Usizo lokugcina izinsini zakho ziphilile: Ake sifunde ngensizakalo yochwepheshe bamazinyo ebizwa ngokuthi (Periodontics)!

Wake wezwa igama elithi `(Periodontics)`? Mhlawumbe udokotela wamazinyo wakho ukutshelile ngalo, noma mhlawumbe ubulokhu ucabanga ngalo ngoba unenkinga yezinsini. Kuyini `(Periodontics)`? Lingasiza kanjani impilo yakho yomlomo? Ake sixoxe ngakho konke ngendlela elula ongayiqonda.

Kuyini ngempela `(Periodontics)`?

Kalula nje, `(Periodontics)` kungenye indlela ekhethekile yokwelapha amazinyo. Leli gama lakhiwe ngamagama amabili esiGreki: `peri` lisho `azungeze` kanye `odont` lisho `izinyo.` Bese kuthi `(Periodontics)` ligatsha eliphatha umonakalo nezifo ezicutshini ezizungeze amazinyo akho, njengezinsini kanye nethambo elizisekelayo. Isibonelo, izinto ezifana nokulahlekelwa amathambo, ukwehla kwezinsini, kanye `(periodontal)` lisho `isifo sezinsini`.

Uyini umehluko phakathi kukadokotela wamazinyo ojwayelekile nodokotela wezifo zamazinyo?

Cabanga ngakho, uma ngokuvamile udinga ukuhlanzwa amazinyo akho, ugcwaliswe umgodi, noma ufake umqhele noma ibhuloho emazinyweni akho, uya kudokotela wamazinyo ojwayelekile. Yibo abenza lezi zindlela zokwelapha eziyisisekelo nezivimbelayo. Ukuze ube udokotela wamazinyo ojwayelekile, udinga ukuqedela iziqu zamazinyo zeminyaka emine.

Kodwa, uthini `(uDokotela we-Periodontist)`? Uchwepheshe wezifo zezinsini . Bagxila ekwelapheni izimo ezithinta izicubu ezisekela amazinyo akho, okuyizinsini kanye nethambo lomhlathi. Ukuze ube yi-Periodontist, udinga ukuqeda iziqu zamazinyo zeminyaka emine bese uqedela iminyaka emithathu yokuqeqeshwa okukhethekile. Lokhu kusho ukuthi banolwazi olujulile kanye nesipiliyoni kulo mkhakha.

Kungani umuntu kufanele abonane nodokotela wezifo zamazinyo?

Kunezizathu eziningana zokuthi kungani ungase ubone udokotela wezifo zamazinyo. Abanye abantu badinga izinsizakalo zikadokotela wezifo zamazinyo isikhathi esifushane kuphela. Lokhu kusho ukuthi bangadinga ukwelashwa okuyinkimbinkimbi kakhulu okungenakukwenziwa udokotela wamazinyo ojwayelekile. Isibonelo, ungadinga ukufakelwa kwezinsini, ukufakelwa kwamathambo, noma ukususwa kwezicubu. Udokotela wezifo zamazinyo uzokwenza inqubo futhi akubuyisele emuva kudokotela wamazinyo ojwayelekile ngemva kokuba usululame.

Kukhona abanye abangase badinge usizo lukaDokotela Wezinsini isikhathi eside. Lokhu kuyiqiniso ikakhulukazi kulabo abasengozini yokuba nesifo sezinsini.Kulabo abanesifo sezinsini, ngaphezu kokuhlanzwa njalo ngudokotela wamazinyo, kungadingeka futhi ukuthi uhlanzwe ngokukhethekile yi-periodontitis ngudokotela wamazinyo. Kulezi zimo, udokotela wakho wamazinyo kanye nodokotela wakho wamazinyo ojwayelekile basebenzisana ukukusiza ukuthi ugcine impilo yomlomo inhle.

Yini ngempela eyenziwa yi-Periodontist?

Udokotela wezifo zamazinyo welapha izinkinga zempilo yomlomo ezithinta izicubu ezizungeze amazinyo akho ezibizwa ngokuthi i-periodontium. I-periodontium ihlanganisa:

• I-Gingiva: Izicubu ezipinki ezizungeze amazinyo akho.
• I-ligament ye-periodontal: Lesi yizicubu eziqinile ezixhumanisa amazinyo akho nethambo lomhlathi.
• I-Cementum: Ingqimba eqinile, equkethe i-calcium emboza impande yezinyo.
• Ithambo le-Alveolar: Ingxenye engenalutho yomhlathi wakho lapho amazinyo akho enamathele khona.

