Umsuka canal ngokugcwalisa izinto nezindlela

Ukugcwalisa impande emiseleni - omunye izinqubo ezibaluleke kakhulu ezihlobene ukwelashwa kwamazinyo, lapho uginindela isuswe ngaphambili. Ikhwalithi uphawu kuncike degree of imiphumela yesikhathi eside yokwelashwa. I avuzayo esishunyekiwe impande umsele inqubo yentuthuko ezincane, lapho kukhona ukuvuvukala ithambo emhlabeni amazinyo. Ngaphezu kwalokho, isimo futhi kubathinta kabi umzimba wonke. Sinikeza ukuthola ukuthi yini impande canal ukugcwaliswa (izigaba nezindlela), kanye nalokho lezo zinkinga ngemva kokuhlinzwa.

Izinhlobo ezinkulu ofakwe

Umsuka ukwelashwa canal - inqubo zokuhlela izifunda engaphakathi amazinyo, okusho ukuthi ngezinga elingakanani uginindela itholakala. Isidingo sokuba le nqubo kungenxa izifo ezifana pulpitis futhi periodontitis. Ukwelapha ukuhlanza isiteshi izicubu ezonakele bese ivaliwe. Ukugcwalisa - is ngokugcwalisa umgodi nge impahla indlela ekhethekile ethile.

Le nqubo kuba zezinhlobo ezimbili:

• Okwesikhashana ukugcwaliswa impande emiseleni - non-solidifying ukugcwaliswa ingaphakathi plastic impahla (nokunamathisela), okuyinto anazo izakhiwo ezithile ukuphulukiswa. Lokhu kuyadingeka ezimweni lapho kukhona pulpitis ukugijima noma periodontitis. Khona-ke izinyo kuqala esehlanjululwe izicubu, ukugcwaliswa yesikhashana esiyizinsuku kuya ezinyangeni eziningana, futhi ukwelashwa bese ezengeziwe.
• Ukubekwa uphawu unomphela umsele impande kunjalo uma ungenayo ukubonisa izimpawu ukuvuvukala oyingozi. Le nqubo kwenziwa noma ngokushesha noma ngemva kwesikhathi.

Ukuze enze eliphezulu ukubekwa uphawu kwabangu-canal impande, kubalulekile ukwenza amalungiselelo le nqubo.

Izigaba belungiselela ukugcwalisa iziteshi

Izigaba esemqoka imi kanje:

• Ukwethulwa izinzwa.
• Ukususwa kwezicubu ethintekile.
• Ukususwa kwezimiso uginindela.
• Ukulinganisa ubude iziteshi.
• Machining.

Kwabathinta nge izinzwa wendawo kwenziwa emhlabeni indawo lapho isiguli impande umsele. Ukugcwalisa njengoba belungiselela ke - kungcono pretty ezimbi, futhi ngezinye izikhathi ngisho inqubo ebuhlungu. Ngakho-ke, ukwelashwa hhayi eyenziwa ngaphandle izinzwa.

Ukususwa kwezimiso izicubu abathintekayo simiswe ngalendlela lelandzelako: wamazinyo usebenzisa sokuprakthiza wamazinyo ahlanze indawo abavusa, ngaleyo ndlela ingxenye isuswe futhi abanye izicubu zomzimba eziphilile. Inqubo kuyadingeka ukuqeda umthombo ukutheleleka kanye ukufinyelela evulekile imilomo iziteshi. Ukususa uginindela - ukususwa nezicubu engaphakathi umqhele izinyo hhayi kuphela. Basenza yokuhlanza kanye impande emiseleni.

Iziteshi Ubude nesilinganiso ezidingekile izinga ukubekwa uphawu. Okuningi okuqukethwe yile ngxenye izinyo umuntu ngamunye abe obuphelele ezahlukene kanye degree of ugobile. Uma ukukala kahle lezi nemingcele ke kungenzeka ukuthi ngaphakathi komgodi ngeke wagcwalisa ngokuphelele, it is zanda kakhulu. Lokhu kuyophumela enkulumweni ukuvuvukala okuphindaphindiwe, kanye nokwelashwa lonke futhi.

Machining - ingenye izigaba eziyinhloko. Lapho umsele impande kubaluleke kakhulu kubekwa uphawu ingaphakathi. Ngakho udokotela wamazinyo ithuluzi ekhethekile mncane is badabula iziteshi, kanjalo wokuhlanza kubo futhi, futhi asinikeze usayizi oyifunayo, ukuze ngaphezulu uvalwe ugcwalise umgodi.

yenqubo yokugaya kukhona ezimbili zama uma ugcwalisa umsele impande:

• Uma usebenzisa amathuluzi isandla.
• Lapho usebenzisa i-ithiphu ekhethekile, okuyinto sifakwe izingxenye titanium, ngokuthi amaphrofayli. Ithuluzi ijikeleziswa e umsele impande futhi kususa swarf kusukela izindonga zayo, ngaleyo ndlela ekwandiseni inesikhala.

