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牙痛真是要命啊，我最近一直牙痛，本以为是压力太大上火了，但是脸都肿起来了，真的是好难受，去医院检查医生说要做根管治疗才能好。但是我现在很疼，不能直接把牙齿拔掉吗？请问有没有更好的建议。


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我表妹最近一直说牙疼，刚开始以为是最近学习压力大，过几天就可以缓解了，但是到现在还没好。今天就跟她去了医院，医生确诊是急性根尖周炎，咬合病。但是最近快要考试了，复习很紧张，所以她就拒绝了挑神经线，只开了止疼和消炎药先暂缓疼痛。虽然我看着她也很痛苦，但是最近快要高考了，确实很棘手。想问问急性根尖周炎能自愈吗？


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前几天牙疼，刚开始觉得是上火了没什么大事，过两天应该就好了，但是第二天早上起来反而没有减缓，连饭都难吃下去。没办法就去医院检查了，医生说是根尖周炎，还好发现得早不是很严重，要不然就得做根管治疗了。我很好奇这个病是怎么形成的，平时要注意什么呢？


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我之前牙疼去医院看牙，医生好像说我这是根尖周炎，要我做根管治疗。然后她好像在我牙里面放了什么，叫失活神经的药吧。但是现在我不想做这么治疗了，什么失活神经的药还在我牙里面，如果不拿出来会怎么样吗？现在我就想知道根尖周炎怎么治疗好呢？


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我一年前做过两颗烤瓷门牙，后来牙龈上长了脓包，医生说是瘘管，说门牙的牙根现在是慢性炎症，可是我最近正在备孕，如果要治疗的话，既要拍片还要吃药，这样的话就不能要宝宝了，但是如果要是不治疗的话，不知道这个慢性炎症会不会影响到要孩子？所以想了解一下。


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我的前牙齿之前疼过一次，吃了点消炎药过几天就基本没事了，后来我也不知道从什么时候开始嘴里又长出来个奇怪的东西，刚开始没在意以为是上火引起的过几天就好了，并且一点也不疼，但是最近开始有脓了，于是就去医院看了一下，医生就让我拍了X片，并且还说牙槽什么的都烂掉了，有点害怕，不会是慢性根尖周炎吧。还有这个情况是不是要拔牙才可以呢？　　


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现在牙齿疾病越来越多，像慢性根尖周炎现在也有很多人出现，它是指牙齿根尖部及其周围的组织，包括牙骨质、牙周膜和牙槽骨，因为各种原因造成的慢性感染性病变的总称。很多患者都是因为髓坏疽引发的，还有一部分是因急性根周炎没有经过彻底的治疗而转成的。那么，大家有了解过慢性根尖周炎的症状有哪些吗？下面我们一起了解一下。


\"专家告诉您慢性根尖周炎的症状有哪些\"

 

慢性根尖周炎多无症状，在机体抵抗力下降时，可转化为急性根尖周炎或称慢性根尖周炎急性发作，因此，慢性根尖周炎常有反复疼痛、肿胀病史。治疗以消炎、止痛、开髓减压保存患牙等治疗。

 

1、这个疾病通常情况下没有明显的自觉症状，只是有的患牙咀嚼时会有不适感。患牙有牙髓病史、反复肿痛史，或牙髓治疗史。

 

2、患牙可查及深龋洞或充填体，以及其他牙体硬组织疾患。

 

3、牙冠变色，探诊及牙髓活力测验无反应。

 

4、叩诊反应无明显异常或仅有不适感，一般不松动。

 

5、窦型慢性根尖周炎者，可查及位于患牙根尖部的唇、颊侧牙龈表面的窦管开口。

 

