Khí-khún-pan

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齒菌斑 (Khí-khún-pan) (齒菌斑,dental microbial plaque) () (ū)組織 (cho͘-chit),有軟性 (nńg-sèng)黃色 (n̂g-sek) (he̍k)殕仔瑟 (phú-á-sek) (ê)物質 (bu̍t-chit) (i) (liâm) (tiàm)喙齒 (chhùi-khí)表面 (piáu-bīn) (liáu) (chiâⁿ) (ân)。伊是喙瀾 (chhùi-nōa)傳兩白 (thn̂g-nn̄g-pe̍h) (醣蛋白,glycoproteins) (kap)細胞 (sè-pau)外表 (gōa-piáu)多醣類 (to-thn̂g-lūi) (多醣類,polysaccharides) (só͘)組成 (cho͘-sêng)基質 (ki-chit) (基質,matrix) 包括 (pau-koah)glucans (親像 (chhin-chhiūⁿ)dextransmutans) 佮fructans (可比 (khó-pí) (kóng)levan) 加上 (ka-siōng)細菌 (sè-khún) (lâi)組成。質的 (Chit-ê)基質始得 (sú-tit) (lán)袂當 (bē-tàng)艱淡 (kan-tāⁿ) ()樂吹 (lo̍k-chhùi) (to̍h) (beh) ()齒菌斑鹿 (lo̍k) (tiāu)必須 (pit-su) (ài)齒抿仔 (khí-bín-á)其他 (kî-thaⁿ)口腔 (kháu-khiuⁿ)衛生 (ōe-seng)工具 (kang-kū)機械 (ki-hâi)力量 (le̍k-liōng) (chiah)會當 (ē-tàng)除掉 (tû-tiāu)

累則 (Lúi-chek)成份 (sêng-hūn)演變 (ián-piàn)[修改]

喙齒 ()清氣 (chheng-khì)了後 (liáu-aū) (sò͘)分鐘 (hun-cheng) (kàu)點鐘 (tiám-cheng)之內 (chi-lāi) (tio̍h) (ē) (hō͘)喙瀾傳兩白所組成 (chiâⁿ) (po̍h) (0.1-0.8 µm) 的pellicle坎起來 (khàm--khí-lâi) ()24點鐘之內,踮pellicle頂懸 (téng-koân)起初 (khí-chho͘)Gram陽性 (iông-sèng)細菌 (親像StreptococcusActinomyces (lūi)) 開始 (khai-sí)建立 (kiàn-li̍p)這時 (Chit-sî)pellicle加上細菌佮其他成份就變成 (piàn-sêng)齒菌斑。 佇煞落去 (soah--lo̍h-khì)幾公 (kúi-kang),齒菌斑的細菌數量 (sò͘-liōng)過寂 (kè-siok)靜家 (chēng-ka), Gram陰性 (im-sèng)cocci佮Gram陽性 (chham)Gram陰性的rods (ham)filaments攏有仔 (lóng-ū--á)。 3禮拜 (lé-pài)了後 (liáu-āu)filamentous organisms明顯 (bêng-hián)的靜家,尤其 (iû-kî)是佇起岸 (khí-hōaⁿ)邊仔 (piⁿ--á)。齒菌斑的細菌的代謝 (tāi-siā)產物 (sán-bu̍t)促進 (chhiok-chìn)宿主 (siok-chú) (宿主) 組織的滲出 (sìm-chhut)作用 (chok-iōng) (滲出作用,exudation) 佮PMN (多形細胞核顆粒球,polymorphonuclear granulocytes) 的遷移 (chhian-î) (Che)是起岸想欲 (siūⁿ-beh)圍堵 (ûi-tó͘)入侵 (ji̍p-chhim)的細菌的發炎 (hoat-iām)反應 (hoán-èng)。起岸發炎若來 (ná-lâi) ()嚴重 (giâm-tiōng)接合 (chiap-ha̍p)上皮 (siōng-phôe) (接合上皮,juntional epithelium) 喪失 (sòng-sit)部分 (pō͘-hūn)郎性 (nn̂g-sèng)使得 (sú-tit)細菌會當深入 (chhim-ji̍p)喙齒佮上皮之間 (chi-kan)牙銀 (Gê-gîn)橐袋仔 (lak-tē-á) (牙齦囊袋,gingival pocket) (chôaⁿ)形成 (hêng-sêng)

有利 (Iú-lī)齒菌斑堆集 (tui-chi̍p)的siâng (kìⁿ)因素 (in-sò͘)[修改]

  • 起岸町 (Khí-hōaⁿ-téng)起岸底 (khí-hōaⁿ-té)齒滓 (khí-tái) (齒滓,齒石,牙結石; calculus) 初初 (chho͘-chho͘)的表面 (gâu) (khā)細菌
  • 齒骨質 (Khí-kut-chit)齒釉質 (khí-iū-chit)交界 (kau-kài) (齒骨質牙釉質交界; cementoenamel junction) ()常在 (siâng-chāi) (khah) (chho͘)所在 (só͘-chāi),包括起有這 (khí-iū-chit)thūt (chhut)(projections) 佮齒釉質 (chu)(pearls)
  • 喙齒的裂縫 (li̍h-phāng)發育 (hoat-io̍k) (kau) (fissures and grooves) : 塌落去 (lap--lo̍h-khì)的所在賢髂體歌 (thái-ko)
  • 齒頸部 (Khí-kún-pō͘)齒根 (khí-kin)蛀齒 (chiù-khí) (齒頸部佮齒根蛀齒; cervical and root caries): 蛀空 (Chiù-khang)屯則 (tûn-chek)toa (liōng)齒菌斑的水庫 (chúi-khò͘)
  • 喙齒排列 (pâi-lia̍t) ()整齊 (chéng-chê) (crowding) (khah) (pháiⁿ)洗粹 (sé-chhùi)自清 (chū-chheng) (自清,self-cleaning),增加 (cheng-ka)牙菌斑 (gê-khún-pan)的屯則。
  • (Iōng) (chhùi)喘氣 (chhoán-khùi) (mouth breathing) 引起 (ín-khí)口腔脫水 (thoat-chúi),使得齒菌斑頸加 (kēng-ka) (jūn) (kap) (liâm)喙瀾保護 (pó-hō͘)功能 (kong-lêng)降低 (kàng-kē)

有利齒菌斑堆集的伊原性 (i-goân-sèng) (iatrogenic) 因素[修改]

  • 充填物 (Chhiong-thiām-bu̍t) (充填物,filling)
  • 修復體 (Siu-ho̍k-thé) (restorations) 佮齒籠 (khí-lông) (crowns) 的外縣 (gōa-hiân)邊緣 (pian-iân) (overhanging margins)。