Ithini Ikhodi Yamazinyo ye-D3320? (Izimpendulo Zekhodi Yamazinyo)
Okuqukethwe
Idatha ye-D3320 ikhodi yamazinyo ibhekisela kumgudu wempande wezinyo le-bicuspid. Izimpande zezimpande nazo zivame ukubizwa ngokuthi izinqubo ze-endodontic ezihilela ukukhishwa kwe-pulp yezinyo; noma kunjalo, i-nomenclature ethize ingancika kudokotela wamazinyo nokusebenza.
Ayini Amakhodi Amazinyo?
Ikhodi yamazinyo iyisethi yezinombolo zamazinyo ezisetshenziselwa ukukhomba izinqubo ezithile zamazinyo. Izinhlamvu ezintathu zokuqala ziwuhlobo olujwayelekile lokwelashwa, izinombolo ezimbili ezilandelayo ziyinani lamazinyo aphathwayo, futhi inombolo yokugcina inombolo yokuvakasha.
Isho ukuthini ikhodi yamazinyo D3320?
Ikhodi yamazinyo ye-D3320 ibhekisela ekwelashweni kwe-endodontic (umsele wezimpande) wezinyo le-bicuspid. Ama-bicuspids, abizwa nangokuthi amazinyo e-premolar, atholakala phakathi kwama-canine kanye ne-molars ngemuva komlomo. Amazinyo anama-cusps amabili phezulu futhi acishe abe uhhafu we-intshi ubude. Kunamazinyo ayisishiyagalombili e-bicuspid kanti amane aphezu kwe-arch ephezulu namane ekhothameni elingezansi.
Kungenzeka ukususa izinyo le-bicuspid ngenkathi ugcina iningi le-pulp yemvelo. Inqubo yokulondoloza iningi le-pulp yaziwa ngokuthi i-pulpotomy.
Ukuvakasha okubili kuvamile ku-D3330 kanye ne-D3320 Dental Code
Kuvamile ukusebenzisa kokubili amakhodi amazinyo e-D3320 kanye ne-D3330 ezigulini ezidinga izimpande eziningi kumazinyo e-bicuspid kanye ne-molar.
Ikhodi yomsele wezimpande
Ikhodi yomgudu wempande uwumbhalo wamazinyo osetshenziselwa ukuchaza ithumba, elenzeka lapho amagciwane engena ezinyo futhi ethelela noma eshisa izicubu ngaphakathi. Umphumela uba izicubu ezigcwele ubomvu noma iphakethe lokutheleleka ku-pulp. Ukwelashwa kuhilela ukususa i-pulp ethelelekile kulandelwa ukuhlanza, ukubulala amagciwane, ukugcwalisa, nokuvala ingaphakathi lezinyo.
I-D3320 Dental Code ingeyokwelashwa kwezimpande zezinyo le-bicuspid. Izinyo le-bicuspid lidinga ukuvakashelwa kabili ukuze kuqedelwe inqubo, futhi amakhodi asetshenziswa ezingxenyeni ezihlukene zale nqubo. Ngokusekelwe ku Amagama Amanje Amazinyo (CDT), Ilabhulali Yekhodi Yenqubo Yamazinyo ikunikeza lonke ulwazi oludingayo mayelana nalawa makhodi.
I-D3320 Ikhodi Yamazinyo Incazelo: Umsele wezimpande - i-bicuspid (ngaphandle kokubuyiselwa kokugcina) - incazelo yekhodi yenqubo yamazinyo
Ikhodi yamazinyo i-D3320 ichaza a umsele wezimpande - bicuspid inqubo, ngaphandle kokubuyisela kokugcina. I-endodontist yakho noma udokotela wamazinyo uzokutshela ukuthi udinga i-root canal ngemva kokuhlolwa komlomo. Ama-premolars angamazinyo amabili ngemuva kwama-incisors akho, futhi ahlukaniswa njengama-bicuspids noma ama-molar.
Izinyo le-bicuspid linama-cusps amabili noma amaphuzu lapho uqweqwe lwawo luhlangana khona nenhlaka. Amazinyo 'aphakathi', anezinyosi ngemuva namazinyo angaphambili ngaphambili.