6、根尖周囊肿可由豌豆大到鸡蛋大。较大的囊肿，可在患牙根尖部的牙龈处呈半球状隆起，有乒乓感，富有强性，并可造成邻牙移位或使邻牙牙根吸收。  


7、X线表现：①根尖周肉芽肿的根尖部有圆形的透射影像，边界清晰，周围骨质正常或稍显致密。透影区范围较小，直径一般不超过1cm。 ②慢性根尖周脓肿的透影区边界不清楚，开关也不规则，周围骨质较疏松而呈云雾状。 ③根尖周囊肿可见较大的圆形透影区，边界清楚，并有一圈由致密骨组成的阻射白线围绕。 ④根尖周致密性骨炎表现为根尖部局限性的骨质致密阻射影像。

 

找良医网温馨提示：以上就是关于慢性根尖周炎的症状有哪些的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


","barId":"2570","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":693,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1521620480458,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1521620480458,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"13160","isDel":0,"createAt":1521619346128,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家告诉您慢性根尖周炎怎么治疗","content":"

根尖周炎不知道大家有没有了解，这是一个慢性疾病，如果有关的牙齿疾病不能计划司治疗，可能会酿成大祸的欧，今天就跟大家分享一下慢性根尖周炎怎么治疗比较好？大家在疾病面前不要过于慌张，希望可以从容以对。


\"专家告诉您慢性根尖周炎怎么治疗\"

 

慢性根尖周炎，主要是因为髓腔内的牙髓组织被感染坏死了，必须要通过根管治疗，去除这些坏死的感染物质，和感染的牙本质，只有给根尖周组织提供一个良好的环境来供其恢复才是其治疗的关键。

 

各位患者不用太担心，根管治疗的成功率是非常高的，希望各位放心接受治疗。根管治疗也是治疗慢性根尖周炎的唯一的方法，也是最好的方法了。医生开了药是口服的，不是含服的，药物进入消化道吸收进入血液，通过血液进入病变组织的，所以不需要含服使用，而且甲硝唑含服口感也不是很好。大家要注意，服药治疗只是一个辅助作用，最主要的还是要做根管治疗，才能有很好的效果，大家可以听取了解医生的建议，切勿私自做决定，有可能会影响你的健康。

 

另外龋齿只是只牙齿，由于在细菌等多种因素之下作用导致的一种牙体组织的破坏，病变没有累积牙髓，更没有累及根尖周，所以龋齿是不做根管治疗的，只是补牙就可以完成了。那么由于龋齿的继续发展，发生了牙髓炎或者根尖周炎才做根管治疗，所以大家一定要及早治疗。

 

找良医网温馨提示：以上就是关于慢性根尖周炎怎么治疗的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


","barId":"2570","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":728,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1521619346130,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1521619346130,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"13159","isDel":0,"createAt":1521618163815,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家向您解答如何诊断根尖周炎","content":"

牙齿疾病在我们的身上可能都有发生，小问题是不能拖延的，一拖可能就会是大问题了，那么去医院医生是如何诊断根尖周炎的呢？下面我们就了解一下吧。


\"专家向您解答如何诊断根尖周炎\"

 

根据临床研究的症状表现及检查患牙有无龋坏，深的牙周袋，牙齿松动度及叩痛可确诊。慢性根尖周炎多无自觉症状，要详细询问病史，根尖周病牙髓多已坏死，牙体变色，叩诊有不适感，牙髓活力试验无反应。对于慢性根尖周炎进行较为准确的诊断，需做X线检查。

 

找良医网温馨提示：以上就是关于如何诊断根尖周炎的介绍，希望能对大家有所帮助，希望各位定期做口腔检查，养成良好的口腔卫生习惯，多吃还有丰富维生素的瓜果蔬菜，不要偏食。如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


","barId":"2570","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":652,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1521618163817,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1521618163817,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"13157","isDel":0,"createAt":1521617452608,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家向您解答什么是根尖周炎","content":"

现在经济医疗水平不断提升，牙齿类疾病也越来越多，大家有人知道什么是根尖周炎吗？下面我们就了解一下。


\"专家向您解答什么是根尖周炎\"

 

牙根尖周组织的急性或慢性炎症称为根尖周炎。牙髓炎发展到晚期，牙髓组织大部或全部坏死时，或有细菌感染，引起根尖周组织发炎；牙齿受到急剧的外力撞击时，根尖周组织也受到猛烈的创伤而造成根尖周炎；治疗过程中医源性感染也可引起根尖周炎。

