Nceda ugcine iintsini zakho ziphilile: Masifunde ngenkonzo yeengcali zamazinyo ebizwa ngokuba yi-(Periodontics)!

Ngaba wakha waliva igama elithi `(Periodontics)`? Mhlawumbi ugqirha wamazinyo ukuxelele ngalo, okanye mhlawumbi ubucinga ngalo kuba unengxaki yeentsini. Yintoni `(Periodontics)`? Lingayinceda njani impilo yomlomo wakho? Masithethe ngayo yonke into ngendlela elula onokuyiqonda.

Yintoni kanye kanye `(Periodontics)`?

Ngamafutshane, `(Periodontics)` lolunye uhlobo olukhethekileyo lwezonyango zamazinyo. Eli gama lenziwe ngamagama amabini esiGrike: `peri` lithetha `around` kwaye `odont` lithetha `tooth`. Emva koko, `(Periodontics)` lisebe elinyanga umonakalo kunye nezifo kwizicubu ezijikeleze amazinyo akho, njengeentsini kunye nethambo elizixhasayo. Umzekelo, izinto ezinje ngokulahlekelwa ngamathambo, ukuncipha kweentsini, kunye `(periodontal)` lithetha `isifo seentsini`.

Yintoni umahluko phakathi kogqirha wamazinyo oqhelekileyo kunye nogqirha wezifo zamazinyo?

Cinga ngale nto, ukuba uhlala ufuna ukucocwa amazinyo akho, uvalwe umngxuma, okanye ufake isithsaba okanye ibhulorho emazinyweni akho, yiya kugqirha wakho wamazinyo oqhelekileyo. Ngabo abenza olu nyango lusisiseko noluthintelayo. Ukuze ube ngugqirha wamazinyo oqhelekileyo, kufuneka ugqibezele isidanga samazinyo seminyaka emine.

Kodwa, uthini `(uGqirha wezifo zamazinyo)`? Ingcali kwizifo zeentsini . Bagxila ekunyangeni iimeko ezichaphazela izicubu ezixhasa amazinyo akho, eziziinsini kunye nethambo lomhlathi. Ukuze ube yiPeriodontist, kufuneka ugqibe isidanga samazinyo seminyaka emine uze emva koko ugqibe iminyaka emithathu yoqeqesho olukhethekileyo. Oku kuthetha ukuba banolwazi olunzulu namava kweli candelo.

Kutheni umntu kufuneka aye kwi-Periodontist?

Kukho izizathu ezahlukeneyo zokuba kutheni unokubonana noGqirha wePeriodontitis. Abanye abantu bafuna iinkonzo zoGqirha wePeriodontis kuphela ixesha elifutshane. Oku kuthetha ukuba banokufuna unyango olunzima ngakumbi olungenakwenziwa ngugqirha wamazinyo oqhelekileyo. Umzekelo, unokufuna i-graft yeentsini, i-graft yamathambo, okanye i-frenectomy. UGqirha wePeriodontis uza kwenza olu tyando aze akuthumelele kugqirha wamazinyo oqhelekileyo emva kokuba uphilile.

Kukho abanye abanokufuna uncedo lwePeriodontist ixesha elide. Oku kuyinyani ngakumbi kwabo banesifo seentsini.Kwabo banesifo seentsini ngokwemfuza, ukongeza ekuhlanjweni rhoqo ngugqirha wamazinyo, kunokufuneka ukuba uhlanjwe ngokukhethekileyo ngugqirha wamazinyo. Kwezi meko, ugqirha wakho wamazinyo kunye nogqirha wakho wamazinyo oqhelekileyo basebenzisana ukukunceda ugcine impilo entle yomlomo.

Yintoni kanye kanye eyenziwa yi-Periodontist?

Ugqirha wezifo zamazinyo unyanga iingxaki zempilo yomlomo ezichaphazela izicubu ezijikeleze amazinyo akho ezibizwa ngokuba yi-periodontium. I-periodontium ibandakanya:

• I-Gingiva: Izicubu ezipinki ezijikeleze amazinyo akho.
• I-Periodontal ligament: Le yi-connective tissue eqinileyo edibanisa amazinyo akho nomhlathi wakho.
• Isamente: Umaleko oqinileyo, onekhalsiyam ogquma ingcambu yezinyo.
• Ithambo le-Alveolar: Yindawo enomngxuma yomhlathi wakho apho amazinyo akho anamathele khona.