Ngezinye izikhathi imisele yezimpande yenziwa njengesinyathelo sokuvimbela, kodwa isizathu esivame kakhulu sokwenza esinye iwukuba kukhishwe izicubu ezinamagciwane ezingabangela ubuhlungu, izifo, ngisho nokubola kwamanye amazinyo. Ukwelashwa kungase futhi kusetshenziselwe ukonga amazinyo engozini yokungabi nazimpande.
Ukwelashwa kwe-Endodontic kanye ne-molar (ngaphandle kokubuyiselwa okuqondile)
Ukwelashwa kwe-Endodontic kanye ne-molar kuwuhlobo lomsebenzi wamazinyo obuyisela amazinyo esimweni sawo semvelo. Ikhodi D3330 imele impande yezinyo njengoba izotholakala kumodeli ye-3D.
Uyini umsele ongumsuka?
I-root canal iyinqubo yokuhlinzwa yokwelapha ubuhlungu obuphindaphindiwe noma obuqhubekayo ku-pulp yezinyo elingelashwa. Udokotela wamazinyo uzovula imbobo endaweni ethelelekile futhi asuse i-pulp enesifo, eyaziwa nangokuthi impande, ezinyoni. Imisele kanye negumbi le-pulp bese ligcwaliswa ngoketshezi oluyinyumba noma unamathisele. I-Core buildup, evumela izinyo elilungisiwe ukusekela umqhele, ngokuvamile kuyadingeka.
Ikhodi yamazinyo ye-D3320 iyisethi yezinkombandlela ezingasetshenziswa ukusungula izinga elifanele kanye nohlobo lokunakekelwa kwamazinyo kwesiguli, kuye ngeziyalezo zikadokotela wakho wamazinyo. I-American Society of Endodonists ithuthukise le khodi ethile yamazinyo ngo-2008 ukuze ihlinzeke ngokumiswa okuthile kubo bonke odokotela abenza ukwelashwa kwe-endodontic.
Umsele wezimpande wenziwa ngesikhathi sokwelashwa kwe-endodontic futhi ngokuvamile udinga ukuvakashelwa kabili. Ezinye izindlela zokususa imisele zihlanganisa amakepisi aqondile we-pulp, ama-pulp caps angaqondile, i-pulpotomy, i-ozone therapy, nokukhipha izinyo. Uma unentshisekelo kwenye i-root canal efana ne-pulp capping, xoxa ngokuthi lezi zinketho zikufanele yini nodokotela wakho we-endodontist.
Inqubo ye-root canal
A umsele womsuka inqubo a inqubo yamazinyo lapho udokotela wamazinyo ekhipha izicubu ezinesifo ngaphakathi kwegumbi le-pulp kanye nempande yezinyo futhi esikhundleni salo afake ukugcwaliswa. Le nqubo ihlose ukuqeda ukutheleleka noma ukuvuvukala ngenkathi ikhulula ukucindezela okubuhlungu ku-nerve ezinyo.
Izimpande zemisele ziyi- inqubo endodontic ekhipha i-pulp enegciwane kanye nefile ezimpandeni zezinyo, okulandelwa ukuhlanza, ukubulala amagciwane, ukugcwalisa, nokuvala ingaphakathi lezinyo. Udokotela wakho wamazinyo kufanele anqume ukuthi uzowenza noma cha. Ngokwenza le nqubo, udokotela wakho wamazinyo angakwazi ukunquma ukuthi ukubola sekuqhubeke kangakanani futhi uma kuzodingeka ukwelashwa okwengeziwe.
Uma isiguli sintula izicubu ezanele zokusekela umqhele ovamile, isigxobo sizofakwa usimende emgodini wezimpande. Le nqubo ibizwa ngokuthi 'ukubuyisela okuyisisekelo' futhi isekela okuthunyelwe kanye nomqhele oyinhloko. Imikhiqizo eminingana yamazinyo iyatholakala ukuze ibuyiselwe, okuhlanganisa okuthunyelwe okwakhelwe ngaphambili, okuthunyelwe okulingisi, nezinto ezibalulekile. Izigxobo ezenziwe ngaphambili, eza ngobude nobukhulu obuhlukahlukene, ziyimikhiqizo yamazinyo ekhethwayo yokubuyisela okuphakathi. Ikhodi yamazinyo yeposi esenziwe ngaphambili kanye nomongo osetshenziswa ezinyo eliphethwe i-endodontically ithi D2954.
Ithini ikhodi ye-CDT ye-root canal?