 

找良医网温馨提示：以上就是关于什么是根尖周炎的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


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根尖周炎就是牙齿根尖周组织发生炎症，根尖周炎大多数是由于牙髓炎没有得到及时的治疗，炎症进一步蔓延扩展到牙齿的根尖部，引起根尖周组织发炎。那么根尖周炎的病因是什么呢?找良医网分析以下就是导致牙根尖周炎的原因：

\"专家告诉您什么原因导致牙根尖周炎\" 


1、感染：与牙髓炎一样，感染也是引起牙齿根尖周炎的最常见的原因，而大多数感染来自牙髓炎症。如果牙髓炎症没有及时治疗，感染向深部扩散，通过根尖孔引起根尖周炎。

 

2、化学刺激：在牙髓炎进行根管治疗时，使用牙髓组织失活剂如三氧化二砷，封药时间过长，根管内封入刺激性大的消毒剂和甲醛甲酚，药物过量，渗透到根尖周组织中，可以引起药物性根尖周炎。

 

3、创伤：牙齿承受过大的咬颌力量或外力，均可以使根尖周组织受损。根管治疗时，根管器械多次超出根尖孔，质地很硬的根管充填物超出根尖孔，都是对根尖周组织的创伤因素。

 

4、非牙髓性根尖周病变：根尖周病变大多数是由于牙髓病继续发展造成的，但是也有不是来源于压髓病变。如前面表述的创伤和牙周病引起以外，还有少数由于其他的原因造成的，如放射性骨坏死、中央性巨细胞肉芽瘤、恶性淋巴瘤、发育性囊肿等等。

 

找良医网温馨提示：如有身体不适，请及时就医！

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在日常生活中，我们甚少对牙齿方面的疾病关注过。然而俗话说：牙疼不是病，痛起来要人命。而根尖周病就是牙病的一种。根尖周病包括急性和慢性根尖周炎。根尖周炎是指发生在牙齿根尖部及其周围组织的炎症性疾病。即表现为牙骨质、牙周膜和牙槽骨发生的炎症反应。下面专家给大家介绍根尖周炎的症状。

 

\"专家为您讲解根尖周炎的症状有哪些\"


　　一、急性根尖周炎

 

　　早期患牙有轻微疼痛，这时患牙咬紧，疼痛可以暂且缓解，但是炎症加重，患者齿伸长，并且伴有浮出感，轻叩患牙即疼痛。根尖周炎时疼痛为自发性、持续性痛，范围局限性，患者能明确指出患牙。急性根尖周炎如果没有及时得到治疗，炎症继续发展，导致急性根尖脓肿，伴随疼痛加剐，叩痛明显，也会有持续性跳痛。脓液扩散至骨膜下，疼痛、肿胀均很明显，脓液一旦穿破骨膜达到黏膜下，由于压力减弱，黏膜下组织疏松，疼痛比之前降低。

 

　　二、慢性根尖周炎

 

　　1、根尖周肉芽肿：基本无自发痛，发觉咀嚼不适、咬骀无力，叩诊时有异样感，患牙可有伸长的感觉，这时牙髓多已坏死、牙齿分解变色，机体抵抗力低的时候急性发作。

 

　　2、慢性根尖周脓肿：多发无自觉症状，患友的根尖区黏膜处伴有瘘管，瘘管口处常有肉芽组织增强；会有脓液自瘘管排出，导致瘘管引流，不会立即转为急性炎症。

 

　　3、根尖囊肿：自觉症状，牙齿变色，牙片可显示根尖部的囊肿。比如囊肿增强，迫使周围骨质吸收，在患牙根尖部黏膜多呈半圆形捧场，会伴有乒乓球感。


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牙齿根尖周组织的急性或慢性炎症称为根尖周炎。牙髓炎延续到晚期，牙髓组织大部或全部坏死时，导致细菌感染，牙髓组织分解的产物、霉素便会通过根尖孔，导致根尖周组织发炎。那么，患了根尖周炎如何治疗呢？下面专家给大家介绍牙根尖周炎怎样治：

