口腔药物学精品教学（中山大学）6.牙体牙髓病药.pptxVIP

全国高等学校教材 供口腔医学类专业用口腔临床药物学Dental Clinical Pharmacy 第十七章 牙体牙髓病用药Chapter 17 Medicine Used in Conservative Dentistry and Endodontics主讲：张 文 第4版目的要求 Aims 熟悉牙体牙髓病用药的分类； Be familiar with the classification of medicine used in conservative dentistry and endocontics; 掌握常用防龋药、盖髓术药、根管治疗药的 药理作用、临床应用、注意事项等； Grasp the pharmacological effects, clinical application, and precautions of the commonly used anti-caries agents, pulp capping agents and root canal therapy agents; 熟悉常用抗牙本质敏感药、牙漂白药、牙髓切 断术药、牙髓失活剂的药理作用、临床应用等；Be familiar with the pharmacological effects and clinical applications of commonly used anti-sensitive agents, tooth bleaching agents, pulpotomy agents and pulp deactivator; 牙体牙髓病牙体其他疾病根尖周病牙漂白药牙髓病抗牙本质敏感药根管治疗药龋病活髓保存治疗药防龋药牙体牙髓病用药 第一节 防龋药物Section 1 Anti-caries agents第一节防 龋 药物增强牙抗龋能力 Enhanced anti-caries tooth capability预 防龋 病Prevent caries控制致龋菌斑生长 Control the growth of cariogenic plaque限制进食碳水化合物或寻找糖代用品Limiting consumption of carbohydrates or fine sugar substitutes 含氟牙膏、氟化物漱口水、局部涂氟 Fluoride toothpaste, fluoride mouthwash, and topical fluoride application局 部饮水加氟、食物加氟、氟化物含片Water fluoridation, food fluoridation, and fluoride tablets全 身第一节防 龋 药物氟 化 物 防 龋 Fluoride agents prevent caries摄取途径 Ingestion pathway常用氟化物：2%氟化钠 sodium fluoride 8%氟化亚锡 stannous fluoride 1.23%酸性氟磷酸盐 acidulated phosphate fluoride第一节防 龋 药氟化钠（Sodium Fluoride）性 状：白色、无味的粉末，易溶于水，不溶于醇。溶液稳定，无刺激性，对牙不着色，无异味，腐蚀玻璃，需储存于聚乙烯瓶内。处方组成2%溶液： 氟化钠0.2 g 蒸馏水10ml片 剂：含中性氟化钠0.25mg，0.5mg第一节防 龋 药药理作用 Pharmacological effects增强牙的抗龋能力 Enhance the anti-caries capacity of tooth降低釉质溶解度 Reduce enamel solubility促进釉质再矿化Promote enamel remineralization影响口腔细菌 Impact of oral bacteria 不利于细菌生长 Is not conducive to bacterial growth 抑制影响细菌糖酵解 Inhibition of bacterial glycolysis第一节防 龋 药物临床应用 clinical application 全身应用 Systemic application 自来水加氟 Water fluoridation局部应用 Local application 涂擦：最佳时间是牙萌出生2~3年内 Tuca: The best time is tooth eruption was born 2 to 3 years 含漱：0.2%氟化钠漱口液，1次/周 Gargle: 0.2% sodium fluoride mouthrinse, 1 time / week第一节防 龋 药物不良