Isithsaba samazinyo esilahlekileyo, ibhulorho eLahlekileyo, okanye ukugcwaliswa okuqhekekileyo: Ukunqanda ukulangazelela kunye nokuKhuseleka kwakhona ukuSasa¶

Xa i-porcelain esisigxina okanye isithsaba segolide samazinyo, i-multi-unit fixed bridge, i-porcelain veneer, okanye i-amalgam enkulu okanye ukuzaliswa okuhlanganisiweyo ngokukhawuleza kukhululeka ngelixa uhlafuna ukutya okuncangathi okanye iintanda ezivulekileyo ebusuku, iimeko ezingxamisekileyo ziphindwe kabini: ** ukuthintela umnqweno wokuphefumula ngengozi okanye ukuginya kwe-prosthesesis evulekileyo ye-prosthesenal evulekileyo yezigidi ezivulekileyo ** isiphunzi sezinyo eliphilayo** ukunqanda iintlungu zemithambo-luvo, ukuhlasela kwebhaktiriya kwintlama yamazinyo, kunye nokushukuma ngokukhawuleza kwamazinyo akufutshane. Rhoqo ngonyaka, amasebe kaxakeka enza i-bronchoscopy engxamisekileyo ukukhupha izithsaba zentsimbi okanye i-porcelain yamazinyo apho izigulane zizame "ukunxiba zingafakwanga isamente" okanye zilale zikhululekile emlonyeni, kuphela ukuba isithsaba sityibilike sidlule kwiintambo zezwi kwi-mainstem bronchus efanelekileyo ngexesha lokulala. Ukonakalisa ngokulinganayo isihendo esiqhelekileyo sasekhaya sokuncamathelisa isithsaba umva kwizinyo eliphilayo kusetyenziswa cyanoacrylate (Super Glue / Krazy Glue): icyanoacrylate yasekhaya ikhupha ubushushu obugqithisileyo kunye ne-formaldehyde monomer ebulala ngekhemikhali ipulpiti yamazinyo (**ipulpitis engabuyiselekiyo kunye nepulp necrosis, kunye ne-rulp necrosis encinci, kunye ne-rulply necrosis, kunye ne-rulply necrosis) wamazinyo ukubona isithsaba ezibizayo kwisiqingatha ukuze uyikhuphe. Ukuba nabani na ngempazamo waphefumlela isithsaba samazinyo okanye ibhulorho kuqhoqhoqho kwaye akhule ukukhohlela, ukutswina, ukuphefumla, okanye ukuphefumla nzima, fowunela indawo yakho. amanani kaxakeka ngokukhawuleza kwaye ulandele yethu ukuminxa uncedo lokuqala iprotocol. Phinda ujonge izikhokelo zethu zabantakwabo amazinyo akhutshiwe kunye nokwenzakala kwamazinyo kwaye Ludwig's angina kunye namathumba anzulu amazinyo.

Okuphambili kwakho kwangoko kukufuna **ukubuyisa isithsaba esixengaxengayo, ibhulorho, okanye iqhekeza lezinyo emlonyeni wakho kwangoko **, **ungaze ulale okanye ulale ngesithsaba esingafakwanga isamente okanye esishukumayo emlonyeni wakho **, vavanya ukuba isithsaba esingenanto sisahleli ngokucocekileyo phezu kwesiphunzi sezinyo (i-"Dry-Fit Fit-Fit') okanye i-tental Bite Test ** i-tental Bite Test" isamente, i-petroleum jelly, okanye intlama yamazinyo emhlophe yokuhlalisa okwexeshana isithsaba esingaguqukiyo ngexesha lokuvuka, kunye ne-dab i-oyile ye-clove (eugenol) ngokucokisekileyo ngeswabhu yomqhaphu ngqo kwi-dentin ebuthathaka ngaphandle kokutshisa iintsini ezingqongileyo.