 

\"专家为你解答牙根尖周炎怎样治\"


　　1、开髓引流方法，急性期需打开髓腔、拔除根髓，保证根管通畅，并且炎症物从根管得到引流，开髓后在根管口可放置于松软的棉捻以利引流。

 

　　2、切开引流，急性化脓期脓液到达骨膜下或黏膜下，并且在患牙相应根尖区脓肿明显处切开，并引流排脓。

 

　　3、根管治疗术，这种方式急性期缓解后，会清除根管内感染物，密切充填根管，叫作永久性治疗。

 

　　4、根尖刮治术，病情变化较大时做这种手术方式消除根尖区病变，但只限于上下前牙。

 

找良医网温馨提示：如果发现病情，一定要立即去往正规医院检查。


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我们在日常生活中很少对牙齿方面的疾病关注过。但是，牙疼不是病，痛起来要人命。根尖周病也属于牙病。根尖周病包括急性和慢性根尖周炎。根尖周炎是指发生在牙齿根尖部及其周围组织的炎症性疾病。即特征为牙骨质、牙周膜和牙槽骨发生的炎症反应。我们应对牙齿方面的疾病做一些了解，方便在平时做好预防措施。那么，根尖周炎怎么治？


\"专家为你讲解根尖周炎怎么治\"

 

　　1、根管治疗术是治疗根尖周病的最有疗效方法，并且通过清创化学和机械预备彻底除去根管内感染源。并严密充填根管以促进根尖周病变的愈合。

 

　　2、根尖手术，部有一部分可以经过根管治疗的患牙病变并且持续不愈合，或者通过将牙龈切开翻瓣暴露骨病损去除病变的骨组织和肉芽组织截除部分牙根，并用材料将牙根严密封闭以促进骨病损的愈合。

 

　　3、牙齿拔除，根尖病变的较大和患者合并有其他疾病经治疗如果还是不能治愈者或可疑为病灶牙则不宜保留患牙应考虑拔除。

 

　  专家说，在治疗根尖周炎较治疗牙髓疾病有较大的难度。引起炎症已增加到根尖周组织，细菌感染不但发生局限牙髓组织内，也会扩散到根管壁及根尖周组织。这个时候牙髓多已坏死，牙髓腔已发展为自身防御能力达不到的死腔，而根尖周组织血运丰富修复再生能力很强，若能清除根管内病源刺激物，大部分根尖病变可以修复愈合，也可以说是根尖周病的治疗效果在一定程度上体现出口腔疾病治疗医疗水平。


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当牙病未曾发作时，我们在日常生活中甚少对牙齿方面的疾病关注过。然而俗话说：牙疼不是病，痛起来要人命。而根尖周病就是牙病的一种。根尖周病包括急性和慢性根尖周炎。根尖周炎是指发生在牙齿根尖部及其周围组织的炎症性疾病。即表现为牙骨质、牙周膜和牙槽骨发生的炎症反应。那么引起根尖周炎原因主要有以下几点：

 

\"专家为您介绍根尖周炎原因有哪些\"


　 引起根尖周炎原因1、感染：细菌感染是比交多见的病因之一，据临床上绝大多数感染都是来源于牙髓病，基本都是由牙体感染牙髓波及根尖周围组织。还有一些感染来源于牙周病。

 

　 引起根尖周炎原因2、创伤：牙齿如果受到过大咬合力或外力；牙齿的急性外伤，比如意外事故、跌倒、碰撞等可导致根尖周组织受损；根管治疗器械或根充剂超出根尖孔等也可引起根尖周炎。

 

　 引起根尖周炎原因3、创伤性：长期的咬合关系不平等均可导致根尖周组织的伤害。

 

引起根尖周炎原因4、化学刺激：牙病治疗这段时间中使用药物不恰当，如砷剂超过规定的封药时间，酚、醛等腐蚀性药物溢出根尖孔等，都是可能引起根尖周炎的原因。

 

