{"id":35611,"date":"2019-10-31T22:05:19","date_gmt":"2019-10-31T19:05:19","guid":{"rendered":"https:\/\/prohoster.info\/blog\/posledstviya-nesvoevremennogo-udaleniya-zubov-mudrosti\/"},"modified":"2019-10-31T22:05:19","modified_gmt":"2019-10-31T19:05:19","slug":"posledstviya-nesvoevremennogo-udaleniya-zubov-mudrosti","status":"publish","type":"post","link":"https:\/\/prohoster.info\/ro\/blog\/news\/posledstviya-nesvoevremennogo-udaleniya-zubov-mudrosti","title":{"rendered":"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/463d3b30e57fc39035115caf4e69dff1.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\nBun\u0103 din nou! Ast\u0103zi a\u0219 dori s\u0103 scriu un mini post \u0219i s\u0103 r\u0103spund la \u00eentrebarea \u2014 \u201eDe ce s\u0103 extragem m\u0103selele de minte dac\u0103 nu ne deranjeaz\u0103?\u201d, \u0219i s\u0103 comentez afirma\u021bia \u2014 \u201eRela\u021biile \u0219i prietenii mei, tat\u0103l\/mama\/ bunicul\/bunica\/vecinul\/pisica \u2014 au avut o extrac\u021bie \u0219i totul a mers prost. Absolut to\u021bi au avut complica\u021bii \u0219i acum nu mai fac extrac\u021bii\u201d. \u00cen primul r\u00e2nd, a\u0219 dori s\u0103 spun c\u0103 complica\u021biile nu au ap\u0103rut din cauza extrac\u021biei, ci din modul \u00een care aceasta a fost efectuat\u0103. Acest lucru ar fi putut avea loc din mai multe motive: <noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<ul>\n<li><b>\u00cen timpul extrac\u021biei, ceva a mers prost \u0219i aceasta a fost efectuat\u0103 incorect.<\/b><\/li>\n<\/ul>\n<p>\nDe exemplu, ar fi putut r\u0103m\u00e2ne un fragment de r\u0103d\u0103cin\u0103, care nu a putut fi \u00eendep\u0103rtat. Uneori chiar se \u00eent\u00e2mpl\u0103 c\u0103 o bucat\u0103 de r\u0103d\u0103cin\u0103 s-a rupt \u0219i nu poate fi scoas\u0103. Doctorul decide s\u0103 nu mai tortureze pacientul, pentru a nu provoca o traum\u0103 \u0219i mai mare. Sau, pentru a nu afecta nervul mandibular, care trece foarte aproape de r\u0103d\u0103cinile molarilor de minte de jos, \u00eencerc\u00e2nd s\u0103 scoat\u0103 acel fragment. Vei \u00eentreba \u2014 \u201eCum a\u0219a?\u201d A\u0219a. Dac\u0103 nu a fost o infec\u021bie acut\u0103, iar un fragment mic \u0219i nemi\u0219cat de r\u0103d\u0103cin\u0103 r\u0103m\u00e2ne, nu se \u00eent\u00e2mpl\u0103 nimic grav, acesta pur \u0219i simplu se va vindeca. Desigur, nu spun c\u0103 trebuie s\u0103 l\u0103s\u0103m r\u0103d\u0103cini rupte \u00een alveole f\u0103r\u0103 a \u00eencerca s\u0103 le \u00eendep\u0103rt\u0103m. Dar dac\u0103 doctorul \u00ee\u0219i d\u0103 seama c\u0103 \u201es\u0103p\u0103turile\u201d pot doar s\u0103 d\u0103uneze \u2014 aceasta nu este cea mai rea decizie. Repet, dac\u0103 <b>nu a fost<\/b> o infec\u021bie acut\u0103, \u00een caz contrar, dintele trebuie s\u0103 fie extirpat complet, deoarece este infectat.<\/p>\n<ul>\n<li><b>Nu s-a respectat sterilitatea \u00een timpul manevrei.<\/b><\/li>\n<\/ul>\n<p>\n<img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/3dd255adb50064b4f29dcabfb8b49d37.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nNu vorbesc nici m\u0103car despre dezinfectarea instrumentelor \u0219i sterilizarea lor, care \u00een fiecare institu\u021bie medical\u0103 trebuie s\u0103 fie ideale. Pur \u0219i simplu, doctorul ar putea s\u0103 nu-\u0219i spele m\u00e2inile, iar apoi, deja \u00eembr\u0103cat \u00een m\u0103nu\u0219i, s\u0103 se ating\u0103 de ceva, de telefon, de mouse-ul computerului, de geanta pacientului care i-a cerut-o, op\u021biunile sunt numeroase, iar apoi, cu acelea\u0219i m\u00e2ini, ajunge \u00een gura dumneavoastr\u0103. Asepsia \u0219i antisepsia nu au fost niciodat\u0103 anulate.