Yenza oku ngoku¶

1. Thatha isithsaba esixengaxengayo, ibhulorho, inlay, okanye i-veneer emlonyeni wakho ngoko nangoko, kwaye ukuba usebenza ngaphaya kwesinki yokuhlambela, vala idreyini okanye ubeke itawuli ngapha kwesitya kuqala. Izithsaba zeporcelain ezingabalekiyo zeedola eziyi-1,500 zilahlekile phantsi komjelo wokuhlambela ovulekileyo wegumbi lokuhlambela ngelixa izigulana ziwahlambulula. Hlanza kakuhle isithsaba kwikomityi yamanzi ashushu kwaye usigcine kwisingxobo seplastiki esicocekileyo, esiqinileyo ukuba asinakuphinda sifakwe isamente ngokukhuselekileyo.
2. UNGAZE ulale, ukhe ulale, okanye ulale phantsi ngesithsaba esingafakwanga isamente okanye esixengayo, okanye ibhulorho ehleli emlonyeni wakho. isithsaba esibanjwe kuphela ngamathe, ukuncamatheliswa kwamazinyo emboleko, okanye ukuqina okubuthathaka kunokuphuma kwaye siwe ngokuthe ngqo ezantsi kuqhoqhoqho ukuya kwimiphunga (bronchial foreign-body aspiration), ebangela inyumoniya, ukuwa kwemiphunga, okanye ukukrwitshwa. Ukuba awunayo isamente yamazinyo yethutyana efanelekileyo ebambe isithsaba ngokuqinileyo ngaphandle kokushukuma, ** khupha isithsaba emlonyeni wakho ngaphambi kokuba ulale kwaye usigcine kwisitya kwindawo yakho yokulala.
3. *Hlola umphakathi wesithsaba kunye nezinyo emlonyeni wakho phambi kokuba uzame ukuphinda ubeke isithsaba. Jonga ngaphakathi kumngxuma ongaphantsi wesithsaba:
4. Ukuba umngxuma wesithsaba ungaphakathi (mhlawumbi uneqokobhe elibhityileyo lesamente endala etshiki emhlophe) kunye nesiphunzi sezinyo esimile (abutment) sisamile emlonyeni wakho,unga ukuphinda uhlale isithsaba okwethutyana.
5. Ukuba isiphunzi sezinyo lendalo ngokwaso saqhawulwa kwintsini kwaye sibambelele siqinile ngaphakathi kwesithsaba (okanye ukuba intsimbi yengcambu yomjelo iphuma emazantsi esithsaba), UNGAZAmi ukuyityhala okanye ukuyincamathelisa kwakhona kwiintsini zakho; yishiye kwisingxobo kwaye ubone ugqirha wamazinyo ngokukhawuleza.
6. UNGAZE usebenzise i-Super Glue (cyanoacrylate), iGlue yeGorilla, i-epoxy, iglu yomthi, okanye izinto zokuncamathelisa zasendlini emlonyeni wakho. Izinto zokuncamathelisa icyanoacrylate ziyityhefu kwimibhobho yamazinyo ephilayo (ibulala umthambo ongaphakathi kwizinyo ukuze kufuneke ingcambu), ithintele ukubuyisela isamente ngokufanelekileyo amazinyo, yaye ukuba ithontsi lamazinyo libaleka kunye phakathi kwamazinyo.
7. Yenza "uVavanyo lwe-Dry-Fit Bite" kuqala, emva koko uphinde ubeke isithsaba esingenanto usebenzisa i-OTC Temporary Dental Cement (Zinc Oxide), i-Denture Adhesive, iVaseline, okanye iPlain Toothpaste. Coca ngobunono isamente endala ekrazukileyo ephuma kwisithsaba nge-toothpick, tyibilikisa isithsaba esomileyo uze udibanise amazinyo ngaphandle kokubamba isithsaba esiqhelekileyo: ukuziva "mde" okanye ukubetha kuqala. Susa isithsaba, ubeke ** i-rice encinci ye-rice-grain ye-OTC ye-zinc-oxide yesamente yesikhashana ** (efana ne-Dentemp *, * Temparin *, okanye * DenTek *) ngeenxa zonke kwiindonga zangaphakathi, cinezela isithsaba ngokuqinileyo kwizinyo, ** luma phantsi kwi-gauze ye-gauze emanzi okanye i-washcloth malunga nemizuzu emi-2 kwaye ukhuphe ukugqithisa okungaphezulu kwemizuzu emi-2. intsini nge-toothpick.
8. Ukuba isithsaba silahlekile okanye saphukile, okanye ukuba ukuzaliswa kuwile kushiya umngxuma obuhlungu, zola iintlungu zedentin eziveziweyo nge-Clove Oil (Eugenol) kwaye ugqume umngxuma nge-OTC Temporary Filling Material okanye iSugarless Gum. Dipha i-cotton swab ku i-clove oil (eugenol), cima i-oyile egqithisileyo kwidayiti ukuze ibonakale, ivuleke kakhulu i-dentin ** (ukuphepha iintsini kunye nolwimi) imizuzwana ye-10 ukuthoba i-nerve, uze ucinezele ibhola ye-OTC zinc-oxide/calcium-sulfate temporary filling putty* (Cavit, Dentemp, okanye Toofypegs), orthodontic wax, okanye **i-softed tom block air-free-free-free-blood blocking food and chewing cavity.

