ភាពយឺតយ៉ាវ នៃការផ្លាស់ប្តូរធ្មេញ ព្រៃ (ធ្មេញទឹកដោះ)

Why your child delayed erupted teeth
នេះជាកត្តាមួយដែលបង្ករមកពីមូលហេតុ មិនប្រក្រតី មួយ ចំនួន។ភាពយឺតយ៉ាវ នៃការផ្លាស់ប្តូរធ្មេញព្រៃ (ធ្មេញទឹកដោះ) មកធ្មេញស្រុក រឺ ដំណុះធ្មេញត្រឹមត្រូវ
គឺជាកត្តាសំខាន់ណាស់ ដែលតែងតែប៉ះពាល់ដល់ការវិវត្តន៍ខុសកំណាំធ្មេញ (occlusion) និងការលូតលាស់ខុសនៃឆ្អឹងថ្គាម។
មូលហេតុនៃការដុះធ្មេញយឺត
កត្តាជាច្រើន ដែលជះឥទ្ធិពលលើបញ្ហានេះមានដូចជា៖
- malposition of tooth
- deformed root
- crowding
- cyst  (this case presentation )
- odontoma
- trauma to correspondence milk tooth
- supernumerary tooth (most common )
-tumor
- fibrosis of gum (phenytoin drug side effect)
- mal nutrient
- Hypothyroidism
- hypopituitarism
- Pseudohypoparathyroidism
- children who is a carrier HIV
- cerebral palsy
- anemia
- disease disturbing dentofacial development 

សូមមកពិនិត្យពិភាក្សាជាមួយ  ទន្តបណ្ឌិតជំនាញ ដើម្បី ទទួលបានការព្យាបាលដែលត្រឹមត្រូវ។

 

Lip repositioning By Dr.Bushara Ping

Excessive gingival display can be managed by variety of treatment modalities, depending on the etiology.

The treatment options could be:
- Crown lengthening
- orthodontic
- Orthognathic surgery
- lip repositioning surgery  (shown in this case,)
- restorative dentistry
- or combination among them.

The presentation case is combination among
Crown lengthening, lip repositioning and restorative composite verneer.

Done by : Dr. PING BUSHARA.
DDS (Cambodia)
MSc (Oral and Maxillofacial Surgery. , Bangkok Thailand)

Traumatic tooth injury

Traumatic dental injuries often happen of the accident,
The traumatic tooth injury is categorized minor trauma (chipped teeth)  To server trauma (fracture of root and completely   avulsion)
There many  treatment option:
For the minor trauma (chipped teeth), without any vital structure damage, your dentist may have done the restorative composite filling. (such this case shown)
server trauma, you must immediately visit your dentist.
In case of tooth avulsion,  minimize periodontal ligament drying and avoid pulp necrosis. Speed of replantation is important.
Prevent periodontal membrane drying by:
Soak avulsion tooth in the milk, Saline, or saliva. If you receive treatment quickly, preferably within 30 minutes there is a chance to save your tooth.

Odontogenic Residual cyst

Residual cyst are retained peri-apical cyst from teeth that have been removed.
Usually slow grade grow or asymptomatic. It found on routine radiography examination.

Done BY: DR Ping Bushara  (DDS, MSc)