<\/p>\n<ul>\n<li><b>Pacientul a neglijat recomand\u0103rile date de doctor.<\/b><\/li>\n<\/ul>\n<p>\n<img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/bc8755550a3f8df68dbc111ef73cd95a.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDac\u0103 tot ce am spus mai sus se poate \u00eent\u00e2mpla, de\u0219i cred c\u0103 nu sunt mul\u021bi astfel de doctori. Cel pu\u021bin, asta sper. Cu ceva timp \u00een urm\u0103, c\u00e2nd lucram \u00eentr-o clinic\u0103 situat\u0103 \u00eentr-o zon\u0103 \u201ereziden\u021bial\u0103\u201d a capitalei, veniau frecvent pacien\u021bi care nu respectau deloc recomand\u0103rile.<\/p>\n<p>\u0218i mergeau la saun\u0103 \u2014 \u201eCum a\u0219a? Eu merg de 20 de ani! Stabil, \u00een fiecare s\u0103pt\u0103m\u00e2n\u0103!\u201d<\/p>\n<p>\u0218i se ocupau activ de sport \u2014 \u201eCum s\u0103 renun\u021b antrenamentelor, c\u0103 m\u0103 preg\u0103tesc pentru olimpiad\u0103!\u201d<\/p>\n<p>\u0218i parc\u0103 nu voiau s\u0103 aud\u0103 c\u0103 trebuie s\u0103 cl\u0103teasc\u0103 <b>cu nimic NU E PER MIS.<\/b>! \u2014 \u201eDup\u0103 extragere, am venit acas\u0103 \u0219i imediat am cl\u0103tit cu un decoct de plante medicinale, mu\u0219e\u021bel, \u0219i tincturi din coaja de stejar, pentru a dezinfecta. Mi-a recomandat un vecin.\u201d<\/p>\n<p>Chiar \u0219i refuzul evident de a lua medicamentele prescrise de doctor poate conduce la o mul\u021bime de complica\u021bii. \u00centreba\u021bi \u2014 ce medicamente? Clasic, nimeni nu vrea s\u0103 ia antibiotice. De\u0219i sunt unii care, la prima senza\u021bie de durere \u00een g\u00e2t sau nas care \u00eencepe s\u0103 curg\u0103, se umplu de antibiotice ca de bomboane, f\u0103r\u0103 s\u0103 \u00een\u021beleag\u0103 c\u0103 acestea nu sunt medicamente antivirale. Dar aici nu vrea nimeni. Antibioticul nu este prescris degeaba, ci pentru a evita complica\u021biile. Zona \u00een care se afl\u0103 molarii de minte este deosebit de predispus\u0103 la inflama\u021bii \u0219i supura\u021bii. Asta \u00eenseamn\u0103 c\u0103 administrarea antibioticelor dup\u0103 extragerea molarilor de minte reten\u021biona\u021bi este obligatorie. Dac\u0103, desigur, dori\u021bi s\u0103 ri\u0219ti \u0219i s\u0103 te alegi cu un abces perigloteal, ca un pacient de-al meu care a decis s\u0103 ignore recomand\u0103rile, atunci, v\u0103 rog.<\/p>\n<p>Deci, despre ce discutam\u2026 Ah, da. Nu m\u0103 doare!<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/3c17f9db6a92323a0daf963636f24c41.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nIat\u0103 un exemplu concret al celor la ce poate duce o extrac\u021bie \u00eent\u00e2rziat\u0103 a molarilor de minte. \u0218i totu\u0219i, nu doare! Un b\u0103rbat a venit cu o problem\u0103 complet diferit\u0103, \u0219i am descoperit-o din \u00eent\u00e2mplare c\u00e2nd i s-a f\u0103cut o radiografie panoramic\u0103 a din\u021bilor.<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/6ca8d20149b470de654418edda16c1d8.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDin cauza pozi\u021bion\u0103rii incorecte a molarului de minte pe suprafata de contact a din\u021belui num\u0103rul 7, s-a format o cavitate carioas\u0103 destul de profund\u0103, care se \u00eentinde ad\u00e2nc sub gingie.<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/52c018e1f812e3e39ff6243c42eddcf0.