Umthi wesigqibo: isithsaba esilahlekileyo, izinyo eliphukileyo ngaphakathi kwesithsaba, ibhulorho evulekileyo, okanye ukulahleka kokuzaliswa kwe-triage¶

flowchart TD
    A["Isithsaba samazinyo, ibhulorho, i-veneer, okanye ukuzaliswa kuye kwakhululeka okanye kwawa"] --> B{"Ingaba isigulana siginye okanye saphefumlela iqhekezana?"}
    B -->|Yes: Coughing, wheezing, choking, or swallowed sharp bridge/post| C["ISibhedlele esikhawulezileyo ED: Isifuba kunye ne-X-ray yesisu ukulawula umnqweno we-bronchial okanye i-GI perforation"]
    B -->|No: Piece is safely in hand (or harmlessly lost filling)| D{"Hlola isithsaba / iprosthesis kunye nezinyo emlonyeni"}
    D -->|Natural tooth core or metal post broke off inside the crown (gums are flat)| E["Ukwaphuka kwezinyo leCoronal / ukusilela kwesithuba: MUSA ukuzama ukuphinda isamente"]
    D -->|Crown is hollow inside AND shaped tooth stump is intact in mouth| F["Isithsaba esingenasinkcenkce: sikhuselekile ekufakweni kwakhona kwesamente okwethutyana ekhaya"]
    D -->|Porcelain Veneer (thin front shell) fell off| G["Gcina i-veneer ngokukhuselekileyo kwibhokisi edibeneyo; MUSA ukuphinda isamente ngesamente engqindilili yezinc-oxide emhlophe"]
    D -->|Filling (silver amalgam or white composite) fell out leaving a hole| H["Vula umngxuma onetyhubhu ye-dentin evulekileyo"]
    E --> I["Gcina isithsaba + izinyo kwisitya; khusela intlaka ekrwada/ingcambu ngewax yamathambo ukuba ibukhali; utyelelo lwamazinyo olungxamisekileyo"]
    F --> J["Coca inkunkuma endala kwisithsaba esingaphakathi; yenza uvavanyo lweDry-Fit Bite kwizinyo"]
    J --> K{"Ngaba ukuluma kuvala tyaba ngokupheleleyo kwaye uzive uqhelekile ngexesha elomileyo?"}
    K -->|No: Crown rocks, sits too high, or hits opposing tooth first| L["Shiya isithsaba NGAPHAMBI komlomo (ingakumbi ngexesha lokulala) ukukhusela ukulangazelela okanye ukuphuka kweengcambu; bona ugqirha wamazinyo"]
    K -->|Yes: Seats flush and bite feels normal| M["Faka ithontsi encinci ye-OTC Zinc-Oxide yeSement yeXeshana (okanye iVaseline/intlama yamazinyo ngelixa uvukile); luma kwi-gauze 2 min; ukugqithisa okucocekileyo"]
    H --> N["Hlanza ngamanzi anetyuwa afudumeleyo; dab kancinci nge-Clove Oil (eugenol) kwiswab yomqhaphu; ipakethe ene-OTC yokuzalisa okwethutyana iPutty okanye itshungama engenaswekile"]

Ukuthelekiswa kweklinikhi kwiimeko ezingxamisekileyo zeprosthesis yamazinyo kunye nezixhobo ezikhuselekileyo zesikhashana¶

Kutheni isiphunzi sezinyo esingagqunywanga sibuhlungu kakhulu kwaye sitshintsha ngaphakathi kweentsuku¶

Xa isithsaba okanye ukuzaliswa okunzulu kuphuma **ezibalulekileyo (eziphilayo) izinyo ** (izinyo elingazange libe nengcambu yengcambu), ukuphefumla umoya wobushushu begumbi okanye ukufunxa amanzi apholileyo kubangela intlungu yokudubula:

1. Ithiyori yeHydrodynamic yeeTubhule zamazinyo eziveziweyo¶

Ukufaka isithsaba ezinyo, ugqirha wamazinyo ngaphambili wayecheba isikhuselo sangaphandle **i-enamel yamazinyo **, eshiya umbindi ongaphakathi wokuphila identin. - 30,000 Imibhobho eVulelekileyo yeMicroscopic ngeSquare Millimeter nganye: I-dentin yomntu igqojozwe ngamashumi amawaka eendlela ezizaliswe lulwelo (iityhubhu zamazinyo) ezibaleka ngokusasazeka ukusuka kwindawo evulekileyo ukuya kwindawo ephilayo intlama yamazinyo (igumbi lemithambo-luvo). - I-Brannstrom's Hydrodynamic Mechanism: Xa umoya obandayo, amanzi abandayo, iswekile ye-osmotic, okanye uzipho lomnwe luchukumisa isiphunzi sezinyo elingenanto, ulwelo olungaphakathi kwezo tubhubhubhu ezivulekileyo ezingama-30,000 luyaqhambuka okanye lutshintshela ngaphandle, lutsala ngqo kwi-A-delta pain nerve fibers kwipulp. Ukuba ishiywe ingagqunywanga kangangeentsuku, i-oral streptococci ifudukela ezantsi kwiitubhule ukuya kwigumbi lepulpiti, ibangela ipulpitis engabuyiselekiyo okanye ithumba lezinyo.