引起根尖周炎原因5、物理因素和免疫学因素：根尖周炎可以表现为急性炎症和慢性炎症，基主要症状是牙齿疼痛和局部肿胀，当人体抵抗力下降时，可能发展为颌骨骨髓炎或颌周蜂窝强炎，因此，应引起足够的重视并及时治疗。

 

　　找良医网专家称：根尖周炎可以表现为急性炎症和慢性炎症，一般主要症状是牙齿疼痛和局部肿胀。如果人体抵抗力下降时，极有发展为颌骨骨髓炎或颌周蜂窝强炎，所以，必须要引起足够的重视并及时治疗。


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根尖周炎又指根尖周病，是指发生在牙根尖周围组织，如牙骨质、根尖周围的牙周膜和牙槽骨等的疾病。牙根周炎，可能对于不少人来说，都是陌生的多。对于它没什么了解，也没什么接触。下面，我们就来了解一下牙根周炎的病因，以及不同类型间的临床表现吧。

　　

\"专家带你了解一下牙根周炎的病因\"


引起根尖周炎的原因主要有以下几个方面：

 

　　1、感染，感染是引发牙齿根尖周炎的主要因素，但是有太多感染来源于牙髓炎。如果患者牙髓炎没有得到及时治疗，牙髓感染会逐渐扩大，会通过根尖孔导致根尖周炎。

 

　　2、化学刺激，比如治疗患者牙髓炎时 ，牙医平常会使用牙髓失活剂，比如三氧化二砷等，如果用药过量时，药物会渗透到根尖周旁边，引发药物性根尖周炎。

 

　 3、物理刺激、当牙齿承受较大的咬合力或外力时，牙齿会引发程度不同的创伤，创伤也会导致牙齿的根尖周组织损伤。牙医在为病患进行根管治疗的时候，根管器械多次超过根尖孔，也会损害根尖周组织。

 

　　4、其他因素，除了上面的的牙创伤和牙周病外，还有其他的牙槽骨坏死、巨细胞修复性肉芽肿、恶性淋巴瘤、发育性牙源性囊肿等疾病都可引发根尖周炎的产生。

 

　　专家称：牙病一旦发作，即使不会涉及到生命危险，但是会给病患带来一定的痛苦，会使其生活带来很多不方便，也会影响患者的心态，工作学习状态。所以找良医网温馨提醒广大朋友如果发现自己有根尖周炎的前期症状时，一定要及时去正规医院检查，及时处理好牙病，千万别让牙病给你的生活带来不便，影响你的心情。


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周周有一颗烂牙，最近不知道怎么的牙龈上长了脓胞，用舌头一顶就能感觉得到有异味，医生说我是患有急性根尖周炎，请问根尖周炎怎么办？怎么治疗好呢？


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牙根尖周组织的急性或慢性炎症称为根尖周炎。牙髓炎发展到晚期，牙髓组织大部或全部坏死时，或有细菌感染，引起根尖周组织发炎；牙齿受到急剧的外力撞击时，根尖周组织也受到猛烈的创伤而造成根尖周炎；治疗过程中医源性感染也可引起根尖周炎。那么根尖周炎是怎么引起的？


\"根尖周炎是怎么引起的\"


1、感染：与牙髓炎一样，感染也是引起牙齿根尖周炎的最常见的原因，而大多数感染来自牙髓炎症。如果牙髓炎症没有及时治疗，牙髓感染向深部扩散，通过根尖孔引起根尖周炎。此外，还有少数感染来自牙周病，如牙周组织炎症有比较深的牙周戴时，引起根尖周炎。有时后感染来自感染的根管，如因牙髓炎时做根管治疗的时候，扩大针阔锉根管时器械超出根尖孔，冲洗根管时压力过大，将药液，特别是双氧水把根管内的感染物质带到根尖周组织中。

 

