Ukugcwalisa imigodi yamazinyo: izindlela kanye nezinto zokwakha

Esikhathini esidlule, emazinyo okubeletha asekhaya, ukugcwalisa izinyo kwakwenziwa ngokusebenzisa unamathisela okhethekile. Le ndlela yayibumbene kakhulu futhi ishibhile kakhulu. Noma kunjalo, akuzona zonke izinamathiselo ezidingekayo ukuze zimboze ngokuphelele zonke izimbobo zesiteshi. Ngaphezu kwalokho, ama-pastes ashicilela ekubunjweni kwe-voids, ancike ekukhunjweni okuqinile nokuvuselela, okubangela ukuvulwa kweziteshi nokuthuthukiswa kwenqubo yokuvuvukala.

Kanti futhi, izinto zingabangela ukusabela okweqile. Ngenxa yazo zonke izakhiwo ezimbi zendlela enjalo azikwenziwanga isikhathi eside. Esikhundleni sezindlela ezintsha, ezinezinga eliphakeme lokusebenza kahle.

Izici zokugcwalisa

Ukugcwaliswa kwamanxizo ezinyo ngesikhathi esifanele ezingeni lobuchwepheshe ngokuqedwa kwe-periodontitis kanye ne-pulpitis kuyisihluthulelo sokungabikho kwezinkinga esikhathini esizayo. Imfuneko eyinhloko kulezi zindlela zokwelashwa yilezizinga eliphezulu zokugcizelela ukuthembeka, okungafaki ukutholakala kwamagciwane ezincane ze-pathogenic kanye nokuhlanganiswa komsele wezinyosi kanye ne-periodontium.

Njengoba izitshalo zomcibisholo zihluke ekunciphiseni, isigaba esibalulekile ekulungiseleleni ukugcwalisa ukukhula kwabo, kanye nokuthuthukiswa kwamakhono okuwela ezweni lonke ubude.

Umuntu ongaqondi wonke ama-nuances womsebenzi wamazinyo, kunzima ukwenza ukhetho. Odokotela abahlale benesikhathi esanele sokutshela isiguli ngazo zonke izinzuzo nezimo ezimbi zalokhu noma leyo ndlela. Ngakho-ke, isiguli sikhetha okufanele kakhulu ukukhethwa kwesikhathi nesikhathi samanani, ukusetshenziswa okungahambisani ngaso sonke isikhathi.

Lesi sihloko sizobhekana nezindlela zokugcwalisa, izinto ezisetshenziselwa umkhuba wamanje wamazinyo, kanye nezinzuzo nezingozi zendlela zonke.

Izinto zokufaka uphawu

Ukuvalwa kwezimpande zamazinyo ukugcwaliswa kwesigxobo esihlanzekile ngezinto ezikhethekile. Njengoba imigodi yamanzi ingena ekujuleni kwegamu, impahla yokugcwalisa ihlale ixhumana ne-periodontium. Ngakho-ke, ukugcwalisa imigodi kungumsebenzi wokufaka esikhundleni sesishukela esonakele ngokuqukethwe okufakelwayo.

Izinto zokwakha izimpande zomcibisholo kufanele zihlangabezane nezidingo eziningi:

• Kumele babe nokuqina okuphelele, bavikele isiteshi ekutheleleni.
• Isici esibalulekile ukungabi khona kwe-reactionergic reaction, ukuchithwa nokubola lapho uxhumane ne-periodontium kanye nezicubu zomzimba.
• Izinto kufanele zifani ne-X-ray. Esithombeni kufanele bavezwe ngokucacile. Uma kungenjalo, kuyoba nzima kakhulu ukuba udokotela wamazinyo aqonde indlela inqubo yokugcizelela eyenziwe kahle ngayo.
• Uma ukukhwabanisa kwehluleka, uphawu kumele lususwe kalula emgodini wezingcingo. Ngaphezu kwalokho, lapho lukhuni, le nto kufanele ihlehlise, futhi izikhala ezigcwala umoya akufanele zifake ngaphakathi.

