Fissure caries - kuyini? Izimbangela, ukwelashwa, zokuvimbela

Omunye zokukhulekela zenkolo ezazivame ezinyweni izilonda kubhekwe ZaseLaki caries. Kunzima kakhulu ukuxilonga ngendlela esifike ngesikhathi. Yethulwe inqubo sokugembula kungaholela kwamazinyo. Ukuze ugweme lokhu, kudingeka wazi nezindlela zokugwema ukugula, futhi ngaso sonke isikhathi ukulandela kwabo.

Incazelo isifo

A izinyo siqukethe impande, Intamo nomqhele. On occlusal yayo ebusweni ayimigodi encane, ngokuthi emifantwini. Abakwazi ihlukaniswe ezimbili izinhlobo:

1. Vula, ngubani kungabonwa kahle phansi.
2. Ivaliwe, efana isesimweni inkatho cishe ekubambisaneni izindonga.

Nge lolu hlobo caries wabhekana yini abantu abadala kuphela kodwa futhi izingane ezincane. Bona anemifantu zamazinyo ijulile ukuze bahlale izingcezu bolimi ukudla. Imiphumela iba yinhlanganisela yokukhandleka enamathela. Ngo inqubo ukuhlafuna ukudla doti ahlale ucindezelwa lamachubu. Zafika lapho, zatholana ukubola, ukudala indawo evumayo amagciwane. Ngisho obupheleleko ukuxubha amazinyo akho akusho ngaso sonke isikhathi uzobavikela ngenxa yalesi sifo.

Abantu abaningi siyibukele phansi caries ZaseLaki, uyephuza ukwelashwa yayo unomphela. Ngokuhamba kwesikhathi, ngo-inqubo sokugembula abathintekayo zonke izindawo ezintsha. Ngokuvamile iziguli ukuza wamazinyo lapho caries kuye kwathonya hhayi kuphela ebusweni koqweqwe lwawo, kodwa futhi kakhulu uginindela. Ngalesi nesigaba lesi sifo kuhambisana throbbing indoda njalo, ngisho nalapho engekho ezintweni ezenzeka ngaphandle. Ngokuvamile, uphawu esinjalo kubonisa okuvela pulpitis noma periodontitis.

Izimbangela isifo

Imbangela eyinhloko lesi sifo njengento engafanele inhlanzeko yomlomo. izinyo Fissure - endaweni ababuthakathaka, lapho njalo zanqwabelana Izinsalela ukudla. Ngemva kwalokho, baqala ukubola futhi abhubhise koqweqwe lwawo. Ngokuhamba kwesikhathi, le nqubo sokugembula okuholela kwamazinyo, okuyinto kancane kancane usabalala izindawo entsha izinyo.

Phakathi kwezinye izinto okubangela ukubukeka kwalesi sifo, odokotela okulandelayo:

• Usayizi enkulu anemifantu kwamazinyo;
• Ukumelana eliphansi koqweqwe lwawo;
• izinguquko yokwakheka ngamathe ku ngemuva izifo ezingamahlalakhona;
• ukungondleki nge predominance ukudla okunesitashi.

Ephambi kwezinduna caries ayiboniswa njalo lezi zici, kodwa ematfuba lapho ivela khona luyanda izikhathi eziningana. Abantu abasengozini, kumele ngezikhathi ezithize zihlolwe ngumuntu wamazinyo. Ngaphezu kwalokho, kufanele akhokhe anakekele inhlanzeko engokomzimba kakhudlwana ngomlomo.

Indlela ukuqaphela zokugula zabo?

Fissure caries - lokhu ingenye izifo ezimbalwa zamazinyo ezingaba ihlonzwe kalula wedwa. It is sasithi ke uhlobo anemifantu evulekile. Ukubonakaliswa sokuqala sohlelo isifo kubhekwa singagqunqi we koqweqwe lwawo. Kulokhu, ebusweni izinyo igcina ubuqotho bayo. Lokhu uphawu is kwahambisana by ukuhlaselwa okuyisidina noma throbbing ubuhlungu. Kancane kancane, izinyo ukuzwela ezintweni ezenzeka ngaphandle luyanda. Ukuphuza ukudla kushisa noma kubanda kakhulu ngaso sonke isikhathi sihambisana emizweni ezingezinhle.

Kuvaliwe ZaseLaki izinyo - lena uma more xaka. Lesi sifo kungavuka isikhathi eside ngaphandle kokuphazamisa. izimpawu kwangaphandle yenqubo sokugembula cishe njalo ngingekho. Kuthola ngokuzenzakalelayo sifo akunakwenzeka.

izindlela ukuxilongwa

Lapho izimpawu zokuqala we caries ukucubungula kuyadingeka ukuba zifune usizo wamazinyo. Ungesabi futhi ukuhlehlisa kudokotela. I uchwepheshe ngaphambili ukubona kwezinso futhi uqhubekele nokwelashwa kwayo, ephansi amathuba ukuxakeka.

