{"id":47663,"date":"2019-06-10T00:00:00","date_gmt":"2019-06-09T21:00:00","guid":{"rendered":"https:\/\/prohoster.info\/blog\/blog_prohoster\/zuby-mudrosti-udalit-nelzya-ostavit-2"},"modified":"2020-02-18T13:53:07","modified_gmt":"2020-02-18T10:53:07","slug":"zuby-mudrosti-udalit-nelzya-ostavit-2","status":"publish","type":"post","link":"https:\/\/prohoster.info\/ro\/blog\/news\/zuby-mudrosti-udalit-nelzya-ostavit-2","title":{"rendered":"M\u0103selele de minte: s\u0103 fie \u00eendep\u0103rtate sau l\u0103sate","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"M\u0103selele
\n
\nDragi prieteni, ast\u0103zi v\u0103 propun s\u0103 discut\u0103m despre m\u0103selele de minte. \u00cen special, s\u0103 vorbim despre cea mai complicat\u0103 \u0219i mai neclar\u0103 problem\u0103 \u2014 indica\u021biile pentru \u00eendep\u0103rtarea acestora.<\/p>\n

Din cele mai vechi timpuri, m\u0103selele de minte (al optulea din\u021bi sau \u00abm\u0103selele de \u00een\u021belepciune\u00bb) au fost asociate cu multe anecdote, supersti\u021bii, legende \u0219i pove\u0219ti, dintre care unele sunt destul de \u00eenfrico\u0219\u0103toare. Aceast\u0103 mitologie este r\u0103sp\u00e2ndit\u0103 nu doar printre oamenii obi\u0219nui\u021bi, ci \u0219i \u00een comunitatea medical\u0103. \u00cen timpul discu\u021biei, voi \u00eencerca s\u0103 le demontez \u0219i s\u0103 ar\u0103t c\u0103 m\u0103selele de minte nu sunt o problem\u0103 at\u00e2t de mare, at\u00e2t \u00een ceea ce prive\u0219te diagnosticul, c\u00e2t \u0219i \u00eendep\u0103rtarea lor. Cu at\u00e2t mai mult, dac\u0103 este vorba despre un medic modern \u0219i o clinic\u0103 modern\u0103.
\n<\/a><\/noindex>
\n\"M\u0103selele
\n<\/p>\n

De ce se numesc astfel m\u0103sele de \u00een\u021belepciune?<\/h4>\n

\nTotul este foarte simplu. M\u0103selele de minte, de obicei, apar \u00eentre 16 \u0219i 25 de ani. La o v\u00e2rst\u0103 con\u0219tient\u0103, destul de t\u00e2rziu, comparativ cu celelalte m\u0103sele. A\u0219a c\u0103, te-ai f\u0103cut \u00een\u021belept? Prime\u0219ti m\u0103sele de \u00een\u021belepciune sub form\u0103 de probleme cu mu\u0219c\u0103tura \u0219i pericoronarit\u0103 \u2014 ia! Da, uneori \u00een\u021belepciunea unui om \u00eencepe cu durerea \u0219i suferin\u021bele asociate cu m\u0103selele de minte. F\u0103r\u0103 durere nu exist\u0103 c\u00e2\u0219tig, cum s-ar spune.<\/p>\n

De ce se dezvolt\u0103 m\u0103selele de \u00een\u021belepciune la unii \u0219i nu la al\u021bii?<\/h4>\n

\nPentru c\u0103 unii sunt \u00een\u021belep\u021bi, iar al\u021bii nu prea. Glumesc.<\/p>\n

Pentru \u00eenceput, trebuie s\u0103 clarific\u0103m c\u0103 majoritatea oamenilor au m\u0103sele de minte, iar absen\u021ba lor de la na\u0219tere este o raritate foarte, foarte mare. A te na\u0219te f\u0103r\u0103 m\u0103sele de minte sau f\u0103r\u0103 semin\u021bele acestora este ca \u0219i cum ai c\u00e2\u0219tiga la loterie \u2014 ar trebui s\u0103 \u00ee\u021bi cumperi un bilet, deoarece e\u0219ti o persoan\u0103 norocoas\u0103.<\/p>\n

