Ezinye izindlela ze-amalgam zifaka i-resin eyinhlanganisela, i-glass ioner, i-porcelain, negolide, phakathi kwezinye izinketho. Abathengi abaningi bakhetha ukugcwaliswa okuqondile okuhlanganisiwe ngoba umbala omhlophe ufana nezinyo kangcono futhi izindleko zibhekwa njengezilinganisiwe.
Esikhathini esedlule, impikiswano ejwayelekile ephikisana nokugcwaliswa okuhlanganisiwe ukuthi bezingaqinile njenge-amalgam. Kodwa-ke, ucwaningo lwamuva lusichithile lesi simangalo. Abaphenyi besifundo esashicilelwa ngo-2016 futhi senziwa ezigulini ezingaphezu kuka-76,000 isikhathi esingaphezu kweminyaka eyishumi bathole ukuthi ukugcwaliswa kwe-amalgam yangemuva kunesilinganiso esiphakeme sokwehluleka ngonyaka ukwedlula izinhlanganisela.1Izifundo ezimbili ezihlukene ezishicilelwe ngo-2013 zithole ukuthi ukugcwaliswa okuhlanganisiwe kwenziwe kanye ne-amalgam uma kuqhathaniswa namazinga okwehluleka2namanani wokugcwalisa okufakwa esikhundleni.3Olunye ucwaningo luye lwahlinzeka ngemiphumela efanayo: ucwaningo olushicilelwe ngo-2015 olubhalwe "ukusebenza kahle kwemitholampilo" lwama-resins ahlanganisiwe ngaphezu kokuhlolwa kweminyaka engama-30,4ukuhlaziywa kwe-meta okushicilelwe ngo-2014 kuphawulwe "ukusinda okuhle" kokubuyiselwa okuhlanganisiwe okuvela ngemuva,5isifundo esashicilelwa ngo-2012 sakhombisa izinhlobo ezithile zezinto ezihlanganisiwe ezihlala isikhathi eside njengokuhlangana,6kanti ucwaningo olushicilelwe ngo-2011 luthole “ukusebenza kahle kwemitholampilo” kwezinhlanganisela esikhathini esiyiminyaka engama-22.7
Ukugcwaliswa okuyinhlanganisela nakho kuye kwagxekwa ngoba ezinye zazo ziqukethe impikiswano ye-bisphenol-A (BPA). Odokotela bamazinyo banemibono ehlukahlukene mayelana nokuphepha kwe- BPA nezinye izinhlobo ze-bisphenol, njenge-Bis-GMA ne-Bis-DMA. Kukhona futhi ukukhathazeka ngama-ionomers engilazi, konke okuqukethe i-fluoride.
Iziguli ezikhathazekile ngezithako ezisezintweni zazo zamazinyo zivame ukukhetha ukukhuluma nodokotela bazo bamazinyo ngokusebenzisa into engenazo izithako ezithile. Isibonelo, umkhiqizo oqanjwe I-Admira Fusion8/I-Admira Fusion X-tra9ekhishwe ngoJanuwari 2016 yinkampani yamazinyo i-VOCO kubikwa ukuthi nge-ceramic10nokungafaki i-Bis-GMA noma i-BPA ngaphambi noma ngemuva kokuba iselaphekile.
Enye inketho yeziguli zamazinyo ezithintekayo ngokuthi iyiphi enye indlela engena-mercury engayisebenzisa njengezinto zokugcwalisa ukwenza ucwaningo lwayo kanye / noma ukuthatha ukuhlolwa kwamazinyo kokuhambisana kwamazinyo. Uma kusetshenziswa ukuhlolwa kwezinto eziphilayo, isampuli yegazi lesiguli lithunyelwa elabhorethri lapho kuhlolwa khona i-serum ukuba khona kwama-antibodies e-IgG ne-IgM ezingxenyeni zamakhemikhali ezisetshenziswa emikhiqizweni yamazinyo.11 Isiguli bese sinikezwa uhlu oluningiliziwe lokuthi yimaphi amagama wamazinyo aphephile ukusetshenziswa kwawo nokuthi yikuphi okungaholela ekuphenduleni. Izibonelo ezimbili zamalebhu okwamanje ahlinzeka ngale nsizakalo yilezi Amalebhu eBiocomp12futhi I-ELISA / ACT Biotechnologies13
Futhi, mayelana nokungezwani komzimba kwamazinyo, uDkt. Stejskal wethula i- Ukuhlolwa kweMELISA ngo-1994. Le nguqulo eguquliwe ye (iLymphocyte Transformation Test) LLT eyenzelwe ukuhlola uhlobo lwensimbi lokuzwela kwensimbi IV ibambezele ukuzwela kuzinsimbi, kufaka phakathi ukuzwela kwi-mercury.14
Ngaphezu kokubheka ukuthi iyiphi impahla ongayisebenzisela ukugcwalisa amazinyo, kubalulekile ukuthi iziguli zamazinyo kanye nochwepheshe bazi futhi sebenzisa izindlela zokuphepha lapho ususa ukugcwaliswa kwamazinyo kwe-amalgam mercury.