{"id":19279,"date":"2023-04-12T18:14:45","date_gmt":"2023-04-12T11:14:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19279"},"modified":"2023-05-02T16:46:32","modified_gmt":"2023-05-02T09:46:32","slug":"benh-sau-rang-benh-can","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sau-rang-benh-can\/","title":{"rendered":"Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng – G\u00f3c nh\u00ecn t\u1ed5ng quan."},"content":{"rendered":"

B\u1ec7nh s\u00e2u r\u0103ng \u0111\u01b0\u1ee3c coi l\u00e0 b\u1ec7nh \u0111a y\u1ebfu t\u1ed1 do r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra. Trong b\u00e0i vi\u1ebft n\u00e0y s\u1ebd li\u1ec7t k\u00ea c\u00e1c vai tr\u00f2 c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng t\u1edbi b\u1ec7nh s\u00e2u r\u0103ng, nh\u1eb1m cung c\u1ea5p hi\u1ec3u bi\u1ebft t\u1ed5ng quan cho \u0111\u1ed1i t\u01b0\u1ee3ng Nha s\u0129. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam.<\/strong><\/p>\n

\"benh-sau-rang-4\"
B\u1ec7nh s\u00e2u r\u0103ng<\/figcaption><\/figure>\n

1. Vai tr\u00f2 c\u1ee7a vi khu\u1ea9n<\/h2>\n

M\u1ea3ng b\u00e1m r\u0103ng l\u00e0 m\u1ed9t m\u00e0ng m\u1ecfng b\u00e1m tr\u00ean b\u1ec1 m\u1eb7t r\u0103ng c\u00f3 ch\u1ee9a nhi\u1ec1u vi khu\u1ea9n n\u1eb1m tr\u00ean khung v\u00f4 \u0111\u1ecbnh h\u00ecnh t\u1eeb mucoid n\u01b0\u1edbc b\u1ecdt v\u00e0 polysaccharide (glucan) c\u1ee7a vi khu\u1ea9n ngo\u1ea1i b\u00e0o. C\u00e1c acid sinh ra t\u1eeb c\u00e1c ch\u1ea5t c\u00f3 tr\u00ean m\u1ea3ng b\u00e1m r\u0103ng c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng.<\/p>\n

1.1. Vai tr\u00f2 g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng c\u1ee7a m\u1ea3ng b\u00e1m<\/h3>\n

C\u00e1c ch\u1ea5t \u0111\u01b0\u1eddng t\u1eeb th\u1ee9c \u0103n s\u1ebd nhanh ch\u00f3ng khu\u1ebfch t\u00e1n v\u00e0o m\u1ea3ng b\u00e1m, \u0111\u01b0\u1ee3c vi khu\u1ea9n chuy\u1ec3n h\u00f3a th\u00e0nh acid (ch\u1ee7 y\u1ebfu l\u00e0 acid lactic, ngo\u00e0i ra c\u00f2n c\u00f3 acid acetic v\u00e0 acid propionic). pH c\u1ee7a m\u1ea3ng b\u00e1m c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng t\u1edbi 2 sau 10 ph\u00fat \u0103n \u0111\u01b0\u1eddng. m\u1eadt \u0111\u1ed9 t\u1eadp trung cao c\u1ee7a vi khu\u1ea9n tr\u00ean m\u1ea3ng b\u00e1m c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong hi\u1ec7n t\u01b0\u1ee3ng gi\u1ea3m nhanh ch\u00f3ng pH m\u1ea3ng b\u00e1m. Sau kho\u1ea3ng 30 \u2013 60 ph\u00fat, pH m\u1ea3ng b\u00e1m quay tr\u1edf v\u1ec1 pH ban \u0111\u1ea7u do s\u1ef1 khu\u1ebfch t\u00e1n c\u1ee7a \u0111\u01b0\u1eddng v\u00e0 c\u00e1c acid m\u1ea3ng b\u00e1m ra m\u1ed7i tr\u01b0\u1eddng mi\u1ec7ng v\u00e0 s\u1ef1 khu\u1ebfch t\u00e1n c\u1ee7a c\u00e1c ion ch\u1ea5t \u0111\u1ec7m t\u1eeb n\u01b0\u1edbc b\u1ecdt v\u00e0o m\u1ea3ng b\u00e1m. C\u00e1c ion ch\u1ea5t \u0111\u1ec7m n\u00e0y c\u00f3 vai tr\u00f2 ho\u00e0 lo\u00e3ng v\u00e0 trung ho\u00e0 acid trong m\u1ea3ng b\u00e1m. N\u1ebfu pH t\u1edbi h\u1ea1n c\u1ee7a m\u1ea3ng b\u00e1m <5,5 th\u00ec s\u1ebd g\u00e2y hi\u1ec7n t\u01b0\u1ee3ng m\u1ea5t kho\u00e1ng men r\u0103ng.<\/p>\n

