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Как часто Вы посещаете стоматолога?

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Почему болит зуб даже после лечения кариеса

Почему болит зуб даже после лечения кариесаОсновная причина возникновения болезненных ощущений после лечения кариеса – это ошибки врача стоматолога, допущенные им при пломбировании зуба. И только при лечении глубокого кариеса воспалительный процесс может быть вызван другими причинами.

Объективно все болевые ощущения, возникшие после лечения кариеса, можно условно разделить на две группы: сильно и слабовыраженные.

Причиной появления чувствительности в пломбированном зубе, проявляющейся в разной степени выраженности и зачастую усиливающимися при накусывании на «вылеченный» зуб, могут быть два фактора:

Пересушивание сформированной полости зуба перед нанесением адгезива

После удаления всех пораженных кариесом тканей полость зуба необходимо обработать кислотой, которую затем тщательно смывают. Далее стенки полости обрабатываются адгезивом – специальным клеем, который впитываясь в поверхностный слой зубной ткани и обеспечивает ее связь с пломбой. Без него пломба попросту выпадет. И тут огромное влияние на качество пломбирования оказывает степень увлажнения сформированной полости перед обработкой адгезивом — её «сушат» до состояния «мокрого песка» – когда поверхность влажная , но капелек воды на ней нет.

Если стоматолог допустит пересушивание полости, это приведет к повреждению или гибели нервных окончаний, присутствующих в слое дентина — вещества из которого состоит внутренняя часть зуба, что и будет вызывать болевые ощущения. Гибель нервных окончаний, скорее всего, приведет к асептическому — неинфекционному воспалению пульпы, которое закончится повторным лечением зуба с полным удалением воспаленной пульпы и пломбированием корневых каналов.

Если же врач не досушит полость перед нанесением адгезива, капли влаги не дадут ему глубоко впитаться в дентинные канальца, что при пломбировании композитами светового отверждения (которые на сегодняшний день преобладают в стоматологии) вызовет дебондинг. При воздействии на композитный материал свето-полимеризационной лампой он дает усадку – уменьшается в размерах. Таким образом, в том месте, где адгезив проник в дентин лишь поверхностно, при усадке пломбы во время засвечивания, он будет оторван от поверхности полости, оставив после себя разреженное пространство. Это в свою очередь вызовет раздражение нервных окончаний и, соответственно, болевые ощущения. Обычно в таком случае пломбу необходимо будет менять.

Итак, если боль не носит ярко выраженный характер, есть смысл подождать некоторое время (1-2 недели), обычно болезненность проходит — у живых зубов пересушенная ткань получит необходимое количество влаги из пульпы. Нужно помнить, что 2 недели – крайний срок, и если за этот период боль не прошла, и даже нет тенденции к её уменьшению, необходим повторный визит в стоматологию.

Если же после лечения проявляется острая боль с пульсацией, увеличиваясь в ночное время, — это симптомы, характерные при развитии острого пульпита. А если боль проявляется при термическом раздражении, причем не мгновенно, а спустя какое-то время и проходит также не сразу после окончания его действия, а также боль локализуется в области одного зуба — это симптомы характерные для хронического пульпита.

В обоих случаях нужно в кратчайший срок обратиться к стоматологу, чтобы удалить воспаленную пульпу. На ранних стадиях воспаления пульпы существует метод лечения, который позволит её сохранение в корневых каналах, при удалении только коронковой части, а полное депульпирование зуба значительно сократит срок его службы. Стоит отметить, что применение этого метода возможно только лишь в самом начале воспалительного процесса, в противном случае будет необходимо провести пломбирование корневых каналов, после чего пломбируется коронка зуба.

 

