peridondal roganirnayavum vargeekaranavum

danthachikitsayil, pallukaleyum monayude koshangaleyum vividha vaikalyangale tharamthirikkunna reethiyil vivarikkunnathin niravadhi tharam vargeekarana padhathikal vikasippichittund. eee vargeekarana padhathikalellaam samyojippichu melpparanja tissuekalude aarogyathinteyum rogathinteyum vividha avasthakalil peridondal roganirnayam nalkunnu.
alviolar ridjinte kuravu.
1983ll seabert alviolar kristtal vaikalyangal tharamthirichu
klaas I: saadhaarana apicocoronal ridge uyaramulla tissuevinte bakolingwal nashtam
klaas II: saadhaarana bakolingwal ridge veethiyulla tissuevinte apicocoronal nashtam
klaas III: kompineshan-type vaikalyangal (uyaravum veethiyum nashtappeduka)
jinchival maandyam.
saadhaaranayaayi "jinchival maandyam" alakkunnathu ennu vilikkappedunna oru kuranjuvarunna gamlaininte vyaapthiye mikkappozhum millarude vargeekaranam upayogichu vivarikkunnu
jinchival, paalattal maandyam enniva tharamthirikkunnathinaayi oru puthiya vargeekaranam nirddeshichittundu. puthiya vargeekarana samvidaanam maandyathinte vaikalyathinte samagramaya chithreekaranam nalkunnu, athu ulppeduthaan upayogikkaam.
muun vargeekaranangal anusarichu tharamthirikkaan kazhiyaatha kesukal. paalattal maandyangalkkaayi (pii. aarr) oru prathyeka vargeekarana samvidaanavum nirddeshikkappettittund. puthiya vargeekarana samvidaanam kooduthal vishadamaayathum vivaradaayakavum millarude vargeekarana samvidaanathinte parimithikal marikadakkaan shramikkunnu. miller vargeekaranathinte prayogam anusarichu tharamthirikkaan kazhiyaatha niravadhi kesukale kumaarinteyum masaamathiyudeyum vargeekaranathinte prayogam anusarichu tharamthirikkaam.
pallukalude chalanathmakatha.
pothuvaayi paranjaal, rund loha upakaranangalo oru loha upakaranamo oru kaiyura viralo upayogichu uracha marddam prayogichaanu chalanaseshi vaidyashaasthraparamaayi tharamthirikkunnath.
peridondal rogathinte roganirnayam.
oru vijayakaramaya roganirnayathilekkulla aadyapadi shradhaapoorvvam charithram edukkuka ennathaanu. rogiyude vaakkukal shradhaapoorvvam kelkkuka. pradhana chodyangal chodikkuka
brush cheyyumbol monakalil ninnu raktham ozhukunnundo?"
ningalude pallukal vallathum vindukeeriyo?"
ningal pukavalikkunnundo?"
"ningalkk prameham undennu kandethiyittundo?"
thudarnnu, 1,2,3,5,7,8,9,10 millimeter adayaalangalulla oru vilyams probe upayogichu, ellah pallukalkkum chuttumulla pokkattinte aazham alakkuka. aarr pooyint allengil naalu pooyint pokkatt depth charting nadatthaam. parishodhanaykkide pokkattukalil eathenkilum raktham ozhukunnundo ennathum sradhikkendathaanu. rakthasraavam veekkathinte oru alavayirikkum; parisodhanayil rakthasraavam undaakaathirikkunnath aarogyathe soochippikkunnu, pukavalikkunavarozhike, parisodhanayil saadhaaranayaayi rakthasraavam undaakaathavarozhike.
jinchival salkkasinte adithattil ninnu simanto-inaamal jangshanilekkulla dooram nirnnayikkaanum probe sahayikkum; ithu attaachment nashtamaanu. rogiyude avastha deerghakaalathekku nireekshikkunathinulla ettavum nalla maarggamaanith, ennaal simanto-inaamal jangshante sthaanam nirnnayikkaan chilappol prayaasamaan.
attaachment nashtappedukayum mattu vyavasthaapitha avasthakalonnum illengil, roganirnayam periodontitis aayirikkum.
peridondal aarr/naalu pooyint chart upayogichu, 30 sathamaanathiladhikam sittukal ulppettittundengil, pothuvalkkaricha rogathinte roganirnayam nalkunnu. 30 sathamaanathil thaazhe saittukalil maathrame ithil ulppettittulloovengil, periodontitis tharam praadeshikavalkkarikkumppedum.
roganirnayam poortthiyaakkunnathinu, rogathinte vyaapthi vilayiruthanam. ithu ingane nirvachikkappedunnu attaachment nashtatthinte alavine aashrayich mithamaaya (1-2 millimeter), mithamaaya (3-4 millimeter) allengil kadinamaaya (≤5 millimeter).
asthi nashtam vilayiruthunnathinum roganirnayathinu sahayikkunnathinum bitwingukal, intra-ooral perippikkalukal allengil panoramic radiograph polulla radiographukal edukkaam.
2018 leeii periodondal vargeekaranam.
2018 leeii peridondal rogangalude vargeekaranam
2018ll, peridondal rogangalkkulla oru puthiya vargeekarana samvidaanam puratthirakki. ithinu 3 pradhana bhaagangalunda
peridondal aarogyam, jinchival rogangal, avasthakal ennivayil 3 upavibhaagangalund
i) peridondal aarogyavum jinchival aarogyavum
(ii) jinchivitis-dental biophilim induced
3) jinchival rogangal-noonn dental biophilim induced
puthiya vargeekarana samvidaanathinte randaam bhagamaaya periodontitisil veendum moonnu upavibhaagangalund
i) necrotising peridondal rogangal
(b) periodontitis
3) vyavasthaapitha rogathinte prakadanamaayi periodontitis
moonnaam divisionil, periodondiyatthe badhikkunna mattu avasthakal veendum thakarunnu.
i) peridondal supporting tissuekale badhikkunna vyavasthaapitha rogangalo avasthakalo
(ii) peridondal kurukkal, endodontic-peridondal murivukal
3) mucojingival vaikalyangalum avasthakalum
iv) aaghaathakaramaaya okloosal sakthikal
v) pallum prostesisumaayi bandhapetta gadakangal