2. Kutheni amazinyo aShift kwaye aqhume kakhulu ngeentsuku ukuba ushiya isithsaba¶

Nokuba izinyo lakho linomsele weengcambu kwaye liziva ** iintlungu zero ** xa isithsaba sisiwa, ukushiya isithsaba kwidrowa yeeveki ezi-1 ukuya kwezi-3 kudala ingxaki yoomatshini: - I-Tooth Super-Eruption kunye ne-Mesial Drift: Kwisithuba esi- 3 ukuya kwe-7 yeentsuku yokuphulukana nesithsaba, amazinyo angabamelwane aqala ukutyekela kwisithuba esingenanto (mesial okanye distal drift), lize izinyo elichasayo komnye umhlathi liqalise ukuphumela kwisithuba (super-uption). - Ngenxa yokuba isithsaba samazinyo sicolwa ukuba sinyamezeke 20 ukuya kwi-50 micrometers, nesiqingatha semilimitha sezinyo elitshintshayo ngaphezulu kweveki ezi-1 ukuya kwezi-2 kuthetha ukuba isithsaba sakho soqobo asisayi kuphinda singene kwizinyo lakho. Ukunxiba isithsaba esakhiwe okwexeshana ngesamente ye-OTC zinc-oxide kubamba indawo evulekileyo de ube udibane nogqirha wamazinyo.

Isikhokelo senyathelo nenyathelo: indlela yokucoca ngokukhuselekileyo, ukuvavanya-ukulingana, kunye nokwexeshana ukuphinda wenze isamente isithsaba esingenanto ekhaya.¶

Inyathelo loku-1: Coca iNgaphakathi yesithsaba kunye nesiphunzi sezinyo¶

1. Sebenza phezu kwe itafile okanye isinki yokuhlambela efakwe idreyini kwaye ifakwe itawuli yesandla.
2. Hlola umngxuma wangaphakathi wesithsaba phantsi kokukhanya okuqaqambileyo kwaye ** ngokucokisekileyo ugqabhuze okanye uhlambe nayiphi na i-samente endala, emhlophe ekrazukileyo okanye ukutya ** usebenzisa i-toothpick okanye ibhrashi yamazinyo enamanzi afudumeleyo.
3. Gcoba ngobunono isiphunzi sezinyo esivulekileyo emlonyeni wakho ngebrashi yamazinyo ethambileyo kunye nobushushu bomzimba (37 degrees Celsius / 98.6 degrees Fahrenheit) ngamanzi ashushu ukususa amasuntswana okutya.

Inyathelo lesi-2: Uvavanyo olunyanzelekileyo lwe-Dry-Fit Bite (Phambi kokongeza nayiphi na isamente)¶

Ngaphambi kokubeka nayiphi na isamente ngaphakathi kwesithsaba, ziqhelanise ukuyibeka kwindawo yomile ukuze uqinisekise ukuqhelaniswa kunye nokulingana:

1. Qaphela imilo: umphezulu ngaphandle (isidlele okanye umlebe) udla ngokuba mde kancinane kwaye ugobe ngakumbi, ngelixa umphezulu wangaphakathi (ulwimi) umfutshane.
2. Slip isithsaba esingenanto kwisiphunzi sezinyo kwaye vala imihlathi yakho kunye kancinci kwaye kancinci:
3. PASS: Isithsaba sityibilika kakuhle ezinyo ngaphandle kokuhexa, kwaye xa uvala umlomo wakho, onke amanye amazinyo akho angasemva adibana kunye ngesiqhelo ngexesha elinye.
4. ISIPHUMELELE: Isithsaba sivakala sinde kakhulu (ukuluma kakhulu), ukubetha izinyo elichasayo kuqala kwaye uvule onke amazinyo akho, okanye ujikeleza ngokukhululekileyo. ** Ukuba iyasilela uvavanyo olomileyo, khangela kwakhona inkunkuma efihliweyo ngaphakathi kwesithsaba; ukuba ihleli phezulu kakhulu okanye iyahexa, MUSA isamente okanye uyinxibe**, njengoko ukuluma kwisithsaba esiphakamileyo kunokwahlula ingcambu yezinyo ngokuthe nkqo*.

