{"id":2653,"date":"2021-05-11T06:39:13","date_gmt":"2021-05-11T06:39:13","guid":{"rendered":"https:\/\/crinident.ro\/?p=2653"},"modified":"2021-08-11T10:23:58","modified_gmt":"2021-08-11T10:23:58","slug":"chisturile-maxilare-de-origine-dentara","status":"publish","type":"post","link":"https:\/\/crinident.ro\/en\/chisturile-maxilare-de-origine-dentara\/","title":{"rendered":"Chisturile maxilare de origine dentar\u0103"},"content":{"rendered":"<p>Chisturile de origine dentar\u0103 sunt forma\u021biuni patologice care se dezvolt\u0103 \u00een interiorul oaselor maxilare, \u00een str\u00e2ns\u0103 leg\u0103tur\u0103 cu din\u021bii. Un chist are \u00een componen\u021b\u0103 membrana \u0219i con\u021binutul chistic; vi-l pute\u021bi imagina ca pe un balon umplut cu ap\u0103, care cre\u0219te treptat.<\/p>\n<p><!--more--><\/p>\n<h3><strong>Chisturile de origine dentar\u0103 sunt \u00eemp\u0103r\u021bite \u00een doua categorii:<\/strong><\/h3>\n<ul>\n<li>Chistul radicular \u2013 care se dezvolt\u0103 din \u021besutul de granula\u021bie (infec\u021bia) de la nivelul apexului (v\u00e2rfului) din\u021bilor devitali (f\u0103r\u0103 nerv\/gangrena\u021bi);<\/li>\n<li>Chistul folicular \u2013 ia na\u0219tere din foliculul (sacul de dezvoltare) germenului dentar.<\/li>\n<\/ul>\n<p>Cele mai frecvente chisturi sunt chisturile radiculare.\u00a0Factorul determinant al unui chist radicular \u00eel reprezint\u0103 un proces carios care nu fost tratat la timp, astfel \u00eenc\u00e2t nervul dintelui s-a necrozat (a murit), s-a gangrenat (s-a infectat) \u0219i ulterior s-a exteriorizat \u00een spa\u021biul osos unde rezisten\u021ba a fost mai mic\u0103, dintele fiind o structura mult mai dura dec\u00e2t osul. O alta cauz\u0103 pentru formarea chistului poate fi un e\u0219ec al tratamentului endodontic.<\/p>\n<h3><strong>Aceste chisturi se dezvolt\u0103 \u00een doua faze: intraosoas\u0103 \u0219i faza de exteriorizare.<\/strong><\/h3>\n<p>\u00cen faza de evolu\u021bie intraosoas\u0103, chistul se dezvolt\u0103 f\u0103r\u0103 nici o simptomatologie aparent\u0103. Descoperirea lui poate fi pur \u00eent\u00e2mpl\u0103toare, \u00een urma unui examen radiologic. \u00cen faza de exteriorizare dezvoltarea chistului se poate face f\u0103r\u0103 simptomatologie subiectiv\u0103 \u0219i func\u021bional\u0103 alarmant\u0103. Ceea ce atrage aten\u021bia pacientului este o bombare \u00een vestibulul bucal (la nivelul gingiei) la nivelul dintelui cauzal.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-2654 lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/06\/0-13.jpg\" alt=\"chisturile mandibulare, chirurgie orala Craiova\" width=\"900\" height=\"567\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/567;\" \/><\/p>\n<h3><strong>Un chist dentar poate produce o serie de complica\u021bii at\u00e2t locale c\u00e2t \u0219i generale:<\/strong><\/h3>\n<p>1. Chistul radicular se poate infecta \u0219i poate duce la ABCESUL DENTAR (o deformare local\u0103, uneori spectaculoas\u0103 \u0219i nepl\u0103cuta a tegumentului) cu o serie de complica\u021bii locale \u0219i generale. Simptomele locale \u0219i generale ale unui chist infectat sunt \u00een principal dureri localizate la nivelul dintelui cauzal \u0219i din\u021bilor vecini cu toat\u0103 simptomele unei infec\u021bii acute perimaxilare sau perimandibulare:<\/p>\n<ul>\n<li>ro\u0219ea\u021b\u0103 \u0219i umflarea gingiei \u0219i p\u0103r\u021bilor moi \u00eenconjur\u0103toare (buza, obraz)<\/li>\n<li>cre\u0219terea temperaturii locale \u0219i a corpului<\/li>\n<li>durere \u00een zona afectat\u0103<\/li>\n<li>ganglioni limfatici m\u0103ri\u021bi.