Kunamakhodi amaningana e-CDT ahlukene we-root canal. I-D3320 Dental Code ikhodi yenqubo yamazinyo ehlinzekwe yi-American Dental Association (ADA) yemisele yezimpande zezinyo le-bicuspid. Ikhodi yamazinyo ye-D3330 isetshenziselwa izimpande ze-molar, kuyilapho ikhodi yamazinyo engu-D3310 ingeyamazinyo angaphambili (angaphambili).
Lawa makhodi wamazinyo ngokuyinhloko asetshenziswa kudokotela wamazinyo futhi achaza zonke izinqubo ezingaphansi kwe-endodontics, kuhlanganise nezimpande zezimpande.
Iyini i-root canal ehlukaniswa ngokuthi?
I-root canals iyinqubo ye-endodontic ehilela ukukhipha i-pulp yezinyo obala bese uligqokisa noma ulinamathisele ukuze likhuthaze ukuphulukiswa nokulungisa. Kodwa-ke, izimpande zezimpande azihlukaniswa njengesigaba sokuqala sokwelashwa kweziguli zamazinyo.
I-root canal idinga ukulaliswa okuqaphelayo noma ukulaliswa kwezinzwa okuvamile, lapho kuvulwa indawo encane empandeni yezinyo. Uma i-pulp eveziwe ivuliwe, i-pulp iyasuswa, futhi umsele uyahlanzwa ngokuwugcwalisa ngesisombululo samakhemikhali, ngokuvamile i-sodium hypochlorite (NaOCl). Kuvamile ukusebenzisa ama-plug caps ukuze uvale izinyo.
Isho ukuthini i-Endo kudokotela wamazinyo?
I-Endodontics, noma i-endodontic therapy, igatsha lodokotela bamazinyo elisebenza ngokukhethekile ekwenzeni izinqubo zokuhlinzwa emiseleni ye-endodontic kanye ne-pulp yamazinyo. Kwesinye isikhathi kusetshenziswa i-root canal therapy esikhundleni se-endodontics, kodwa igama elithi ukwelapha kwe-root canal alishintsheki. I-Endodontics ihlanganisa izinqubo ezidingekayo zokususa i-pulp yamazinyo emseleni futhi ubuyisele ukunikezwa kwegazi kwe-pulpal ukuthuthukisa ukunakekelwa kwakho kwezempilo ngomlomo.
Iyini inqubo ye-apicoectomy?
I-apicoectomy ingenye yezindlela ezivame kakhulu zokuhlinzwa komsele wezimpande futhi yenziwa ngaphansi kwe-anesthesia yendawo. Isetshenziswa lapho ukwelashwa okujwayelekile komgudu wezimpande kungasusi ukutheleleka ezicutshini eduze kwempande yethiphu. Inqubo ihilela ukukhipha ichopho (isihloko) sempande yezinyo nanoma yisiphi isicubu esinegciwane.
Ngemva kokusika inhlaka yesiguli ukuze kungene i-flap, izicubu ezinegciwane kanye nengxenye encane yethiphu lempande kuyasuswa. Indawo ekhishiwe izohlanzwa, igcwaliswe futhi ivalwe kusetshenziswa ukugcwalisa okukhethekile. Kuye ngokuthi i-endodontist itholani kanye nempendulo yesiguli, ukuxhunyelelwa kwethambo elincane kungase kudingeke noma kungadingeki. Ngemva kokuqeda ukuxhunyelelwa kwethambo, uma kunesidingo, izicubu zezinsini zizovalwa ukuze kuqedelwe i-apicoectomy
Ingabe i-bicuspid idinga umqhele?
I-bicuspid idinga umqhele lapho isiguge kakhulu noma ilimele. Lokhu kungenxa yokuthi i-bicuspid kufanele ikwazi ukubambelela ekugayeni kwakho kwansuku zonke nokuhlafuna ukudla kwakho. Izinketho zemiqhele ye-bicuspid zihlanganisa:
- i-porcelain ehlanganiswe nensimbi (PFM)
- igolide nezinye izinsimbi ezinhle
- i-zirconium (i-porcelain)
- i-resin ehlanganisiwe
- Imiqhele ye-E-Max
- izinsimbi eziyisisekelo
I-D3320 ikhodi yamanje yamazinyo eyakhiwa ngo-2008. Lesi sinyathelo sibalulekile ukuze kutholwe izinga lokubola nokuma kwemisele phakathi nenqubo yokubuyisela i-bicuspid. Kubalulekile ukuthi ungaseqi lesi sinyathelo esibalulekile uze uqede ukuvakasha kwakho kokugcina nodokotela wakho wamazinyo, ngaleso sikhathi beyoqedela inqubo yokubuyisela, okuhlanganisa ukubekwa kanye nokuthweswa umqhele uma kudingeka ukuze uthole imiphumela emihle.
