Ukuhloma izimpande zomgogodla kuyindlela enomsebenzi futhi kudinga izigaba ezithile zokulungiselela. Ngokuvamile, umsele ungenziwa ngenkathi ukwelashwa kwamazinyo aphethwe yi-caries, ukuvuvukala kwe-pulp ne- periodontitis .
Ukulungiselela ukugcwalisa
Le nqubo inezinyathelo ezimbalwa ezibalulekile, ukugcinwa kobuchwepheshe obuzoba yisiqinisekiso senqubo ehambisana nenqubo:
- Ukususwa kwama-tissue amazinyo.
- Ukususwa kwe-pulp (izicubu ezixhumeneyo, nokufakwa kwegazi nezitsha ze-lymph).
- Ukusebenzisa ukuhlolwa ngokusebenzisa i-X-ray izixhobo ukuze kutholakale ukuhlanganiswa nokujula kwezimpande zomsuka.
- Ukuhlanza, ukulinganisa izindonga nokwandisa iziteshi ngamathuluzi akhethekile.
Izinhlobo zokugcwalisa
Ukwenziwa komsele we-canal kungasesikhashana. Lolu hlobo lokufaka uphawu lusetshenziselwa inqubo yokuvuvukala emathisini adinga ukwelashwa nokusetshenziswa kwamadlelo akhethekile. Okufakiwe kungaqukatha:
- i-antibiotic;
- i-corticosteroids ;
- metronidazole noma i-calcium hydroxide.
Zibekiwe emgodini ovuthayo futhi ukugcwaliswa okwesikhashana kwemisele yomchamo kwenziwa.
Uma kwenzeka kungadingeki ukwelashwa okweziwe, ukugcwaliswa okuqhubekayo kwemisele yomchamo kwenziwa ngokushesha. Kulesi simo, umzila olungiselelwe uphathwa nge-Cresophene noma i-Parkan (izixazululo-izibulala-disinfectants).
Izindlela zokuvala uphawu
Kunezindlela eziningana eziyisisekelo zokufaka uphawu lokungena uphawu lomsele:
- ngokusetshenziswa kwama-pastes akhethekile wamazinyo;
- usebenzisa iphini elingenziwa kusuka ku-gutta-percha, i-titanium, kancane kancane isiliva;
- kuhlanganiswe indlela, ngokusebenza okukodwa kwepini nokunamathisela (i-Thermophil system);
- ngosizo lokushisa nokufutheka kwe-gutta-percha.
Izinto zokufaka uphawu
Izinto zokwakha izimpande zomcibisholo kufanele zihlangabezane nezidingo eziningana:
- kube namandla kakhulu futhi ungabhidli ngaphansi kwethonya lamanzi eziphilayo nezicubu;
- hlela;
- has radiopaque;
- Ungadala ukucasuka nokuphendula okwehla.
Esikhathini samanje amazinyo okugaya ama-canal filling asetshenziswa:
- silver polymeric;
- izingilazi ze-ionomber ingilazi (ngokuvamile esetshenziselwa amazinyo ezingane);
- polydimethylsiloxanes;
- usimende nge-calcium hydroxide.
Izindlela zokumisa umzimba kanye nokugcwalisa i-resorcinol-formalin ingxube nazo zazivamile. Njengamanje, lezi zindlela ziye zaphela futhi azisebenzi neze.