Stomatologija - Cirkularni karijes ili karijes ranog detinjstva

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Cirkularni karijes ili karijes ranog detinjstva

Specifican oblik karijesa mlecnih zuba koji se javlja u prvim godinama zivota.Zahvata sve zube I dovodi do njihovog razaranja jos u najranijoj dobi.Neposredno po nicanju gornjih prednjih zuba u vratnom delu se nalaze naslage razlicito prebojene ispod kojh se uocava kredasta boja gledji.Vrlo brzo dolazi do stvaranja manjih kaviteta koji se spajaju u siroke kavitete,kruzno oko zuba I tako dovodeci do otvaranja cavuma pulpe I odlamanja krunica zuba.Karijes se siri kruzno,zahvatajuci celim obimom krunicu zbog cega je I dobio naziv”cirkularni karijes”.

Kako nastaje?

Glavni uzrok nastanka su rafinisani ugljeni hidrati koji su sastavni deo velikog broja svakodnevnih zivotnih namirnica ,ali I sastavni deo svih slatkih grickalica.
Cesti dnevni I nocni obroci,posebno losa navika da se dete uspavljuje I hrani u snu bocicom sa zasladjenom vodom,cajem,sokom I mlekom.

Kako ga izbeci?

S toga je neophodno da se detetu prilikom uspavljivanja ne sme duze ostavljati bocica sa tecnostima u kojima postoje seceri vec mu dati vodu ili nezasladjen caj.
Takodje da uzimanje slatkisa bude vezano za glavne obroke ,kako bi se puferski sistemi pljuvacke izborili sa zonama jace kiselosti.jer kad dete tokom celog dana”nesto gricka”puferski sistemi pljuvacke se iscrpljuju I njihov antikariogeni efekat slabi.
Terapija cirkularnog karijesa je slozena I komplikovana.Najtezi deo je ubediti roditelje da koriguju lose navike I rezim ishrane.Redovno I pravilno odrzavanje oralne higijene,redovna primena fluoride,konzervativno zbrinjavanje karijesnih lezija,vadjenje mlecnih zuba koji se ne mogu sanirati I na kraju protetsko zbrinjavanje.

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napisao Tanja, April 21, 2007

Evo jedan savjet od mame dva deckica od 7 i 9 godina: Ne stavljajte secer (a ni med) u kasice koje pripremate bebama. Prirodni secer, iz voca, je sasvim dovoljan. Kada je prvi put probao nesto sa dodatkom secera, moj sin je imao vise od godinu dana. I - nije bio odusevljen! Medjutim, djeca kojoj se hrana seceri, razviju naviku da jedu slatko. Tu najvise "uprskaju" dede i bake - kada se umjesaju. Medjutim, i ako dodje do karijesa (cak i kod djeteta od 4 ili 5 godina), ne cekajte - nego idite kod zubara. Obavezno trazite popravku - vadjenje ne dolazi u obzir!

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