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Диана, 13.08.2013 02:02
Понятно, что стоматологи не боги и могут ошибаться, но как-то не очень справедливо получается, что при этом пациент должен лечить тот же зуб еще раз.
додо, 13.08.2013 20:39
По моему ждать две недели, что бы утихла боль, это уже чересчур, если на второй день боль совершенно не утихает, это уже повод снова обратится к врачу.
irka1161, 14.08.2013 01:47
Для меня зубная боль является самой неприятной, поэтому я бы не смогла ждать 2 недели и терпеть зубную боль. Я бы уже на 2-3 день пошла к стоматологу
Bourne, 17.11.2013 06:29
Две недели терпеть боль по моему это слишком много, в любом случае лучше обратиться к лечащему врачу, ведь если зуб залечен, но при этом он продолжает болеть - то это повод насторожиться.
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Winklaar’s coaching targeted on heavy rows and pull-ups, with an emphasis on time underneath rigidity to maximise muscle growth. His workouts had been constructed around pushing for muscle hypertrophy, focusing on high-intensity workout routines that focused the complete size of the again. Wolf emphasized high-volume coaching for his again, typically incorporating a combine of lat-focused exercises to enhance his width. He paid particular attention to workouts like pull-downs and T-bar rows to construct each the width and thickness that became his calling card. By incorporating the Cable Elevated Row into your exercise routine, you possibly can successfully interact multiple muscular tissues in your back whereas promoting overall muscle development. Moreover, this train helps in improving posture and stopping injuries, that are essential for anybody trying to enhance their athletic efficiency. Engage your higher back muscular tissues as you squeeze your shoulder blades collectively at the top of the movement. This exercise effectively targets muscles in the higher and mid-back, biceps, and forearms, contributing to improved overall back thickness and energy. Executing the Barbell Reverse Grip Incline Bench Row works to develop thickness in your higher back and enhances overall pulling power. This train prompts key muscle groups including the latissimus dorsi, rhomboids, and biceps for a complete back workout that fosters progress and energy. Whether it’s underneath the bar or beneath the stress of life, you’d be amazed at how just getting stronger ends up being a treatment for many problems. To develop slabs of again meat you’ll want to move massive weights each horizontally and vertically. You’ll be sturdy all over at nearly every little thing you do… and you’ll look impressive as hell whilst you do it. Actually impressive backs are a rare sight, though there are plenty of broad backs out there. Greg has covered the four major sports activities for six years and has been featured on sites similar to Sports Activities Illustrated, Fox Sports, SB Nation, NJ.com, and FanSided. Now, he is transitioning into the world of bodybuilding and power sports activities. That’s why, as a veteran personal trainer with over three decades of expertise, I have a tendency to put in writing shorter packages that emphasize only a few basic lifts. Most of my clients choose this extra minimalist approach, and missed exercises are a rarity. The floating clean pull is an exercise you may only see in Olympic Weightlifting. However Weightlifters have thick backs due to their big pulling volumes. The bonus with carries is you should deadlift the awkward masses to hold them, putting extra stress in your back muscular tissues for thickness. Maintain pushing your self to new limits and watch as your back becomes thicker and stronger with every exercise session. Envision pulling the bar "through" your body for somewhat extra engagement of the middle again. This is one other approach that may allow you to exhaust your back muscle tissue, leading to extra development and thickness. Upright Rows are glorious for building the traps and shoulders when performed with correct type. To minimize the chance of shoulder impingement, keep your elbows below shoulder peak and use an EZ bar or dumbbells for a safer grip. One session of the back workout per week is enough coaching volume for excellent positive aspects, but you would carry out it twice weekly if you’re an skilled bodybuilder. While there are other muscles in the again, the ones mentioned above are essentially the most crucial for designing the best back exercises. Compound actions in your again engage all of them, automatically guaranteeing a comprehensive training method. The erector spinae, comprising three muscles, spans the whole back and assists in again rotation and straightening. When a bodybuilder is lean, the spinal erectors could be seen and resemble the shape of a Christmas tree within the decrease back. Like the upper again, the lower back consists of multiple muscle tissue, each essential for bodily operate and athletic efficiency. This train targets the lats and teres major efficiently while additionally engaging different stabilizing muscles in your shoulders and upper again. Shifting focus from deadlifts to another effective again builder, pull-ups stand out as a classic muscle-building powerhouse. They goal your upper physique, particularly the latissimus dorsi – these sprawling muscular tissues on either aspect of your again that contribute considerably to that desired V-shape. Executing deadlifts correctly can transform your physique by reinforcing muscle symmetry and promoting overall strength gains. These lats connect out of your lower back up through your arms and are integral for reaching that desired V-shape torso. Moreover, smaller muscle groups including rhomboids and decrease traps contribute significantly to higher physique power when doing pulls ups or chin-ups. Strong back muscular tissues assist a robust core, important for everyday actions and advanced exercises. This steadiness is crucial, because it contributes to overall muscular symmetry and helps in sustaining correct posture. It’s not just about wanting good, although; a balanced physique reduces the risk of injury by guaranteeing no single group of muscular tissues becomes overdeveloped or