2、化学刺激：在牙髓炎进行根管治疗时，使用牙髓组织失活剂如三氧化二砷，封药时间过长，根管内封入刺激性大的消毒剂和甲醛甲酚，药物过量，渗透到根尖周组织中，可以引起药物性根尖周炎。

 

3、创伤：牙齿承受过大的咬合力量或外力，均可以使根尖周组织受损。根管治疗时，根管器械多次超出根尖孔，质地很硬的根管充填物超出根尖孔，都是对根尖周组织的创伤因素。

 

4、非牙髓性根尖周病变：根尖周病变大多数是由于牙髓病继续发展造成的，但是也有不是来源于压髓病变。如前面表述的创伤和牙周病引起以外，还有少数由于其他的原因造成的，如放射性骨坏死、中央性巨细胞肉芽瘤、恶性淋巴瘤、发育性囊肿等等。


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\"根尖周病应该如何预防\"

找良医网向您详细介绍根尖周病应该如何预防，常见预防措施有哪些。

根尖周病预防


一、预防

1、防牙病最重要的就是每天的牙齿清洁：正确地刷牙，应采取上下竖刷牙法，早晚刷牙，每个牙面刷8-10次；


2、饭后漱口；使用牙线清洁相邻的牙齿间隙；咀嚼木糖醇口香糖20分钟左右；每月换一支新牙刷；每3个月看一次牙医，有病治病，无病预防；注意含氟牙膏的用量（尤其是儿童），一般豌豆大小即可；


3、刷牙力度适当，所使用的牙刷如出现刷毛外翻就应更换；


4、如没有牙周疾病可每年到牙科洗一次牙，应到具备良好消毒设施的牙科看牙，以免感染上乙肝、艾滋病；另外，注意少喝碳酸饮料。


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\"专家向您解答 

找良医网向您详细介绍根尖周病饮食保健，根尖周病的食疗方。得了根尖周病吃什么好，同时又不能吃什么呢？

 

根尖周病饮食宜忌

饮食适宜：

1、宜吃抗菌消炎的食物；

2、宜吃消肿止痛的食物；

3、宜吃富含优质蛋白质的食物。

 

柠檬，柠檬富含有维生素C、具有抗菌消炎清热解毒的作用，对淋巴结炎具有一定的治疗的作用，利于患者的恢复。每天泡水喝300-500毫升为宜。

 

荔枝，荔枝是具有消肿止痛的作用的，对淋巴结炎引起的疼痛具有一定的缓解的作用，有利于患者的恢复。每天100-200克为宜。

 

牛奶，牛奶富含优质蛋白质营养物质，以及人体必需的多种矿物质元素，具有增强免疫力，提高抗病能力的作用。每天200-500毫升为宜。热饮为佳。

 

饮食禁忌：

1、忌吃辛辣刺激的食物；如辣椒、生姜、花椒；

2、忌吃油炸的食物；如薯条、麻花；

3、忌吃容易产气的食物；如红薯、洋葱、芋头。

 

辣椒，辣椒是属于辛辣刺激的食物，容易刺激神经血管，导致水肿、充血，不利于患者身体的恢复。宜吃清淡的食物。

 

麻花，麻花是属于油炸的食物，容易导致上火，免疫力下降，加重淋巴结炎感染，加重症状，不利于恢复。宜吃清淡容易下火的食物。

 

芋头，芋头是属于容易产气的食物，容易导致腹部胀气，胀满，导致不适。宜吃不产气的食物。

 

根尖周病饮食原则

 

1、根尖周病吃哪些对身体好？

饮食清淡富有营养，注意膳食平衡。

 

2、根尖周病不要吃哪些食物？

忌辛辣刺激食物。


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\"根尖周炎有哪些并发疾病\"

上颌中切牙的牙槽突很低而牙根长时，脓液穿通鼻腔底;

 

上颌侧切牙根尖常偏向舌侧，脓液可穿破腭侧骨板而形成腭侧脓肿;

 

上颌后牙牙根与上颌窦底部接近，有时脓液可穿入上颌窦;

 

