2019年10月30日
皆さんこんにちは(´ ▽` )ノ
歯科助手の林です!
朝晩の冷え込みが厳しくなってまいりましたが皆様体調お変わりなくお過ごしでしょうか?
本日はインプラントについてご説明させていただきます!!
インプラントとは虫歯や歯周病などが原因で歯がなくなってしまった場合に、機能性、審美性を回復させる為に行う処置です。
(下記の図、左から術前、術中、術後)
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)
インプラントの利点は、ご自身の歯と同じくらいの力で噛めることです。
入れ歯やブリッジだと30%から60%の力でしか噛むことができないと言われています。
インプラントはブリッジのように、ご自身の健康な歯を削ったり負担をかけることもなく、入れ歯のように取り外して洗浄する必要はありません!
インプラントの欠点は、個人差はありますが治療期間が半年程度と少し長く、またコストがほかの治療よりかかってしまいます。
また定期的なメンテナンスを行わなければ、インプラント周囲炎になってしまう可能性があります。そのため、定期的なメンテナンスを行うようにしましょう!
しかし、インプラントの治療に30万円かかったとしてその歯が10年間機能したとすると、1日あたりかかるコストは100円程度です。
インプラントは誰でも入れることができる訳ではなく、顎の骨が痩せすぎてしまっている方やひどい歯周病や糖尿病、喫煙されてる方はおすすめできない場合があります。
何か気になることがありましたら市川ビルさとう歯科医院に一度ご来院ください!!
2019年10月17日
こんにちは!受付・保育士の伊藤です!
皆さま台風は大丈夫でしたか?
各地で色々な被害がでていますね。過ぎ去ってもまだ不安な日々は続きますがこれ以上被害が大きくならないことを祈るばかりです。。
そして、本格的に秋がやってきましたね!
肌寒い日が続いております。暖かくしてお過ごし下さい!
さて、今日は「MTAセメント」についてお話しします。
一般に、歯の神経と呼ばれる歯髄(しずい)という組織は、歯の根っこの中に迷路の様に複雑な形で存在しています。
狭いお口にある歯の、さらに根の中深くにある歯髄は直接みることが極めて困難です。
そのため、目視できない環境で行わざるをえない歯の神経の治療には多くのリスクが伴います。操作中に器具が折れてしまったり、根の治療に伴って歯が薄くなることでヒビがはいってしまうなど、歯の寿命が大幅に短くなり、抜歯にいたるケースも少なくありません。
歯を失うことで、他の歯や顎全体への悪影響も懸念されます。
歯を少しでも健康な状態で残すためには、神経を保存することが重要です。
神経まで虫歯が進行している場合、基本的には神経をとる処置を行いますが、MTAセメントを用いてしっかり封鎖すれば、神経を保存できる可能性があります。
では、MTAの特徴をお伝えします。
①削る量を最小限にし、神経を守る
MTAセメントは虫歯を取り除いて神経が露出したときに、そこを封鎖して神経を保護することができます。
神経を保存すると、根の治療をするよりも歯を削る量が少なくなるために、歯を長持ちさせる効果があります。
②安心で優しい
MTAは膨張しながら硬化するため封鎖性にすぐれ、身体に為害性が無い安心安全な材料です。
③再発予防
MTAは水分があっても歯質と密着するので、細菌の侵入を食い止める働きがあります。
歯の神経を保存することは、根管治療を行った場合の予後を考えると、多くのメリットがあります。
当院には患者様の口腔内のお悩みを伺う担当のスタッフがおります。どうしよう、、と悩んでいることがありましたら、お気軽にお声掛けください!
2019年10月6日
こんにちは(^-^)
歯科衛生士の加藤です!
もう10月なのになかなか気温が下がりませんね(T_T)服装に困ってしまいます。
暑かったり、寒かったり忙しい気温が続いていますので、皆さん体調にはお気をつけください。
本日は「歯根端切除術」についてお話しします。
まず、皆さんは「根管治療」についてどのくらいご存知ですか??![](https://www.ichikawadc.jp/blogs/wp-content/uploads/sites/4/2019/10/FFCAA944-678A-468E-9095-F0DFA1AD919E.jpeg)
根管治療とはむし歯や、外傷により歯の神経が細菌感染してしまった場合に神経を取り、管の中を綺麗にすることで中の細菌の数を減らす治療のことです。
しかし一度根管治療を行っても、神経の入っていた管のなかに残った細菌が原因で歯の根の先で炎症を起こしてしまうことがあります。
その場合
1)かむと痛い
2)歯ぐきが腫れる
3)歯ぐきから膿が出る
などの症状が起こる場合があります。
このようなことがおこると、再度神経の入っていた管の掃除をやり直すことで、処置してていきます。
しかし、歯の根はとても複雑な形をしているため再治療を行っても炎症が治まらず、症状がなかなか良くならないことがあります。特に再治療を繰り返した歯は治療が難しくなります。
「歯根端切除術」とは根管治療では治らない、根管治療ができない歯根部の炎症性の病巣に対し、外科的に①根の先の病巣の摘出 ②根の先端の切除 ③逆側からの根管治療を行って抜歯しないで歯を残すための方法です
先ほどお話しした通り、むし歯や外傷で歯の中の根管が感染し、歯根の先に病巣ができて歯茎が腫れたり痛みがある場合、根管治療を行うことで治っていきます。しかし根管治療を続けても治らない場合や、かぶせた冠や根管の詰め物がが除去できない、根管が曲がっているなどで根管治療ができない場合があります。
そのような歯を手術をして抜歯しないで助けることができます。
根管治療、歯根端切除術を正確に行うと歯根の先にできた病巣は90%以上の確率で治ると言われています。
当院では、「歯根端切除術」を行なっています。
根管治療でなかなか病気が治らない、繰り返してしまう根っこの先の病巣に悩まされている方はぜひ一度当院にいらしてください!
最後まで読んでいただきありがとうございました!