
پانسمان جراحی دندان عقل
دندان عقل آخرین دندان در آوردنی است که هر فرد در طول عمر خود تجربه میکند، دندان عقل در بازه زمانی ۱۸ تا ۲۷ سال رشد میکند و جزو آخرین دندان ها از ۳۲دندان دهان است.
دندان عقل به دلیل اینکه آخرین دندانی است که از لثه خارج میشود جای کمی برای خارج شدن از لثه دارد به همین دلیل بیشتر دندان های عقل به صورت نهفته یا نیمه نهفته هستند که مشکلاتی از قبیل درد و التهاب برای فرد به وجود می آورد.
اگر شما بعد از کشیدن دندان خود می بینید دندان شما همچنان درد دارد، می توانید مقاله درد پانسمان دندان را مطالعه کنید.
حتماً برای شما سؤال پیش آمده است که تفاوت دندان نهفته و نیمه نهفته در چیست؟
دندان نیمه نهفته: دندان نیمه نهفته اساسا بیشتر شامل دندان عقل میشود که به دلیل کمبود جا کامل از لثه خارج نشده و فقط تاج دندان قابل رویت است و بدنه داخل لثه است.
در این مواقع اگر مواد غذایی یا هر چیزی بین بدنه دندان و لثه گیر کند، به دلیل دسترسی نداشتن به آن باعث عفونت های شدید و خطرناکی میشود از همین رو دندانپزشک در بیشتر مواقع تصمیم بر جراحی و خارج نمودن دندان عقل از لثه میگیرد.
دندان نهفته: دندان نهفته نسبت به دندان نیمه نهفته خطر کمتری دارد، زیرا به صورت کامل در زیر لثه مدفون شده است و فقط هاله ای از دندان زیر لثه قابل رویت است، دندان عقل نهفته بیشتر به دلیل درد و آسیب هایی که به دندان های دیگر وارد میکند باید جراحی شود.
کیست در فک، تومور و از بین رفتن استخوان فک از عوارض خطرناک ماندگاری دندان نهفته به مدت طولانی در دهان است.
فرایند پانسمان جراحی دندان عقل به نقل از وب سایت cboms به شرح زیر است:
گاز را روی ناحیه جراحی با مقداری فشار ( گاز گرفتن ) به مدت 30 تا 45 دقیقه نگه دارید. بعد از 30 تا 45 دقیقه گاز را بردارید و اگر همچنان خونریزی دارید آن را با یک گاز جدید جایگزین کنید. مهم است که مطمئن شوید گاز به طور مستقیم روی محل جراحی قرار دارد. فشار محکم برای یک ساعت دیگر باید خونریزی را متوقف کند.
بیشتر بخوانید: مواد قالب گیری دندانپزشکی
توصیه تمام دندانپزشکان در این مواقع این است که سعی کنید در صورت مشکل، دندان عقل را در بین ۱۸ تا ۳۰ سالگی جراحی کنید؛ زیرا با افزایش سن احتمال ابتلا به بیماری های قلبی و ریوی، فشار خون، بیماری قند، بیماری های سیستم ایمنی، فک جوش شدن، عدم انعطاف کافی استخوان فک و روند کند ترمیم استخوان و مخاط، خارج کردن این دندان ها را پیچیده و بسیار سخت و دردناک میکند. شما میتوانید برای خرید ابزار و تجهیزات جراحی و پریو به سایت دندانت مراجعه کنید.

دلایل جراحی دندان عقل:
- رشد غیر طبیعی
- کمبود جا
- مشکلاتی از قبیل رشد نامناسب
- نا منظم شدن ساختار فک
- دسترسی ناپذیر بودن
رشد غیر طبیعی
دندان عقل به دلیل اینکه آخرین دندانی است که هر فرد تجربه میکند، با مشکل کمبود جا برای جای گیری روبرو می شود.
به همین دلیل دندان با چرخیدن، جای خود را باز میکند تا از لثه خارج شود، در این صورت رشدی غیر طبیعی خواهد داشت که به دندان های دیگر صدمه وارد میکند.
کمبود جا
گاهی دندان عقل به دلیل کمبود جا حتی با وجود چرخیدن و سعی در خارج شدن از لثه، نمی تواند جای کافی برای خود به وجود آورد به همین دلیل در زیر لثه میماند، یعنی دندان به سطح لثه می رسد؛ اما سطح نازک لثه روی دندان را پوشش می دهد به این دندان ها دندان عقل نهفته می گویند.
دندان عقل به خاطر دردی که برای فرد به وجود میآورد، دندانپزشک را مجبور به جراحی دندان میکند تا دندان عقل را از لثه خارج کند.
مشکلاتی از قبیل رشد نامناسب
رشد نامناسب دندان در لثه عوارض های بسیاری دارد، جز فشار آوردن به دندان های دیگر عوارضی مثل عفونت و پوسیدگی هم به همراه دارد.
به عفونت و پوسیدگی ناشی از پلاک و باکتری پری کورونیت میگویند.