Uma kunenkinga ngalezi zingxenye, kukhona udokotela wezifo zamazinyo ozoyelapha.

Yimiphi imithi yokwelapha eyenziwa yi-Periodontist?

Udokotela Wezinsini wenza izinhlobo ezahlukene zokwelapha izinsini. Lokhu kufaka phakathi ukunakekelwa kwezinsini, ukuhlanza okujulile njengokusika kanye nokuhlela izimpande, kanye nezinhlobo ezahlukene zokuhlinzwa kwezinsini. Ake sibheke ngokucophelela ngayinye yalezi.

Ukunakekelwa kwamazinyo

Lokhu futhi kuyindlela yokuhlanza amazinyo. Kufana nokuya kudokotela wamazinyo ukuze uhlanze amazinyo akho. Kodwa-ke, ngaphezu kokuhlanza amazinyo akho, udokotela wakho wamazinyo noma udokotela wezempilo uzohlola nempilo yezinsini zakho futhi alinganise ukujula kwamaphakethe azungeze amazinyo akho. Lawa maphakethe ayajula njengoba ithambo elizungeze amazinyo akho lilahleka. Iningi labantu abadinga ukunakekelwa kwezinsini kuzodingeka ukuthi lokhu kuhlanzwa kwenziwe njalo ezinyangeni ezintathu kuya kwezine. Udokotela wakho wamazinyo uzoncoma isimiso esikusebenzela kahle kakhulu.

Ukuhlanza okujulile (`Ukukhulisa nokuhlunga izimpande` - SRP)

Lokhu yilokho esikubiza ngokuthi "ukuhlanza amazinyo okujulile." Umehluko omkhulu lapha ekuhlanzweni okuvamile ukuthi izinsini zakho ziphelelwa amandla nge-anesthesia yendawo ngaphambi kwenqubo. Lokhu kuvumela udokotela wamazinyo ukuthi ahlanze ngaphansi kwezinsini, lapho amagciwane ayingozi angacasha khona. Kuphinde kusheleleze ubuso bezimpande zamazinyo, okunciphisa amathuba okuthi amagciwane kanye ne-plaque kuphinde kwakhiwe.

Odokotela bamazinyo bangodokotela babantu abasesigabeni sokuqala (esincane) sesifo sezinsini.Lokhu kwelashwa "kokukhulisa nokulungisa izimpande" kuvame ukunconywa.

Ukuhlinzwa Kwamazinyo

Udokotela wezifo zamazinyo uvame ukwenza ukuhlinzwa kwezinsini. Kunezinhlobo ezahlukene zokuhlinzwa, ake sibone ukuthi yiziphi eziyinhloko:

• Ukuhlinzwa kwe-Gingival flap: Lokhu kubizwa nangokuthi ukuhlinzwa kokunciphisa i-pocket. Lokhu kuhlinzwa kwenziwa kubantu abanesifo sezinsini esimaphakathi kuya kwesibi kakhulu (i-periodontitis). Kule nqubo, i-Periodontist yenza i-incision ezinsinini bese iphakamisa ngokucophelela izicubu zezinsini kude namazinyo. Lokhu kubavumela ukuthi babone ukutheleleka okujulile ngaphansi komugqa wezinsini. Ngemva kokuhlanza kahle izimpande zamazinyo, i-Periodontist izobuyisela izicubu zezinsini endaweni yazo bese izithunga.

• Ukufakelwa kwezinsini: Lokhu kusetshenziselwa ukwelapha ukwehla kwezinsini. Abantu abanezinsini ezibuyela emuva abanazo izicubu zezinsini ezinempilo ezanele ezizungeze amazinyo abo. Kule nqubo, uDokotela wePeriodontitis uzofaka izicubu ezintsha endaweni lapho izinsini zakho zinciphile khona. Izicubu zingathathwa ophahleni lomlomo wakho, noma zingaba izicubu ezithengwe ebhange lamathambo nezicubu eligunyaziwe.