\"M\u0103selele
\n
\nDar m\u0103selele de minte nu apar la toat\u0103 lumea. Acest lucru depinde de starea mu\u0219c\u0103turii. Mai exact, de existen\u021ba unui loc \u00een maxilar pentru a le permite s\u0103 erup\u0103.<\/p>\n

S-a \u00eent\u00e2mplat astfel \u00eenc\u00e2t acestea s\u0103 \u00eenceap\u0103 s\u0103 creasc\u0103 \u00eentr-o perioad\u0103 \u00een care cre\u0219terea activ\u0103 a osului maxilar se opre\u0219te, iar r\u00e2ndul dentar pare s\u0103 fie deja \u00abcompletat\u00bb. Dintele cre\u0219te \u00een sus (sau \u00een jos, dac\u0103 este \u00een maxilarul superior), \u00eent\u00e2lnind o barier\u0103 sub forma unei m\u0103sele de minte deja erupte, se opre\u0219te sau \u00eencepe s\u0103 se r\u0103suceasc\u0103.<\/p>\n

\"M\u0103selele
\n
\nAstfel apar nu doar m\u0103selele de minte retinute (care nu au erupt), ci \u0219i cele anormal pozi\u021bionate (distrofiate).<\/p>\n

\"M\u0103selele
\n
\nPentru a fi corect, trebuie men\u021bionat c\u0103 pot exista mai mult de patru din\u021bi de \u00een\u021belepciune. Uneori, \u00eent\u00e2lnim nu doar \"optari\", ci \u0219i \"nou\u0103\", sau chiar \"zece\". Desigur, o astfel de diversitate \u00een cavitatea bucal\u0103 nu conduce la nimic bun.<\/p>\n

Dac\u0103 exist\u0103 optari, atunci trebuie s\u0103 fie pentru un motiv, nu?<\/h4>\n

\nEi bine, majoritatea oamenilor au buric. \u0218i, evident, acesta este destinat \u0219i la ceva. De exemplu, pentru a aduna bilu\u021be de l\u00e2n\u0103 \u0219i alte materiale pentru activit\u0103\u021bi de bricolaj.<\/p>\n

\"M\u0103selele
\n
\nSerios vorbind, optarii sunt, \u00eentr-un fel, un atavism. O amintire c\u0103 acum milioane de ani str\u0103mo\u0219ii no\u0219tri se hr\u0103neau cu carne crud\u0103, mamuti \u0219i alte animale, iar chiar \u0219i veganii erau mult mai brutali, mestec\u00e2nd coaja de baobab \u00een loc de \u021belin\u0103.<\/p>\n

\u00cen acest context, maxilarele str\u0103mo\u0219ilor no\u0219tri erau semnificativ mai mari \u0219i mai late, iar chiar \u0219i Nikolai Valuev ar p\u0103rea pu\u021bin feminin \u00een compara\u021bie cu ele. Iar to\u021bi cei treizeci \u0219i doi de din\u021bi se \u00eemp\u0103cau perfect \u00een aceste maxilare, to\u021bi erau ferici\u021bi.<\/p>\n

Totu\u0219i, pe m\u0103sur\u0103 ce omul a evoluat, a devenit mai inteligent, a \u00eenv\u0103\u021bat s\u0103 proceseze alimentele, s\u0103 pr\u0103jeasc\u0103 carne \u0219i s\u0103 g\u0103teasc\u0103 baobab cu broccoli. Necesitatea de maxilare mari \u0219i de un aparat masticator masiv a disp\u0103rut, oamenii au devenit mai elegan\u021bi \u0219i mai glamour. La fel \u0219i mu\u0219chii masticatori \u0219i maxilarele lor. \u00cens\u0103 num\u0103rul din\u021bilor nu s-a schimbat. \u0218i uneori ei pur \u0219i simplu nu mai au loc \u00een maxilarele glamour. \u0218i cel care este ultimul se reg\u0103se\u0219te cu o pozi\u021bie de reten\u021bie sau distopie.<\/p>\n

Astfel, optarii au devenit din\u021bi \"necesari\". \u0218i, probabil, ar fi mai corect s\u0103 \u00eei numim nu \"din\u021bi de \u00een\u021belepciune\", ci \"din\u021bi de australopiteci\" \u2014 cine \u0219tie, poate \u0219i oamenii vor \u00eencepe s\u0103 \u00eei considere mai ra\u021bional.<\/p>\n