Ngemva kokwenza lezi zinyathelo ungaqhubeka ngqo emseleni ngokugcwalisa usebenzisa izinto ezikhethekile.

What do ofakwe

Indaba for impande canal ukugcwaliswa nsuku yesikhashana - lokhu unama. Ihlukile, kodwa ngezithako zawo ngokuvamile kuhlanganisa:

• umbhangqwana kwamaphilisi kanye ezibanzi umsebenzi elwa namagciwane kanye antifungal;
• yimuphi umuthi kunganciphisa ukuvuvukala musa kuthinte ukusabela oluvikelayo periodontal;
• yamathebhu radiopaque, ngawo ukuhlola ikhwalithi radiograph ingaphakathi ukugcwaliswa.

Zamazinyo impahla ukugcwaliswa ngoba impande canal unomphela - lokhu excipients okuqinile (fillers), okuyinto ivezwa Gutta percha nezikhonkwane, kanye kokungathembeki ukuqinisa (sealers) ezigcwala umgodi phakathi yamathebhu nezindonga siteshi.

I izikhonkwane esakhiwe ngezinto ezimbili:

• Gutta-percha - material okungukuthi uketshezi kakhulu esimweni evuthayo, futhi selehlile ozuza kuyaqina nokuqina.
• Metal (esiliva).

Kufanele kuphawulwe ukuthi izikhonkwane nesiliva elisetshenziswa amazinyo kusukela eko kwekhulu elidlule. Namuhla bajwayele kanini. Nakuba izikhonkwane okunjalo futhi zihlukaniswa izakhiwo ezinhle (owethulwa kalula futhi ekhishwe, babe radiopacity) zeluliwe ukuxhumana kwezicubu kungaholela izinqubo ukuvuvukala. Futhi ngakho beze esikhundleni izikhonkwane Gutta-percha.

Ukugcwalisa izinto ngoba impande canal ukugcwaliswa ukuhlangabezana nezidingo ezilandelayo:

• Feza kophawu okuthembekile.
• Non-anobuthi.
• Have biocompatibility okusezingeni eliphezulu.
• Yiba ikhono ongaphakeme ekuhlehleni.
• Kulula abilayo.
• Ifa rengenokontrastnostyu okusezingeni eliphezulu.
• Ungaguquli umbala izinyo koqweqwe lwawo.
• Easy ukususa uma kunesidingo.

Injani ukugcwaliswa

Kufanele kuqashelwe ukuthi namuhla imitholampilo zamazinyo, zikhona izindlela elandelayo empandeni canal ukugcwaliswa:

• Esebenzisa nokunamathisela bushelelezi, okuyinto ixubene ukuthola powder akhethekile ketshezi. Umsuka canal ukugcwaliswa kulokhu ukugcwalisa ngaphakathi komgodi ukwamukela impahla pasty. Lusebenza laqanjwa enjalo lapho kukhona kakhulu lwalugobile futhi ayibanzi impande umsele.
• Indlela omunye pin.
• Indlela ukufingqa lateral.
• Ukusebenzisa "ukushisa isibhamu" uhlelo.
• indlela depoforeza.
• Ukusebenzisa ashisayo Gutta percha.
• With ukusetshenziswa uhlelo E & Q Plus.

Zonke izindlela, ngaphandle lokuqala, ezihilela ukusetshenziswa izinto esiqinile uphawu kanye / noma izikhonkwane. Ukusetshenziswa indlela ethile yokwelashwa akuxhomekile nje kuphela esimweni amathuba zezimali esiguli, kodwa izici yokwakheka kwamazinyo aso.

izindlela uphawu azigcini nje indlela ukugcwalisa impande canal ingaphakathi, kodwa futhi ijubane inqubo, umphumela ukuqina kanye nezindleko. Cabanga indlela ngayinye ngokwehlukana.

Indlela omunye pin

Umsuka canal ngokugcwalisa izikhonkwane - ukwelashwa lalivamile. Le nqubo kanje: e umsele impande yethulwa nokunamathisela hardenable hhayi kuphela, kodwa futhi pin. Umsebenzi wayo - bonyana batshidze impahla ukugcwaliswa futhi ayihambise izindonga isiteshi njalo ngezikhathi ezithile. Le ndlela ithembeke kunokwelapha lapho ukunamathisela isetshenziswa.

Ukuze impande canal ukugcwaliswa yethulwa pin okuyinto Yenziwe Gutta-percha. Kuyinto umkhiqizo okubangelwa ukucutshungulwa latex izitshalo ezishisayo. Ifomu osuke usushisa kakade material esinjalo sashintsha futhi selehlile - futhi Uqinisa esimweni okuqinile nokunwebeka.

