{"id":7,"date":"2024-04-04T01:59:41","date_gmt":"2024-04-03T22:59:41","guid":{"rendered":"https:\/\/sisu.ut.ee\/hambaravi5\/hambatraumad\/"},"modified":"2024-04-11T16:47:15","modified_gmt":"2024-04-11T13:47:15","slug":"hambatraumad","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/hambaravi5\/hambatraumad\/","title":{"rendered":"Hambatraumad"},"content":{"rendered":"<p><strong>Hambatrauma on\u00a0 hamba v\u00f5i periodondi<\/strong> (hamba kinnituskudede) <strong>mehaaniline kahjustus<\/strong>. Hambatraumasid esineb<strong> sagedamini teatud eagruppidel<\/strong>: v\u00e4ikelastel (kukkumised puuduliku tasakaalu t\u00f5ttu), lastel ja teismelistel (sport, traumad), noortel meestel (v\u00e4givald) ning vanemaealistel (taas halvenenud tasakaalust tingitud kukkumised).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"179\" height=\"282\" class=\"alignnone wp-image-69 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"aran8.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran8.png\" alt=\"aran8.png\"><\/p>\n<h5>R\u00f6ntgen\u00fclesv\u00f5ttel on D21 apikaalses kolmandikus n\u00e4ha (horisontaalne)\u00a0 juuremurd. \u00dclemised lateraalsed intsisiivid on oma asendi t\u00f5ttu k\u00f5ige sagedamini vigastatavad hambad (ligi 3\/4 juhtudest).<\/h5>\n<p>N\u00e4o piirkonna trauma v\u00f5ib olla <strong>osa v\u00e4givallast ja v\u00e4\u00e4rkohtlemisest<\/strong>, millest tuleb kahtluse korral teatada. Pea piirkonna traumadega v\u00f5ivad kaasneda <strong>neuroloogilised kahjustused,<\/strong> seet\u00f5ttu tuleb kannatanut k\u00fcsitleda ka teadvush\u00e4irete, n\u00e4gemise ja teiste meelelundite funktsiooni ja tasakaalu osas ning vajadusel suunata edasistele uuringutele ja ravile.<\/p>\n<h3>Hambatraumade klassifikatsioon<\/h3>\n<p>Traumade <strong>klassifikatsioone<\/strong> on mitmeid, kuid laiemalt jagunevad need\u00a0<strong> hamba k\u00f5vakudede<\/strong> (ja pulbi) <strong>kahjustusteks <\/strong>ja <strong>parodondi traumadeks.<\/strong> Lisaks kuuluvad hambaarsti kompetentsi ka <strong>suu pehmekudede vigastused.<\/strong><\/p>\n<p>Eestis on kasutusel WHO poolt v\u00e4ljat\u00f6\u00f6tatud <strong>rahvusvaheline haiguste klassifikatsioon<\/strong> (<strong>ingliskeelsena ICD-10<\/strong> <a href=\"http:\/\/apps.who.int\/classifications\/icd10\/browse\/2016\/en#\/S00-S09\" target=\"_blank\" rel=\"noopener\">http:\/\/apps.who.int\/classifications\/icd10\/browse\/2016\/en#\/S00-S09<\/a> v\u00f5i <strong>eestikeelsena RHK-10<\/strong>\u00a0 <a href=\"http:\/\/rhk.sm.ee\/)%20\" target=\"_blank\" rel=\"noopener\">http:\/\/rhk.sm.ee\/)<\/a> kus hammaste murrud kuuluvad XIX peat\u00fcki pea piirkonna vigastuste jaotusesse (koodid S00-S09).<\/p>\n<p>Hammaste murrud algavad koodiga S02.5 ja periodontaalkoe kahjustused koodiga S03.2\u00a0 (<a href=\"http:\/\/apps.who.int\/classifications\/icd10\/browse\/2015\/en%23\/S02.5\" target=\"_blank\" rel=\"noopener\">http:\/\/apps.who.int\/classifications\/icd10\/browse\/2015\/en#\/S02.5<\/a>).<\/p>\n<p>Levinumad <strong>hammaste vigastused<\/strong> (S02.5):<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>m\u00f5ra (S02.50)<\/li>\n<li>kroonimurd \u2013 pulp ei ole haaratud v\u00f5i pulbi haaratusega (komplitseerunud) (S02.51)<\/li>\n<li>kroonimurd (S02.52)<\/li>\n<li>krooni-juuremurd (S02.54)<\/li>\n<li>juuremurd (S02.54)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Levinumad <strong>hamba tugikudede vigastused<\/strong> (S03.2):<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>p\u00f5rutus<\/li>\n<li>subluksatsioon<\/li>\n<li>intrusioon<\/li>\n<li>ekstrusioon<\/li>\n<li>luksatsioon<\/li>\n<li>avulsioon ehk eksartikulatsioon<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Alveolaarj\u00e4tke murd<\/strong> v\u00f5ib esineda nii \u00fclal\u00f5uas (S02.40) kui alal\u00f5uas (S02.60)<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"296\" class=\"alignnone wp-image-70 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"aran9.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran9.png\" alt=\"aran9.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran9.png 400w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran9-300x222.png 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\"><\/p>\n<h5>Hambad D21 ja D22 on oklusioonist v\u00e4ljas, mis on vihje v\u00f5imalikust periodontaalkudede kahjustusest v\u00f5i murrust. \u00a0Allikas:\u00a0 <a href=\"https:\/\/www2.aofoundation.org\/wps\/portal\/!ut\/p\/a0\/04_Sj9CPykssy0xPLMnMz0vMAfGjzOKN_A0M3D2DDbz9_UMMDRyDXQ3dw9wMDAzMjfULsh0VAbWjLW0!