Ce tipuri de optari exist\u0103?<\/h4>\n

\nNu \u00ee\u021bi vine s\u0103 crezi, dar, \u00een principal, optarii sunt opta\u021bi \u00een ordine.<\/p>\n

\"M\u0103selele
\n<\/p>\n

Ce se va \u00eent\u00e2mpla dac\u0103 nu ne facem griji deloc \u00een leg\u0103tur\u0103 cu din\u021bii de \u00een\u021belepciune?<\/h4>\n

\nDac\u0103 optarii au erupt, sunt \u00een mu\u0219c\u0103tura corect\u0103 \u0219i func\u021bioneaz\u0103 normal, atunci nu se va \u00eent\u00e2mpla nimic, desigur. Este suficient s\u0103 ai grij\u0103 de igiena \u00een acea zon\u0103, deoarece pot exista unele dificult\u0103\u021bi din cauza reflexului de vom\u0103 \u0219i vizibilit\u0103\u021bii reduse, s\u0103 vizitezi periodic dentistul \u2014 \u0219i este normal. Ace\u0219ti din\u021bi de \u00een\u021belepciune vor exista ferici\u021bi \u0219i \u00eemplini\u021bi pe termen lung.<\/p>\n

\"M\u0103selele
\n
\nCu din\u021bii de \u00een\u021belepciune inclusi, lucrurile sunt, de asemenea, destul de clare \u2014 din cauza amplas\u0103rii lor, igiena oral\u0103 este \u00eengreunat\u0103, iar ace\u0219ti din\u021bi sunt afecta\u021bi rapid de carii. Este \u0219i mai r\u0103u atunci c\u00e2nd cariile se r\u0103sp\u00e2ndesc la molarii \u00eenvecina\u021bi, care, spre deosebire de din\u021bii de \u00een\u021belepciune, sunt foarte importanti din punct de vedere func\u021bional. Adesea, cariile apar pe suprafa\u021ba cea mai din spate \u0219i greu vizibil\u0103 a din\u021bilor. Oamenii observ\u0103 acest lucru abia c\u00e2nd \u00eencepe durerea. Adic\u0103, mult prea t\u00e2rziu.<\/p>\n

\"M\u0103selele
\n
\n\u00cen plus, din\u021bii de \u00een\u021belepciune amplasa\u021bi anormal creeaz\u0103, \u00een mu\u0219c\u0103tur\u0103, a\u0219a-numitele \u201enoduri traumatice\u201d, perturb\u00e2nd reflexele obi\u0219nuite, ceea ce duce la probleme cu aparatul masticator muscular-articular. Ulterior, aceasta se agraveaz\u0103 prin patologia mu\u0219c\u0103turii, supra\u00eenc\u0103rcarea mu\u0219chilor masticatori, pocnitul \u00een articula\u021biile temporo-mandibulare, adic\u0103 apar semnele disfunc\u021biei musculare-articulare. De obicei, tratarea acestor disfunc\u021bii musculare-articulare \u00eencepe tocmai cu analiza rolului din\u021bilor de \u00een\u021belepciune \u00een aceast\u0103 patologie \u0219i luarea m\u0103surilor necesare (adic\u0103 \u00eendep\u0103rtarea).<\/p>\n

Este mai complicat s\u0103 \u00een\u021belegem ce se \u00eent\u00e2mpl\u0103 cu din\u021bii de \u00een\u021belepciune retinati (care nu au erupt). P\u0103rea c\u0103 dintele nu este vizibil, caria aproape nu-l amenin\u021b\u0103 \u0219i ar putea s\u0103 r\u0103m\u00e2n\u0103 acolo\u2026 Totu\u0219i, exist\u0103 \u0219i aici o serie de consecin\u021be nepl\u0103cute.<\/p>\n

De\u0219i dintele nu a erupt \u00eenc\u0103, acesta influen\u021beaz\u0103 deja alinierea din\u021bilor. Poate provoca deplasarea din\u021bilor \u0219i formarea aglomer\u0103rii \u00een zona frontal\u0103:<\/p>\n