M\u1ea3ng b\u00e1m l\u00e0 giao di\u1ec7n trao \u0111\u1ed5i ho\u00e1 h\u1ecdc gi\u1eefa n\u01b0\u1edbc b\u1ecdt v\u00e0 b\u1ec1 m\u1eb7t men r\u0103ng.<\/p>\n

1.2. C\u00e1c vi khu\u1ea9n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng trong m\u1ea3ng b\u00e1m<\/h3>\n

\u2013 Streptococcus mutans l\u00e0 ch\u1ee7ng vi khu\u1ea9n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u00e2u r\u0103ng cao nh\u1ea5t trong nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt.<\/p>\n

\u2013 C\u00e1c ch\u1ee7ng vi khu\u1ea9n kh\u00e1c nh\u01b0 S. sanguis, S. mitis, S. oralis v\u00e0 c\u00e1c lo\u1ea1i Actinomyces v\u00e0 Lactobacillus c\u0169ng g\u00e2y s\u00e2u r\u0103ng th\u1ef1c nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt. Actinomyces \u0111\u1eb7c bi\u1ec7t c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong s\u00e2u ch\u00e2n r\u0103ng, k\u1ebft h\u1ee3p c\u00f9ng c\u00e1c ch\u1ee7ng S. mutans v\u00e0 Lactobacillus. Do S. mutans v\u00e0 Lactobacillus c\u00f3 vai tr\u00f2 \u0111\u1eb7c bi\u1ec7t trong s\u00e2u r\u0103ng n\u00ean trong \u0111i\u1ec1u tra d\u1ecbch t\u1ec5 h\u1ecdc, ng\u01b0\u1eddi ta d\u00f9ng test s\u00e0ng l\u1ecdc \u0111\u01a1n gi\u1ea3n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a 2 vi khu\u1ea9n n\u00e0y trong n\u01b0\u1edbc b\u1ecdt nh\u01b0 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a b\u1ec7nh s\u00e2u r\u0103ng \u0111ang ho\u1ea1t \u0111\u1ed9ng.<\/p>\n

2. Vai tr\u00f2 c\u1ee7a carbohydrate v\u1edbi b\u1ec7nh s\u00e2u r\u0103ng<\/h2>\n

\u2013 S\u1ef1 l\u00ean men \u0111\u01b0\u1eddng c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng. C\u00e1c lo\u1ea1i carbohydrate kh\u00e1c nhau c\u00f3 \u0111\u1eb7c t\u00ednh g\u00e2y s\u00e2u r\u0103ng kh\u00e1c nhau. Sucrose (\u0111\u01b0\u1eddng m\u00eda) c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u00e2u r\u0103ng cao h\u01a1n c\u00e1c lo\u1ea1i \u0111\u01b0\u1eddng kh\u00e1c. Glucose, maltose, fructose galactose v\u00e0 lactose c\u0169ng l\u00e0 c\u00e1c carbohydrate c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u00e2u r\u0103ng cao trong nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m.<\/p>\n

\u2013 \u0110\u01b0\u1eddng trong ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 th\u1ec3 chia th\u00e0nh 2 lo\u1ea1i: \u0110\u01b0\u1eddng n\u1ed9i sinh (\u0111\u01b0\u1eddng trong hoa qu\u1ea3 v\u00e0 rau) v\u00e0 \u0111\u01b0\u1eddng ngo\u1ea1i sinh (\u0111\u01b0\u1eddng b\u1ed5 sung, n\u01b0\u1edbc qu\u1ea3, s\u1eefa). \u0110\u01b0\u1eddng ngo\u1ea1i sinh c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh cao h\u01a1n, do v\u1eady n\u00ean gi\u1ea3m \u0111\u01b0\u1eddng ngo\u1ea1i sinh trong ch\u1ebf \u0111\u1ed9 \u0103n.<\/p>\n