Sekuyiminyaka eminingi ukugcwaliswa kwemigodi yamanzi kungene izinguquko ezithile. Izindlela eziningi ezahlukene ziye zahlolwa. Noma kunjalo, ukwaziswa kwendawo yonke, okuzohlangabezana nazo zonke izindlela ezibalwe ngenhla, akukaze kwasungulwa. Yingakho kungokwezifiso zamazinyo zamanje ukuthi basebenzise ukuhlanganiswa okuhlangene.

Izigaba eziyinhloko zokulungiselela inqubo yokungena

Ukugcwaliswa komgudu we-canal kuhilela izinyathelo eziningana:

• Zonke izicubu ezithintekayo yi-caries kufanele zisuswe. Udokotela wamazinyo angasusa futhi izingxenye ezingenakulwanga zinozinyo ukuvula ukufinyelela kuzo zonke iziteshi.
• Inzwa yezinyo isuswa. Futhi ukufakwa uphawu kwamashaneli kungenzeka. I-pulp esuka emigqeni yomsuka nomqhele nayo isusiwe.
• Udokotela unquma ubude besiteshi ngasinye.
• Ngethuluzi elikhethekile, udokotela wamazinyo uhamba lonke ubude bemingcele kuze kube yimpande, futhi uhlanganisa ububanzi obunenani elidingekayo.
• Inqubo yokuvala uphawu ngokushesha isenziwa.

Ukunquma ubude bomngcele wezimpande

Ukugcwaliswa okufanelekayo kwezinyosi ezinamazinyo kuhilela ukugcwalisa umsele ngezinto eziphezulu phezulu impande. Uma ukwelashwa kwenziwa kahle, ukutheleleka kungena ekukhanyeni. Ngokuhamba kwesikhathi, inqubo yokuvuvukala ingasakazeka nakwezinye izimpande zempande.

Isizathu esivame kakhulu sokugcwalisa izinyo eziphuthumayo yisilinganiso esingalungile ngudokotela wamazinyo ubude be-canal. Ngenxa yalokho, udokotela akasebenzi yonke ubude.

Uma le parameter isinqunyiwe ngokungalungile, i-periodontitis ingakhula noma i-cyst ingavela. Ngenxa yalokho, izinyo kuzodingeka zisuswe. Uma uphawu luphinde lwafakwa, isiguli singase sikwazi ukukhononda ukuthi emva kokugcwalisa imigodi izinyosi zilimaza uma ucindezelwe. Ukuthuthukiswa kwenqubo yokuvuvukala akukhishwa. Ngakho-ke, ukulinganisa umgogodla wempande yingxenye ebalulekile yokwelapha. Udokotela wamazinyo wenza inqubo ngokusebenzisa izinsimbi ezikhethekile. Ngemuva kokukhwabanisa, thatha isithombe. Ngakho udokotela uzokwazi ukucacisa ukuthi ngabe iphoyinti yensimbi yokuphela kwezimpande ifike kanjani.

Imishini

Kuhilela inqubo yokwandisa umgudu wezingcingo. Iziteshi ezingawa ngaphansi kwalokhu kucubungula zihlala zilula. Akunakwenzeka ukugcwalisa into yokufaka uphawu.

Ukwakhiwa kukhuthaza ukwandiswa kwesiteshi nokuqedwa kwazo zonke iziphambeko kanye ne-convolutions ezikhona kulo. Isiteshi sihamba sisayizi osindayo.

Kunezinhlobo ezimbili zokucubungula: i-manual kanye nemishini. Indlela yokugcina ihilela ukusebenzisa ithiphu ekhethekile. Ifaka ama-pro-amafayela kusuka ku-titanium. Ngosizo lwephoyinti, ama-pro-amafayela esiteshini ajikeleza, okusiza ukususa i-chip kusuka ezindongeni zayo nokuyandisa. Ngemuva kokuxhaphazwa okunjalo, inqubo yokugcwalisa iziteshi yenziwa.

