.
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• Plan: 1. The anatomical and Plan: 1. The anatomical and histological structure of the histological structure of the periodontal periodontal
• 2 Functions of periodontal 2 Functions of periodontal
• 3. Etiopathogenesis of periodontitis 3. Etiopathogenesis of periodontitis
• 4. Morbid anatomy 4. Morbid anatomy
• 5. Classification of periodontitis5. Classification of periodontitis
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Periodontium is a connective tissue ¬ Consequently, located in the so-called periodontal ligament, ie, in the space bounded by ¬ bounded on one side of the dental lamina compact cell ¬ ki, on the other - the cement of the tooth root. At all about pulling the hole of the tooth ¬ connective tissue periodontal (periodontal membrane) is in direct contact with the jaw bone, through the apical hole - with the pulp of the tooth, and the edges of the cell -
with the gum and jaw periosteum.
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The boundaries of periodontal 1. Periodontalnaya gap
2. Alveolar bone plate3. Cement of the root4. Periodontal ligament apparatus
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in the upper (0.2-0.25 mm).
in the upper (0.2-0.25 mm).
the lower jaw slightly lower (0,15-
0,22 mm)
the lower jaw slightly lower (0,15-
0,22 mm)
the width of periodontal ligament
the width of periodontal ligament
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the width the width of of
periodontal periodontal ligamentligament
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Periodontal gap
Collagen fibers
Oksitalant
Argirofil
Periodontal Elastic
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Periodontal Periodontal fibersfibers
circular fibers
circular fibers
circular fibers
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The direction of the main The direction of the main fiberfiber
circular fibers circular fibers
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PeriodontiumPeriodontium
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Cellular composition of the periodont
al
fibroblasts
Epitelialnye cells
basophils
Adventitsialnye cell
cells of the
cement
lymphocyte
s
thick cells
Osteoblasts
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PeriodontiumPeriodontium
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fibroblastsfibroblasts
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HistiocytesHistiocytes
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Epithelial remnants in the periodontium. X 200
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Osteocytes
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Gear alveolar segment:
1.pulpa2.dentin3.tsement4.marginalny periodontium5. loose connective tissue6.kompaktnaya plate7.k awn8.appikalny periodontium
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Alveolar Alveolar bonebone
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CirculationCirculation
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Circulation PeriodontiumPeriodontium
the mental
Sublingval
Infra orbital
upper back
dentalnaya artery
arterialnye perforatin
g branches
Intraseptalnaya artery
Dentalnaya
artery
mandibular artery
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Supraperiostalnaya artery2.Periodontalno ligamentous artery3. Inside the bone artery
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Limfaobrascheniya
Deep tservikalnye
lymph nodes
submandibular lymph nodes
Podyazychnye
limfatiches nodes
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Neurovascular bundleNeurovascular bundle
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Periodontium. The nerve Periodontium. The nerve endings (for LI Falinendings (for LI Falin))
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The etiology of The etiology of periodontitis:periodontitis:
• • • InfectionInfection• Traumatic• Traumatic• Medical• Medical
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Classification of Classification of periodontitisperiodontitis
Acute periodontitisAcute periodontitis
OriginallyOriginally
1. Acute infectious periodontitis1. Acute infectious periodontitis
2. Acute toxicity (medical 2. Acute toxicity (medical periodontitis)periodontitis)
3. Traumatic periodontitis3. Traumatic periodontitis
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• Infectious periodontitis. The main role in the development of periodontal infection are bacteria, mainly streptococci, nonhemolytic streptococci among which is 62%, zelenyaschy - 26%, hemolytic - 12%. Coccal flora usually sow together with other microorganisms - veylonellami, lactobacilli, yeast fungi.
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Traumatic periodontitis
The shoema
kers
Musicians
with injuries
smokers
when anamaliyah bite
when bad
habits
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Medical periodontitis
Myshyakovistaya paste
Formalin,
Trikrezolformalin
Phenol the strong
est use of antiseptics,
use of strong chemic
als
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Localization of the Localization of the pathological processpathological process
1. Acute marginal 1. Acute marginal periodontitisperiodontitis
2. Acute apical 2. Acute apical periodontitisperiodontitis
3. Acute total (total 3. Acute total (total periodontitis)periodontitis)
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The nature of the The nature of the exudateexudate
1.1. Acute serous periodontitisAcute serous periodontitis
2. Acute suppurative periodontitis2. Acute suppurative periodontitis
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perivascular infiltration in the phase of intoxication
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leukocytic infiltrationin phase ekksudatsii
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Chronic periodontitisChronic periodontitis
• 1. Chronic periodontitis fibrotic• 1. Chronic periodontitis fibrotic• 2. Chronic granulomatous • 2. Chronic granulomatous periodontitisperiodontitis• 3. Chronic granulating • 3. Chronic granulating periodontitisperiodontitis Exacerbation of chronic Exacerbation of chronic periodontitis.periodontitis.
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Functions of Periodontal:
1) opornouderzhivayuschaya;
2) the distribution pressure;
3) plastic;
4) Trophic
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The direction of fluidThe direction of fluid
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The direction of fluidThe direction of fluid
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Literature:Literature:
• Summary: • 1. Borovsky EV et al "dentistry" .- M. 2002. - 736s. • 2. Borovsky EV Barisheva YD, YM Maksimovskiy "Dentistry", Moscow 1998 • 3. Lutzky IK "Prakticheskeaya dentistry" Minsk: Belarusian Science, 2001.
359. • 4. Nikolaev, AI, LM Tsepov "Practical preventive dentistry," Moscow: Inform
MEDpress, 2004. With 548. • MORE: • 5. Dmitriev, LN etc. "dentistry." -M., 2004. • 6.Skorikova L. et al "Propedeutics dental diseases." Rostov n/d..2002 was • 7. Lutzky, "Guide to Dentistry", Rostov-N / A: Phoenix, 2002.-544 with. • 8. DmitrienkoS.V Krayushkin A., Sapin M.R "Anatomy of human teeth",
Moscow-Nizhny Novgorod: Med.kniga NSMA, 2000. - 196. • 9. Leus PA, Goreglyad AA, Chudakov Acting "Diseases of the teeth and
mouth," Minsk High School. 1998.288s. • www.medinfo.homeml.org/E-mail:medinfo. @ mail.admiral.ru • www.doctor.ru • www. e-stomatology.ru
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THANK YOU FOR THANK YOU FOR ATTENTION!ATTENTION!
THANK YOU FOR THANK YOU FOR ATTENTION!ATTENTION!