• Ukukhishwa kwamazinyo: Ngezinye izikhathi, odokotela bamazinyo kufanele basuse amazinyo okunzima ukuwasusa, ikakhulukazi lawo aphuke ezingeni lezinsini.

• Ukufakelwa kwamathambo amazinyo: Isifo sezinsini singabangela ukuba ithambo elisekela amazinyo akho lincibilike. Uma lokhu kwenzeka, udokotela wamazinyo angafaka ukufakelwa kwamathambo endaweni futhi avumele ithambo elisha likhule. Ngokuvamile, lokhu kufakelwa kwamathambo kuthengwa ebhange lamathambo nezicubu. Kodwa-ke, ngezinye izikhathi ucezu lwethambo lakho oluthathwe kwenye ingxenye yomlomo wakho lungasetshenziswa.

• Ukwelulwa komqhele ngokuhlinzwa: Uma izinyo liphukile eduze komugqa wezinsini, kungase kungabi nendawo eyanele yomqhele wamazinyo. Kuleso simo, udokotela wezifo zamazinyo angasusa amamilimitha ambalwa ezinsini kanye nezicubu zamathambo ezizungeze izinyo ukuze enze indawo yomqhele ilingane kahle.

• Ukuphakamisa ukumamatheka: Abanye abantu banezicubu zezinsini eziningi ezimboze amazinyo abo lapho bemomotheka. Abantu abafuna ukuthuthukisa ukumamatheka kwabo bangathola ukuphakamisa ukumamatheka. Kule nqubo, udokotela wamazinyo ususa izicubu zezinsini eziningi – futhi ngokuvamile inani elincane lamathambo – ezizungeze amazinyo athintekile. Lokhu kungenziwa njengenqubo yokuzimela, noma udokotela wakho wamazinyo angase akuncome kanye nama-veneers.

• `(Ukuhlinzwa Kwe-Frenectomy)`:I-`(Frenum)` iyibhande lezicubu ezixhumanisayo elixhumanisa ingxenye eyodwa yomzimba wakho nenye. Kunezinhlobo ezimbili ze-`(frena)` ngaphakathi komlomo wakho: leyo engaphansi kolimi lwakho (`lingual`) kanye neyo engaphansi kodebe lwakho olungaphezulu (`labial`). Ngezinye izikhathi le `(frenum)` ingaba lukhuni kakhulu. Lokhu kungabangela izinkinga ezifana ne-``tongue-tie`` noma ``gum recession``. Ekuhlinzeni kwe-`(frenectomy)``, i-`(periodontist)` yenza i-incision bese ikhipha le `(frenum)`, bese ilahlekelwa ukuqina kwayo.

Odokotela abaningi bamazinyo benza nokufakelwa kwamazinyo. Kodwa-ke, lokhu akugcini emkhakheni wezifo zamazinyo. Odokotela abahlinzayo bomlomo kanye nabanye odokotela bamazinyo abajwayelekile nabo benza nokufakelwa kwamazinyo.

Okubaluleke kakhulu, odokotela abaningi bamazinyo basebenzisa ukwelapha amazinyo ukuze bakusize uzizwe ukhululekile phakathi nalezi zinqubo. Lokhu kungafaka phakathi i-nitrous oxide, ukwelapha ngomlomo, noma ukwelapha nge-IV.

Okokugcina, into okufanele icatshangelwe.

Njengoba nje kubalulekile ukugcina amazinyo akho ephilile, kubalulekile nokugcina izinsini zakho ziphilile. Odokotela bamazinyo bangochwepheshe bamazinyo abanakekela izinsini zakho kanye nezicubu ezizungezile amazinyo akho. Uma udokotela wamazinyo wakho ekuthumelela kudokotela wamazinyo, kungaba yinto eyesabekayo, ikakhulukazi uma ungakaze uyibone ngaphambili. Kodwa-ke, uma unesifo sezinsini, udokotela wamazinyo unolwazi, ukuqeqeshwa, kanye nesipiliyoni sokwelapha inkinga nokugcina impilo yomlomo wakho. Ngakho-ke, uma kudingeka, ungesabi ukubona udokotela wamazinyo.

Isifo sezinsini , izifo ze-periodontics, udokotela wamazinyo, ukuhlinzwa kwezinsini, impilo yamazinyo, impilo yomlomo, uchwepheshe wezinsini