Indlela yokucwenga umsele ongagcwalisa nge-gutta-percha

Ukugcwaliswa kwemisele kungenziwa kanjani? Izakhiwo, njengoba kuphawuliwe, zisetshenziswe ngokuhlukile. Omunye wabo ngu-gutta-percha. Kuqinile futhi kunwebeka.

Into ephethe izici ezinhle kakhulu:

• Izinga eliphansi lobuthakathaka;
• Ukuhambisana kwemvelo;
• Ikhono lokugcwalisa ngokuphelele imisele yomcibisholo esimweni esishisayo;
• Ukususwa okulula uma kunesidingo.

Kunezindlela eziningi zokubeka iziteshi ngalesi sici.

Indlela yokunamathisela oyedwa

Kulesi simo, isiteshi sivaliwe ngumthamo we-gutta-percha paste, okwenza kube nzima. Le ndlela iningi lamacala ibangela izinkinga, ngakho ukusetshenziswa kwayo akusizi.

Indlela yephini elilodwa

Izindlela zokugcwalisa imigodi yamazinyo zibandakanya ukusetshenziswa kwephini. Ngemuva kokungena komcibisholo ogcwele impande, idivayisi efanayo esuka ku-gutta-percha isungulwa kuyo. Le ndlela nayo ibhekene nezinkinga.

Indlela yokunciphisa indlela

Lena yindlela ejwayelekile kakhulu yokufaka uphawu, lapho kusetshenziswa khona uphawu. Ukuphumelela kwalendlela kuxhomeke ngokuqondile ekucwileni ukuthi indawo ihlanjululwa kanjani ngokuphathwa kabi.

Izinyathelo zokunciphisa uhlangothi

Izigaba eziyinhloko zenqubo yilezi:

• Ukubekwa kwephini eliphakathi. Ngaphambi kwalolu hlelo, ukhetho lwenziwa, kuye ngokuthi isiteshi sanda kangakanani.
• Indawo yokugcizelela ifinyelela ngokucophelela ngokusebenzisa izikhonkwane ezenziwe ngephepha.
• Ngaphezu kwalokho, ukwethulwa kwe-siler kwenziwa.
• Iphini eliyinhloko lifakiwe.
• Iphini iphoqelelwe odongeni lwezinyo.
• Izikhonkwane ezingeziwe zifakwa, ezithungiswa kuqala yi-sealer.
• I-lumen igcwele impahla kuze ifakwe ngokuphelele.
• Izinto ezisele zikhishwa.
• Ukwakhiwa kwe-gutta percha kwenzeka emlonyeni womsele.
• Izinqubo zokwelapha zenziwa emgodini womlomo.

Izinhlobo ze-pastes zokugcwalisa umsele

• Okumnandi okuqukethe i-zinc ne-eugenol. Zisetshenziswa ukuvala iziteshi zazo zonke izinhlobo zamazinyo. Ukunciphisa kwabo kuyisisindo esisheshayo esivela empandeni. Futhi, izinto ezinjalo zingabangela ukucasuka kwamathambo wamazinyo.
• I-Resorcinol. Sekusetshenziselwe amazinyo eminyaka eminingi futhi ikhono lokushintsha umbala wezinyo.
• Forfenan. Ngesikhathi se-polymerization, itshisa esiteshini, ihlinzekele ukukhululwa kwezinto ezingena emathangeni emaceleni. I-pulp iphenduka ibe ukwakheka okungenasibhamu.
• I-Endomethasone - ayihambisani nokuhlelwa kabusha futhi inxusa ukucasuka.

Izidingo ezibalulekile zokugcwalisa izinto

Kuzo izinto ezisetshenziselwa ukuvalwa, eziningi zezidingo zifakwe phambili. Ukuba khona kwabo kunikeza ukwethembeka, ukuhlala nokuphepha kwezinto eziqhutshwayo. Ngokungangabazeki, kunzima ukucabangela zonke izinkambiso, kodwa akufanele kunganakwa lapho ukhetha ukwaziswa kokuvalwa.

