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<h2>Кюретаж</h2> <h3 style="margin-right:-6.8pt;text-indent:36.0pt;tab-stops:list 0cm"><span style="font-size:14.0pt;font-family:"Times New Roman";font-weight:normal;
mso-bidi-font-weight:bold">КЮРЕТАЖ</span></h3><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><span style="font-size:14.0pt;
layout-grid-mode:line">1867 г.<span style="mso-spacerun:yes"> </span>-<span style="mso-spacerun:yes"> </span>кюретаж впервые осуществлен </span><span lang="EN-US" style="font-size:14.0pt;mso-ansi-language:EN-US;layout-grid-mode:
line">Rigg</span><span style="font-size:14.0pt;layout-grid-mode:line">.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><span style="font-size:14.0pt;
layout-grid-mode:line">1892 г<span style="mso-spacerun:yes"> </span>-<span style="mso-spacerun:yes"> </span>кюретаж введен в практику как основной метод лечения при воспалительных заболеваниях периодонта </span><span lang="EN-US" style="font-size:14.0pt;mso-ansi-language:EN-US;layout-grid-mode:line">Younger</span><span style="font-size:14.0pt;layout-grid-mode:line">.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><span style="font-size:14.0pt;
layout-grid-mode:line">1909 - усовершенствование метода кюретажа </span><span lang="EN-US" style="font-size:14.0pt;mso-ansi-language:EN-US;layout-grid-mode:
line">Sachs</span><span style="font-size:14.0pt;layout-grid-mode:line">. В России кюретаж часто применял Н. Н. Несмеянов (1902). </span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Цель кюретажа </span></i><span style="font-size:14.0pt;layout-grid-mode:line"><span style="mso-spacerun:yes"> </span>-<span style="mso-spacerun:yes"> </span>устранение зубодесневого кармана, которое происходит за счет преобразования образовавшегося в ходе операции кровяного сгустка и его преобразования в соединительную ткань и рубцевания зубодесневых карманов.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Показания к проведению кюретажа:</span></i><span style="font-size:14.0pt;layout-grid-mode:
line"></span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l2 level1 lfo2;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">наличие зубодесневых карманов глубиной не более 4 мм;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l2 level1 lfo2;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">плотная десна;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l2 level1 lfo2;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">отсутствие костных карманов.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span lang="BE" style="font-size:14.0pt;mso-ansi-language:BE;layout-grid-mode:
line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Противопоказания:</span></i></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l4 level1 lfo3;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">наличие острых воспалительных процессов;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l4 level1 lfo3;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">истонченная и фиброзно измененная десна;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l4 level1 lfo3;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">костные карманы;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l4 level1 lfo3;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">подвижность зубов </span><span lang="EN-US" style="font-size:14.0pt;
mso-ansi-language:EN-US;layout-grid-mode:line">III</span><span style="font-size:14.0pt;layout-grid-mode:line">-</span><span lang="EN-US" style="font-size:14.0pt;mso-ansi-language:EN-US;layout-grid-mode:line">IV</span><span style="font-size:14.0pt;layout-grid-mode:line"><span style="mso-spacerun:yes"> </span></span><span lang="EN-US" style="font-size:14.0pt;mso-ansi-language:EN-US;
layout-grid-mode:line">c</span><span style="font-size:14.0pt;layout-grid-mode:
line">тепени.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><span style="font-size:14.0pt"><o:p> </o:p></span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span lang="BE" style="font-size:14.0pt;mso-ansi-language:BE;layout-grid-mode:
line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span lang="BE" style="font-size:14.0pt;mso-ansi-language:BE;layout-grid-mode:
line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Технические принципы проведения кюретажа</span></i><span style="font-size:14.0pt;
layout-grid-mode:line">:</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l0 level1 lfo4;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">полная анестезия оперируемых тканей;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l0 level1 lfo4;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">одновременная обработка не более 2-3 зубов;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l0 level1 lfo4;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">бережное отношение к обрабатываемым тканям;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-indent:-36.0pt;mso-pagination:
none;mso-list:l0 level1 lfo4;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">тщательное соблюдение правил гигиены в послеоперационном периоде.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span lang="BE" style="font-size:14.0pt;mso-ansi-language:BE;layout-grid-mode:
line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Набор инструментов для кюретажа</span></i><span style="font-size:14.0pt;layout-grid-mode:line">: </span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l5 level1 lfo5;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">изогнутые крючки;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l5 level1 lfo5;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">экскаваторы;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l5 level1 lfo5;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">кюретки;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
mso-pagination:none;mso-list:l5 level1 lfo5;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">рашпили.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">При проведении кюретажа удаляются:</span></i></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l3 level1 lfo1;tab-stops:list 0cm 63.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">поддесневые зубные</span><span style="font-size:14.0pt;mso-ansi-language:
EN-US;layout-grid-mode:line"></span><span style="font-size:14.0pt;layout-grid-mode:
line">отложения;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l3 level1 lfo1;tab-stops:list 0cm 63.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">участки пораженного, размягченного цемента;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:63.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-27.0pt;mso-pagination:none;mso-list:l3 level1 lfo1;tab-stops:list 0cm 63.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">содержимое кармана (бактерии, продукты их жизнедеятельности</span><span style="font-size:14.0pt;mso-ansi-language:BE;layout-grid-mode:line"></span><span style="font-size:14.0pt;layout-grid-mode:line">и продукты распада мягких тканей);</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l3 level1 lfo1;tab-stops:list 0cm 63.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">грануляционная ткань;</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:72.0pt;margin-bottom:.0001pt;text-align:justify;text-indent:
-36.0pt;mso-pagination:none;mso-list:l3 level1 lfo1;tab-stops:list 0cm 63.0pt"><span style="font-size:14.0pt;font-family:Symbol;mso-fareast-font-family:Symbol;
mso-bidi-font-family:Symbol;layout-grid-mode:line"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;layout-grid-mode:
line">участки проросшего эпителия.</span></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
36.0pt;mso-pagination:none;tab-stops:list 0cm"><i style="mso-bidi-font-style:
normal"><span style="font-size:14.0pt;layout-grid-mode:line">Техника кюретажа. </span></i></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
line-height:90%;mso-pagination:none;mso-list:l1 level1 lfo6;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Рациональное обезболивание, изоляция зубов стерильными валиками, обработка зубов растворами антисептиков.</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
line-height:90%;mso-pagination:none;mso-list:l1 level1 lfo6;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Удаление поддесневых зубных отложений и патологически измененного цемента с помощью крючков, экскаваторов, рашпилей. При этом последовательно обрабатывают все поверхности корня зуба.</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
line-height:90%;mso-pagination:none;mso-list:l1 level1 lfo6;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Окончательная обработка поверхности корня с помощью ультразвуковых аппаратов, финиров, полиров.</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
line-height:90%;mso-pagination:none;mso-list:l1 level1 lfo6;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><span style="mso-list:Ignore">4.<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Обработка дна кармана. Острой кюреткой или экскаватором последовательно выскабливают грануляции.</span></p><p class="MsoNormal" style="margin-top:0cm;margin-right:-6.8pt;margin-bottom:
0cm;margin-left:0cm;margin-bottom:.0001pt;text-align:justify;text-indent:36.0pt;
line-height:90%;mso-pagination:none;mso-list:l1 level1 lfo6;tab-stops:list 0cm 18.0pt"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Деэпителизация кармана. Большим пальцем прижимают десну к зубу, вводят острую кюретку или крючок до дна зубодесневого кармана и под контролем пальца, движением инструмента по направлению к коронке, срезают грануляции и эпителиальную выстилку. При этом устраняется барьер на пути прикрепления десны к зубу.</span></p><p class="MsoListBullet" style="margin-left:0cm;text-indent:36.0pt;line-height:
90%"><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Обработка операционного поля растворами антисептиков, десна прижимается к зубу. </span></p><p class="MsoListBullet" style="margin-left:0cm;text-indent:36.0pt;line-height:
90%"><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:14.0pt;line-height:90%;
layout-grid-mode:line">Наложение защитной повязки (дентол, репин, стомальгин, клей МК, лечебные повязки на основе масла шиповника, метилурацила, окиси цинка, дентина, уснината натрия, облепихового масла)</span></p><h1 style="margin-right:-6.8pt;text-indent:36.0pt;line-height:90%"><span style="font-size:14.0pt;line-height:90%;font-family:"Times New Roman";
font-weight:normal;mso-bidi-font-weight:bold">Запрещается зондирование кармана в течение 3 недель. Повязку меня</span><span lang="BE" style="font-size:14.0pt;
line-height:90%;font-family:"Times New Roman";mso-ansi-language:BE;font-weight:
normal;mso-bidi-font-weight:bold">-</span><span style="font-size:14.0pt;
line-height:90%;font-family:"Times New Roman";font-weight:normal;mso-bidi-font-weight:
bold">ют через день после операции и накладывают еще до 7 дней.</span></h1><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;line-height:
90%;mso-pagination:none"><i style="mso-bidi-font-style:normal"><span style="font-size:14.0pt;line-height:90%;layout-grid-mode:line"><o:p> </o:p></span></i></p><p class="MsoNormal" style="margin-right:-6.8pt;text-align:justify;text-indent:
35.4pt;mso-pagination:none"><i style="mso-bidi-font-style:normal"><span style="font-size:14.0pt;layout-grid-mode:line">Недостаток кюретажа</span></i><span style="font-size:14.0pt;layout-grid-mode:line"> - отсутствие достаточного визуального контроля.</span></p><p> </p><p></p><p><i>Источник: stomfak.ru</i></p> <ul> <li><a href='/vsestati/aponil-(aponil)'>Апонил (Aponil)</a></li> <li><a href='/vsestati/эtot-ujasny-galitoz--ili-chem-pahnet-izo-rta…'>Этот ужасный галитоз, или чем пахнет изо рта…</a></li> <li><a href='/vsestati/profilaktika-bolezney-zubov-i-dyosen'>Профилактика болезней зубов и дёсен</a></li> <li><a href='/vsestati/10-sekretov-krasivoy-ulbki'>10 секретов красивой улыбки</a></li> <li><a href='/vsestati/aspirin-1000-(aspirin-1000)'>Аспирин 1000 (Aspirin 1000)</a></li> <li><a href='/vsestati/aspirin-kompleks-(aspirin-complex)'>Аспирин Комплекс (Aspirin Complex)</a></li> <li><a href='/vsestati/beloe-vino-razrushaet-poryadka-60-mikroэlementov-vhodyashhih-v-sostav-zubnoy-эmali'>Белое вино разрушает порядка 60 микроэлементов, входящих в состав зубной эмали</a></li> <li><a href='/vsestati/nerovne-zubne-ryad-i-nepravilny-prikus-0'>Неровные зубные ряды и неправильный прикус</a></li> <li><a href='/vsestati/zdorove-zub-zdorovy-organizm'>Здоровые зубы, здоровый организм</a></li> </ul>