上颌磨牙腭根脓肿，甚至可由骨膜下向后扩展到软腭;

 

而下颌切牙可引起颏部肿胀;

 

下颌磨牙根较长时，脓液在颌舌骨肌附丽下，向口底软组织扩散，引起严重口底蜂窝组织炎，颌骨骨髓炎，偶可导致海绵窦血栓。

 


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根尖周炎症的外置，是一种应急的临时性诊治措施，主要是缓解疼痛及消除肿胀，等转为慢性炎症后再作常规治疗。根尖周炎应急治疗的关键是掌握病变发展阶段，病变程度。

\"一文告诉你根尖周炎的治疗办法有哪些\"

1．髓腔开放引流

急性根尖周炎死髓，不管是浆液期或是化脓期，主要矛盾集中在根尖渗出物或脓液的积聚与扩散，理想的引流方法是人工通髓腔引流通道，打通根尖孔，使渗出液或脓液通过根管得到引流，可以起到缓解根尖部压力，解除疼痛的作用。为了不让食物残渣等堵塞引流通道，洞内放一碘酊球开放。

2．切开排脓

炎症4-5 天，主要针对骨膜下或粘膜下根尖脓肿，切开引流应与根管开放同时进行。切开的位置正对脓肿，与前庭沟方向平行。

3.安抚治疗

对暴力创伤等原因导致根管外伤、封药化学性刺激或根管不良充填引起的急性根尖周炎，可考虑去除根管内容物，封牙科消炎镇痛药物按抚数日，等急性期过后再做常规治疗，以避免外界污染或再度感染。

\"一文告诉你根尖周炎的治疗办法有哪些\"

4．调整牙合

急性根尖周炎活髓，处理时应注意。由创伤引起的，通过调整牙合以消除创伤性咬合，可帮助治愈。调整牙合高度是治疗的常规措施，一方面减轻功能得以休息，促进愈合；另一方面可减少患牙纵折机会。

5．消炎止痛

口服或注射抗生素药物或止痛类药物，局部封闭、理疗、针灸、中草药贴付等。

6．急性期拔牙

无保留价值或严重病灶牙可以果断拔除患牙，通过牙槽窝引流。但复杂性拔牙易导致炎症扩散，应先保守治疗待验证控制后在行拔牙。

根管治疗术是治疗牙髓坏死、坏疸或根尖周病的一种方法，通过去除根管内的坏死物质，进行合理消毒，并根管充填去除不良刺激，促进根尖周病变愈合。平时应注意：避免牙齿受伤，保持口腔清洁卫生，养成早晚刷牙的良好习惯。

","barId":"2570","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":785,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1504608152888,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1504608152888,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"f0450e6b8c6f11e7a3d800163e04584d","isDel":0,"createAt":1503979805782,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"用户张","password":"888888","level":0,"nickName":"用户张","realName":null,"signName":"00\n","head":"/resources/images/qq/1.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5727","isDel":0,"createAt":1504605920276,"createBy":"f0450e6b8c6f11e7a3d800163e04584d","createName":"用户张","updateAt":0,"updateBy":null,"updateName":null,"userId":"f0450e6b8c6f11e7a3d800163e04584d","title":"牙科医生告诉你 根尖周炎的症状是什么","content":"

根尖周炎根据临床症状的急缓，可分为急性根尖周炎和慢性根尖周炎。

1.急性根尖周炎

早期患牙存在轻度疼痛，此时患牙咬紧，疼痛得到暂时缓解，随炎症加重，主要症状为牙齿剧烈疼痛，不敢咬合，牙龈及面部肿胀，影响患者的工作、学习和生活。

根尖周炎症还可扩散到颌骨及周围组织，在机体抵抗力低下时，可形成颌骨骨髓炎及蜂窝组织炎。如果不及时处理，还可能造成败血症，严重时危及生命。根尖周炎时疼痛表现为自发性、持续性痛，且范围局限，患者能明确指出患牙。如果急性根尖周炎炎症继续发展，形成急性根尖脓肿，会使疼痛加剧，叩痛明显，且有持续性跳痛。脓液扩散至骨膜下，疼痛、肿胀均很明显，脓液一旦穿破骨膜达到黏膜下，波动感明显，疼痛比以前减轻。