\u2013 S\u1ef1 li\u00ean quan tr\u1ef1c ti\u1ebfp gi\u1eefa ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u01b0\u1eddng v\u00e0 t\u1ef7 l\u1ec7 b\u1ec7nh s\u00e2u r\u0103ng ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1ch th\u1ee9c v\u00e0 t\u1ea7n su\u1ea5t \u0103n \u0111\u01b0\u1eddng h\u01a1n l\u00e0 t\u1ed5ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng ti\u00eau th\u1ee5 c\u1ee7a m\u1ed7i c\u00e1 th\u1ec3, Nguy c\u01a1 s\u00e2u r\u0103ng s\u1ebd cao h\u01a1n \u1edf nh\u1eefng c\u00e1 th\u1ec3 \u0103n \u0111\u01b0\u1eddng gi\u1eefa c\u00e1c b\u1eefa \u0103n, cung c\u1ea5p carbohydrate d\u1ef1 tr\u1eef cho s\u1ef1 chuy\u1ec3n h\u00f3a c\u1ee7a vi khu\u1ea9n tr\u00ean m\u1ea3ng b\u00e1m (th\u00f3i quen \u0103n v\u1eadt) v\u00e0 \u1edf nh\u1eefng c\u00e1 th\u1ec3 hay \u0103n c\u00e1c lo\u1ea1i \u0111\u01b0\u1eddng d\u00ednh tr\u00ean b\u1ec1 m\u1eb7t r\u0103ng.<\/p>\n

3. R\u0103ng<\/h2>\n

3.1. Men r\u0103ng<\/h3>\n

\u2013 Kh\u1ea3 n\u0103ng h\u00f2a tan men t\u1ef7 l\u1ec7 ngh\u1ecbch v\u1edbi n\u1ed3ng \u0111\u1ed9 fluor c\u1ee7a men r\u0103ng do c\u00e1c t\u1ec9nh th\u1ec3 fluorapatite \u00edt b\u1ecb ho\u00e0 tan b\u1edfi acid h\u01a1n c\u00e1c tinh th\u1ec3 hydroxyapatite khi pH tr\u00ean 4.5 (\u0111\u00e2y l\u00e0 pH t\u1edbi h\u1ea1n c\u1ee7a fluorapatite).<\/p>\n

\u2013 N\u1ed3ng \u0111\u1ed9 c\u1ee7a ion fluor trong c\u1ea5u tr\u00fac men r\u0103ng c\u00f3 th\u1ec3 l\u00ean t\u1edbi 2500 \u2013 4000 p.p.m, nh\u01b0ng n\u1ed3ng \u0111\u1ed9 trong n\u01b0\u1edbc b\u1ecdt ch\u1ec9 \u1edf m\u1ee9c 0,03 P.P.M. Do v\u1eady, s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a ion fluor v\u00e0o c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n ho\u1eb7c s\u1eed d\u1ee5ng fluor t\u1ea1i ch\u1ed7 sau khi r\u0103ng m\u1ecdc l\u00e0m gi\u1ea3m s\u1ef1 h\u1ee7y kho\u00e1ng v\u00e0 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng t\u00e1i kho\u00e1ng men r\u0103ng.<\/p>\n

\u2013 Men r\u0103ng thi\u1ec3u s\u1ea3n hay men r\u0103ng k\u00e9m kho\u00e1ng h\u00f3a c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u1ebfn tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng, nh\u01b0ng kh\u00f4ng g\u00e2y t\u0103ng t\u1ef7 l\u1ec7 c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u1edfi ph\u00e1t.<\/p>\n

3.2. H\u00ecnh th\u1ec3 r\u0103ng<\/h3>\n

C\u00e1c r\u0103ng c\u00f3 h\u1ed1 r\u00e3nh s\u00e2u c\u00f3 nguy c\u01a1 s\u00e2u r\u0103ng cao do s\u1ef1 t\u1eadp trung m\u1ea3ng b\u00e1m.<\/p>\n