Ukuze sitholakele ZaseLaki caries elandelayo manipulations asetshenziswa amazinyo yesimanje:

• Visual wokuhlola nge-probe. Le ndlela iphumelela kuphela uma emifantwini evulekile. Ingasetshenziselwa ukuphenya anemifantu eliphelele bese ibheka isimo koqweqwe lwawo.
• Hardware ukuhlola. Le ndlela yesimanje yophenyo wembula emifantwini avaliwe futhi evulekile. Phakathi Dr. inqubo laser ekhethekile uhlola namazinyo lesiguli. Noma yimuphi yamazinyo yangasese anganikeza inkonzo efuze leyo ezingeke ishiwo zezempilo khulula.
• X ray. Le ndlela isetshenziswa ekuxilongeni ZaseLaki ivaliwe lapho izimpawu eziyinhloko zesifo bengekho. Ukuze it is baxoxisana nesineke uma izikhalazo anda izinyo ukuzwela.
• Fissurotomiya. Ukuze inqubo, udokotela wamazinyo isebenzisa ekhethekile ezithambile zikaphayini amahlathi, okuyinto kungembula inkatho izinyo 0.6 mm. Ezimweni eziningi, lokhu olwanele lokuhlonza isifo.
• Ukusetshenziswa zamazinyo caries iziphambano.

Ukuze caries esolwa oluvame ukusetshenziswa ongakhetha zokuxilonga amaningi abalwe ngenhla. Nokho, ulwazi kakhulu iyona ndlela hardware. imisebe ye-laser amazinyo nge ZaseLaki caries, asisebenzi. Idivayisi kumele isetshenziselwe kuphela izinjongo zokuxilonga.

Lapho ukuqala ukwelashwa?

Imibono ka-odokotela bamazinyo udaba buhluke kakhulu. Abanye bakholelwa ukuthi yaba amnyama phezu koqweqwe lwawo angadingi oluthile lokwelapha. Isiguli is esenikezwa izincomo ukunakekelwa kahle ngalo ingaphakathi ngomlomo, ukuze kuqhutshwe alibale ukuthuthukisa inqubo pathologic nokubhujiswa izinyo koqweqwe lwawo. Kuphela emva isifo kuzodlula ezingeni elilandelayo, kungenzeka ukuqala ukwelashwa.

Okunye bamazinyo unombono ohlukile. Bakholelwa ukuthi ebuhlungu kuyinto indawo evumayo ukuphila amagciwane adala izifo. Ukungabi ukwelashwa okufika ngesikhathi kungaholela ekubhujisweni lonke izinyo.

Ukwelashwa lesi sifo ngezindlela ezimbili - esebenzisa uphawu futhi ukusetshenziswa amathebhu ekhethekile. Zonke ezelaphayo okuhloswe ngaso izicubu carious. Ziyahlukahluka kuye kuphela endabeni yokukhetha impahla kanye nobuchwepheshe ngayo nefunda ngayo ukuma izinyo kubuyiselwa.

Uphawu izinto usebenzisa svetopolimernyh

eziyinkinga ukwelashwa kwamazinyo kuthoma nokukhishwa izicubu carious. Ngenxa yale njongo, lo burs idayimane, imvamisa ukujikeleza okuyinto angaba yizinkulungwane 30. RPS. Lokhu high speed nokusebenzisa amanzi Ukupholisa ahlinzeke inqubo kobuhlungu. izicubu okungavamile sisuswa ezingeni kwezakhiwo enempilo

In the isinyathelo esilandelayo wamazinyo etches ngalo ingaphakathi lelungiselelwe. Le nqubo lisikisela ukucutshungulwa izinyo phansi futhi izindonga ka orthophosphoric acid. I micropores akhiwa Etching bonke ubuso ngaphakathi komgodi.

Udokotela wabe osebenza laqanjwa ekhethekile - ingcina. Lokhu ingcina lugcwele yonke microcracks phezu izinyo. Futhi ukusetshenziswa kwalo kuyadingeka ukuxhuma ne uphawu impahla kwezicubu kanzima. Ngalesi kwangaphambilini esiteji kuphelile.

wamazinyo Predried igcwalisa ngalo ingaphakathi impahla ukugcwaliswa. ifomu izinyo kanye nokwenza imisebenzi yayo zibuyiselwe. Amazinyo yesimanje, ethandwa kakhulu uphawu ukukhanya, okuyinto ubizwa nangokuthi photopolymer. It libhekene ukumelana nokuhuzuka, ukuntuleka nemiphumela enobuthi emzimbeni.