\"M\u0103selele
\n
\nDin cauza absen\u021bei unei parti\u021bii osoase \u00eentre socket-urile din\u021bilor \u0219apte \u0219i opt, se formeaz\u0103 o cavitate ad\u00e2nc\u0103 \u00eentre ei, \u00een care pot ajunge resturi de alimente, plac\u0103 bacterian\u0103 \u0219i microbi, ceea ce duce la inflama\u021bie. Uneori, inflama\u021bia este destul de acut\u0103 \u0219i periculoas\u0103 pentru s\u0103n\u0103tate.<\/p>\n

\u00centregul proces de erup\u021bie a din\u021bilor de \u00een\u021belepciune retinati, \u00een special la v\u00e2rsta de 20 de ani \u0219i peste, este adesea \u00eenso\u021bit de inflama\u021bie \u2014 pericoronit\u0103.<\/p>\n

\"M\u0103selele
\n
\n\"M\u0103selele
\n
\nTratamentul pericoronitei \u2014 este o tem\u0103 separat\u0103. O putem discuta c\u00e2ndva, dar \u00een acest moment trebuie s\u0103 \u0219ti\u021bi un lucru important \u2014 este mai bine s\u0103 nu ajungem la pericoronit\u0103 \u0219i, dac\u0103 este clar c\u0103 din\u021bilor de \u00een\u021belepciune nu le va fi suficient loc, iar erup\u021bia lor va fi \u00eenso\u021bit\u0103 de dificult\u0103\u021bi \u2014 este mai bine s\u0103 \u00eei \u00eendep\u0103rt\u0103m din timp.<\/p>\n

Dar cel mai nepl\u0103cut lucru pe care \u00eel po\u021bi a\u0219tepta de la din\u021bii de \u00een\u021belepciune retinati \u2014 sunt chisturile.<\/p>\n

\"M\u0103selele
\n
\nSursa sa este foliculul, care \u00eenconjoar\u0103 germenul dintelui. Atunci c\u00e2nd dintele erupe, foliculul dispare, dar \u00een caz de reten\u021bie, el r\u0103m\u00e2ne \u0219i poate servi ca surs\u0103 pentru tumori \u0219i ciste. <\/p>\n

Uneori \u2014 suficient de mari \u0219i foarte periculoase pentru s\u0103n\u0103tate.<\/p>\n

\"M\u0103selele
\n
\n\u0218i, de\u0219i toate acestea pot fi tratate, admite\u021bi c\u0103 este mai bine s\u0103 nu ajunge\u021bi \u00een aceast\u0103 stare.<\/p>\n

\"M\u0103selele
\n<\/p>\n

De ce opiniile medicilor despre extrac\u021bia din\u021bilor de minte sunt at\u00e2t de contradictorii?<\/h4>\n

\n\u00cen principal, totul se reduce la experien\u021ba medicului \u00een extrac\u021bia din\u021bilor de minte. Dac\u0103 procedura \u00een sine \u00eei d\u0103 b\u0103t\u0103i de cap medicului, dureaz\u0103 mult timp \u0219i aduce pacientului doar suferin\u021b\u0103, atunci \u00een principal, el este \u00eempotriva extrac\u021biei. Pe de alt\u0103 parte, dac\u0103 extrac\u021bia celor de-a opta, chiar \u0219i a celor mai complicate, nu prezint\u0103 dificult\u0103\u021bi serioase pentru medic, atunci, dimpotriv\u0103, el sus\u021bine o solu\u021bie final\u0103 \u0219i radical\u0103 \u2014 opera\u021bia de extrac\u021bie.<\/p>\n

C\u00e2nd nu trebuie s\u0103 execu\u021bi, ci s\u0103 ierti?<\/h4>\n

\n\u00centre timp, criteriile pentru extrac\u021bia\/neextrac\u021bia din\u021bilor de minte sunt foarte simple. Toate pot fi reduse la o fraz\u0103 simpl\u0103:<\/p>\n

Bolile \u0219i complica\u021biile asociate cu din\u021bii de minte, sau amenin\u021b\u0103rile acestor boli \u0219i complica\u021bii constituie indica\u021bii pentru extrac\u021bia din\u021bilor de minte.<\/p>\n