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nMolarul de minte a fost extras cu succes, dar acum este r\u00e2ndul molarului \u0219apte\u2026 (molarul de minte a fost \u00eemp\u0103r\u021bit \u00een trei fragmente \u2014 partea coronar\u0103 \u0219i dou\u0103 r\u0103d\u0103cini)<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/e5e132e8fef18e1746c54820c829dbe5.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nSe p\u0103rea c\u0103 este un dinte normal. \u201eEi bine, este carie, plombarea cost\u0103 o, mai punem una, nu-i nici o problem\u0103!\u201d. Totul nu este at\u00e2t de simplu, deoarece cavitatea carioas\u0103 se extinde profund sub gingie, astfel de din\u021bi nu pot fi trata\u021bi. De ce? Pentru c\u0103, atunci c\u00e2nd se pune o plom\u0103, cavitatea tratat\u0103 trebuie s\u0103 fie uscat\u0103. Este imposibil de realizat \u00een cazul unei astfel de afect\u0103ri. \u00cen primul r\u00e2nd din cauza faptului c\u0103 \u00een gingie exist\u0103 un \u201eliqid gingival\u201d care va curge constant \u00een aceast\u0103 zon\u0103.<\/p>\n<p>Ce trebuie s\u0103 facem? O op\u021biune este extrac\u021bia dintelui \u0219i implantarea. Din p\u0103cate.<\/p>\n<p>S\u0103 mergem mai departe!<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/ae39c9aa0c60da331ae3e77f7b93713a.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nCe crede\u021bi c\u0103 a spus pacientul? Nu, nu despre o durere intens\u0103 sau umfl\u0103tur\u0103, cum ar fi g\u00e2ndit mul\u021bi. Ci despre: \u201eAm observat c\u0103 m\u00e2ncarea se blocheaz\u0103 \u00een partea dreapt\u0103 de jos, v\u0103 rog s\u0103 verifica\u021bi.\u201d Cu alte cuvinte, t\u00e2n\u0103rul este doar deranjat de faptul c\u0103 m\u00e2ncarea se blocheaz\u0103\u2026 doar c\u0103 m\u00e2ncarea se blocheaz\u0103, Karl! La \u00eentrebarea dac\u0103 a avut dureri? R\u0103spunsul este: \u201eNu, niciodat\u0103 nu m-a durut \u0219i nimic nu m-a deranjat.\u201d Ei bine\u2026 ordinea ac\u021biunilor \u00een acest caz, deja o \u0219ti\u021bi. \u0218i astfel avem \u201ea\u0219tept p\u00e2n\u0103 m\u0103 va deranja\u201d.<\/p>\n<p>Dac\u0103 crede\u021bi c\u0103 aceasta este cea mai teribil\u0103 situa\u021bie care v\u0103 poate a\u0219tepta, v\u0103 \u00een\u0219ela\u021bi.<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/98af09dc4a0f5fa54bbe5f1c0b5df9af.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nChiar \u0219i astfel de chisturi (\u0219i acesta nu este cel mai mare) pot cre\u0219te \u00een maxilarul dumneavoastr\u0103 f\u0103r\u0103 a v\u0103 deranja. Evident, dintele trebuie extras. Pentru a evita cre\u0219terea acestei forma\u021biuni \u0219i apari\u021bia posibilelor complica\u021bii. \u00cenainte de aceasta, canalele din dintele vecin 7 trebuie tratate, deoarece r\u0103d\u0103cinile sale se afl\u0103 \u00een lumenul chistului.<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/4d57672ade2e0bb42da1a7a8a9904441.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nProblema a fost rezolvat\u0103. Pacientul este fericit. \u0218i tot acest lucru putea fi evitat, dac\u0103 ar fi mers planificat la dentist pentru un control.<\/p>\n<p><img decoding=\"async\" alt=\"Consecin\u021bele \u00eendep\u0103rt\u0103rii cu \u00eent\u00e2rziere a din\u021bilor de minte\" src=\"\/wp-content\/uploads\/2019\/06\/a0884c8a8cd53369275516dee57ccd86.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nA\u0219a ar\u0103ta situa\u021bia noastr\u0103 la un an dup\u0103 extrac\u021bie. Totul s-a \u00eentins. Totul este perfect!