<\/li>\n<\/ul>\n<p>2. Chistul poate cre\u0219te \u00een volum p\u00e2n\u0103 la 1-2-3 cm \u00een detrimentul \u021besuturilor s\u0103n\u0103toase (os, din\u021bi vecini), sl\u0103bind rezisten\u021ba oaselor \u0219i duc\u00e2nd \u00een cazurile grave la FRACTURI ALE OASELOR MAXILARE;<\/p>\n<p>3. De multe ori chisturile pot intersecta forma\u021biuni anatomice (nervi, sinusul maxilar) produc\u00e2nd ANESTEZIA PAR\u021aIAL\u0102 SAU LOCAL\u0102 \u0219i SINUZITE MAXILARE;<\/p>\n<p>4. \u00cen alte cazuri pot afecta structurile vitale \u0219i produce chiar DECES.<\/p>\n<p>Chistectomia sau extirparea radicala a chistului este metoda chirurgical\u0103 de \u00eendep\u0103rtare at\u00e2t a membranei c\u00e2t \u0219i a con\u021binutului chistic. Din\u021bii implica\u021bi \u00een procesul chistic vor fi trata\u021bi endodontic (sigila\u021bi corect) \u0219i rezeca\u021bi sau extra\u0219i \u00een situa\u021bia \u00een care \u00een urma chistectomiei nu exist\u0103 stabilitate.\u00a0Examin\u0103rile periodice la cabinetul de medicin\u0103 dentar\u0103, precum \u0219i efectuarea unor examene paraclinice (radiografia panoramic\u0103) sunt necesare pentru fiecare dintre noi pentru depistarea acestor chisturi \u00een fazele incipiente \u0219i tratarea corespunz\u0103taoare \u00eenainte de apari\u021bia complica\u021biilor.<\/p>\n<p>&#8222;Pentru c\u0103 z\u00e2mbetul t\u0103u conteaz\u0103!&#8221;<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-medium wp-image-1921 lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/simona-corodescu-v2-300x300.jpg\" alt=\"dr Simona Corodescu @ clinica stomatologica CriniDent Craiova\" width=\"300\" height=\"300\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/simona-corodescu-v2-300x300.jpg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/simona-corodescu-v2-150x150.jpg 150w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/simona-corodescu-v2-768x768.jpg 768w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/simona-corodescu-v2.jpg 800w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/p>\n<p>Dr. Simona Corodescu<br \/>\nmedic dentist, specialist \u00een implantologie oral\u0103 \u0219i chirurgie dento-alveolar\u0103<br \/>\n<a href=\"https:\/\/crinident.ro\/en\/\">www.crinident.ro<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Chisturile de origine dentar\u0103 sunt forma\u021biuni patologice care se dezvolt\u0103 \u00een interiorul oaselor maxilare, \u00een str\u00e2ns\u0103 leg\u0103tur\u0103 cu din\u021bii. Un chist are \u00een componen\u021b\u0103 membrana \u0219i con\u021binutul chistic; vi-l pute\u021bi imagina ca pe un balon umplut cu ap\u0103, care cre\u0219te treptat.<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[157,158,156],"tags":[160,159,70],"class_list":["post-2653","post","type-post","status-publish","format-standard","category-chirurgie-dento-alveolara-craiova","category-chirurgie-implantara-craiova","category-chirurgie-orala-craiova","tag-chirurgie-dento-alveolara-craiova","tag-chirurgie-orala-craiova","tag-clinica-stomatologica-crinident","clearfix","article"],"acf":[],"_links":{"self":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/comments?post=2653"}],"version-history":[{"count":5,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2653\/revisions"}],"predecessor-version":[{"id":3199,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2653\/revisions\/3199"}],"wp:attachment":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/media?parent=2653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/categories?post=2653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/tags?post=2653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}