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你千萬別拿拔牙不當事兒?

Posted By vickong pun     July 5, 2021    

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你千萬別拿拔牙不當事兒?

            

                

                    

                        

                            

                        


                            導語


                        

                            


                                牙齒對我們生活的重要性相信每個人都知道,如果牙齒有了疾病,大部分人都會看牙醫,如果牙齒已經不能治療,那就只有拔牙了。很多人覺得拔牙只是一件小事,其實拔牙也有很多講究。


                            


                                


                            


                                


                        

                    

                

                

                    

                        

                            

                    

                    

                        

                            

                                


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                                    什麼情況下需要拔除牙齒?


                            

                        

                    

                    

                        


                            


                    

                    

                        

                

                

                    

                        

                            

                                

                                    

                                

                                    

                            

                            

                                

                                    


                                        嚴重蛀牙或牙周病不能治療的牙齒:如無法行根管治療保留的殘根、殘冠,牙周病導致牙齒極度鬆動,無法保留者。


                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                

                                        

                                    

                                    


                                        多生牙、異位牙:影響美觀和功能或引起疾病、創傷等的多生牙、異位牙均應拔除。


                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                

                                        

                                    

                                    


                                        


                                    


                                        乳牙滯留:影響恆牙萌出者應當拔除。


                                    


                                        


                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                

                                                    

                                            

                                        

                                    

                                    


                                        


                                    


                                        阻生牙:以智齒最為常見,如反覆發炎或導致鄰牙發生蛀牙等,需要儘早拔除。


                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                

                                        

                                    

                                    


                                        


                                    


                                        部分外傷后的牙齒:牙根折斷的牙齒,位於骨折線上伴有感染影響骨折癒合的牙齒均需要拔除。


                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                

                                        

                                    

                                    

                                        


                                            


                                    

                                    


                                        其他因治療需要拔除的牙齒:因矯正牙齒需要拔除的牙齒;引起其他疾病的病原牙或病灶牙。


                                

                            

                            

                                

                                    

                                

                                    

                            

                        

                    

                

                

                    

                        

                            

                    

                

                

                    

                

                    

                        

                            

                                


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                                    拔牙注意事項有哪些?


                            

                        

                    

                    

                        

                            

                                

                                    

                                

                                    

                            

                            

                                

                                    


                                        1.拔牙屬於門診小手術,治療好壞除了影響口腔健康外,對患者的全身狀況也有一定的影響,建議一定要到正規的醫院就診。


                                    


                                        2.牙齒拔除,應在局部無炎症或炎症輕微時方可。如果炎症較重,應該首先口服消炎藥物或靜脈點滴抗生素,待消除炎症后再到醫院拔除。平時可自配食鹽水漱口,對炎症消除有良好的效果。如果炎症較重,應及時到醫院就診,在醫生指導下用藥。


                                    


                                        


                                    


                                        3.如果拔除較為困難的牙齒,建議上午到醫院就診。原因首先是上午人的身體狀況,如血壓等指標趨於穩定,能抵抗較大的損傷,不易出現異常狀況。另外,如術后如果有問題,白天較夜晚易於處理,方便就診。


                                    


                                        4.除需測量空腹血糖等檢查外的,其他患者建議進食后就診,否則易導致患者低血糖,出現頭暈等癥狀。女性月經期禁止拔牙。


                                    


                                        5.對於應用阿司匹林等抗凝藥物的心臟病患者,拔牙前需要停除抗凝藥物3-5天後方可拔除牙齒,否則術后容易出現出血不止,難於止血的情況。對於病情嚴重者能否停葯需諮詢相關專業醫生,如需拔牙需在監護下拔牙或住院拔牙。


                                    


                                        6.正規口腔醫院的醫生操作技術好,麻醉效果好,除打麻藥時有輕微疼痛外,拔牙基本無痛,患者僅需張大口腔配合醫生操作就可,可放鬆心情,不必過於擔心和緊張。


                                    


                                        


                                    


                                        


                                    


                                        


                                    


                                        拔牙后需知


                                    


                                        1.醫生拔出後會讓患者口腔內拔牙處輕咬一棉球或紗布卷,一般要咬四十分鐘到一小時左右,否則易出血。拔牙后24小時內不能漱口及刷牙,可喝少量清水。盡量不要用舌添吸傷口。進食以軟食偏冷為主,並盡量用對側咀嚼。


                                    


                                        2.對於位置不正,操作時間較長的牙齒,患者術後面部可能出現輕微腫脹。患者在拔牙后可以用冰塊做傷口對應面部的冷敷,這樣可以減輕局部腫脹的程度。切記24小時內,不可熱敷。


                                    


                                        3.患者牙齒拔除后一般要口服消炎藥物,防止傷口感染。對於損傷較大,拔出較為困難的牙齒,感染幾率大,最好能靜脈滴注2至3天抗生素,對於這類牙齒,醫生一般會在拔牙後進行醫囑。


                                    


                                        4.拔牙后24小時,口腔內有少量血絲屬於正常現象,不必驚慌。如果有出血現象,應立即到醫院就診,以做處理。


                                    


                                        5.拔牙麻醉藥效消除后,患者一般會有輕微的不適,患者如果疼痛明顯,可口服少量止痛葯以減輕疼痛。拔牙后3-5天腫脹與不適一般會消退或減輕,如果患者有加重跡象,極可能有傷口感染可能,應馬上到醫院就診。


                                    


                                        6.對於拔牙后傷口縫合者,應在一周後到醫院拆除縫線。需要進一步拔除的牙齒一般在上次拔牙一周左右,上次拔牙傷口基本恢復后再進行下一次操作。


                                    


                                        


                                    


                                        


                                    


                                        


                                

                            

                            

                                

                                    

                            

                        

                    

                    


                        


                    


                        


                

            

        

        


            


    


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