归玉萍

急性冠周炎<div> <span style="line-height: 1.5;">急性冠周炎早期，一般无明显全身反应，患者自觉患区胀痛不适，咀嚼、吞烟、张口活动时疼痛加剧。检查可见<a href="https://wapbaike.baidu.com/item/%E9%98%BB%E7%94%9F%E7%89%99/839285" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">阻生牙</a>和<a href="https://wapbaike.baidu.com/item/%E7%A3%A8%E7%89%99/5704308" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">磨牙</a>后区肿胀、冠周袋内有脓性分泌物。</span> <div> </div> <div> <span style="line-height: 1.5;">慢性冠周炎可在下颌第一<a href="https://wapbaike.baidu.com/item/%E7%A3%A8%E7%89%99" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">磨牙</a>颊侧形成瘘管，或在咬肌前缘形成皮瘘。<br /></span></div> <div> <h2 class="title-level-2" style="line-height: 1;"> <span style="font-size: medium;"> <span style="line-height: 1.5;">治疗方法</span></span></h2> <div class="tool-right-btn part-audio-play audio-play" style="padding: 0.0px;float: right;font-weight: 400;"> </div> <div class="para" style="padding: 0.0px;"> <span style="line-height: 1.5;">第一 全身治疗</span></div> <div class="para" style="padding: 0.0px;"> <span style="line-height: 1.5;">根据病情选用抗菌物或内服清热、解毒的中草药进行治疗。</span></div> <div class="para" style="padding: 0.0px;"> <span style="line-height: 1.5;">第二 局部治疗</span></div> <div class="para" style="padding: 0.0px;"> <span style="color: rgb(0,0,0);"> <span style="line-height: 1.5;"> <a href="https://wapbaike.baidu.com/item/%E6%99%BA%E9%BD%BF%E5%86%A0%E5%91%A8%E7%82%8E" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">智齿冠周炎</a>的局部治疗很重要。每日可用1－3%过氧化氢溶液及<a href="https://wapbaike.baidu.com/item/%E7%94%9F%E7%90%86%E7%9B%90%E6%B0%B4" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">生理盐水</a>或其他灭菌溶液冲洗盲袋，然后点入3%碘甘油。另给复方硼砂液或呋喃西林液等含漱，一日多次。早期还可局部理疗、外敷中草药以助炎症吸收。<a href="https://wapbaike.baidu.com/item/%E9%92%88%E5%88%BA%E7%96%97%E6%B3%95" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">针刺疗法</a>可有镇痛、改善张口等作用。如脓腔形成，可切开引流。</span></span></div></div> <div> <div class="para" style="padding: 0.0px;"> <span style="line-height: 1.5;">第三 病源牙处理</span></div> <div class="para" style="padding: 0.0px;"> <span style="color: rgb(0,0,0);"> <span style="line-height: 1.5;"> <a href="https://wapbaike.baidu.com/item/%E6%80%A5%E6%80%A7%E7%82%8E%E7%97%87" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">急性炎症</a>消退后，应对病源牙作进一步处理，以防复发。如牙位正、能正常萌出，并有对颌牙行使咀嚼功能者，可作冠周龈瓣楔形切除术。否则应予拔除。</span></span></div></div> <div class="para" style="padding: 0.0px;"> <div class="BK-main-content" style="margin: 0.0px;padding: 0.0px;"> <h2 class="title-level-2" style="line-height: 1;"> <span style="font-size: medium;"> <span style="line-height: 1.5;">病因机理</span></span></h2> <div class="tool-right-btn part-audio-play audio-play" style="padding: 0.0px;float: right;font-weight: 400;"> </div> <div class="para" style="padding: 0.0px;"> <span style="color: rgb(0,0,0);"> <span style="line-height: 1.5;"> <a href="https://wapbaike.baidu.com/item/%E7%AC%AC%E4%B8%89%E7%A3%A8%E7%89%99" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">第三磨牙</a>萌出过程中或萌出困难时，<a href="https://wapbaike.baidu.com/item/%E7%89%99%E5%86%A0" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">牙冠</a>的一部分被游离的<a href="https://wapbaike.baidu.com/item/%E7%89%99%E9%BE%88" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">牙龈</a>部所覆盖，在牙冠与龈瓣之间形成盲袋（龈袋），盲袋内经常有食物残渣和细菌存留。这种局部条件使细菌易于生长、繁殖。若<a href="https://wapbaike.baidu.com/item/%E6%84%9F%E5%86%92" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">感冒</a>、疲劳或其他原因致机体抵抗下降，或由于局部创伤（如对颌牙咬伤）等因素，可诱发<a href="https://wapbaike.baidu.com/item/%E6%99%BA%E9%BD%BF%E5%86%A0%E5%91%A8%E7%82%8E" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">智齿冠周炎</a>。因<a href="https://wapbaike.baidu.com/item/%E4%B8%8B%E9%A2%8C" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">下颌</a><a href="https://wapbaike.baidu.com/item/%E7%AC%AC%E4%B8%89%E7%A3%A8%E7%89%99" rel="nofollow" style="margin: 0.0px;padding: 0.0px;text-decoration: none;">第三磨牙</a>萌出常缺乏足够位置而易形成阻生，故本病多见于该牙。临床上常见的阻生情况有近中阻生，水平阻生和垂直阻生等</span></span></div></div></div></div>