Bakutshelile
ukuthi izinyo alikwazi ukukhishwa.
Singakusiza.
Amazinyo okuhlakanipha athintekile, izimpande ezifakwe i-calcium, iziguli ezithola ukwelashwa kwe-anticoagulant, amacala asevele enqatshiwe.
UDkt. Cozzolino uyayamukela imikhiqizo enzima kakhulu neyingozi evela emhlabeni wonke.
Ubani owenza inqubo yokukhipha?
Icala ngalinye lokuhlinzwa eliyinkimbinkimbi lilandelwa ngqo nguDkt. Fabio Cozzolino , alinikezwanga abalingani.
Waphothula izifundo zakhe ze-Dentistry and Dental Prosthetics ngemiklomelo , udumo oluhloniphekile, kanye nemiklomelo yokunyathelisa, eneminyaka engaphezu kwengu-30 yesipiliyoni sezokwelapha ekuhlinzeni ngomlomo, ekufakweni kwe-implantology, kanye nase-periodontology. Uneziqu ze-PhD ekuvuselelweni kwamathambo. Wathuthukisa inqubo ye -EWF (Extraction Without Forceps) , echazwe kumagazini wesayensi i-Zerodonto futhi wacaphuna ku-Wikipedia njengereferensi yokukhishwa kwamazinyo okuhlakanipha okungenabuhlungu.
Ezimweni zokuhlinzwa eziyinkimbinkimbi, usebenzisa indlela esekelwe ekuxilongweni okuphelele kwangaphambi kokuhlinzwa: akukho nqubo ehleliwe ngaphandle kokuqonda kuqala ukuthi yini engaphansi kwezinsini nethambo. Ezigulini ezinezifo ezibalulekile zesistimu, usebenzisana eduze nochwepheshe.
Amacala ayinkimbinkimbi esiwasingathayo
Akuwona wonke amacala okukhishwa ayinkimbinkimbi futhi ayingozi aphathwa ngendlela efanayo. Lawa alandelayo, ongawafunda kuleli bhokisi, adinga ukuhlela ngemisebe, imishini ethile, kanye nolwazi oluqinile lokuhlinzwa. Kungale ndlela kuphela lapho singaqhubeka khona kahle.
Amazinyo okuhlakanipha athintekile
I-molar yesithathu isesimweni se-mesio-angular, evundlile, noma ekude. Ukusondelana ne-alveolar nerve ephansi kuhlolwe ku-CBCT ngaphambi kokungenelela.
Izimpande ezithambile noma eziqinile
Izimpande ezifile, ukwelashwa kwangaphambilini kwe-endodontic, noma ukugoba okukhulu. Indlela yokuhlinzwa igwema ukwaphuka okwenza inqubo ibe nzima.
Iziguli ezithola ukwelashwa nge-anticoagulant
I-Warfarin, i-NOAC, i-ASA yomthamo ophansi. Ukuphathwa kwe-INR ngaphambi kokuhlinzwa ngokubambisana nodokotela olaphayo, izinqubo eziqinile zokuhlanza igazi endaweni.
Guarda amathuluzi esiwasebenzisayo
Nakhu esikusebenzisayo emtholampilo wethu wamazinyo ekukhipheni izinyo okuyinkimbinkimbi.
Indlela okwenziwa ngayo lo msebenzi
Ukukhishwa kwezinyo okuyinkimbinkimbi kunqunywa isikhathi eside ngaphambi kokuvula umlomo ukuze kuhlinzwe. Indlela ejwayelekile ye-Cozzolino Dental Practice yamacala anzima isekelwe ekuqondeni nasekuphepheni okuphezulu.
Ukuvakasha kokuhlola
Ukuhlolwa kwezokwelapha, umlando ophelele wezokwelapha, kanye nomlando wemithi kuthathwa ngaphambi kwanoma yini enye.
Ukuxilongwa kwezithombe
I-OPT + CBCT eyisisekelo ezimweni lapho indawo yempande idinga imephu enembile ye-3D yomsele we-mandibular.
Uhlelo lokuhlinzwa oluzinikele
Ukukhetha indlela yokwelapha (njengendlela ye-atraumatic EWF), uhlobo lokubulala izinzwa noma ukudambisa ubuhlungu okungenzeka, ukuphathwa kwemithi ngaphambi nangemva kokuhlinzwa.
Izinhlobo ezintathu zokukhipha okuyinkimbinkimbi
Ukufakwa ku-mucosa
Izinyo seliqedile ukukhula kwalo kodwa lihlala limbozwe kancane noma ngokuphelele yizicubu zezinsini. Le nqubo idinga ukusikwa okuncane ukuze kuvele umqhele, kulandelwe indlela yokuhlinzwa engangenisi kakhulu futhi engasebenzi kahle.
