良い歯周病治療を受けよう

良い歯周病の治療を見極める事はう蝕の治療の見極める事よりも比較的簡単だと思います。

歯周病の治療は患者さん自身を教育しない事には成功しない治療です。

いくら歯科医師や歯科衛生士だけが頑張ってもうまくいかないため、患者さんに歯周病の原因から治療の内容をしっかり説明する必要があります。前にある程度の歯周病の知識を得た状態で説明や治療を受ければ医院のレベルを見極める事が出来ると思います。

歯周病の原因

歯周病の原因は歯周病原菌と言われる細菌です。この細菌の異常な増殖により、歯茎に炎症反応が継続して起こると歯を支えている骨が溶けてなくなってしまいます。ですのでこの細菌を減らす事が歯茎の炎症の原因を除去する事になります。

歯周病原菌は歯周ポケットと言われる歯と歯茎の間にできる溝の中で増殖します。歯石と言われる汚れが石灰化した物が多く付着していればいる程細菌が増殖しやすい環境を作ってしまいます。

ですので、基本的な歯周病の治療はこの歯石をしっかりと取る事。そして、その後患者さんが再び歯石が付きにくいような適切な歯磨きができて初めて炎症が治まる可能性が高まってくるわけです。

基本的な治療の流れ

1、患者さんへのブラッシング指導とスケーリングと言われる歯茎の上についた歯石の除去

2、SRPといわれる歯周ポケット内に付着した歯石の除去

3、フラップ手術という外科的な歯周病の手術

4、定期的なメインテナンス

全ての患者さんがこの過程を行うのではなく、各工程で治療の成否を再評価し、炎症が治まっていない場合ひとつ下の治療へと移行し、最後はメインテナンスに移行します。

患者さんと歯科医院サイドどちらもしっかりと治療しなければ良い成果が得られない事をしっかりと患者さんに説明してくれる事が前提であり、

治療の成否を再評価し、炎症が残っているにも関わらず次のステップに進もうとしない歯科医院は何も原因を解決できていない事をしっかりと認識すべきです。

ですので治療を受ける際の患者さんの着目点は原因である歯茎の炎症を抑えるためにしっかりとしたステップで治療を行っていき、炎症が改善していく過程をしっかりと検査結果で患者さんにもわかりやすく説明してくれる歯科医院は信頼する事ができます。

(治療の過程を最後までしっかり行ったとしても治癒しない患者さんがいるのも事実ですが)

私がよく目にするのはスケーリングという1のステップを繰り返し定期的に行っているにも関わらず、炎症が多い患者さん。これでは歯周病は進行していくためクリーニングの意味が全くありません。

もしくは炎症が原因という事を理解していない歯科医師や衛生士(実際歯周病の原因は何ですか?と聞いてまともに生化学的な反応までこたえられる歯科医師は殆どいないです。残念な話ですが)による誤った情報が提供されているケース。

患者さんの歯磨きは素晴らしく、歯科医院サイドで踏み込んだ治療をしていないがために炎症が治まっていないのに、歯磨きの不手際を炎症の原因にしていたり、歯ぎしりがあるから歯周病が進むと言ったような誤った情報を平気で患者さんに伝えていたりします。

(歯ぎしりは原因ではなく、炎症がある時に歯ぎしりが強いと進行しやすいというものです。炎症がない歯肉に歯ぎしりがあっても歯周病は進行しません)

ですので、この文章を読んで頂き大まかな歯周病の知識を知った上で治療を受けて頂ければ適切な歯周病の治療がなされているかどうかを判断する事は比較的容易だと考えられます。

歯周病の治療は歯茎の炎症を無くし、健康な状態を継続する事に意味があります。一時の爽快感のためにクリーニングしているわけではないのです。

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Одной из составляющих хороших взаимоотношений является баланс брать-давать. Это о том, что мы вкладываем примерно столько сил, времени, ресурсов, сколько получаем взамен. Когда мы получаем отклик от мира, от людей, у нас волшебным образом появляются силы и желание давать больше. Мы чувствуем себя нужными, счастливыми, в гармонии с собой и миром.

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——
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Когда человек даёт больше, чем получает, то со временем в нём накапливается неудовлетворённость всем происходящим: “Я стараюсь, а меня не ценят”, “Я же всё делаю для всех, а чувствую себя таким несчастным”, “Они не благодарны”, “Я последнюю рубаху отдам, а мне никто не поможет” и т. д. И это ожидаемый эффект от такого неуважительного отношения к собственным ресурсам и потребностям.

Баланс – основа жизни. Он чрезвычайно важен как в природе, как внутри человеческого организма, так и во взаимоотношениях. Желаю всем найти этот баланс и никогда не терять его.

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Второй порядок состоит в том, что между партнерами должен быть баланс между «давать» и «брать». Если один вынужден давать больше, чем другой, это разрушает отношения. Партнерству необходим этот баланс.
Одной из составляющих хороших взаимоотношений является баланс брать-давать. Это о том, что мы вкладываем примерно столько сил, времени, ресурсов, сколько получаем взамен. Когда мы получаем отклик от мира, от людей, у нас волшебным образом появляются силы и желание давать больше. Мы чувствуем себя нужными, счастливыми, в гармонии с собой и миром.

Но иногда этот баланс может нарушаться. Человек начинает или слишком много давать, или слишком много брать.

——
Системные расстановки. Метод системных семейных расстановок. Новые семейные расстановки. Расстановки. Системные расстановки. Системные перестановки. Системно-феноменологическая психотерапия. Расстановки по Хеллингеру. Bert Hellinger. Глубинные системные расстановки. Семейное консультирование и психотерапия. Системно-феноменологический подход.
——
Истощение накапливается незаметно, медленно, но оно неутомимо приводит к неким последствиям.

Когда человек даёт больше, чем получает, то со временем в нём накапливается неудовлетворённость всем происходящим: “Я стараюсь, а меня не ценят”, “Я же всё делаю для всех, а чувствую себя таким несчастным”, “Они не благодарны”, “Я последнюю рубаху отдам, а мне никто не поможет” и т. д. И это ожидаемый эффект от такого неуважительного отношения к собственным ресурсам и потребностям.

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