Izindleko Zekhodi Yamazinyo ye-D3320
Izinkokhelo ezimaphakathi ze-bicuspid root canal, enekhodi yamazinyo engu-D3320, isukela phakathi kuka-$800 no-$1,200. Amazinyo e-Bicuspid aphakathi kwenani lentengo yamazinyo emiseleni yezimpande, kanti amazinyo abiza kakhulu futhi angaphambili abiza kancane. Izimali zokugcina zamazinyo ezikhokhiswa isiguli kanye nomshwalense zizoncika ohlelweni lwakho lwezinzuzo zamazinyo noma inkampani yomshwalense.
Nakuba amanye amahhovisi wamazinyo ezokunikeza kuphela amaphepha ozowafaka enkampanini yakho yomshwalense, amanye azokuthumelela ngokuqondile kusetshenziswa uhlelo lokuthumela imali ngogesi lomshwalense. Amahhovisi aqinisekisa ukufaneleka kwesiguli, afake ifayela nge-elekthronikhi, futhi alandelele isimo sesimangalo abahlinzeki ababamba iqhaza kunethiwekhi yakho yomshwalense. Ngalesi sizathu, babizwa ngokuthi 'abahlinzeki be-in-network'. Iziguli zivame ukukuthola kulula ukukhetha udokotela wamazinyo noma i-endodontist onakekela ukugcwalisa umshwalense kunokuba azenzele ngokwazo.
Uma udinga izinsiza ze-endodontist futhi unomshwalense wamazinyo, kuvame ukubiza kancane ukukhetha abahlinzeki ababamba iqhaza. Isizathu siwukuthi bavumile amanani okuxoxisana ngawo nohlelo lwakho lwamazinyo ukuze bonge imali yakho (kanye nomshwalense wakho).
Izobiza Malini I-Root Canal Yami?
E-United States, a umsele wezimpande ngokuvamile ubiza cishe u-$1,000.
Izindleko eziphelele zomgudu wempande zincike ohlelweni lokwelashwa kwesiguli kanye nezimali zokuzijwayeza zamazinyo. Uhlobo lwehhovisi lamazinyo nalo ludlala indima, njengoba umkhuba wangasese uvame ukubiza kakhulu kunomtholampilo wokufundisa. Intengo yomgudu wempande ingasukela ku-$750 kuya ku-$1,200, okuhlanganisa ukugcwaliswa nokuthweswa umqhele. Izindleko zamazinyo eziphuma ephaketheni zingaba ngaphansi uma isiguli sinomshwalense wamazinyo, uhlelo lwezinzuzo zamazinyo, uhlelo lwezempilo oluqeqeshiwe, noma uhlelo lwesaphulelo samazinyo.
Ngaphandle komsele wempande ngokwawo, ezinye izinqubo zamazinyo ezidingwa uhlelo lokwelashwa kwesiguli zizokhokhiswa ngokuhlukile ukuze kucutshungulwe isicelo.
Amakhodi wamazinyo we-root canal asetshenziswa ngokuyinhloko ngodokotela bamazinyo abenza ama-endodontics noma ama-endodontists. Ukubhala amakhodi okulungile kubalulekile kunoma yikuphi umkhuba wamazinyo. Kudingeka ngokomthetho ukulandela lolu hlelo lokubhala amakhodi lapho izinkampani zomshwalense zikhokhisa izinsiza zokunakekela isiguli.
Ithini ikhodi yokukhokha ye-root canal?
Ikhodi yenkokhelo iyinkomba ehlukile enikezwe inqubo ngayinye yamazinyo. Amanye amakhodi wamazinyo asetshenziselwa imisele yezimpande ahlanganisa i-D3330 (izinyo le-molar), i-D3320 (izinyo le-bicuspid), kanye ne-D3310 (izinyo langaphambili).