overstrained. The feeling should be fairly completely different and far more "lat focused" compared to what you regularly experience in your different again workout routines. Not every lifting session has to be as primary as the girl in Starbucks who "can’t even" proper now. These are nice as a outcome of you can achieve a very sturdy peak contraction in the lats. Rowing is essential for a giant back, yet many lifters don’t get as a lot out of them as they could. There are two ends of the spectrum when it comes to the execution of the barbell row. These are widespread deductions formed by skilled lifters through trial and error. If you want an advanced explanation and rat studies to prove what causes back development, then likelihood is you aren’t really going to get within the trenches and construct your again anyway. Building greater spinal erectors could make your again thicker when viewed from the side. If you row with out supporting your torso, as you’d do with a barbell row or cable row, then your spinal erectors will want to work to maintain your back from rounding ahead. That’s much more true of deadlifts because your spinal erectors are even more more probably to be a limiting issue. Inverted rows strengthen your upper arm muscle tissue and posterior deltoid by pulling your weight up while flexing at the shoulder joint; they’re excellent for creating a robust thoracic cage. With Out the platysma, it will be tougher to indicate feelings via facial actions. Be positive to do high-rep dumbbell rows  each every now and then, but what you really want to concentrate on more typically than not is getting stronger on this exercise. Notably, it is not attainable to totally isolate the lower lats while coaching. That’s as a outcome of all latissimus dorsi muscle fibers have the identical insertion level on the upper arm. Nonetheless, you can better activate the decrease portion of the lats by modifying your exercise kind and training approach. Pull-ups, both broad grip and close grip variations, are extremely efficient workouts for building a stronger and wider back. This is an advanced and challenging train that can be modified when you're a beginner. Start with assisted pull-ups using a resistance band or an assisted pull-up machine. Broad grip pull-ups primarily target the lats that are the most important muscle tissue within the back liable for creating width and thickness. By performing wide-grip pull-ups, you interact the lats to a larger extent, selling their development and contributing to a broader back look. The straight-arm lat pull-down stretches out your lats within the beginning position and brings them to a completely contracted position on the backside. The key to participating the decrease lats is to squeeze them as you hold the bottom place for a two to three-second rely. The primary train the common health club bro makes use of is the bentover lateral raise. But this specific movement doesn't absolutely shorten the fibers of the posterior delts. There are plenty of deadlift variations, and they’re all glorious again builders. Nonetheless, in my experience, sweeping deadlifts are the ultimate exercise for growing a picture-perfect again. Operating up either aspect of your back, the erector spinae muscles are answerable for extending, laterally flexing, and stabilizing your spine. Well-developed spinal erectors add lots to the shape and dimension of your back. They also present your backbone with much-needed help, potentially decreasing your danger of back pain and harm. When writing their workouts, lots of trainers like to incorporate a long record of workouts to work the goal muscle tissue from each conceivable angle. They then prescribe set after set for every train, creating a program that can take a couple of hours to complete. Most machines have separate handles; this permits you to pull your hands past your sides and obtain a wonderful contraction. Since such machines restrict torso movement, in addition they greatly minimize the possibilities of decrease again damage and allow someone already affected by lumbar pain to securely work his higher again. LOW CABLE ROWSBecause of its distinctive stretch, this train tends to emphasize the in any other case hard-to-hit decrease lats. You can use just about any bar for selection, but V-handles place your palms parallel and shut collectively, maximizing the lat stretch. Resist the temptation to lean again any farther, as this will divert consideration from your lats. Hadi Choopan, the Iranian sensation, has gained a reputation for his incredibly dense and detailed again, helping him rise quickly by way of the bodybuilding ranks. His back’s mixture of mass and definition has made him a top contender on the worldwide stage. Roelly Winklaar, one of the muscular bodybuilders in fashionable instances, is thought for his jaw-dropping dimension and dense back. Winklaar’s again has been some of the dramatically improved lately, showcasing each width and insane thickness. Levrone’s rear double biceps pose showcased his dense middle again, one of his strongest areas, along with the overall stability of his back muscle tissue. References: https://images.google.bi/url?q=https://jbhnews.com https://ucgp.jujuy.edu.ar/profile/twigchin6/ https://images.google.as/url?q=https://jbhnews.com https://images.google.com.gt/url?q=https://jbhnews.com https://www.pinterest.com/drawmitten1/ https://kornum-rye-2.technetbloggers.de/post-cycle-therapy-pct-in-bodybuilding-serves-multiple-purposes-primarily-helping-individuals-recover-from-steroid-use-by-restoring-natural-hormone-production-maintaining-muscle-gains-a https://www.metooo.io/u/67daedded42e9f11760daefd https://images.google.com.na/url?q=https://jbhnews.com https://images.google.com.hk/url?q=https://jbhnews.com https://qa.holoo.co.ir/user/periodguilty4 https://xn--mgbg7b3bdcu.net/?qa=user/gumnotify2 https://maps.google.com.lb/url?q=https://jbhnews.com http://ezproxy.cityu.edu.hk/login?url=https://jbhnews.com https://hubpages.com/@bumperrisk3 http://polimentosroberto.com.br/index.php?option=com_k2&view=itemlist&task=user&id=5206928 https://images.google.com.na/url?q=https://jbhnews.com
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