Ukwelashwa Endodontic amazinyo. izigaba endodontic

namazinyo babantu bafuna ukunakekelwa okukhethekile ukuphila kwabo konke. Ngenxa yesimo sabo kuncike empilweni kahle kwezitho zethu zangaphakathi, ikakhulukazi amathumbu. Abakwazi kokubili ezisivimba ukutheleleka futhi izidleke kuwo. ukungakhululeki Special kusiletha izinyo ngiyaqaqanjelwa. Sizwa ubuhlungu ngesikhathi ayengakaze ahlangane nabo ke ukudla kushisa noma kubanda, onoshukela noma anosawoti. Lapho enza ubuhlungu amazinyo, kufanele axhumane ngokushesha ne-specialist, udokotela wamazinyo, njengoba izimpawu sobala zingase zibe Indlela Usuqhubekile lesi sifo ngaphakathi izinyo. Kulokhu, lo zokwelapha ezikhethekile, enye yazo ukwelashwa endodontic.

Yegatsha wodokotela bamazinyo - endodontics

Endodontics - kule ndawo amazinyo ukukhalima, igxile ekwelapheni izifo sokuvuvukala uginindela izinyo futhi izicubu ezizungezile sokudlondlobala impande - periodontal. Igama elithi "impatho impande canal" lisuselwa emagameni amabili: "Endo" kusho "ngaphakathi" futhi "odonto" - "izinyo".

Kuyini ukuphathwa endodontic?

ukwelashwa Endodontic - iqoqo izigaba ezilandelanayo ukwelashwa ngokushesha, okuhloswe ngalo ekulondolozeni izinyo. Esimweni esinjalo caries ezivamile yezinkinga ezifana pulpitis noma periodontitis, kudingekile ukusebenza ngqo ngaphakathi izinyo. Ukuba yinkimbinkimbi kwayo le ndlela yokwelapha wukuthi ivolumu sangaphakathi izinyo kungaba encane kakhulu emiseleni imvume impande ngokuvamile mincane ukuze kunzima ngisho ukuthola. Uma izimpande kuthiwa engonxantathu futhi esitshekile ngezinyo, ukuvulwa umlomo nganoma yisiphi isizathu lilinganiselwe, endodontics iba aerobatics amazinyo yesimanje. Kudinga wamazinyo nakho okukhulu futhi umuzwa, futhi ifa ezihlukahlukene ukusetshenziswa kwezindlela zobuchwepheshe obuphambili ukuxilongwa kanye nokwelashwa.

ukuphathwa Endodontic amazinyo - izinkomba

kuyizinkomba zokuthi salokhu ukwelashwa:

1. Zonke izinhlobo pulpitis, awekho ngaphansi begazi, impatho olandelanayo.
2. periodontitis oyingozi futhi ezingalapheki.
3. Isidingo retreatment ngaphambilini olwenziwa emva kokwelashwa endodontic.
4. Ilungiselela izinyo emkhakheni wezitho zokwenziwa copings.
5. Amalungiselelo imiqhele wokufakelwa zidinga abalulekile Sanding kanzima izinyo kwezicubu (kuhlanganise ne emthambekeni abalulekile noma ukuphromotha izinyo emhlathini).
6. ukwelashwa Endodontic kuboniswa futhi ngesikhathi amalungiselelo intracanal izinyo mhlophe.
7. Ukwelashwa ezinyweni ukwa, okwaholela ukulimala uginindela noma ukufa kwakhe.

Ingabe kukhona Izimo kule nqubo?

Izimo endodontic impande ukwelashwa canal zingahlukaniswa ngamaqembu amabili: ngokuphelele futhi isihlobo.