نامنظم شدن ساختار فک
فشار آوردن دندان عقل به دیگر دندان ها باعث نامنظم شدن دندان ها در کنار یکدیگر میشود، این فشار مشکلاتی از قبیل عفونت پوسیدگی و خرابی را به دنبال دارد.
دسترسی ناپذیر بودن
دندان عقل به دلیل اینکه آخرین دندان در فک است و دسترسی به آن مشکل و گاهی بسیار سخت است امکان رسیدگی به آن بسیار کم است، از همین رو مراقبت از دندان عقل بسیار سخت است که باعث میشود دندان عقل مستعد عفونت و پوسیدگی زیادی باشد.
اگر پوسیدگی و عفونت دندان عقل ماندگار شود به مرور زمان به دندان های دیگر آسیب های جبران ناپذیری میزند.
بیشتر بخوانید: فرول دندانپزشکی چیست؟
پانسمان دندان جراحی شده
دندانپزشک بعد از جراحی برای کنترل مقدار خونریزی جای دندان عقل را پانسمان میکند.

پانسمان دندان جراحی شده، آخرین مرحله از جراحی دندان است.
مراحل جراحی:
اولین گزینه بیهوشی است که بنابر شرایط دندانپزشک تصمیم بر استفاده از هر یک از مراحل بیهوشی میگیرد.
- بی حسی موضعی
- بیهوشی آرام بخش
- بیهوشی عمومی
بی حسی موضعی
اولین مراحل انجام بی حسی موضعی این است که دندانپزشک لثه را به ماده ای یا ژلی آغشته میکند، آن ماده لثه شما را بی حس و آماده تزریق بی حسی میکند، تا درد سوزن تزریق شما را آزار ندهد.
سپس چند تزریق در لثه اطراف دندان انجام میشود تا اعصاب دندان به بهترین شکل ممکن بی حس شود.
در بی حسی موضعی شما بیدار هستید و امکان دارد که فشار و حرکت را حس کنید؛ اما در صورت درست عمل کردن آمپول های بی حسی نباید دردی را احساس کنید.
بیشتر بخوانید: کف بندی دندان در دندانپزشکی چیست؟
بیهوشی آرام بخش
دندانپزشک ها گاهی به دلیل وجود استرس بیش از حد بیمار را بیهوش میکنند تا روند درمان بهتر انجام شود.
دندانپزشک از طریق یک خط داخل وریدی (IV) در بازو بیحسی آرام بخش را انجام میدهد، بیهوشی آرام بخش باعث آگاهی شما در طول جراحی میشود و حافظه محدودی از این روش خواهید داشت.
در طول بیهوشی هیچ دردی را احساس نمیکنید و برای بی حسی لثه از بی حسی موضعی به صورت تزریق استفاده میشود.
بیهوشی عمومی
در شرایط خاص و بنا بر تصمیم دندانپزشک شما دارو بیهوشی را از طریق بینی استنشاق میکنید و تیم بیهوشی عمومی شما را از نظر تنفس، دما، مایعات و فشار خون را تحت نظر دارد.
شما هیچ خاطره ای از بیهوشی خود نخواهید داشت و آگاهی شما کامل از بین میرود تا زمانی که بهوش بیایید، از بی حسی موضعی هم برای تسکین درد لثه بعد از جراحی استفاده میشود.
مرحله بعدی این است که دندانپزشک در بافت لثه برش ایجاد میکند تا کامل دندان را در معرض دید خود قرار دهد.
سپس در مراحل بعد استخوانی که از ریشه دندان محافظت میکند را برش و از بین برمیدارد، اگر امکان داشته باشد دندان را به برش های کوچک تقسیم میکند و دندان را برمی دارد.
در مراحل آخر محل خالی از دندان را از هرگونه دندان، ریشه یا هرچیزی تخلیه میکند سپس محل را تقویت میکند تا زخم زودتر بهبود یابد، اما این کار را همه انجام نمیدهند.
و در پایان محل را برای جلوگیری از خونریزی پانسمان میکند.
لینک مرتبط: پانسمان دندان و سیگار
پانسمان دندان عقل جراحی شده
پانسمان دندان عقل حالتی خمیری دارد که در زمان آغشته شدن با بزاق دهان طی سی ثانیه سفت و سخت میشود.

پانسمان دارای ترکیبات خاصی است از جمله:
- ضد میکروب و باکتری
- ضد رطوبت
- تسکین دهنده درد
- مانع از فشار زیاد به محل زخم
- جلوگیری از خونریزی شدید
بیشتر بخوانید: کاربرد الواتور پریوست چیست؟
پانسمان دندان عقل کشیده شده
کشیدن دندان عقل می تواند باعث التهاب و ورم لثه و صورت و کبودی شود، فردی که دندان عقل خود را میکشد به دلیل درد بسیار چندین روز درگیر خواهید و حتی خوابی راحت نخواهید داشت. البته پانسمان دندان شما خاصیت تسکین درد را دارد، اما نه آنقدری که درد به صورت کامل از بین برود.
باید به این نکته هم توجه کرد که درد دندان عقل برای هر فرد بنا بر تحمل متفاوت است.
