Ukuhlanjululwa kweengcambu zomngcipheko kuyinkqubo enoxanduva kwaye kufuna amanyathelo amalungiselelo athile. Ngokuqhelekileyo, umsele ungenziwa ngexesha lokunyanga kwamazinyo aphethwe yi-caries, ukuvuvukala kwe-pulp kunye ne- periodontitis .
Ukulungiselela ukuzaliswa
Le nkqubo inezigaba ezibalulekileyo ezibalulekileyo, ukugcinwa kwethekhnoloji leyo eya kuba isiqinisekiso senkqubo eyenziwe ngokufanelekileyo:
- Ukususwa kweethambo ezinonakele.
- Ukususwa kwe-pulp (izicubu ezinxibelelwano, kunye nokufakwa kwegazi kunye neempahla zelomfini).
- Ukuqhuba uviwo usebenzisa i-X-ray izixhobo ukucacisa ukuhlanganiswa nokujongwa kweengcambu zengcambu.
- Ukucoca, ukulinganisa iindonga nokwandisa iziteshi kunye nezixhobo ezizodwa.
Iintlobo zokuzaliswa
Ukutyalwa kweengcambu zomngcipheko kunokukwenziwa okwethutyana. Olu hlobo lokutywinwa lisetyenziswe kwinkqubo yokuvuvukala kwimizimba efuna unyango ngokusetyenziswa kweedesti ezizodwa. Izinto eziqulathekileyo zingaqukatha:
- antibiotic;
- i-corticosteroids ;
- metronidazole okanye i-calcium hydroxide.
Zibekwe kwisigxina esivuthayo kwaye ukuzaliswa kwexeshana kweengcambu zengcambu zenziwa.
Kwimeko apho kungekho unyango olongezelelweyo olufunekayo, ukuzaliswa ngokusisigxina kweengcambu zengcambu kwenziwa ngokukhawuleza. Kule meko, umzila olungiselelwe uphathwe ngeCresophene okanye kwiParkan (izicombululo-izibulala-disinfectants).
Izindlela zokutywinwa
Kukho iindlela eziphambili zokutywinwa umgca weengcambu:
- kunye nokusetyenziswa kwamagqabantso akhethekileyo angamazinyo;
- usebenzisa ipini engenziwa kwi-gutta-percha, i-titanium, ngokungaphantsi kwesilivere;
- indlela edibeneyo, kunye nokusetyenziswa kwendlela efanayo kunye ne-pinte (i-Thermophil system);
- ngoncedo lwamaqanda kunye ne-gutta-percha evuthayo.
Izinto zokufaka uphawu
Izixhobo zokutywinwa kweengcambu zomngcipheko kufuneka zihlangabezane neemfuno eziliqela:
- zomelele ngakumbi kwaye zingabonakali phantsi kweempembelelo ze-organic and tissue liquids;
- nga lunganga;
- i radiopaque;
- Musa ukuvusa ukucaphukisa kunye nokuphendula.
Kwimihla yamathambo enamhlanje egciniweyo yokuzaliswa komngcipheko usetyenziso:
- silym poleric;
- i-ionomer glass cements (edlalwa rhoqo kwiiyobisi zamathambo);
- polydimethylsiloxane;
- simente nge-calcium hydroxide.
Izindlela zokumisa umzimba kunye nokuzalisa umxube we-resorcinol-formalin nazo ziqhelekile. Okwangoku, ezi ndlela sele ziphelile kwaye ayisebenzisekanga.