3.3. V\u1ecb tr\u00ed r\u0103ng<\/h3>\n

R\u0103ng l\u1ec7ch l\u1ea1c l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng l\u01b0u gi\u1eef m\u1ea3ng b\u00e1m.<\/p>\n

4. C\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh nguy\u00ean kh\u00e1c<\/h2>\n

4.1. N\u01b0\u1edbc b\u1ecdt v\u00e0 b\u1ec7nh s\u00e2u r\u0103ng<\/h3>\n

N\u01b0\u1edbc b\u1ecdt \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong b\u1ea3o v\u1ec7 r\u0103ng kh\u1ecfi c\u00e1c acid g\u00e2y s\u00e2u r\u0103ng nh\u1edd c\u00e1c y\u1ebfu t\u1ed1 sau:<\/p>\n

\u2013 D\u00f2ng ch\u1ea3y, t\u1ed1c \u0111\u1ed9 d\u00f2ng ch\u1ea3y c\u1ee7a n\u01b0\u1edbc b\u1ecdt l\u00e0 y\u1ebfu t\u1ed1 l\u00e0m s\u1ea1ch t\u1ef1 nhi\u00ean \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3nh v\u1ee5n th\u1ee9c \u0103n c\u00f2n s\u00f3t l\u1ea1i sau \u0103n v\u00e0 vi khu\u1ea9n tr\u00ean b\u1ec1 m\u1eb7t r\u0103ng. B\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng l\u00e0 ch\u1ee9ng kh\u00f4 mi\u1ec7ng do tia x\u1ea1, do d\u00f9ng thu\u1ed1c ho\u1eb7c m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd to\u00e0n th\u00e2n l\u00e0m cho t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng r\u1ea5t cao v\u00e0 n\u1eb7ng n\u1ec1.<\/p>\n

\u2013 Cung c\u1ea5p c\u00e1c ion Ca\u201d, PO,\u201d v\u00e0 fluor \u0111\u1ec3 t\u00e1i kho\u00e1ng h\u00f3a men r\u0103ng, c\u00e1c bicarbonate tham gia v\u00e0o qu\u00e1 tr\u00ecnh \u0111\u1ec7m.<\/p>\n

\u2013 T\u1ea1o m\u1ed9t l\u1edbp m\u00e0ng m\u1ecfng (pellicle) t\u1eeb n\u01b0\u1edbc b\u1ecdt c\u00f3 vai tr\u00f2 nh\u01b0 m\u1ed9t h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 men r\u0103ng kh\u1ecfi pH nguy c\u01a1. H\u00e0ng r\u00e0o n\u00e0y ng\u0103n c\u1ea3n s\u1ef1 khu\u1ebfch t\u00e1n c\u1ee7a c\u00e1c ion acid v\u00e0o r\u0103ng v\u00e0 s\u1ef1 di chuy\u1ec3n c\u1ee7a c\u00e1c s\u1ea3n ph\u1ea9m h\u00f2a tan t\u1eeb apatite ra kh\u1ecfi m\u00f4 r\u0103ng. N\u00f3 c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf s\u1ef1 kho\u00e1ng ho\u1ea3 \u0111\u1ec3 h\u00ecnh th\u00e0nh cao r\u0103ng t\u1eeb c\u00e1c ion calci v\u00e0 phosphat qu\u00e1 b\u00e3o ho\u00e0 trong n\u01b0\u1edbc b\u1ecdt.<\/p>\n

\u2013 Cung c\u1ea5p c\u00e1c kh\u00e1ng th\u1ec3 IgG, IgM \u0111\u1ec3 kh\u00e1ng vi khu\u1ea9n.<\/p>\n

