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Часто пигментация сопровождается деминерализацией эмали, что повышает чувствительность зубов [1](https://ProBolezny.ru/pigmentaciya-zubov/)[2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). \n\n**Симптомы**: пигментные пятна бывают разных размеров и форм: от крошечных точек и пятнышек до обширных участков, покрывающих всю поверхность зуба [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). Иногда пигментация сопровождается неприятным запахом изо рта, кровоточивостью дёсен или подвижностью зубов [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/).\n\n\n\n## Причины\nСтоматологи выделяют две группы причин [4](https://dental-plats.ru/articles/professionalnaya_gigiena/pochemu_temneyut_zuby/): \n1. **Внешние** — цвет меняется из-за отложений на поверхности эмали [4](https://dental-plats.ru/articles/professionalnaya_gigiena/pochemu_temneyut_zuby/). Например: \n * курение (никотиновая смола проникает вглубь эмали) [1](https://ProBolezny.ru/pigmentaciya-zubov/)[6](https://www.celt.ru/napravlenija/stomatol/pyatna-na-zubah/); \n * употребление продуктов, содержащих красящие пигменты (кофе, чёрный чай, красное вино) [1](https://ProBolezny.ru/pigmentaciya-zubov/)[6](https://www.celt.ru/napravlenija/stomatol/pyatna-na-zubah/); \n * недостаточная гигиена полости рта, образование зубного налёта [13](https://alfadentstom.ru/poleznye-statii/pigmentacija-zubov/). \n2. **Внутренние** — цвет меняется из-за изменений внутри зуба, эмали и дентина [4](https://dental-plats.ru/articles/professionalnaya_gigiena/pochemu_temneyut_zuby/). Например: \n * приём некоторых лекарственных препаратов (например, антибиотиков тетрациклинового ряда) [7](https://colibrident.ru/blog/diskolorit-zubov/); \n * естественное старение — с возрастом процессы реминерализации эмали замедляются, она истончается, а в сочетании с внешними факторами развивается её потемнение [7](https://colibrident.ru/blog/diskolorit-zubov/).\n\n## Виды\nРазличают два типа дисколорита зубов [7](https://colibrident.ru/blog/diskolorit-zubov/): \n1. **Внешний** — поверхностное изменение цвета зубной эмали, не затрагивающее структуру самого зуба [7](https://colibrident.ru/blog/diskolorit-zubov/). \n2. **Внутренний** — формируется за счёт глубоких изменений в твёрдых тканях зуба: дентине и эмали [7](https://colibrident.ru/blog/diskolorit-zubov/).\n\n## Диагностика\nПри любых изменениях цвета зубов необходимо обратиться к стоматологу [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). Специалист сможет определить причину проблемы и подобрать оптимальный метод лечения [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). Для диагностики могут использовать: \n* **Визуальный осмотр** [3](https://best-stom.ru/articles/pigmentatsiya_zubov/). \n* **Рентгенографию** — для оценки внутреннего состояния зубов [3](https://best-stom.ru/articles/pigmentatsiya_zubov/). \n* **Микроскопию** — позволяет увеличить исследуемый объект и рассмотреть область патологии близко [3](https://best-stom.ru/articles/pigmentatsiya_zubov/).\n\n## Лечение\nВыбор метода лечения зависит от причины изменения цвета [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/)[13](https://alfadentstom.ru/poleznye-statii/pigmentacija-zubov/). Некоторые варианты: \n* **Профессиональная чистка** — удаляет мягкие и твёрдые зубные отложения с последующей полировкой эмалевого покрытия [7](https://colibrident.ru/blog/diskolorit-zubov/). \n* **Отбеливание** — процедура проводится с использованием специальных препаратов на основе перекиси водорода [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). После отбеливания обязательно проводится реминерализация — насыщение эмали минералами для укрепления и снижения чувствительности [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). \n* **Внутриканальное отбеливание** — применяется, если зуб меняет цвет изнутри, например, после лечения корневых каналов [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). В этом случае отбеливающий препарат закладывается внутрь зуба [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). \n* **Установка виниров** — тонких пластинок, которые фиксируются на передней поверхности зубов, маскируя недостатки цвета и формы [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/). \n\n**Самолечение** может быть опасным — только специалист сможет подобрать оптимальный метод лечения [2](https://xn----7sbeol0a4agjo.xn--p1ai/stati/pigmentacziya-zubov-simptomy-i-lechenie/).","linksData":[{"sourceId":1,"url":"https://ProBolezny.ru/pigmentaciya-zubov/","shownUrl":"https://ProBolezny.ru/pigmentaciya-zubov/","title":"Пигментация (дисколорит) зубов: причины, симптомы и лечение в статье стоматолога Гафарова Е. 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