Inyathelo lesi-3: Faka i-OTC Zinc-Oxide yeSement yamazinyo yeThutyana (Ayikho Kakhulu)¶

1. Thenga i- **over-the-counter yethutyana yokulungisa isithsaba samazinyo isamente ** (Dentemp, Temparin Max, DenTek, okanye TempBond). Iseta ngamathe ibe yitywina elomeleleyo, ikhuphe i-eugenol epholisayo, kwaye ihlala ithambe ngokwaneleyo kangangokuba ugqirha wakho wamazinyo angayikhupha nge-ultrasonic kwimizuzwana engama-30.
2. Yomisa ngaphakathi kwesithsaba nge-cotton swab, kwaye ucime isiphunzi sezinyo nge-gauze.
3. Sebenzisa kuphela isixa esincinci sesamente: Khupha isixa esincinci (ubukhulu buncinci benkozo yerayisi okanye intloko yematshisi) kwaye uqabe umaleko obhityileyo ujikeleze iindonga ezingaphakathi ezisecaleni zesithsaba esi holo. Sukupakisha iyonke ikomityi engumngxuma egcwele isamente, njengoko ukuzaliswa ngokugqithisileyo kudala uxinzelelo olubangelwa luxinzelelo lwehydraulic oluthintela isithsaba ukuba singahlali ukuhla.

Inyathelo lesi-4: Hlalisa isithsaba, luma kwiGauze emanzi, kwaye ucoce ngokugqithisileyo¶

1. Beka isithsaba phezu kwezinyo kwindawo oqhele ukuqhelaniswa kuyo, yityhale ngokuqinileyo ezantsi ngomnwe wakho, kwaye ** ulume phantsi ngokuqinileyo kwipedi ye-gauze esongiweyo okanye ilaphu lokuvasa elimanzi elicocekileyo kangangemizuzu emi-2 ukuya kwemi-3 epheleleyo**.
2. Sebenzisaisipikili samazinyo somthi ukukhuhla ngobunono isamente egqithisileyo ejikeleze ikhola yeentsini.
3. Indlela yokuflosa ngaphandle kokutsala isithsaba umva: Slayida ifloss yamazinyo ezantsi phakathi kwesithsaba nezinyo elingummelwane ukuze kucinywe isamente egqithisileyo, emva koko SUKUQHUBEKA ifloss ngasemva PHEZULU kwindawo yoqhagamshelwano; endaweni yoko, yiyeke iphele kwelinye icala kwaye tsala ifloss ngokuthe ngqo OUT ngaphaya kwecala lesidlele.
4. Lindela ** 30 kwimizuzu engama-60 ** phambi kokutya, ** hlafuna kwelinye icala lomlomo wakho **, kwaye ugweme ukutya okuncangathi okanye okunzima.

Uyisebenzisa njani i-Oli ye-Clove (i-Eugenol) kunye ne-OTC yokuzalisa okwethutyana iPutty kwiCavity evulekileyo¶

1. Ukusetyenziswa ngokukhuselekileyo kweOli yeClove (Eugenol)¶

I-oyile ye-cloves ** iqulethe i-80% ukuya kwi-90% ** i-eugenol , isithako esisebenzayo esichanekileyo esisetyenziswe kwi-professional ** Zinc Oxide Eugenol (ZOE) ** ukuzaliswa kwe-sedative ukuvala iziteshi ze-sodium ezifakwe kwi-voltage kwi-pulpal nerve fibers kunye nokuvimbela i-prostaglandins. - Kutheni ungaze ugalele i-oyile ye-clove ethe ngqo kwiintsini zakho: I-oyile ye-clove esulungekileyo engaxutywanga yi-caustic to soft oral mucosa; ukugalela amathontsi kwiintsini okanye ulwimi lwakho kubangela ukutshisa okumhlophe kwekhemikhali ye-mucosal. - Indlela echanekileyo yokuFaka isicelo se-Q-Tip: Beka ithontsi enye yekhemesti i-oyile ye-clove (i-eugenol) kwisosi (ekhethiweyo ixutywe ngamathontsi ama-2 eoli yomnquma), bamba i-cotton swab (Q-tip) kwi-oyile, cima i-swab kwitawuli yephepha ukuze igqabhuke ngokuthe ngqo, igqabhuke ngokuthe ngqo, kwaye igqabhuke ngokuthe tye. I-dentin yezinyo eveziweyo okanye ngaphakathi komngxuma womngxuma imizuzwana eli-10 ukuya kweli-15.

