Ukuze wenze umqondo oqondile futhi onembile ngesikhathi se-prosthetics noma ukwelashwa kwamazinyo, odokotela benza izinyathelo ezihlukahlukene emgodini womlomo. Okubaluleke kunawo wonke ukubuyiswa kwegamu, kuvumela udokotela ukuba avule ukufinyelela kwesikhashana endaweni yendawo yokukhokha entanyeni.
Kungakhathaliseki ukuthi kuyadingeka yini ukwenza noma ukuhoxisa i-gom noma i-gingiva?
Le nqubo yezinyosi ukubambezeleka komlomo wesibeletho ngokunciphisa izinga lekhanda elimangalisa. Ngenxa yalokhu, enye ingxenye yempande ivuliwe. Ukuhlehliswa kwemikhawulo ye-gingival kuvame ukwenziwa ekwakhiweni kwezinhlaka zokugqoka noma umqhele kanye nokwenziwa kwemidwebo emibili. I-CAM-technologies iskena amamodeli we-plaster, ngokunemba kwayo kuxhomeke ekuhambeni okulungile kwe-prosthesis nokuzwa kwesiguli.
Le setha yenqubo ihlose ukwandisa umdwebo ohlangothini oluqondile nolunamahlangothi. Lokhu kusiza ukunciphisa ukufihla okwesimanzi, ukuvimbela noma ukumisa ukuphuma kwegazi, ukunciphisa ukulimala emgodini womlomo. Ukubuyiswa kwegamu kwenziwa emazweni anjalo:
- lapho ugcwalisa izigqoko eziyinkimbinkimbi;
- lapho ulungisa amaphutha emazinyo;
- nge- bleaching .
Izixazululo zokuguqulwa kwe-gingival
Kukhona izindlela ezilandelayo zokubuyisela i-gum:
- Imishini. Imelela ukuvulwa kwesikhwama se-dentogingival (i-groove) ngosizo lwezinsimbi ezihlukahlukene: izindandatho eziboshwe, ama-caps noma izintambo zekotini.
- I-Medicamentous (amakhemikhali). Kulokhu, uketshezi olusetshenziselwa ukuguqulwa kwegamu, okuyinto i-adrenaline ne-bezadrenaline. Ezinye izidakamizwa zingabangela ukusabela komzimba emzimbeni womuntu.
- Ukuhlinzwa. Iqukethe ukungahambi kahle kwenaliti yokugcoba i-electrosurgical nge-free edge yegamu ebusweni bayo ngaphakathi.
- Ihlangene. Ngale ndlela, izindlela ezihlukahlukene ezibalwe ngenhla zihlangene. Ukuvame kakhulu kwalokhu ukuhoxiswa kwe-mechanochemical. Kulokhu, izintambo ezifakwe emanzini asetshenzisiwe.
Ukulahlwa kwegamu ngezintambo namasongo
Lapho uya kudokotela wamazinyo, iziguli eziningi zibuza ukuthi ukukhipha i-gum kuyinto (i-Ultrapak). Le nqubo ihilela ukusetshenziswa kwezinto ezikhethekile ezijowe ngaphansi kwebhubhiso elingenalutho. Le ndlela ingabangela ubuhlungu futhi ihlale isikhathi eside, futhi kunemikhawulo yokukhwabanisa.
Ngaphambi kokuqala ukuxoshwa, udokotela wamazinyo wenza ukuhlolwa komlomo womlomo, kuyilapho eqhubeka eqapha ukujula kokuhlasela kwegamu. Udokotela kufanele akhumbule ukuthi i-mucosa isengozini kakhulu futhi ibucayi, ngakho indawo yokunamathiswa kwezinyo nezinyosi isonakaliswa kalula. Lokhu kuholela ekutheni uzwela kanye nesifo se-periodontal. Le ndlela ayifanele izidakamizwa zomhlathi wonke.
Ukukhishwa kwe-graft ye-Chemical
Kunezindlela ezihlukahlukene zokuhoxisa izinsini, kodwa ukuthola ukuthi iyiphi okulungile kuwe, udokotela kuphela ongakwazi. Kufanele athole ukuthi:
- lokho okushiwo yisiguli kuyigciwane;
- indlela ahlupheka ngayo i-anesthesia;
- yiziphi izifo anazo.
Indlela yamakhemikhali (ngokusetshenziswa kwezidakamizwa ezisekelwe ku-adrenaline) ngokuvamile ivusa imiphumela emibi njengale:
- ukwanda kwegazi
- ukuphazamiseka kwemilolo enhliziyweni;
- ukwanda kwentando yenhliziyo.
Uma unesifo senhliziyo (isifo somfutho wegazi, ischemia, njll), bese uxwayisa udokotela kusengaphambili. Kulesi simo, uzosebenzisa imithi engahlanganisi i-adrenaline. Amalungiselelo alungiswa ngesisekelo sesisombululo se-zinc chloride ne-tannic acid. Imithi yanamuhla, nakuba igwema, ingaphazamisa ubuqotho bendwangu yamangcwaba futhi ayilondolozwa ngokugcwele ngokugcwele.
Izixazululo zokususa i-gom
Okuhle kunazo zonke amalungiselelo awenziwe ngesisekelo se-kaolin ne-aluminium oxide. Zihlanganisa izingxenye ezahlukene ze-haemostatic nama-polymers. Ziza ngendlela ye-gel bese unamathisela. Imithi ikhiqizwa emakhanjidi akhethekile (afana nesirinji), okuvumela ukuba usebenzise ngokunembile umkhiqizo futhi unciphise ingozi yomonakalo emgqonyeni womlomo okungenani.
I-gel yokuxoshwa kwegamu inezakhiwo ze-analgesic ne-hemostatic, futhi umphumela oyifunayo ungatholakala kumaminithi angu-2-3. Emva kwalokho, udokotela wamazinyo unemaminithi angama-5 asele ukuphatha izindlela ezidingekayo. Imithi ephumelela kakhulu yilezi:
- I-Expasyl;
- I-Gingi Track;
- I-Magic Foam Cord.
Ingabe kubuhlungu ukwenza ukubuyiswa kwegum?
Ngaphambi kokuba kuqalwe inqubo, odokotela banikeza iziguli umjovo we-anesthesia (anesthesia), oyosusa zonke izinzwa ezingathandeki. Ngemva kokukhipha izinsini, kuzodingeka uhambisane nale mithetho:
- Emva kokuxhaphaza, awukwazi ukudla nokuphuza iziphuzo ezishisayo amahora angu-6-8.
- Ngemuva kokudla okulodwa, kuzodingeka uhlanza isigxobo somlomo nge-Furacilin noma i-decoction yamakhambi.
- Amazinyo kufanele ahlanzwe kuphela ngebhashishi elithambile.
- Sebenzisa amakhambi okwelapha emakhambi.
- Ungahambi ezinsukwini ezimbalwa amachibi okubhukuda nama-saunas.
- Ngezizwa ezibuhlungu nokukhukhumeza, udinga ukusebenzisa ama-gel afana namazinyo neSokoseril .