At\u00e2t. Nu exist\u0103 alte indica\u021bii\/contraindica\u021bii.<\/p>\n

S\u0103 vedem prin exemple:<\/p>\n

    \n
  1. Un dinte obi\u0219nuit, care a erupt \u0219i func\u021bioneaz\u0103 normal \u00een mu\u0219c\u0103tur\u0103 nu trebuie \u00eendep\u0103rtat. Mai mult, astfel de din\u021bi pot fi (\u0219i trebuie) trata\u021bi \u00een caz de carie. Situa\u021bia este diferit\u0103 dac\u0103 caria se complic\u0103 cu pulpitis sau parodontit\u0103 \u2014 \u00een astfel de cazuri are sens s\u0103 ne g\u00e2ndim, deoarece tratamentul canalelor radiculare pentru molarii de la ter\u021b\u0103 reprezint\u0103 anumite dificult\u0103\u021bi. Poate c\u0103 nu este nevoie s\u0103 te complici cu canalele?<\/li>\n
  2. Un dinte de minte anormal pozi\u021bionat (distope). Nu a avut loc suficient \u0219i s-a \u00eenclinat \u00eentr-o parte sau a r\u0103mas par\u021bial \u00een gingie. Un astfel de dinte nu va func\u021biona niciodat\u0103, dar provoac\u0103 probleme at\u00e2t pentru mu\u0219c\u0103tur\u0103, c\u00e2t \u0219i pentru din\u021bii vecini. Trebuie s\u0103 fie \u00eendep\u0103rtat? Cu siguran\u021b\u0103.<\/li>\n
  3. Un dinte de \u00een\u021belepciune inclus (neerupt). Pare c\u0103 nu deranjeaz\u0103. Se afl\u0103 undeva acolo, departe. Nu particip\u0103 la mestecare \u0219i niciodat\u0103 nu va participa. Ce probleme poate cauza un dinte de acest tip, deja \u0219tim. Are sens s\u0103 a\u0219tept\u0103m aceste complica\u021bii? Cred c\u0103 nu, nu are.<\/li>\n
  4. Dinte a \u00eenceput s\u0103 erup\u0103, gingia de deasupra s-a inflamat. Pericoronita, a\u0219a se nume\u0219te aceast\u0103 afec\u021biune, este un semn c\u0103 dintele nu are suficient spa\u021biu \u00een maxilar \u0219i, \u00een cele din urm\u0103, va fi fie distopiat, fie va duce la deplasarea din\u021bilor \u0219i la o mu\u0219c\u0103tur\u0103 incorect\u0103. Merit\u0103 s\u0103 trat\u0103m pericoronita printr-o simpl\u0103 excizie a capacului? Pu\u021bin probabil. Mai bine s\u0103 solu\u021bion\u0103m aceast\u0103 problem\u0103 radical, adic\u0103 prin extrac\u021bia dintelui problematic.<\/li>\n<\/ol>\n

    <\/p>\n

    Concluzie<\/h3>\n

    \nDin cele de mai sus se poate concluziona c\u0103 extrac\u021bia din\u021bilor de \u00een\u021belepciune are loc cel mai adesea atunci c\u00e2nd pacientul nu este deranjat \u00een mod deosebit de ei. Deci, aceast\u0103 procedur\u0103 este o m\u0103sur\u0103 preventiv\u0103 \u00eempotriva posibilelor complica\u021bii cauzate de ace\u0219ti din\u021bi. \u0218i este corect. Nu exist\u0103 o metod\u0103 mai eficient\u0103 \u0219i mai ieftin\u0103 dec\u00e2t preven\u021bia. Iar cea mai bun\u0103 medicin\u0103 este medicina preventiv\u0103.<\/p>\n

    Data viitoare v\u0103 voi povesti despre cum se efectueaz\u0103, de fapt, extrac\u021bia din\u021bilor de \u00een\u021belepciune, cum s\u0103 v\u0103 preg\u0103ti\u021bi pentru aceast\u0103 procedur\u0103 \u0219i ce trebuie s\u0103 face\u021bi dup\u0103 aceasta.<\/p>\n

    V\u0103 mul\u021bumesc pentru aten\u021bie! R\u0103m\u00e2ne\u021bi cu noi!<\/p>\n

    Cu respect, Andrei Dashkov.
    \n
    Sursa:     habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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