2. Ukutywina umngxuma nge-OTC yokuzalisa okwethutyana iPutty okanye iGum engenaswekile¶

Roll ibhola elingana neertyisi** ye-OTC yeSixhobo sokuzalisa okwexeshana** (Dentemp, Temparin, Cavit, okanye DenTek), yicinezele kumngxunya womngxunya, yilume phantsi ngobunono ukwenza umphezulu othe tyaba, kwaye wosule okugqithisileyo ngeswabhu emanzi. Ukuba iikhemesti zivaliwe, vala umngxuma nge-orthodontic wax okanye uthanjiswe itshungama ehlafunwayo engenaswekile (ingazange ifakwe sugared).

Iinombolo zengingqi zikaxakeka kunye neeprothokholi ze-arhente¶

• I-United States neKhanada: Cofa 911 ngoko nangoko ukuba isithsaba okanye ibhulorho itsalwa ngokukhohlela, ukuphefumla, okanye ukukrwitsha. Ukulungiswa kwamazinyo ngokungxamisekileyo okanye izinyo elibuhlungu ngaphandle kweempawu zomoya, qhagamshelana nogqirha wamazinyo ongxamisekileyo okanye ulandele izikhokelo ze- American Dental Association (ADA): sebenzisa i-OTC zinc-oxide yesamente yamazinyo yethutyana okanye itshungama engenaswekile, ungaze ulale neGlue eyiSuper, kwaye ungaze ulale ngesithsaba esikhululekileyo esingafakwanga isamente emlonyeni.
• EUnited Kingdom: Cofa 999 ngayo nayiphi na into erhanelwayo yomoya womoya okanye ukusasaza ukudumba kobuso/intamo. Ukufumana isithsaba esilahlekileyo esinentlungu eqatha okanye ukopha xa ugqirha wakho wamazinyo wesiqhelo evaliwe, fowunela NHS 111 ukuze ubhukishelwe kwi-NHS Urgent Dental Care Centre. Landela IsiKhokelo seNgxaki yoNgxamiseko lwamazinyo: izixhobo zokulungisa amazinyo okwexeshana (Toofypegs, Dentemp) ezisuka ekhemesti zingasetyenziselwa ukuhlalisa izithsaba ezingenanto okanye ukuzaliswa ezilahlekileyo de zibonwe ngugqirha wamazinyo.
• I-European Union: Cofa 112 kwiimeko ezingxamisekileyo zomoya. Ilizwe ngalinye elilungu le-EU lisebenza ngempelaveki nobusuku IiNkonzo eziNgxamisekileyo zamazinyo (Inkonzo ye-garde dentaire eFransi, Zahnärztlicher Notdienst eJamani, Urgencias dentales eSpain).
• I-Australia neNew Zealand: Cofa u-000 e-Australia okanye 111 eNew Zealand xa ufuna uncedo lomoya. Landela i-Australian Dental Association (ADA) isikhokelo: gcina isithsaba esilahlekileyo sicocekile kwaye sikhuselekile, sebenzisa isamente yamazinyo yethutyana ekhemesti okanye iVaseline kuphela xa uvukile ukuba ingena ngokucocekileyo, kwaye ufune ukufakwa isamente kwakhona kwamazinyo kwiintsuku ezimbalwa phambi kokuba kukhukuliswe amazinyo.
• ** I-India, i-Japan, i-South Korea, kunye ne-Asia-Pacific: ** Ukudayela ** 112 / 108 ** e-Indiya, ** 119 ** eJapan naseMzantsi Korea, ** 995 ** eSingapore, okanye ** 999 ** eMalaysia naseHong Kong ngenxa yongxamiseko yongxamiseko, okanye u tyelele isibhedlele samazinyo / i-maxillofacial casualty unit.

Imibuzo edla ngokubuzwa¶

Kutheni kuyingozi kakhulu ukulala ngesithsaba samazinyo esikhululekile okanye esingenasimenti emlonyeni wakho?¶

Xa uvukile, ulwimi lwakho kunye ne-reflexes yomqala zihlala ziziva ukuba isithsaba samazinyo esikhululekile sisuka endaweni. Xa ulala kwaye ulala phantsi, nangona kunjalo, indlela yakho yomoya ephezulu kunye nokugwinya i-reflexes kuyaphumla. Isithsaba esihleli nje ngokukhululekileyo ezinyo, okanye sibanjwe kuphela ngamathe, iVaseline, okanye intlama yamazinyo, sinokuphuma lula xa ulele kwaye sityibilike ngokuthe ngqo kwimiphimbo yakho sisehlisa uqhoqhoqho siye kwimiphunga yakho (i-bronchial aspiration body-body aspiration). Ukufuna isinyithi okanye isithsaba se-porcelain kubangela inyumoniya kunye nokuwa kwemiphunga, kufuna i-bronchoscopy yesibhedlele esiphuthumayo phantsi kwe-anesthesia ukuyikhupha kwimiphunga yakho. Ukuba isithsaba asigcinwanga siqinile ngesamente yamazinyo yethutyana, soloko usikhupha emlonyeni wakho phambi kokuba ulale.