\/?bone=CMF&amp;classification=98-Alveolar%20fracture%2C%20Segmental%20fracture&amp;segment=Dental&amp;showPage=diagnosis&amp;teaserTitle=&amp;contentUrl=\/srg\/98\/01-Diagnosis\/alveolar.jsp\" target=\"_blank\" rel=\"noopener\">https:\/\/www2.aofoundation.org\/<\/a><\/h5>\n<table class=\"table table-hover\" border=\"1\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" width=\"41\" height=\"41\" class=\"alignnone wp-image-71\" style=\"margin: 10px; float: left;\" title=\"huuumark.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/huuumark-1.png\" alt=\"huuumark.png\"><strong>Loe lisaks:<\/strong>\u00a0Kiire \u00fclevaate levinumatest hambatraumadest saad eestikeelsetelt lehek\u00fclgedelt <a style=\"line-height: 21px;\" href=\"http:\/\/www.hambaarst.ee\/artiklid\/90\/%20\" target=\"_blank\" rel=\"noopener\">http:\/\/www.hambaarst.ee\/artiklid\/90\/<\/a> ja\u00a0 <a style=\"line-height: 21px;\" href=\"http:\/\/www.ut.ee\/tervis\/hambad\/p6_1.htm\" target=\"_blank\" rel=\"noopener\">http:\/\/www.ut.ee\/tervis\/hambad\/p6_1.htm<\/a>.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Hambatraumade ravi<\/h3>\n<p><strong>Hambatraumade ravi<\/strong> on v\u00e4ga erinev: alates j\u00e4lgimisest kuni lahastamiseni v\u00f5i hamba eemaldamiseni. <strong>Diagnoosimiseks<\/strong> on vajalik p\u00f5hjalik anamnees trauma toimumise ajast ja viisist, kliiniline uuring (vaatlus, palpatsioon, perkussioon, liikuvuse ja vitaalsuse m\u00e4\u00e4ramine) ning radioloogiline uuring. Mida varasem on ravi algus, seda parem on prognoos hamba s\u00e4ilimiseks.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"389\" height=\"301\" class=\"alignnone wp-image-72 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"aran91.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran91.png\" alt=\"aran91.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran91.png 389w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/aran91-300x232.png 300w\" sizes=\"auto, (max-width: 389px) 100vw, 389px\"><\/p>\n<h5>Fotol\u00a0 on n\u00e4ha D21 emailimurd. Tegemist on kerge vigastusega, mille korral piisab raviks ainult emailiservade tasandamisest v\u00f5i asendatakse kaotatud koed komposiitt\u00e4idismaterjaliga.<\/h5>\n<table class=\"table table-hover\" border=\"1\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" width=\"41\" height=\"100\" class=\"alignnone wp-image-73\" style=\"float: left; margin-left: 10px; margin-right: 10px;\" title=\"huuumark-pikk.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/156\/huuumark-pikk.png\" alt=\"huuumark-pikk.png\"><strong>Loe lisaks:<\/strong>\u00a0Hambatraumadest ja nende ravist saab p\u00f5hjalikumalt, hambaarstile vajalikul tasemel, lugeda:\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\">T\u00dc \u00f5ppematerjalid Moodle\u2019is \u201cJ\u00e4\u00e4vhammaste traumad ja nende ravi\u201d <\/span><a style=\"line-height: 21px;\" href=\"https:\/\/moodle.ut.ee\/pluginfile.php\/9957\/mod_resource\/content\/0\/traumad_OK_Jaavhammaste_traumad_uus.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/moodle.ut.ee\/pluginfile.php\/9957\/mod_resource\/content\/0\/ traumad_OK_Jaavhammaste_traumad_uus.pdf<\/a><\/li>\n<li><span style=\"line-height: 21px; background-color: transparent;\" data-mce-mark=\"1\">ning inglisekeelne juhendmaterjal \u201cTreatment of traumatic Dental Injuries\u201d <\/span><a style=\"line-height: 21px;\" href=\"http:\/\/www.aae.org\/uploadedfiles\/publications_and_research\/guidelines_and_position_statements\/2004traumaguidelines.pdf\" target=\"_blank\" rel=\"noopener\">http:\/\/www.aae.org\/uploadedfiles\/publications_and_research\/ guidelines_and_position_statements\/2004traumaguidelines.pdf<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Hambatrauma on\u00a0 hamba v\u00f5i periodondi (hamba kinnituskudede) mehaaniline kahjustus. Hambatraumasid esineb sagedamini teatud eagruppidel: v\u00e4ikelastel (kukkumised puuduliku tasakaalu t\u00f5ttu), lastel ja teismelistel (sport, traumad), noortel meestel (v\u00e4givald) ning vanemaealistel (taas halvenenud tasakaalust tingitud kukkumised). R\u00f6ntgen\u00fclesv\u00f5ttel on D21 apikaalses kolmandikus n\u00e4ha &#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-7","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/7","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=7"}],"version-history":[{"count":2,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/7\/revisions"}],"predecessor-version":[{"id":347,"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/pages\/7\/revisions\/347"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/hambaravi5\/wp-json\/wp\/v2\/media?parent=7"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}