\"牙科医生告诉你

2.慢性根尖周炎

（1）根尖肉芽肿  一般没有自发性疼痛，只是感觉咀嚼不适，咬合无力，叩诊时存在异样感，患牙会有伸长的感觉，这时牙髓基本已坏死，机体抵抗力低时会引起急性发作。

（2）根尖脓肿  多无自觉症状，在患牙的根尖区黏膜处可看到瘘管，瘘管口处常有肉芽组织增生，可有脓液自瘘管排出，因有瘘管引流，不易转为急性炎症。

（3）根尖囊肿  多无自觉症状，可见牙齿变色，牙片可显示根尖部的囊肿，若囊肿增大，迫使周围骨质吸收，在患牙根尖部黏膜处呈半圆形隆起，有乒乓球感。

急性根尖周炎的诊断主要依据其临床表现：

（1）自发性、持续性的剧烈跳痛，患牙无法咬合；

（2）患牙多存在牙髓炎病史或有深牙周袋；

（3）叩诊疼痛明显，根尖部粘膜处不同程度红肿；

（4）牙髓活力测试无反应；

（5）引流区淋巴结肿大、压痛；

（6）可伴有全身症状，如体温升高、白细胞计数增多等。

","barId":"2570","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1116,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1504605920278,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1504605920278,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"f0450e6b8c6f11e7a3d800163e04584d","isDel":0,"createAt":1503979805782,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"用户张","password":"888888","level":0,"nickName":"用户张","realName":null,"signName":"00\n","head":"/resources/images/qq/1.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5726","isDel":0,"createAt":1504603509720,"createBy":"f0450e6b8c6f11e7a3d800163e04584d","createName":"用户张","updateAt":0,"updateBy":null,"updateName":null,"userId":"f0450e6b8c6f11e7a3d800163e04584d","title":"教你秒懂什么是根尖周炎","content":"

牙根尖周围组织的急性或慢性炎症称为根尖周炎。牙髓炎发展到晚期，牙髓组织大多数或全部坏死时，导致有细菌感染，引起根尖周组织发炎，牙齿受到急剧的外力撞击时，根尖周组织也会受到猛烈的创伤而造成根尖周炎；治疗过程中医源性感染也可引起根尖周炎，导致牙齿剧烈疼痛，不敢咬合，牙龈及面部肿胀等。

\"教你秒懂什么是根尖周炎\"

造成根尖周炎的主要病因是细菌感染、物理刺激、化学刺激、创伤以及自身免疫反应。

1.细菌因素：细菌因素是根尖感染的主要病因。根尖周感染主要继发于牙髓感染；进入根尖周组织的细菌会产生内毒素、酶和代谢产物等致病物质，直接毒害组织细胞；细菌引发炎症和免疫反应，间接损害组织。

2.物理创伤：①急性创伤：牙体受到外力刺激，如暴力碰撞等，都可能造成根尖周炎；在根管治疗时，器械损伤等。②慢性创伤：咬合创伤、不良修复体等均可导致根尖周的急性或慢性损伤。

3.化学因素：药物的错误使用，刺激根尖周组织，引发炎症。

4.免疫反应：根尖周的抗原物质引发机体发生特异性免疫反应，导致根尖周的损伤。

在临床检查时常见有龋坏、充填体、或深牙周袋等；牙冠变色，牙髓活力测定不敏感；牙齿有扣痛，根尖部触诊不适或疼痛；患牙可有松动；X线检查根尖周组织影像无明显异常表现。

慢性根尖周炎常造成根尖部牙槽骨不同程度的破坏，如未及时治疗可能成为感染病灶，引起身体远隔脏器的疾病。如果出现牙齿疼痛，无法咬合等口腔问题，及时前去口腔科及时处理，以免对我们的生活工作造成消极影响。

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