Izimo Kuphelele:

• isifo periodontal, okuyinto ayikuvumeli ukusindisa ngezinyo;
• uma izinyo kuyinto zisuswe nangenxa yezinye izizathu (supernumerary isendaweni engalungile kule dentition noma ukwelashwa orthodontic ukuthi kumele okuseduze ukususwa ezinyweni yizinkomba orthodontic, njll);
• ukwa longitudinal of impande izinyo ;
• khona izinhlumba engakutholanga ukwelashwa ngoludala noma kuhlinzwa we kwetinhlavu esifundeni izinyo impande (osteomyelitis, Oncology, njll ..);
• isimo esibi jikelele isiguli njengoba contraindication yokwesatshiswa ezifana iziteshi ukwelashwa endodontic.

Izimo Isihlobo:

• ugobile abalulekile umsele impande;
• Umsuka canal isimiso (akukho imvume, khona kanzima ukugcwaliswa impahla);
• Bukhona mafutha anciphisa isikhala esingaphakathi empandeni canal lezinto angaphandle, ezifana izingcezwana amathuluzi;
• perforating odongeni impande;
• izingxabano esiguli, ukungafuni kwakhe ukwelapha izinyo.

Izinjongo bezingelwa udokotela ngalesi zokukhwabanisa

Izinselelo ezibhekene wamazinyo lapho uchitha endodontic ukwelashwa impande canal ingahlukaniswa ezindaweni ezilandelayo:

1. amathuluzi Oyinyumba futhi izinto zokwakha.
2. Kwemihlambi izinyo isiguli kusukela ngamathe ngesikhatsi kokuhlinzwa.
3. Quality esinqunyiwe noma ukususwa ephelele uginindela elikhanyayo noma kuqedwe nciphisa yayo.
4. Impi yokulwa izilokazane ezincane pathogenic ngaphakathi izinyo futhi isihloko impande.
5. Ikhwalithi kanye ukunwetshwa okuphephile umsele impande.
6. Okugcwele impande canal ukugcwaliswa zonke ivolumu yabo, okwesikhashana noma unomphela.
7. Ukulawula ikhwalithi yokuphathwa zonke izigaba zalo.

Ukulungiselela impatho enjalo

ezidingekayo ukuze usingathe luhlolo umnyuziki belungiselela ukwelashwa canal endodontic: Ihlahlubo ukuhlela ngezigaba oluzayo we kokungenela. Kuphoqelekile ukutadisha kwangaphambilini ze-X ray. Ulwazi wathola kumele lucidly lidluliselwe isiguli. Uma kuzoba sobala kubo bonke izikhathi ezibalulekile ukuphathwa ingafiki, isiguli wasayina unolwazi idokhumenti kwemvume.

Kubalulekile futhi ukuba uqinisekise kusengaphambili ukuthi azikho Izimo isiguli ukuba emazingeni ahlukahlukeneko wendlela yokwelapha ingafiki, ikakhulukazi ubuhlungu ukuphathwa eliyifa. In the ukungabikho ukwaziswa okunokwethenjelwa mayelana ukungabi khona yokungezwani komzimba ukuze imithi yokubulala izinzwa kuyadingeka ukuze ukuqhuba yokungezwani komzimba ukuhlolwa, ubheke isiguli udokotela, Udokotela awe-aleji.

Kanjani ukwelashwa endodontic?

Ukwelashwa olwenziwa ngaphakathi ngezinyo, kumele kwenziwe ngokukhethekile odokotela abaye bathola ukuqeqeshwa okukhethekile, kuqinisekiswa isitifiketi efanele. Lapho ekhetha indlela udokotela izinzwa ubophekile ukuba ukhethe izidakamizwa ephumelela kunazo, kucatshangelwa izici kungenzeka isiguli - khona ukukhulelwa noma izifo esimiso senhliziyo nemithambo yegazi, umzimba wakho uxabana imithi ethize nokuningi.

Phakathi ukwelashwa, udokotela ngokuqhubekayo uqaphe impilo jikelele isiguli, kumele kube ukulungele nganoma yisiphi isikhathi ukuze uphazamisa ukuphathwa esiyinhloko yosizo oluphuthumayo.