Kutheni UNGAZE usebenzise iGlue eyiSuper (cyanoacrylate) ukuncamathelisa isithsaba samazinyo okanye izinyo elaphukileyo ngasemva?¶

I-Super Glue (i-cyanoacrylate) ibangela iingxaki ezintathu ezinzulu emlonyeni: (1) Inetyhefu kwizinyo eliphilayo, njengoko i-monomer yolwelo ingena phantsi kwii-tubules ze-dentinal microscopic kwi-nerve chamber, ivelisa ubushushu kwaye ikhuphe iimveliso zokuphulwa kwe-formaldehyde ezibulala i-nerve yezinyo kwaye zibangele ithumba elibuhlungu elifuna i-root canal; (2) Ibeka ngoko nangoko ekudibaneni nokufuma ngaphambi kokuba ulume phantsi ngokufanelekileyo, uvale isithsaba kwindawo egoso kancinane, ephakamileyo eyonakalisa ukuluma kwakho; kwaye (3) Ngokungafaniyo nesamente yamazinyo zinc-oxide, iGlue ePhezulu ayinakunyibilika lula ngugqirha wamazinyo, ngokufuthi inyanzelisa ugqirha wamazinyo ukuba asinqumle kwaye atshabalalise isithsaba sakho esibizayo.

Ziziphi izinto zendlu endingazisebenzisa ngokukhuselekileyo ukubamba isithsaba kwindawo yeeyure ezimbalwa ukuba ii-pharmacy zivaliwe?¶

Ukuba isithsaba sakho sinomgongxo ngaphakathi, singena ngokutyibilikayo kwisiphunzi sakho sezinyo esingaguqukiyo, kwaye uphumelele uvavanyo lokuluma okomileyo, olona khetho yi-over-the-counter zinc-oxide yesamente yamazinyo yethutyana evela ekhemesti. Ukuba iikhemesti zivaliwe kwaye kufuneka ubambe isithsaba ngexesha lasemini ngelixa uvukile, unokugqoka ngaphakathi kwesithsaba ngedab encinci ye-denture adhesive cream (efana neFixodent okanye iPoligrip), intlama engqindilili yomgubo omhlophe ongenanto-kunye-namanzi okanye intlama yamazinyo emhlophe, okanye i-petroleum jelly (i-Vaseline jelly). Khumbula ukususa isithsaba phambi kokuba ulale ukuba usebenzise iVaseline okanye intlama yamazinyo kuphela.

Kwenzeka ntoni ukuba ngempazamo ndiginye isithsaba sam samazinyo ngelixa ndisitya?¶

Okokuqala, ukuba unokukhohlela, ukutswina, ukuphefumla nzima, okanye iintlungu esifubeni, yiya kwiSebe lezoNgxamiseko ngoko nangoko ukuze ufumane iX-reyi yesifuba ukuze uqiniseke ukuba isithsaba asiwehli kuqhoqhoqho ukuya kwimiphunga yakho. Nangona uneempawu zokuphefumla, i-X-ray yonyango ekhawulezayo iyacetyiswa ukuba uqinisekise ukuba isithsaba sisesiswini sakho. Kanye esiswini, isithsaba esinye esigudileyo samazinyo sidlula ngokungenabungozi emathunjini kwaye siphuma kwisitulo sakho phakathi kweentsuku ezi-2 ukuya kwezi-7 ngaphezulu kwepesenti ezingama-98 zabantu. Ukuba uyasibuyisela isithsaba usebenzisa isihluzi seplastiki esilahlwayo, ugqirha wakho wamazinyo unokusicoca nge-ultrasonically, asicocise kwi-autoclave yomphunga woxinzelelo oluphezulu, kwaye usibambe ngesamente ebuyela ezinyo lakho.