Ukuba kukho ingxaki ngezi ndawo, kukho ingcali yezifo zamaphaphu ukuze iyinyange.

Zeziphi iindlela zonyango ezenziwa yi-Periodontist?

Ugqirha wePeriodontist wenza iintlobo ngeentlobo zonyango lwe-periodontal. Ezi ziquka ukhathalelo lweentsini, ukucoca nzulu okufana nokusika kunye nokucoca iingcambu, kunye neentlobo ezahlukeneyo zotyando lwe-periodontal. Makhe sijonge ngokusondeleyo nganye kwezi.

Ukugcinwa kwamazinyo

Le ikwayindlela yokucoca amazinyo. Kufana nokuya kugqirha wamazinyo ukuze ucoce amazinyo akho. Nangona kunjalo, ukongeza ekucoceni amazinyo akho, ugqirha wakho wamazinyo okanye ingcali yococeko uza kuhlola impilo yeentsini zakho aze alinganise ubunzulu beengxowa ezijikeleze amazinyo akho. Ezi ngxowa ziya zisiba nzulu njengoko ithambo elijikeleze amazinyo akho lisiya lincipha. Uninzi lwabantu abafuna ukunyanyekelwa kweentsini kuya kufuneka ukuba olu coceko lwenziwe rhoqo kwiinyanga ezintathu ukuya kwezine. Ugqirha wakho wamazinyo uza kucebisa ishedyuli elungele wena.

Ukucoca nzulu (`Ukwandisa nokucwangcisa iingcambu` - SRP)

Oku sikubiza ngokuba "kukucocwa kwamazinyo okunzulu." Umahluko ophambili apha ekucocweni rhoqo kukuba iintsini zakho ziphelelwa ngamandla nge-anesthesia yendawo ngaphambi kwenkqubo. Oku kuvumela ingcali yokucoca amazinyo ukuba icocwe nzulu phantsi kweentsini, apho iintsholongwane eziyingozi zinokuzifihla khona. Ikwalungisa umphezulu weengcambu zamazinyo, nto leyo enciphisa amathuba okuba iintsholongwane kunye ne-plaque ziphinde ziqokeleleke.

Iingcali zePeriodontitis ziingcali zoogqirha kubantu abakwinqanaba lokuqala (eliphantsi) lesifo seentsini.Olu nyango "lokukhulisa nokucwangcisa iingcambu" ludla ngokucetyiswa.

Utyando lwe-periodontal

Ugqirha wezifo zamazinyo uhlala esenza utyando lwezinsini. Kukho iintlobo ezahlukeneyo zotyando, makhe sibone ukuba zeziphi ezona ziphambili:

• Utyando lweGingival flap: Olu tyando lukwabizwa ngokuba lutyando lokunciphisa i-pocket. Olu tyando lwenziwa kubantu abanesifo seentsini esiphakathi ukuya kwesikhulu (i-periodontitis). Kule nkqubo, iPeriodontist yenza i-incision kwiintsini kwaye iphakamise ngononophelo izicubu zeentsini kude namazinyo. Oku kubavumela ukuba babone usulelo nzulu ngaphantsi komgca weentsini. Emva kokucoca kakuhle iingcambu zamazinyo, iPeriodontist iya kubuyisela izicubu zeentsini endaweni yazo ize izithunge.

• Ii-grafts zeentsini: Oku kusetyenziselwa ukunyanga ukwehla kweentsini. Abantu abaneentsini ezibuyela umva abanazo izicubu zeentsini eziphilileyo ezaneleyo ezijikeleze amazinyo abo. Kule nkqubo, i-Periodontist iya kongeza izicubu ezintsha kwindawo apho iintsini zakho zinciphile khona. Izicubu zinokuthathwa eluphahleni lomlomo wakho, okanye zingaba zizicubu ezithengwe kwibhanki yamathambo nezicubu enelayisenisi.

• Ukukhupha amazinyo: Ngamanye amaxesha, oogqirha bamazinyo kufuneka basuse amazinyo anzima ukuwasusa, ingakumbi lawo aqhekekileyo kwinqanaba leentsini.