S\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng n\u01b0\u1edbc b\u1ecdt thay \u0111\u1ed5i trong ng\u00e0y, t\u0103ng v\u00e0o ban ng\u00e0y v\u00e0 gi\u1ea3m v\u1ec1 \u0111\u00eam. N\u01b0\u1edbc b\u1ecdt kh\u00f4ng k\u00edch th\u00edch ch\u1ee9a \u00edt ch\u1ea5t \u0111\u1ec7m bicarbonat v\u00e0 ion calci v\u00e0 nhi\u1ec1u ion phosphate h\u01a1n. Nhai k\u1eb9o cao su ho\u1eb7c acid c\u00f3 trong th\u1ee9c \u0103n c\u00f3 th\u1ec3 k\u00edch th\u00edch t\u0103ng s\u1ed1 l\u01b0\u1ee3ng n\u01b0\u1edbc b\u1ecdt l\u00ean r\u1ea5t nhi\u1ec1u. N\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u0111\u1ec7m bicarbonat c\u00f3 th\u1ec3 t\u0103ng l\u00ean 60 l\u1ea7n khi c\u00f3 k\u00edch th\u00edch, ion calci t\u0103ng nh\u1eb9, ion phosphate kh\u00f4ng t\u0103ng. N\u01b0\u1edbc b\u1ecdt cung c\u1ea5p c\u00e1c y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 t\u1ef1 nhi\u00ean \u0111\u1ec3 t\u00e1i t\u1ea1o l\u1ea1i m\u00f4 r\u0103ng khi pH \u1edf m\u1ee9c nguy c\u01a1 (pH th\u00e1ch th\u1ee9c). Gi\u1ea3m d\u00f2ng ch\u1ea3y n\u01b0\u1edbc b\u1ecdt \u0111\u1ebfn m\u1ee9c t\u1ed1i thi\u1ec3u (0,7mL\/ph\u00fat) s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 s\u00e2u r\u0103ng.<\/p>\n

4.2. Ch\u1ebf \u0111\u1ed9 \u0103n<\/h3>\n

Ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 ch\u1ee9a nhi\u1ec1u phosphate c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3m t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng. T\u0103ng ch\u1ea5t b\u00e9o trong kh\u1ea9u ph\u1ea7n \u0103n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng.<\/p>\n

– \u0102n nhi\u1ec1u \u0111\u01b0\u1eddng, nh\u1ea5t l\u00e0 \u0103n v\u1eb7t th\u01b0\u1eddng xuy\u00ean gi\u1eefa c\u00e1c b\u1eefa \u0103n ch\u00ednh l\u00e0m t\u0103ng nguy c\u01a1 s\u00e2u r\u0103ng.<\/p>\n

\u2013 Th\u00f3i quen \u0103n u\u1ed1ng tr\u01b0\u1edbc khi \u0111i ng\u1ee7, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb nh\u1ecf, vi\u1ec7c cho b\u00fa b\u00ecnh k\u00e9o d\u00e0i v\u1edbi s\u1eefa v\u00e0 c\u00e1c lo\u1ea1i ch\u1ea5t ng\u1ecdt, nh\u1ea5t l\u00e0 b\u00fa trong khi ng\u1ee7 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng, g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng b\u00fa b\u00ecnh.<\/p>\n

\u2013 Ch\u1ec9nh nha, s\u1eed d\u1ee5ng h\u00e0m gi\u1ea3 b\u00e1n ph\u1ea7n, tr\u00e1m r\u0103ng kh\u00f4ng \u0111\u00fang quy c\u00e1ch l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng l\u01b0u gi\u1eef c\u00e1c m\u1ea3nh th\u1ee9c \u0103n, m\u1ea3ng b\u00e1m vi khu\u1ea9n, do \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y s\u00e2u r\u0103ng.<\/p>\n

\u2013 Y\u1ebfu t\u1ed1 di truy\u1ec1n: Li\u00ean quan \u0111\u1ebfn h\u00ecnh th\u1ec3, c\u1ea5u tr\u00fac r\u0103ng, n\u01b0\u1edbc b\u1ecdt, \u0111\u1ed9 nh\u1ea1y c\u1ea3m v\u1edbi vi khu\u1ea9n… Tuy nhi\u00ean n\u00f3 ch\u1ec9 t\u00e1c \u0111\u1ed9ng r\u1ea5t nh\u1ecf so v\u1edbi y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng, nh\u1eefng gia \u0111\u00ecnh b\u1ed1 m\u1eb9 b\u1ecb s\u00e2u r\u0103ng nhi\u1ec1u con c\u00e1i c\u0169ng c\u00f3 khuynh h\u01b0\u1edbng s\u00e2u r\u0103ng nhi\u1ec1u ch\u1ee7 y\u1ebfu l\u00e0 do b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi th\u00f3i quen \u0103n u\u1ed1ng, v\u1ec7 sinh r\u0103ng mi\u1ec7ng.<\/p>\n