Isigaba sokugcina yokuphathwa Kumiswa ezipholisha ofakwe. Ngosizo ngamabhulashi akhethekile nezinsini wamazinyo smoothes iyiphi bokungafani, maholoholo.

Ukwelashwa nge amathebhu sokubuyiselwa

Ukusebenza izinyo ogulayo cishe ezifanayo eziyalezweni ukwelashwa nokusetshenziswa kophawu. Udokotela ekuqaleni sokuzivivinya out izicubu carious kule komgodi, ukulungiselela yona ukufakwa eyinqaba mikroproteza - ukunciphisa amathebhu. Khona-ke kubangela ukwakheka ingcina ukuqeda microcracks.

Ngemva lokhu okwenziwa umbono izinyo lapho ubuchwepheshe uzokwazi ukwenza ikhophi esiqondile Gypsum endaweni yokugeza ekhethekile. Ngokulandela le-model ekhiqizwa esikhundleni ithebhu. It zingenziwa zobumba, ingxubevange isiliva noma yezokwelapha izinsimbi semiprecious. I mikroprotez okuholela igcwalisa kude ukuhlafuna ebusweni izinyo. Ngesikhathi esigabeni sokugcina wamazinyo glues ngokucophelela it on a usimende ekhethekile.

Yikuphi okungcono: kophawu noma esikhundleni ithebhu?

odokotela bamazinyo Iningi bakhetha ukunciphisa ukusetshenziswa amathebhu. Bayachaza abalithandayo silula. caries ngokuvamile awasebenzi kuphela izinyo ngokwayo, kodwa futhi ku uphawu. Ngenxa yalokho, zikhona izikhala ezincane engaholela ukuthuthukiswa amafomu yesibili lesi sifo. Uma usebenzisa amathebhu yale nkinga kungagwenywa.

Mikroprotezy ezahlukene empilo ende kuka lwezimpawu. inlays bobumba unayo i ukubukeka ekhangayo. Ngokuhamba kwesikhathi, le nto alupholi, ngokungafani lwezimpawu.

Namuhla, njalo emtholampilo wamazinyo yangasese inikeza ngamasevisi for ekwelapheni ZaseLaki caries. Ezimweni eziningi at the stage of sokubuyiselwa usebenza kusetshenziswa ithebhu okuzivuselela. Yebo, kungenzeka ukuba ngenxa yalokho, ungabona izibonelo umsebenzi odokotela bamazinyo. Cishe zonke isikhungo sokwelapha has a idokodo ne izithombe ngaphambi nangemva ukwelashwa. Ngaphezu kwalokho, ochwepheshe njalo sinikeza isiqinisekiso ku umsebenzi owawenziwa.

Kuyini izindleko ukwelashwa kwamazinyo?

Impendulo elula yalowo lo mbuzo akunakwenzeka. Esibalulekile e izindleko yokugcina yokuyelapha kukhethwa ezisetshenziswa. Ngokwesibonelo, ukwelapha caries ngophawu ukukhanya kuyodingeka ichithe ama-3 kuya ayizinkulungwane 6. Ruble. Ngaphezu kwalokho, odokotela bamazinyo kungathatha yokukhokha ngoba izinto zokubulala izinzwa.

Kuyini izindleko ukwelashwa kwamazinyo usebenzisa amathebhu okubuyisela? Kule ndaba futhi indima oqondile eyadlalwa kukhethwa impahla. Mikroprotez elenziwe ingxubevange yezokwelapha, kuzobiza lushibhe kakhulu ukwedlula sabafowabo sobumba. Nokho, lona wamuva elinesimo ukuqina enkulu kanye ukumelana ukugqoka. Kufanele kukhunjulwe ukuthi izindleko zokwelapha zizofakwa kokusebenza womshini ukhonkolo. Ngokwesilinganiso, intengo yokugcina ingahluka ku ezahlukene ayizinkulungwane 10-20. Ruble.

izinyathelo

Fissure caries - isifo kungagwenywa ngokuthatha izincomo izifo. Phakathi kwabo:

• ukuvakashelwa njalo udokotela wamazinyo. Ngesikhathi reception, udokotela kungathola zokugula incipient nengebuhlungu ukuyisusa.
• Ukuhambisana nemithetho zokucathula inhlanzeko yomlomo (usebenzisa Floss zamazinyo, kugeze).
• Sibambe le remineralization amazinyo njalo emva kwezinyanga eziyi6.
• Zinsiza calcium. Kufanele kuqashelwe ukuthi noma yimuphi umuthi kungenziwa kunqunyiwe ngudokotela.

Kubantu abanalesi isakhiwo eziyinkimbinkimbi we ZaseLaki, uma kungekho kungenzeka qualitatively ukuhlanza anemifantu, odokotela bamazinyo batusa inqubo uphawu. Kucondza isicelo esikhethekile gel inkinga izindawo amazinyo.