• Ukufakelwa kwamathambo amazinyo: Isifo seentsini sinokubangela ukuba ithambo elixhasa amazinyo akho linyibilike. Ukuba oku kuyenzeka, ugqirha wezifo zamazinyo unokufaka ukufakelwa kwamathambo kuloo ndawo aze avumele ithambo elitsha likhule. Ngokuqhelekileyo, le nto ifakelwa amathambo ithengwa kwibhanki yamathambo kunye nezicubu. Nangona kunjalo, ngamanye amaxesha iqhekeza lethambo lakho elithathwe kwenye inxalenye yomlomo wakho lingasetyenziswa.

• Ukwandiswa kwesithsaba ngotyando: Ukuba izinyo liphukile kufutshane nomgca wentsini, kusenokungabikho ndawo yaneleyo yesithsaba samazinyo. Kwimeko enjalo, ingcali yezifo zentliziyo inokususa iimilimitha ezimbalwa zentsini kunye nezicubu zamathambo ezijikeleze izinyo ukuze kubekho indawo yokuba isithsaba silingane kakuhle.

• Ukunyusa uncumo: Abanye abantu banezicubu zeentsini ezigqithisileyo ezigquma amazinyo abo xa bencuma. Abantu abafuna ukuphucula uncumo lwabo banokunyusa uncumo. Kule nkqubo, ugqirha wezifo zamazinyo ususa izicubu zeentsini ezigqithisileyo - kwaye ngokuqhelekileyo ithambo elincinci - elijikeleze amazinyo achaphazelekileyo. Oku kungenziwa njengenkqubo yokuzimela, okanye ugqirha wakho wezifo zamazinyo unokucebisa ukuba kwenziwe kunye ne-veneers.

• `(Utyando lweFrenectomy)`:I-`(Frenum)` yibhanti yezicubu ezidityanisiweyo ezidibanisa inxalenye yomzimba wakho kwenye. Kukho iintlobo ezimbini ze-`(frena)` ngaphakathi emlonyeni wakho: enye engaphantsi kolwimi lwakho (`lingual`) kunye nenye engaphantsi komlomo wakho ophezulu (`labial`). Ngamanye amaxesha le `(frenum)` inokuba ngqongqo kakhulu. Oku kunokubangela iingxaki ezifana ne-`tongue-tie`` okanye ``gum recession``. Kutyando lwe-`(frenectomy)``, i-`(periodontist)` yenza i-incision ize ikhulule le `(frenum)`, ethi emva koko ilahlekelwe bubunzima bayo.

Iingcali ezininzi zezifo zamazinyo nazo zenza ukufakelwa kwamazinyo. Nangona kunjalo, oku akupheleli nje kwicandelo lezifo zamazinyo. Iingcali zotyando lomlomo kunye nabanye oogqirha bamazinyo abaqhelekileyo nabo benza ukufakelwa kwamazinyo.

Okubaluleke kakhulu, uninzi lweengcali zamazinyo zisebenzisa unyango lwamazinyo oluthomalalisa iintlungu ukuze zikuncede uzive ukhululekile ngeli xesha leenkqubo. Oku kungabandakanya i-nitrous oxide, i-oral sedation, okanye i-IV sedation.

Okokugqibela, into ekufuneka iqwalaselwe.

Njengokuba kubalulekile ukugcina amazinyo akho ephilile, kubalulekile nokugcina iintsini zakho ziphilile. Iingcali zePeriodontist ziingcali zamazinyo ezinyamekela iintsini zakho kunye nezicubu ezijikeleze amazinyo akho. Ukuba ugqirha wamazinyo wakho ukuthumele kwiPeriodontist, kunokuba yinto eyoyikisayo, ingakumbi ukuba awukaze uyibone ngaphambili. Nangona kunjalo, ukuba unesifo seentsini, iPeriodontist inolwazi, uqeqesho, kunye namava okunyanga ingxaki kunye nokugcina impilo yomlomo wakho. Ngoko ke, ukuba kuyimfuneko, ungoyiki ukubona iPeriodontist.

Isifo seentsini , i-periodontics, ugqirha wamazinyo, utyando lweentsini, impilo yamazinyo, impilo yomlomo, ingcali yeentsini