<br \/>\nIar aceasta putea amenin\u021ba at\u00e2t fractura maxilarului, c\u00e2t \u0219i afectarea nervului mandibular inferior, care se \u00eenso\u021be\u0219te de amor\u021beala buzei \u0219i b\u0103rbiei pe partea dintelui afectat, iar aceast\u0103 amor\u021beal\u0103 poate r\u0103m\u00e2ne toat\u0103 via\u021ba.<\/p>\n<p>Problema este c\u0103 mul\u021bi nu merg la doctori, chiar \u0219i atunci c\u00e2nd \u00eei doare. Totu\u0219i, nu cred c\u0103 aceasta se aplic\u0103 utilizatorilor de pe Habr. Dar pentru o anumit\u0103 categorie de oameni, este destul de greu de transmis c\u0103 \u201enu m\u0103 deranjeaz\u0103\u201d, nu este un indicator c\u0103 totul este \u00een regul\u0103.<\/p>\n<p>Pot ap\u0103rea \u00eentreb\u0103ri de genul \u2014 \u201eAm un dinte de 8 ciudat, trebuie s\u0103-l scot?\u201d R\u0103spund imediat. M\u0103selele de minte trebuie extrase practic \u00eentotdeauna! Toate aceste \u201epractic \u00eentotdeauna\u201d le-am descris deja. <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455286\/\">\u00een acest articol<\/a><\/noindex>, iar cum se scot ace\u0219ti din\u021bi \u2014 <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455499\/\">\u00een aceast\u0103<\/a><\/noindex>. Cu at\u00e2t mai mult c\u00e2nd molarii de 8 ani au erupt incorect sau deloc.<\/p>\n<p>Dac\u0103 v-au erupt to\u021bi din\u021bii de \u00een\u021belepciune, nu v\u0103 gr\u0103bi\u021bi s\u0103 v\u0103 bucura\u021bi \u0219i s\u0103 crede\u021bi c\u0103 totul este bine. Vi se poate p\u0103rea c\u0103 se afl\u0103 \u00een pozi\u021bia corect\u0103, dar nu ezita\u021bi s\u0103 merge\u021bi la dentist, s-ar putea s\u0103 fie o iluzie.<\/p>\n<p>Asta e tot pentru ast\u0103zi, mul\u021bumesc pentru aten\u021bie!<\/p>\n<p>R\u0103m\u00e2ne\u021bi conecta\u021bi!<\/p>\n<p>Cu respect, Andrei Dashkov<br \/>\n<br \/>Sursa: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/457336\/\">habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0418 \u0441\u043d\u043e\u0432\u0430 \u0437\u0434\u0440\u0430\u0432\u0441\u0442\u0432\u0443\u0439\u0442\u0435! \u0421\u0435\u0433\u043e\u0434\u043d\u044f \u0445\u043e\u0442\u0435\u043b\u043e\u0441\u044c \u0431\u044b \u043d\u0430\u043f\u0438\u0441\u0430\u0442\u044c \u043c\u0438\u043d\u0438 \u043f\u043e\u0441\u0442 \u0438 \u043e\u0442\u0432\u0435\u0442\u0438\u0442\u044c \u043d\u0430 \u0432\u043e\u043f\u0440\u043e\u0441 \u2014 \u00ab\u0417\u0430\u0447\u0435\u043c \u0443\u0434\u0430\u043b\u044f\u0442\u044c \u0437\u0443\u0431\u044b \u043c\u0443\u0434\u0440\u043e\u0441\u0442\u0438, \u0435\u0441\u043b\u0438 \u043e\u043d\u0438 \u043d\u0435 \u0431\u0435\u0441\u043f\u043e\u043a\u043e\u044f\u0442?\u00bb, \u0438 \u043f\u0440\u043e\u043a\u043e\u043c\u043c\u0435\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0443\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u2014 \u00ab\u041c\u043e\u0438\u043c \u0440\u043e\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0438\u043a\u0430\u043c \u0438 \u0434\u0440\u0443\u0437\u044c\u044f\u043c, \u043f\u0430\u043f\u0435\/\u043c\u0430\u043c\u0435\/\u0434\u0435\u0434\u0443\/\u0431\u0430\u0431\u0443\u043b\u0435\/\u0441\u043e\u0441\u0435\u0434\u0443\/\u043a\u043e\u0442\u0443 \u2014 \u0443\u0434\u0430\u043b\u044f\u043b\u0438 \u0437\u0443\u0431 \u0438 \u0432\u0441\u0451 \u043f\u043e\u0448\u043b\u043e \u043d\u0435 \u0442\u0430\u043a. 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