Lezinyo zigcinwa emangcwabeni ngenxa yemigqa yamazinyo elungisa izimpande zawo ku-bony alveoli. Inqubo yokuvuvukala kulezi zindawo, kanye nezicubu eziseduze, zivame ukuvela emlandweni wezinhlobo ezingenakiwe kanye nezinhlobonhlobo ze-caries, i-pulpitis, ukulimala komshini, ukulimala.
I-periodontitis enhle, kuye ngokuthi isimo se-exudate, ingaba se-purulent noma se-serous. Lapho kutholakala ukuvuvukala, i-pathology ihlukaniswa ibe yi-apical (emanzini) kanye nezinhlobo eziseceleni (ezincane).
I-periodontitis e-serous elula
Leli fomu lesifo esibhekene nalo yilona lokuqala. Kubonakala ngokuqoqwa kwe-periodontium ye-exudate ngokuqukethwe okuphansi kwezixuku ezihlanzekile. Ngenxa yokuthi izikhukhula ezivuthayo zitholakala endaweni evaliwe futhi ziphoqelela ukuphela kwezinzwa, kuvela izinzwa ezibuhlungu lapho zishaya izinyo.
Ezinye izimpawu:
- i-edema encane ebusweni endaweni yendawo ethintekile;
- ukuzwa ukweluleka kwezinyo zokudla;
- ukungabi nabuhlungu ngesikhathi sezintambo zezintambo ezidakayo.
I-periodontitis ene-purulent
Uma kungenziwa lutho ngesimo se-serous ye-pathology, emva kwezinsuku ezimbalwa kuba uhlobo lwe-purulent.
Izici zobunjwa:
- ubuhlungu obuqhuma njalo;
- ukuhamba kwezinyo ezonakele;
- ukuvuvukala kobuso;
- ukhathazeka kwegamu eduze kwezinyo ezichaphazelekayo uma ucindezelwe.
Kufanele kuqaphele ukuthi phakathi nokuhlolwa kwe-radiological yomhlathi, akukho izinguquko ezibonakalayo ezibonakalayo. Ngakho-ke, ukuze uhlolisise inqubo yokuvuvukala, kufanele njalo uxhumane nodokotela wamazinyo oqeqeshiwe.
Ukwelashwa kwe-periodontitis enzima
Ngokuyinhloko, ukwelapha okulondolozayo kwe-pathology echazwe kwenziwa.
Ukuze kuvele ukuphuma kwezidakamizwa ezingenakuqhathaniswa nezimpande, ukuvuleka komgogodla we-canal kwenziwa ngaphansi kokungena noma ukuhlinzekwa kwe-anesthesia. Ngesikhathi esifanayo, imikhiqizo yokubola ye-pulp isuswa. Ngenkathi ye-apical noma yama-apical periodontitis, iyanele ukwandisa ama-apical foramen.
Uma lesi sifo sihambisana ne-absema esanda futhi ikhula, amanzi okugeleza emifuleni evulekile, iphakethe le-gingival noma i-incision nge-fold fold. Ukuhlanza ukucwiliswa kwe-antiseptic kwenziwa njalo futhi njalo ngokugeza, ukuhlanza nokuhlinzeka ngamalungiselelo akhethekile.
Amaqembu alandelayo wezidakamizwa asiza ukususa izimpawu ze-periodontitis:
- ama-antihistamine;
- abaphulukisi ;
- ama-antibiotics.
Ukubhekana nokuvuvukala nobuhlungu kwenziwa nge
Ngemuva kokusizwa kwazo zonke izibonakaliso zesifo, ukwelashwa kwamazinyo kanye nokugcwalisa umsele kungenziwa.
Uma izinyo zonakaliswe kakhulu noma ukuphuma kwe-exudate akunakwenzeka, kusetshenziselwa ukungenelela kokuhlinzwa:
- ukuxoshwa;
- ukukhipha izinyo;
- ukuthengiswa kwe-top of the root.