Iyini Inqubo Ye-Pulpectomy?
Amakhodi wamazinyo awuhlu lwamakhodi asetshenziselwa ukuhlukanisa izinhlobo ezahlukene zezinqubo zodokotela bamazinyo kanye ne-endodontists. Idatha ye-D3320 inqubo ye-pulpectomy, ngokwesibonelo, ukususwa kokunye noma wonke ama-pulp ezinyo ukuze kukhishwe amagciwane noma ukubola. Lolu hlobo lokwelashwa kwezimpande luvame ukubizwa ngokuthi i-endodontic therapy.
Ingabe i-pulpectomy iyafana nokwelashwa komsele wezimpande?
I-pulpectomy ayifani nokwelashwa komsele wempande. I-pulpectomy iyinqubo yokukhipha i-pulp ezinyoni. I-pulp yezinyo yenza ingxenye enkulu yesakhiwo sezinyo. Ngakolunye uhlangothi, ukwelapha umsele kuyinqubo yokuhlinzwa ehlanza uqweqwe lwamazinyo olunegciwane noma olimele ukuze lunqande ukusakazeka kwamagciwane.
I-D3347: Ukwehliswa kabusha Kokwelashwa Kwangaphambili Kwezimpande Zezimpande - Bicuspid
Ngezikhathi ezithile, iziguli eziye zaba nomsele ezinyo le-bicuspid ngaphansi kwekhodi yamazinyo D3320 zidinga ukuhlehliswa. Ikhodi yamazinyo ye-endodontic retreatment of the previous root canal ezinyo le-bicuspid ithi D3347.
Isiguli singase sidinge izinyanga zokwelashwa noma iminyaka ngemuva komsele wokuqala wempande. Lokhu kungaba ngenxa yezinyo elingapholi kahle, elihlala libuhlungu, noma elisenalo. Ezinye izizathu ezivamile zokuhlehla zihlanganisa umqhele ophukile, ukugcwaliswa okuxekethile, izinyo eliphukile, ukwelashwa okungalungile, noma ukubola okusha.
Nakuba akekho ofuna ukuba nesibili impande canal, kungcono ngaso sonke isikhathi ukusindisa amazinyo akho emvelo. Enye indlela yokuhlehlisa iwukukhishwa kwezinyo (noma amazinyo) okulandelwa ukushintshwa okubizayo kwamazinyo okufakelwa ingxenye, amabhuloho, noma izimila. Iziguli eziningi zikhetha ukugcina amazinyo azo emvelo kunamazinyo okufakelwa ingxenye. Kungase kubonakale kungenangqondo, kodwa ukuhlehlisa ishibhile futhi kungcono kunokukhipha! Khuluma nodokotela wakho wamazinyo noma i-endodontist mayelana nokuthi ukuhlehlisa noma ukukhishwa izinyo lakho kukulungele yini.
Amanye amakhodi wamazinyo e-endodontic retreatment for root canals afaka:
- I-D3346: Ukwehliswa kabusha Kokwelashwa Kwangaphambili Komsuka Wezimpande - Ngaphambili
- I-D3348: Ukwehliswa kabusha Kokwelashwa Kwangaphambili Kwezimpande Zokwelapha - i-Molar
Uyini umehluko phakathi kokukhipha izinyo ngokuhlinzwa nokungahlinzeki?
Ukukhipha amazinyo okuhlinza kuyisenzo sokukhipha amazinyo ngokusika izicubu zezinsini. Le nqubo yokuhlinzwa ngomlomo isebenzisa ama-forceps, ama-laser, noma amanye amathuluzi ukukhipha izinyo. Ukukhipha izinyo okungahlinzeki kulapho udokotela wamazinyo ekhipha izinyo ngaphandle kokusika izicubu zezinsini zesiguli. Kunamakhodi ahlukene okuhlinza kanye namakhodi okungezona okuhlinzwa okwelashwa kwe-endodontic.
Isho ukuthini i-Endo Therapy Molar Ex Rest?
I-Endotherapy iyinqubo yokuhlinzwa enciphisa ingozi yokuthi elinye izinyo likhishwe elinye. I-molar ex rest iyisisetshenziswa se-orthodontic esiklanyelwe ukuvimbela amazinyo ukuthi angathintani. Igama elithi 'Ex rest' libhekisela ngaphambi kokubuyisela.