Indlela ohlangothini (lateral) ushintsha uba yileli

Kulokhu, udokotela wamazinyo isebenzisa esikhundleni sealer unama (sealer). Ake sibheke indlela okubukeka ngayo izigaba indlela ukubekwa uphawu ngesikhathi ukufingqa lateral:

• Kubekwe pin isikhungo.
• Nge ezengeziwe amaphuzu ephepheni omisiwe uphawu endaweni, okwathi ngemva kwalokho babuyela zisusiwe.
• Faka sealer.
• Faka iphinikhodi main futhi azixoshe ke odongeni.
• Ibe izikhonkwane ezengeziwe nazo oyi-baphathwe sealer.
• I ingaphakathi asele ligcwele sealer ukuqedela uphawu.
• impahla okweqile isuswe, enika ukuma engokwemvelo ebusweni izinyo.
• Gutta-percha iwukufingqwa emlonyeni isiteshi.
• Udokotela wamazinyo uchitha ekupheleni izinyathelo zokwelapha ku ngalo ingaphakathi ngomlomo.

Ngenxa yalokhu kwelashwa hhayi kuphela izuzwe lokuvala okunokwethenjelwa ngokwanele we foramen apical, kodwa ukugcwaliswa ephelele lonke impande canal ingaphakathi.

Indlela ezihilela ukusetshenziswa "Thermo" uhlelo

Thermophile - ke Isekela eyenziwe ngepulasitiki, okuyinto isicelo kwi percha Gutta. Ngalesi indlela, izinyathelo ezilandelayo kuyenziwa:

• Njengoba yenziwe impande canal ligcwele esincane sealer.
• Inkampani yenethiwekhi ukufuthelana esithandweni akhethekile afakwe ngalo ingaphakathi.
• Induku ezisalayo isikiwe.

Ngakho, percha osuke usushisa kakade has fluidity okusezingeni eliphezulu futhi esigcina sigcwele isikhala yonke we-canal impande. Inzuzo enkulu yale ndlela ukuthi ukugcwaliswa akuyona kuphela esemqoka impande emseleni, kodwa futhi ohlangothini tubules. Futhi, inqubo kuhle ezisheshayo imiphumela ezinokwethenjelwa.

Ububi indlela usebenzisa "Thermo" zalesi simiso kuphela ukuthi okokusebenza ukugcwaliswa ngokuvamile ngaphesheya iziteshi.

Izinzuzo esemqoka le ndlela zimi kanje:

• ezingeni lelisetulu uphawu ubuqotho;
• ingozi encishisiwe ukuvuvukala yansukuzonke;
• ubuthi sakugcina;
• emva inqubo ukugcwaliswa buhlungu;
• inqubo kwelashwa ngempela fast.

Indlela uphawu depoforeza

Isetshenziselwa ezimweni iziteshi kanzima futhi lwalugobile, kanye nalezo kakade iphathwa ngaphambili. Indlela liqukethe yokuthi elinegama elifanayo ithuluzi owethulwa izidakamizwa ngokugcwele uhlelo impande umsele. Eqinisweni, umgomo wakhe - ukuqedela inzalo.

Ezimweni ezinzima depoforeza uphawu inqubo wenziwa izikhathi eziningana ngezikhawu amaviki amabili. Izinzuzo le ndlela itholakala lokuthi ukuthi umphumela ukwelashwa siphezulu kunamanye zonke ezikhona, ukulondolozwa nobulukhuni izinyo, kwaphela iminyaka eminingi akukho ukubhujiswa izicubu amazinyo nge uginindela isusiwe. Kodwa okubaluleke kakhulu - ngenxa inzalo ingozi bathelelane kuyehla kube zero. Ububi kunemidanti izindleko zalo okusezingeni eliphezulu.

Indlela usebenzisa Gutta esishisayo

Sebenzisa ashisayo Gutta-percha izindlela ezine:

• Ngomjovo Gutta-percha.
• ukufingqa okumile.
• wave okuqhubekayo.
• Ukusebenzisa isipetu.

impande canal ukugcwala Gutta-percha umjovo kuhilela ukusetshenziswa ukuze agcwalise umgodi we indaba eliwu degrees 200. Welulela kulo lonke ingaphakathi, kanjalo kahle ngokugcwalisa wakhe.

Kuqondile ukufingqa ndlela kunalokho xaka futhi eside. Siqukethe izinyathelo ezilandelayo:

• I ingaphakathi olungiselelwe ibekwe ukuba izinga lokushisa wayefisa impahla evuthayo ngoba uphawu impande emiseleni.
• Khona-ke oqondiswe ekufezeni tubules apical futhi izimbobo lateral.
• Ngemva uphawu ephelele Ingcenye ephakathi ufakwa othambile Gutta percha.
• impahla okweqile iyasuswa.

