Viêm tủy răng – Bạn chớ coi thường!
Điều trị tủy răng là giải pháp tối ưu giúp bạn chấm dứt tình trạng đau nhức kéo dài và bảo tồn tối đa cấu trúc răng thật.
Vì sao cần chữa tủy răng?
Tủy răng không có khả năng tự lành, nếu không điều trị, nhiễm trùng sẽ lan rộng gây đau buốt, làm xương quanh răng bị thoái hóa tiêu đi và răng có thể bị rụng. Thường cách duy nhất là nhổ răng, nhưng điều đó làm ảnh hưởng đến các răng xung quanh. Mặc dù việc nhổ răng thì đơn giản nhưng phải thay một răng giả vào vị trí vừa mất có thể cần tốn kém hơn so với việc điều trị tủy. Điều trị tủy giúp giữ lại răng thật của bạn.
Trường hợp cần điều trị tủy răng?
Điều trị tủy răng được tiến hành thế nào?
Tùy thuộc vào mức độ tổn thương của tủy răng mà bác sĩ sẽ có những chỉ định điều trị cụ thể. Bác sĩ nội nha sẽ loại bỏ phần tủy răng bị viêm hoặc nhiễm trùng, làm sạch và tạo hình bên trong ống tủy một cách cẩn thận, sau đó lấp đầy và trám bít khoảng trống. Sau đó, bạn sẽ trở lại nha sĩ, họ sẽ đặt một mão hoặc các khí cụ hỗ trợ phục hồi khác lên răng để bảo vệ và phục hồi chức năng đầy đủ của nó. Sau khi phục hình, răng vẫn tiếp tục hoạt động như bất kỳ chiếc răng nào khác.
Thông thường, quá trình điều trị tủy trải qua các bước sau:
Bước 1: Thăm khám và chụp phim
Trước tiên, bác sĩ sẽ thăm khám tổng quát răng của bạn, nếu phát hiện hay nghi ngờ răng nào đó bị viêm tủy sẽ chỉ định chụp phim thêm để đánh giá chính xác hơn mức độ tổn thương của răng: như lỗ sâu đã thông thương với buồng tủy hay chưa hoặc răng đã có phản ứng ở vùng chóp hay chưa.
Sau đó, bác sĩ sẽ thông báo cho bạn biết về tình trạng răng của mình, kế hoạch điều trị, thời gian và chi phí cụ thể.
Bước 2: Gây tê
Trước khi điều trị, bác sĩ sẽ tiến hành gây tê, loại tê được sử dụng phổ biến là lidocain của Pháp, giúp bạn không còn cảm giác đau đớn hay khó chịu gì khi điều trị.
Trường hợp răng đã chết tủy hoàn toàn, không còn cảm giác thì sẽ không cần sử dụng thuốc tê.
Bước 3: Cách ly
Đặt đê cao su để giúp răng điều trị nội nha được cách ly khỏi nước bọt – nguồn chứa vi khuẩn trong miệng và đảm bảo vấn đề an toàn trong điều trị: tránh tình trạng rơi dụng cụ vào đường thở, đường tiêu hóa, bạn sẽ không phải khó chịu với mùi dung dịch bơm rửa. Tuy nhiên chi phí điều trị sẽ cao hơn.
Bước 4: Mở tủy
Bác sĩ sẽ sử dụng mũi khoan để mở đường vào tủy răng, khoan một lỗ từ thân răng xuống buồng tủy, lấy sạch các tổ chức men, ngà bị tổn thương.
Bước 5: Sửa soạn hệ thống ống tủy.
Sau khi mở tủy sẽ tiến hành lấy tủy, sử dụng bộ dụng cụ điều trị nội nha bằng tay hay bằng máy để lấy sạch hết mô tủy.
Để đảm bảo có thể lấy hết được tủy trong hệ thống các ống tủy, bác sĩ sẽ sử dụng máy định vị chóp, chụp phim XQ để xác định đúng chiều dài chân răng, sau đó sẽ làm sạch, tạo hình ống tủy với đúng chiều dài đó, đảm bảo mô tủy không còn sót lại trong ống tủy.
Tiến hành bơm rửa bằng các dung dịch sát khuẩn như Javen, nước muối sinh lý hay Chlorhexidine, giúp rửa trôi các tác nhân gây bệnh, đảm bảo hệ thống ống tủy được sạch.
Bước 6: Trám bít ống tủy
Sau khi đã làm sạch hoàn toàn hệ thống ống tủy, bác sĩ sẽ đánh giá lại xem răng đã đủ điều kiện để trám bít hay chưa.
Quá trình trám bít ống tủy là sử dụng xi măng và côn Gutta percha, kết hợp dụng cụ bằng tay hoặc máy để lèn chặt, bít kín toàn bộ hệ thống ống tủy.
Trước khi tiến hành trám bít, Bác sĩ sẽ tiến hành chụp phim XQ với cây côn chính trong ống tủy, để đảm bảo rằng đã sửa soạn hết chiều dài ống tủy đồng thời hàn kín ống tủy cho tới tận chóp chân răng.
Trám bít chặt hệ thống ống tủy nhằm ngăn chặn sự xâm nhập của vi khuẩn, ngăn ngừa sự tái viêm nhiễm của răng giúp loại bỏ viêm nhiễm và bảo tồn mô răng còn lại.
Bước 7: Phục hồi lại thân răng
Răng sau khi đã được trám bít ống tủy thì sẽ được phục hồi, tái tạo lại thân răng bằng chất hàn như: composite hoặc GIC.
Các răng sau khi điều trị tủy, sẽ giòn và dễ bị gãy vỡ, đồng thời răng cũng bị đổi màu. Vì vậy, với những răng được điều trị tủy nên được bảo vệ bởi một lớp vỏ răng nhân tạo như chụp răng sứ, hoặc overlay, endocrown… để giúp tăng cường tính chịu lực, giảm nguy cơ gãy vỡ, đảm bảo tính thẩm mỹ và chức năng ăn nhai.
Thời gian chữa tủy răng kéo dài bao lâu?
Điều trị tuỷ có thực sự đau như bạn tưởng tượng?
Nên và Không Nên ăn gì sau khi điều trị tủy?


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