4.3. Mi\u1ec5n d\u1ecbch v\u1edbi b\u1ec7nh s\u00e2u r\u0103ng<\/h3>\n

B\u1ec7nh s\u00e2u r\u0103ng \u1edf ng\u01b0\u1eddi c\u00f3 li\u00ean quan t\u1edbi s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c kh\u00e1ng th\u1ec3 kh\u00e1ng S. mutans trong n\u01b0\u1edbc b\u1ecdt v\u00e0 trong huy\u1ebft thanh, nh\u01b0ng ph\u1ea7n l\u1edbn \u1edf c\u00e1c c\u00e1 th\u1ec3, t\u00ednh mi\u1ec5n d\u1ecbch ho\u1ea1t \u0111\u1ed9ng t\u1ef1 nhi\u00ean n\u00e0y r\u1ea5t \u00edt hi\u1ec7u qu\u1ea3. C\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch n\u00e0o ph\u00f2ng b\u1ec7nh s\u00e2u r\u0103ng th\u00ec v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft c\u1ee5 th\u1ec3.<\/p>\n

Ngu\u1ed3n:<\/em><\/p>\n

1. Nguy\u1ec5n D\u01b0\u01a1ng H\u1ed3ng (1979), “B\u1ec7nh h\u1ecdc s\u00e2u r\u0103ng” R\u0103ng H\u00e0m M\u1eb7t, T\u1eadp 1. Nh\u00e0 xu\u1ea5t b\u1ea3n Gi\u00e1o d\u1ee5c.<\/em>
\n2. A.T. Hara, C. Silami de Magalhaes et al (2002), “effect of fluoride-containing restorative systems associated with dentifrices\u00a0on root dentin”. Journal of Dentistry, 30:205-212.<\/em>
\n3. C.-Y.S. Hsu, T.H. Jordan et al (2000). “Effects of low-energy co2 laser irradiation and the organic matrix on inhibition of enamel demineralization” Journal of Dental Research, 79:1725-1730.<\/em>
\n4. Gilberto Minostroza H., (2009),” Dental caries,, 3th edition, Ripano book<\/em>
\n5. James B., William R., Thomas J. Et al (2006), “Fundamentals of Operative<\/em>
\ndentistry” 3th edition, Quintessent\u00a0book.<\/em>
\n6. Luciana B., AubreyS., Marcelo B. (2008), “The association of dental caries with social factors and nutritional status in Brazilian preschool children”, Eur J Oral Sci, 116: 37-43 Printed in Singapore.<\/em>
\n7. M. Lenander-Lumikari. V. Loimaranta (2000), “Saliva and Dental Caries” Adv Dent Res 14:40-47.<\/em>
\n8. Moun G., Hume W., (2009), “Prervation and restoration of tooth structure”, 2nd edition, Mosby, 1998.<\/em>
\n9. National Institutes of Health Office of the Director (2001). “Diagnosis and Management of Dental Caries Throughout Life” Volume 18, Number 1.<\/em>
\n10. Samuel Akpata (2011), “Dental Caries,, eighth edition, Mosby.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh s\u00e2u r\u0103ng \u0111\u01b0\u1ee3c coi l\u00e0 b\u1ec7nh \u0111a y\u1ebfu t\u1ed1 do r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra. Trong b\u00e0i vi\u1ebft n\u00e0y s\u1ebd li\u1ec7t k\u00ea c\u00e1c vai tr\u00f2 c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng t\u1edbi b\u1ec7nh s\u00e2u r\u0103ng, nh\u1eb1m cung c\u1ea5p hi\u1ec3u bi\u1ebft t\u1ed5ng quan cho \u0111\u1ed1i t\u01b0\u1ee3ng Nha s\u0129. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam. 1. Vai […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nNguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng - G\u00f3c nh\u00ecn t\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh s\u00e2u r\u0103ng l\u00e0 b\u1ec7nh \u0111a y\u1ebfu t\u1ed1 do nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra. 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