چگونه عصب دندان تبدیل به آبسه می شود؟ پاسخ آنرا به نقل از حکیم فردیس بخوانید:
وقتی عصب از بین می رود ، گاهی اوقات آبسه ای دردناک در نوک ریشه ایجاد می شود. این آبسه ایجاد شده برای جلوگیری از گسترش عفونت است. گاهی اوقات یک فیستول جوش مانند روی لثه شما نزدیک نوک ریشه ایجاد می شود که باعث تخلیه چرک می شود. اگرچه ممکن است تخلیه این آبسه طعم ناخوشایندی در دهان شما ایجاد کند ، اما باعث کاهش فشار دندان می شود و درد را کاهش می دهد. دندان آبسه شده می تواند منجر به عفونت شدید در سایر نواحی بدن شما شود ، اما از آنجا که این شرایط می تواند دردناک باشد ، بیشتر افراد بلافاصله به دنبال درمان می روند.
راه حل های کم کردن درد دندان عقل:
- استفاده از مسکن های تجویز شده: اگر دندانپزشک برای شما مسکن تجویز کرده حتماً به موقع استفاده کنید.
- جای خواب راحت: سعی کنید جایی که میخوابید، راحت، خنک و ساکت باشد تا بتوانید از خوابتان نهایت استفاده را ببرید.
- سرخود را بالا بگیرید: در طول خواب با استفاده از یک بالشت بلند سرخود را بالا بگیرید تا هم التهاب کاهش پیدا کند و هم از لخته شدن خون بکاهید.
- به پهلو بخوابید: بالا نگه داشتن سر هنگامی مه به پهلو خوابیده اید راحت تر است.
- از کمپرس یخ استفاده کنید: استفاده از کمپرس یخ، تا چند روز بعد از کشیدن دندان به کم شدن التهاب و ورم صورت کمک میکند.
بیشتر بخوانید: حساسیت به مواد پانسمان دندان
برداشتن پانسمان دندان عقل
برداشتن پانسمان در زمان بهبود لثه صورت میگیرد که در صورت مراقبت و فشار وارد نکردن به لثه و پانسمان طی دو هفته لثه بهبود می یابد.
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من دچار مشکل دندان عقل نهفته بودم و پزشکم بعد از جراحی از پانسمان استفاده کرد. اما سوالی که دارم این است که تا چه مدت این پانسمان باید در محل باشد و آیا خودم میتوانم آن را بردارم؟ همچنین آیا استفاده از دهانشویه یا آبنمک میتواند به بهبودی سریعتر کمک کند یا ممکن است به پانسمان آسیب برساند؟ خیلی نگرانم که روند بهبودی طولانی شود.
من چند روز پیش جراحی دندان عقل انجام دادم و پزشک از پانسمان برای کنترل خونریزی استفاده کرد. اما الان پانسمان از جای خود جابهجا شده است و نمیدانم آیا باید مجدداً به پزشک مراجعه کنم یا این موضوع طبیعی است؟ همچنین نگرانی من از عفونت است. آیا ممکن است که اگر پانسمان جابهجا شود، باعث بروز عفونت شود؟ لطفاً راهنمایی کنید که چطور از زخم جراحی به بهترین شکل مراقبت کنم.
من دیروز جراحی دندان عقل داشتم و هنوز پانسمان روی زخم هست. دکترم گفت که پانسمان خودش بعد از چند روز میفته، ولی من نگرانم که اگر نیفتاد چی کار کنم. آیا ممکنه پانسمان باعث عفونت بشه؟ کسی تجربه مشابهی داره؟
سلام. مقالهتون خیلی کمکم کرد. سوالم اینه که اگه پانسمان بعد از چند روز هنوز محکم سر جاش مونده باشه، آیا طبیعیه؟ یا باید زودتر برم دکتر تا پانسمان رو برداره؟ چون احساس میکنم لثهام داره اذیت میشه و میترسم که التهاب بیشتری بکنه.
من چند روز پیش جراحی دندان عقل داشتم و هنوز پانسمان روی زخم هست. میخواستم بدونم آیا باید خودم پانسمان رو بردارم یا اینکه باید حتماً دکتر این کار رو انجام بده؟ همچنین، آیا لازمه که حتماً به دکتر مراجعه کنم یا میتونم خودم این کار رو در خونه انجام بدم؟
من هفته پیش دندان عقلام رو جراحی کردم و دکتر برام پانسمان گذاشت. سوالم اینه که این پانسمان چقدر باید بمونه و چطور باید اونو عوض کنم؟ میترسم نکنه با عوض کردن پانسمان، جای زخم باز بشه یا خونریزی کنه. اگه تجربهای دارید، خوشحال میشم راهنمایی کنید.
موثرترین انواع پانسمان های جراحی که بعد از کشیدن دندان عقل استفاده می شود کدامند و چگونه به روند بهبودی و پیشگیری از عوارض کمک می کنند؟
حتما نیاز هستش که دندان عقل رو جراحی کنیم یا بکشیم ؟