Ndingalinda ixesha elingakanani ukubona ugqirha wamazinyo ukuba isithsaba sam siwe kodwa izinyo lam alibuhlungu kwaphela?¶

Nokuba izinyo ngaphambili belinomjelo weengcambu kwaye liziva kungekho ntlungu, kufuneka ubone ugqirha wamazinyo phakathi kweentsuku ezi-2 ukuya kwezi-7 (kwaye unxibe isithsaba ngesamente yamazinyo yethutyana okwangoku ukuba singena ngokukhuselekileyo). Amazinyo akho akaqiniswanga kwikonkile; ngaphandle kwesithsaba esibambe indawo ngqo kumazinyo angabamelwane kunye nezinyo elichasayo komnye umhlathi, amazinyo akufutshane aqala ukuthambekela ngaphakathi kwaye izinyo elichasayo liqala ukukhula lihle lihle (ukudubula okuphezulu) phakathi kweentsuku ezi-3 ukuya kwezi-7 kuphela. Ukuba ushiya isithsaba kwidrowa iiveki ezi-2 okanye ezi-3, amazinyo akho aya kutshintsha ngokwaneleyo kangangokuba isithsaba sakho sokuqala asisayi kuphinda singene kwakhona.

Ndiyisebenzisa njani ioyile ye clove ngokuzaliswa okulahlekileyo okanye izinyo elingathweswanga ngaphandle kokutshisa iintsini zam?¶

Ioyile ye-clove iqulethe i-eugenol, eyona nto isetyenziswa ngugqirha wamazinyo ekuthomalaliseni okwexeshana, kodwa i-oyile ye-clove ecocekileyo iya kubangela ukutshisa kwekhemikhali ebuhlungu ukuba ithontsizwe kwithishu epinki okanye ulwimi lwakho. Ungaze ugalele amathontsi eoli ye-clove emlonyeni wakho. Endaweni yoko, beka ithontsi elinye leoli ye-clove kwisitya (ngokuzikhethela ixutywe namathontsi amabini eoli yomnquma), chukumisa umqhaphu we-cotton swab (Q-tip) kwioyile, cima i-swab kwithishu ukuze ifume, kwaye uchukumise incam ngokuthe ngqo kwaye ngokukodwa kwi-dentin yezinyo elityhidiweyo okanye ngaphakathi kumngxuma womqhaphu (Q-tip) kwi-oyile, ucime i-swab kwi-tissue ukuze ifume, kwaye uchukumise incam ngokuthe ngqo kwaye ngokukodwa kwi-dentin yezinyo elityhidiweyo okanye ngaphakathi kumngxuma wombhobho ngaphambi kokuzalisa iswekile okwethutyana okanye imizuzwana eli-10. intlaka.

Imithombo kunye nezikhokelo ezisemthethweni¶

• ** Umbutho wamazinyo waseMelika (i-ADA, eUnited States):** Izikhokelo zoNonophelo lwamazinyo eMouthHealthy Emergency: Iizithsaba ezilahlekileyo, amazinyo aqhekekileyo, iiFillings ezilahlekileyo, kunye ne-Clove Oil (Eugenol) Ukusetyenziswa.
• Inkonzo yeSizwe yezeMpilo (i-NHS, i-United Kingdom) kunye neNkqubo yokuSebenza ngokuNyango kwamazinyo eScottish (SDCEP): *Ulawulo lweengxaki ezinzulu zamazinyo: Isikhokelo sabaSebenzi bezeMpilo kunye neNgxaki yokuNceda kwamazinyo (ukubuyiselwa okulahlekileyo, iiCrown, kunye neVeneers) *.
• I-International Association of Dental Traumatology (IADT): *Izikhokelo zoVavanyo kunye noLawulo lwezoLimo eziNxibelezelayo zamazinyo kunye nokuqhekeka kweCrown *.
• Umbutho wamazinyo wase-Australia (i-ADA, e-Australia): uNcedo lokuQala wamazinyo: Indlela yokuphatha izinyo elikhutshiweyo, isithsaba esixekileyo, okanye ukugcwaliswa okuqhekekileyo.
• ** Umbutho waseMelika we-Gastrointestinal Endoscopy (ASGE) kunye ne-American Thoracic Society (ATS): ** *Izikhokelo zeKlinikhi zoMzimba wangaphandle kunye neTracheobronchial Aspiration of Dental Prostheses *.

Izikhokelo ezinxulumeneyo¶

• Iimeko ezingxamisekileyo zamazinyo, izinyo eliqhunyiweyo elikhutshiweyo, kunye nokuqaqamba kwamazinyo
• Ludwig's angina, ithumba lamazinyo lamazinyo, kunye nokudumba kwendlela yomoya engaphantsi kwe-submandibular
• Ukunciphisa uxinzelelo kubantu abadala, abantwana kunye neentsana
• I-Mandibular jaw dislocation, umlomo ovulekileyo, kunye nokwaphuka kobuso
• Amanani kaxakeka ngokwelizwe