Kubalulekile kakhulu ngesikhatsi ukwelashwa ukusebenzisa ezengeziwe izindlela ukuxilongwa kanye therapy. Isicelo X- noma locator isihloko evumela ngokunembile inqubo impande emiseleni, ukunciphisa ingozi yokulimala impande izindonga nezicubu emhlabeni iziqongo izimpande, iziteshi baqonde noma pereplombirovaniya nokunye.

Kuphoqelekile iziguli isixwayiso mayelana nokwenzeka yezinkinga ezihlukahlukene futhi kukhathaze ngayo ngemva kokwelashwa. Kuyinto efiselekayo ukucacisa basebentisa idatha leniketiwe ngaphambi inqubo, kuyokusiza isiguli anqume ukuthi kokungenela futhi unike nokuzethemba okwengeziwe izenzo udokotela.

izigaba ukwelashwa

Zonke izigaba ukwelashwa endodontic zingahlukaniswa zibe izinyathelo ezintathu:

1. Ilungiselela ukufinyelela imiselekazi impande. Kulesigaba izinzwa, zonke nonviable izicubu excision ingaphakathi, isinqandakuvunda njalo ayeba.
2. Ukusebenza impande emiseleni, kute balungiselelwe uphawu unomphela. Udokotela zolimo ku imiselekazi impande, kususa okuqukethwe kwabo, kuhlanganise ungqimba ezithathelwanayo kusukela izindonga, kwandisa iziteshi imvume ngoba kungenzeka ukubekwa uphawu olwengeziwe. Ukuba khona njalo ikhambi isinqandakuvunda e mafutha anciphisa isikhala esingaphakathi we emiseleni impande ngesikhatsi ukwelashwa endodontic, njalo!
3. Ngemva kokugeza nokuqeda ukuvuvukala ezingcolisa ahlukahlukene uyivale emiseleni impande. Izindlela ukugcwaliswa incike uphethwe kanye neziqu kadokotela. Lapho beqeda ukulawula ze-X ray kumele kwenziwe. Ukukhethwa indlela yokutakula obengeziwe engxenyeni engaphandle ye-izinyo kuphinde nalabaya nesineke.

ekwelapheni periodontitis

ukuphathwa Endodontic ka periodontitis kuhilela omunye esiteji - yokwelapha zaapikalnuyu. Ngemva kokulungiselela ofakwe impande canal kuzo ukuba okwesikhashana izidakamizwa, kancane okukhipha emgodini apical agcinwe, bangalwa ngempumelelo ukutheleleka. Ezisetshenziswa kakhulu le njongo amalungiselelo esekelwe calcium hydroxide.

Uma kwenzeka yezinkinga ukuvuvukala periodontal kumiswa granulomas noma izinhlumba ukushumeka izidakamizwa kungaba liphindwe. Uma kudingekile, ngaphezu ukuphathwa endodontic wenziwa ukususwa kuhlinzwa ka sokudlondlobala futhi odongeni simila.

Izinkinga phakathi zokukhwabanisa

Yezinkinga njalo kakhulu ukwelashwa endodontic ezilandelayo:

1. Ukwaphuka we ithuluzi inesikhala impande umsele.
2. Perforation odongeni izimpande.
3. Nondetection ezengeziwe impande umsele.
4. ndima enganele umsele impande.
5. Nedoplombirovka impande umsele noma ukususwa ngokweqile impahla ukugcwaliswa ngale impande.
6. ukugcwaliswa Akuphelele we Isikhala sayo esingaphakathi impande emseleni, okuholela resorption we ukugcwaliswa impande.
7. Ukubukeka ubuhlungu kanye / noma ukuvuvukala ngemva kokwelashwa.

Lapho izikhalazo noma uma uzingela lezi yezinkinga ukwelashwa endodontic kuboniswa okuphindaphindiwe. I sewaranti elicacisiwe inkontileka, retreatment imahhala. ukwelashwa okuphindaphindayo esiyolandelwa ngokugcwele noma ngokwengxenye, nge pereplombirovaniem kuphela lezo ziteshi lapho angahlangani itholiwe.