{"id":33,"date":"2024-04-04T01:59:43","date_gmt":"2024-04-03T22:59:43","guid":{"rendered":"https:\/\/sisu.ut.ee\/hambaravi5\/dentiinikaaries\/"},"modified":"2024-04-11T16:39:32","modified_gmt":"2024-04-11T13:39:32","slug":"dentiinikaaries","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/hambaravi5\/dentiinikaaries\/","title":{"rendered":"Dentiinikaaries"},"content":{"rendered":"<p>Dentiini ja pulbikude k\u00e4sitletakse \u00fchtse s\u00fcsteemina, sest odontoblastid ulatuvad dentiinikanalitesse. <strong>Emaili-dentiinipiir on kaariese suhtes v\u00e4hema vastupanuv\u00f5imega<\/strong> ja\u00a0 seet\u00f5ttu levib emaili l\u00e4binud kaaries laialdaselt piki emaili-dentiinipiiri. Dentiinikaaries on l\u00e4bil\u00f5ikes V-kujuline, ruumiliselt <strong>koonusekujuline kahjustus<\/strong>, mille laiem alus on emaili-dentiinipiiril ja teravik on suunatud pulbi poole.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"605\" height=\"238\" class=\"alignnone wp-image-101 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"joon19.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon19.png\" alt=\"joon19.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon19.png 605w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon19-300x118.png 300w\" sizes=\"auto, (max-width: 605px) 100vw, 605px\"><\/p>\n<h5>Allikas: <a href=\"http:\/\/www.dentaljuce.com\/fruit\/page.asp?pid=605\" target=\"_blank\" rel=\"noopener\">http:\/\/www.dentaljuce.com\/fruit\/page.asp?pid=605<\/a><\/h5>\n<p><strong>Dentiinis kulgeb karioosne protsess oluliselt kiiremini<\/strong>, sest dentiinituubulid on mikroorganismidele kergesti l\u00e4bitavad.<\/p>\n<p>Kaaries p\u00f5hjustab dentiinis mitmeid <strong>muutusi:<\/strong><\/p>\n<ul>\n<li>n\u00f5rgad orgaanilised happed demineraliseerivad dentiini;<\/li>\n<li>dentiini orgaaniline materjal (enamuses kollageen) degenereerub ja h\u00e4vib;<\/li>\n<li>bakterid tungivad struktuuri kaotanud koesse ja p\u00f5hjustavad seal kavitatsiooni.<\/li>\n<\/ul>\n<table class=\"table table-hover\" style=\"width: 90%;\" border=\"1\" align=\"center\">\n<tbody>\n<tr>\n<td><strong><img loading=\"lazy\" decoding=\"async\" width=\"41\" height=\"100\" class=\"alignnone wp-image-91\" style=\"float: left; margin: 10px;\" title=\"huuumark-pikk.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/huuumark-pikk-1.png\" alt=\"huuumark-pikk.png\">Dentiinikaariese tsoonid<\/strong> (loetletud s\u00fcgavamalt pindmisemale):\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">normaalne dentiin<\/span><\/li>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">subtransparentne dentiin<\/span><\/li>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">transparentne dentiin<\/span><\/li>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">h\u00e4gune dentiin<\/span><\/li>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">infitseeritud dentiin<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Normaalne dentiin<\/h3>\n<p>dentiinituubulid sisaldavad normaalseid odontoblaste ning \u00a0intertubulaarne dentiin sisaldab p\u00f5imunud kollageeni ja normaalseid apatiidi kristalle.<\/p>\n<h3>Subtransparentne dentiin<\/h3>\n<p>See kiht on intertubulaarse dentiini demineraliseerumise ala, kus tuubulite valendikes moodustuvad \u00fclipeened kristallid. Baktereid selles kihis ei leidu.\u00a0 Subtransparentne kiht on<strong> v\u00f5imeline regenereeruma<\/strong>.<\/p>\n<h3>Transparentne dentiin<\/h3>\n<p>Selles osas paikneb karioosne dentiin, mis on normaalsest dentiinikoest pehmem, tuubulite valendikes on suured kristallid. Baktereid selles kihis ei leidu ning kollageen on intaktne \u2013 selle <strong>v\u00f5ib ravimisel alles j\u00e4tta kui maatriksi intertubulaarse dentiini remineraliseerumiseks.<\/strong><\/p>\n<h3>H\u00e4gune dentiin<\/h3>\n<p>Tsoonis on laienenud ja moondunud dentiinituubulid mis on t\u00e4idetud bakteritega. See kude ei remineraliseeru ja<strong> tuleb t\u00e4ies ulatuses eemaldada<\/strong>.<\/p>\n<h3>Infitseerunud dentiin<\/h3>\n<p>\u00c4\u00e4repoolsem lagunenud dentiin sisaldab rohkelt baktereid. <strong>Edukaks restauratiivseks raviks ja infektsiooni leviku v\u00e4ltimiseks on selle kihi eemaldamine h\u00e4davajalik.\u00a0\u00a0<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"492\" height=\"263\" class=\"alignnone wp-image-102 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"joon21.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon21.png\" alt=\"joon21.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon21.png 492w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon21-300x160.png 300w\" sizes=\"auto, (max-width: 492px) 100vw, 492px\"><\/p>\n<p>Kahjustunud dentiini (subtransparentse dentiini ja transparentse dentiini tsoonid) v\u00f5ib j\u00e4\u00e4da restauratsiooni alla, kuid <strong>infitseerunud dentiinikude<\/strong> (h\u00e4gune tsoon ja infitseerunud dentiin) <strong>tuleb t\u00e4ielikult eemaldada<\/strong>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"605\" height=\"234\" class=\"alignnone wp-image-103 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"joon22.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon22.png\" alt=\"joon22.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon22.png 605w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/joon22-300x116.png 300w\" sizes=\"auto, (max-width: 605px) 100vw, 605px\"><\/p>\n<h5>Fotol on n\u00e4ha h\u00f5beamalgaamt\u00e4idisega ravitud hammas, millel on arenenud uued dentiini ulatuvad kaarieskahjustused: k\u00f6brult ning t\u00e4idise k\u00f5rvalt.\u00a0 Allikas: <a href=\"http:\/\/ferdagozturk.com\/2015\/05\/10\/dis-curukleri\/\" target=\"_blank\" rel=\"noopener\">http:\/\/ferdagozturk.com\/2015\/05\/10\/dis-curukleri\/<\/a><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>Dentiini ja pulbikude k\u00e4sitletakse \u00fchtse s\u00fcsteemina, sest odontoblastid ulatuvad dentiinikanalitesse. Emaili-dentiinipiir on kaariese suhtes v\u00e4hema vastupanuv\u00f5imega ja\u00a0 seet\u00f5ttu levib emaili l\u00e4binud kaaries laialdaselt piki emaili-dentiinipiiri. Dentiinikaaries on l\u00e4bil\u00f5ikes V-kujuline, ruumiliselt koonusekujuline kahjustus, mille laiem alus on emaili-dentiinipiiril ja teravik on &#8230;<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-33","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/33","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/comments?post=33"}],"version-history":[{"count":2,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/33\/revisions"}],"predecessor-version":[{"id":326,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/33\/revisions\/326"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/media?parent=33"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}