Ukufakwa kwamathambo
Izinyo livaleleke ngokuphelele noma ikakhulukazi ngaphakathi kwesakhiwo samathambo esingezansi noma esingaphezulu. Lidinga ukuhlela okunembile kwe-3D kanye nokusetshenziswa kobuchwepheshe be-sonic ukuhlukanisa amazinyo ngaphandle kokulimaza i-alveolar nerve engaphansi.
Izinyo eduze kwenzwa
Izimpande zitholakala eduze noma zithintana ngqo nomsele wezinzwa ongaphansi kwe-alveolar. Lesi simo sidinga ucwaningo lwe-CBCT ngaphambi kokuhlinzwa ukuze kuhlolwe indlela yezinzwa futhi kusebenze ngemingcele yokuphepha okuphelele.
Ngaphezu kokukhishwa kwamazinyo athintekile, ukuhlolwa kwamazinyo athintekile kancane kungadingeka.
Singakusiza, samukela futhi amacala ayinkimbinkimbi.
Ukuphathwa kwangemva kokuhlinzwa
Amahora okuqala angu-24
Emahoreni alandela ukuhlinzwa, kubalulekile ukukhuthaza ukwakheka kwamahlule okufanele. Kunconywa ukufaka iqhwa njalo, njengoba kunjalo nangokubhema, utshwala, nokuhlanza umlomo ngamandla, ukuze kugwenywe ukuwohloka kwendawo elashwe kuyo.
Ukudla Okunomsoco: Ezinsukwini zokuqala ezimbalwa, khetha ukudla okuthambile, okubandayo noma okushisayo, ugweme ukudla okushisayo noma okunongwe kakhulu.
Ukuphumula kanye nomsebenzi
Gwema umsebenzi onzima womzimba kanye nemidlalo emahoreni okuqala angu-48 ukuze uvimbele ukushintsha komfutho wegazi kanye nokopha. Kunconywa ukuhlolwa kwezinsuku eziyi-7, ukususwa komthungo, kanye nokulandelela. Abasebenzi bazotholakala ngocingo ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa.
Ukwelashwa ngezidakamizwa
Phuza imithi yokubulala izinhlungu noma ama-antibiotic anqunyiwe ngokulandela ngokucophelela iziqondiso nezikhathi ezinconywe yilolu cwaningo, ngaphandle kokulinda ukuthi ubuhlungu bube bubukhali.
Ukulawula ukuvuvukala
Ukuvuvukala okuncane noma ukuvuvukala kuyindlela evamile yokuvuvukala futhi kufinyelela emahoreni angama-24 kuya kwangu-72, bese kuphela ngokuzenzakalelayo ezinsukwini ezilandelayo.
Ukuphathwa Kwamaphuzu
Uma kufakwe izithungo, zizohlolwa noma zisuswe ngesikhathi sokuvakasha okulandelayo okuhleliwe ezinsukwini eziyi-7 ngemuva kokuhlinzwa, ngaphandle kokuthi kusetshenziswa izithungo ezimuncwayo.
Yiziphi izingozi ezihlobene nokukhipha okuyinkimbinkimbi?
Izingozi eziyinhloko zifaka phakathi ukusondela ezakhiweni ezibucayi zomzimba, njenge-inferior alveolar nerve yamazinyo aphansi (ingozi ye-paresthesia yesikhashana noma ehlala njalo) noma i-maxillary sinus yamazinyo angenhla (ingozi yokuxhumana kwe-oro-antral). Kodwa-ke, ukusetshenziswa okuhlelekile kwe-3D diagnostics (CBCT) kanye ne-selective sonic handpieces kunciphisa kakhulu la maphesenti engozi, okuqinisekisa ukuvikelwa okuphezulu kwezicubu ezibucayi.
I-Domande Frequenti (FAQ)
Ukubuyekezwa kokukhishwa okuyinkimbinkimbi
Izinyo lokuhlakanipha elithintekile
"Amahhovisi amathathu angitshele ukuthi umthambo wami useduze kakhulu nomthambo futhi kwakudingeka ngiye esibhedlela. UDkt. Cozzolino wangihlola nge-CT scan, wangichazela isimo, futhi wangihlinza ehhovisi lakhe ngaphandle kwezinkinga."
Isiguli ekwelashweni nge-warfarin
"Bengilokhu ngithatha i-Coumadin iminyaka eminingi, futhi akekho owayefuna ukungithinta. Baxhumane nodokotela wenhliziyo, baphatha i-INR yami, futhi bachaza konke isinyathelo ngesinyathelo. Ukwelashwa ngemuva kokuhlinzwa kwakuphelele."
Ingcezu yempande eseleyo
"Impande ephukile ngesikhathi sokuzama ukukhipha igciwane elidala. Iminyaka emibili yokwesaba, kodwa ekugcineni ngenza isinqumo. Ukuhlinzwa kwathatha imizuzu engama-40, futhi ukululama akuzange kwenzeke."
Udinga ukukhishwa kwezinyo?
Thola ukuthi inqubo enikelwe ekukhipheni okunzima ingenza kanjani isipiliyoni sakho sisheshe, siphephe futhi singabi buhlungu.