Izidingo eziyisisekelo zihlanganisa:

• Ukuhlukana
• Ukungabi nezinto ezinobuthi;
• Izinga eliphakeme lokuhambisana kwezinto eziphilayo;
• Ukunciphisa okuphansi;
• Indlela elula yokuzala inzalo;
• Izinga eliphelele lokuzwela kuma-X-ray;
• Ukususwa okulula;
• Ayikho umphumela embala wezinyosi zamazinyo.

Ukugcwalisa iziteshi nge-gutta-percha eshisayo

Izindlela zokugcwalisa imigodi nge-gutta percha zihlukile:

• Ukujula kwe-gutta-percha ngesimo samanzi;
• Indlela yokuqhubekela phambili eqhubekayo;
• Ukunciphisa okumsindo;
• Ukuphathwa kwe-gutta-percha nge-syringe.

Indlela yokugcwalisa i-thermophil

Uhlelo "I-Thermophile" luqala ukugcwaliswa kwemigodi yamazinyo nge-gutta-percha eshisayo. Lapho isiteshi sigcwele, izinto zipholile futhi ziqina. Le ndlela inesilinganiso esiphakeme sokusebenza kahle, kodwa sidinga ukuqeqeshwa kochwepheshe kadokotela nemali eningi.

Uma ushushu, i-gutta-percha ithola ukuqina, okuqinisekisa ukuvalwa okuqinile kwesimiso somngcwabo wamazinyo.

Ukuqina kwezinto eziphathekayo kunciphisa amathuba okungenelela ekutheleleni kwezinyo. Loluhlelo lwasungulwa emva kokuvela kwamathuluzi lapho kwenzeka khona ukucubungula kahle iziteshi.

Izikhonkwane zasepulasitiki kanye ne-gutta percha ezishisayo zitholwa kancane kancane esiteshini. Ngaphansi kokucindezelwa, indaba igcwalisa iziteshi zonke namagatsha. Le ndlela ibizwa ngokuthi "ukugcwaliswa kwe-volumetric", njengoba yonke isimiso semisele yomswakaliso isisindiwe ngokweqile.

Izinzuzo eziyinhloko zesistimu "Thermophile" zihlanganisa:

• Izinga eliphezulu lokuqina;
• Ingozi encane yokutheleleka ku-canal;
• Izinga eliphansi lobuthakathaka;
• Ukungabi nobuhlungu ngemva kokugcwalisa;
• Isivinini senqubo yokwelapha.

Ukusetshenziswa kwe-depophoresis

Le ndlela yenza kube lula ukuphatha amazinyo anezimboza ezinamaphiko nezingafinyeleleki, kanye nokuphatha ukwelashwa kwamazinyo, okuvele kusindiwe. Futhi, le ndlela yenza ukuba kube khona ukufaka uphawu kulesi sakhiwo, esiteshini lapho kukhona isiqephu sensimbi yamazinyo.

Ngemuva kokuhlukunyezwa, isiguli ngokuvamile asikho ubuhlungu.

Ukusebenzisa iphini yesiliva

Amatayela asetshenziselwe ukubeka iziteshi iminyaka eminingi. Ukusetshenziselwa kabanzi kwegolide, isiliva kanye nokuhola, njengoba lezi zinto zinezinga eliphezulu.

Kumathambo wamazinyo, izikhonkwane zesiliva ziye zasetshenziswa kusukela ngo-1920. Isiliva sasikhethwa ngenxa yezinto zayo zokulwa ne-antibacterial. Ngaphezu kwalokho, ithuluzi elincane elithambile, okwenza kube lula ukufaka iphini ngqo ngqo eziteshini ezigobile.