Ngenxa le ndlela, isikhala ngakuthathu ugcwele, le Gutta-percha isetshenziswa ngangokunokwenzeka, futhi sealer - ubuncane.

okuqhubekayo wave indlela - ukushintshashintsha indlela yangaphambilini ye uphawu. It unezigaba ezimbili:

• Umsele impande ibekwe pin emaphakathi okuyinto osuke usushisa kakade ukuba degrees ezingamakhulu amabili, futhi ahlukaniswe wesithathu maphakathi.
• Wazethula izikhonkwane ngaphezulu usayizi ofanayo, kodwa sebevele sekuqala ukufudumala angaba yikhulu degrees.

Isici ehlukile, okwenza le ndlela ungcono ngowokuqala, wukuthi le nqubo elula, futhi uphawu umnyuziki efanayo.

Indlela yokwazisa Gutta-percha usebenzisa isipetu inikeza lula futhi rapidity. Kodwa ngokugcwalisa ohlangothini ijabulise kulokhu ingekho. Futhi ngezinye izikhathi impahla ngokugcwalisa awufiki phezulu umsele impande. Ngenxa yalokho, umsebenzi ngokuvamile kufanele uzenze

Indlela usebenzisa uhlelo E & Q Plus

E & Q Plus uhlelo - ekhethekile umjovo isibhamu nge tip kanye Imibhobho esemzimbeni ahlukahlukene. Ngenxa nalokho Gutta percha kungaba eliwu izinga lokushisa oyifunayo e umsele impande. Ngakho, kukhona kancane kancane unomphela uphawu impahla. Ngenxa yalokho, ukubekwa uphawu etholwe ngakuthathu.

Ukuphelelisa inqubo futhi angasebenzisa isibhamu, noma asebenzise indlela we ukufingqa mpo. Indlela ka uphawu nge E & Q Plus uhlelo ibona omunye bamazinyo engcono namuhla. it is ke livame ukusetshenziswa.

ukuvuvukala Okungenzeka nokwelashwa ngenxa yezinkinga emva uphawu

Kaningi, emva inqubo empandeni canal ofakwe, iziguli esekhala ubuhlungu izinyo belashwa. Lokhu akusho ukuthi kukhona okungalungile. Ekuqaleni, ungazizwa lutho ngenxa lokungeniswa ngokusungula indlela yokubulala izinzwa. Khona-ke, uma ugqoke off, kubonakala izinqubo zemvelo. Emva ukugcwalisa - a kokungenela third-party.

Ubuhlungu izinyo kungaba degrees obuhlukahlukene. Ngokuvamile, udokotela wamazinyo esixwayisa ke futhi zibeka ezinye imithi noma abantu amakhambi ongakhetha kuzo, okufanele zithathwe uma ubuhlungu obunzima. Ngokuvamile lesi sifo waphawula usuku ezimbili.

Uma ubuhlungu, noma bangase babe, ngicela ungadluli, kubalulekile ukuba kabusha wenze sibonane nodokotela wakho. Kukhona kungenzeka yezinkinga. Vakashela izindleko wamazinyo futhi uma izinyo ukuqaqamba isikhathi eside noma kuphela uma iluma kubuhlungu, futhi uma ezivuvukele.

Ngezinye eyalandela uvakashele udokotela kufanele bente loku lokulandzelako:

• Yenza ukuhlolwa okubonakalayo ethintekile ingxenye.
• Yenza radiology zokuxilonga, lapho ufuna ukuhlola isimo empandeni mafutha anciphisa isikhala esingaphakathi.

Uma perforation kwenzeka, isiguli bayothola ubuhlungu obukhulu, futhi uzoqhubeka igazi nokuwa ithuluzi. Kulokhu, baphinde ukugcwaliswa kumelwe zenzeka sekuvele ingaphakathi.

Isikhathi esining impela, kodwa kukhona izimo lapho ithuluzi yokwelapha yokuqala Uphule. Ukuqhubeka umsele impande, ke icuphe izinqubo ukuvuvukala ukuthi ahambisana ubuhlungu. Ungabona izinsalela ithuluzi ku-X-ray. Lahla inkinga kungenzeka kuphela ngemuva ukususwa izinyo.

Kwezinye izimo, ukuvalwa okungafanelekile kwenziwa. Kungase kube khona izikhala ezisele zingagcwaliseki. Khona-ke lokho okushicilelwe kukhishwa, umsele womcibisholo uhlanzwa futhi uvalwe kabusha. Kumele kuqashelwe ukuthi ngokuhamba kwesikhathi kuyodingeka ukuthi esikhundleni senyosi kube ne-bridge noma ibhuloho. Isilinganiso sokuphila kwamazinyo nama-canals okuphulukisiwe aphakathi kweminyaka eyishumi nanhlanu.