Kuze kube manje, umphumela we-antibacterial wesiliva uye wafakazelwa ngokwesayensi. Isiliva elungile aliyona inobuthi futhi ayibangeli ukucasuka. Kodwa-ke, ngokuxhumana okuqhubekayo kwe-argentum ngezicubu zamanzi, njengoba kwenzeka lapho iphini likhona emgodini ongasenyakatho, insimbi ishicilelwe. Ngesikhathi sokubola, i-sulphate yesiliva ikhishwa, ene-toxicity. Lokhu kungabangela ukuqala kwenqubo yokuvuvukala ezakhiweni eziseduze. Mayelana nalokhu, izikhonkwane zesiliva kumazinyo omzimba akusebenzi neze.

Ngokuqondene nezici zomzimba zensimbi, izikhonkwane ezisuka kuso zifakwe kalula emgodini ongasetshenziswa umzila, zinezinga eliphakeme lokuphambene ne-X ray. Noma kunjalo, amadivayisi awahlinzeki ngokufaka uphawu lwekhwalithi. Kunconywa ukuba zisetshenziswe ngokubambisana nezimpande zempande.

Uma ukwelashwa kwesibili kuyadingeka, lezi zikhonkwane zikhishwa emgodini wezinyo kalula. Kukhona amacala lapho ukuxhaphaza kuhilela ubunzima obuningi noma akuhambisani nokusetshenziswa nhlobo.

Kuthiwani uma nginamazinyo ngemva kokugcwaliswa?

Abantu abaningi banesithakazelo: kungakanani inyozi ingalimala ngemva kokugcwalisa imigodi? Uma izinyo zihlaba kancane izinsuku ezingu-1-2, kubhekwa njengokujwayelekile.

Uma isiguli sibhekene nobuhlungu obukhulu, lokhu kungase kubonise ukuthi kunzima:

• Ubukhona be-perforation yezindonga zempande;
• Ukugcwaliswa okungapheli kahle;
• Ukuthola isiqeshana samathuluzi esiteshini;
• Ukwelashwa okuphumelelayo nama-antiseptics;
• Ukususwa kwezinto zokufaka uphawu ekugcineni kwempande.

Ukwelapha uma kwenzeka ukucindezeleka

Kuthiwani uma izinyo zilimaza ngemva kokugcwalisa imigodi? Uma kwenzeka i-perforation, ukwelashwa kuqala nge-X-ray ukuxilongwa. Le ndlela yenza sikwazi ukubona ngeso lengqondo isimo se-lumen yezimpande. Uma i-perforation isenzekile, insimbi, uma icindezelwe izinyo, iqala ukuhluleka, i-gomamu iphuma, futhi isiguli sigxuma ubuhlungu. Kulesi simo, ukwelashwa kuhilela ukugcizelela ukukhishwa kwesikhumba ngendlela yokugcwalisa.

Uma izinyosi zibuhlungu ngemva kokugcwaliswa kwemisele yamanzi ngenxa yobuningi bensimbi kuyo, khona-ke izinyo ziyokhohlisa ekususweni.

Kwenzeka ukuthi ukusimbelwa kwenzelwe kabi. Ukwelashwa kuhilela ukuhlanza futhi ukubeka uphawu.

Uma kukhona izibani ezimpandeni ezingenayo impahla yokuvalwa, inqubo yokuvuvukala ingenzeka. Kulesi simo, awukwazi ukungabaza ukuxhumana nochwepheshe.

Uma ususa izinto ezingaphezulu phezulu empandeni, ukwelashwa kuxhomeke ebukhulu becala.

Ukugcwalisa imigodi yamazinyo obisi

Ukuvalwa kwamanzi amazinyo okwesikhashana (ubisi) ezinganeni kuyahlukana nokuhlukunyezwa okwenziwe ngesiguli esingumdala ngenxa yobungqayizivele besakhiwo samazinyo wengane.

Uma izinyo zesikhashana kufanele zishintshe njalo, izimpande zawo ziqala ukuxazulula, kuphela ingxenye ephezulu ehlala. Ngakho-ke, izimpande zomcibisholo kufanele zivalwe ngokunamathisela okhethekile, okubuye kube ngaphansi kokuhlelwa kabusha. Yile ndlela eyenza ukuqhuma kwamazinyo okuhlala kungapheli.