Dzimwe nzira dzeku amalgam dzinosanganisira resin rinoumbwa, girazi ionomeri, porcelain, uye goridhe, pakati pezvimwe zvingasarudzwa. Vazhinji vatengi vanosarudza yakanangana composite kuzadza nekuti iyo chena kuchena inowirirana nezino zvirinani uye mutengo unofungidzirwa uri wepakati.
Munguva yakapfuura, nharo yakajairika yekupokana neyekuzadza ndeyekuti ivo vaive vasina kusimba senge amalgam. Nekudaro, ongororo dzichangoburwa dzakaratidza kuti izvi zvataurwa. Vatsvaguriri vechidzidzo chakaburitswa muna2016 uye chakaitiswa pamusoro pevarwere vanopfuura makumi manomwe nezviuru makumi manomwe kwemakore anopfuura gumi vakaona kuti kumashure kwemasanganisi ekuzadza kwaive nekukwira kwepamusoro kwegore kudarika zviyero1Zvidzidzo zviviri zvakaparadzaniswa zvakaburitswa muna2013 zvakawana kuti kuwanda kuzadza kunoitwa pamwe chete kana amalgam kana uchienzanisa kutadza kwemitengo2uye kutsiva yekuzadza mitengo.3Kumwe kutsvagurudza kwakapa zvakawanikwa zvakafanana: ongororo yakaburitswa mu2015 yakanyorwa "yakanaka kiriniki yekuita" yezvikamu zvakaomeswa pamusoro peye 30-gore ongororo,4meta-ongororo yakaburitswa muna2014 yakaratidza "kupona kwakanaka" kwemashure resin rinoumbwa kudzoreredzwa,5chidzidzo chakaburitswa muna2012 chakaratidza mamwe marudzi ezvigadzirwa zvemukati zvinogara sekureba sekubatana,6uye chidzidzo chakaburitswa muna 2011 chakawana "yakanaka kiriniki yekuita" yezvikamu zvinopfuura makore makumi maviri nemaviri.7
Kuunganidzwa kuzadza kwakashoropodzwa nekuti mamwe acho ane iyo inokakavara zvinhu bisphenol-A (BPA). Vanachiremba vemazino vane maonero akasiyana siyana nezve kuchengetedzeka kwe BPA uye mamwe marudzi ebisphenol, akadai seBis-GMA uye Bis-DMA. Ikoko kwave kune zvakare kunetsekana nezve magirazi ionomers, ese arimo fluoride.
Varwere vane hanya nezve zvinoshandiswa mumidziyo yavo yemazino kazhinji vanosarudza kutaura navanachiremba vemazino nezvekushandisa chinhu chisina zvimwe zvinoshandiswa. Semuenzaniso, chigadzirwa chinonzi Admira Fusion8/Admira Fusion X-tra9yakaburitswa muna Ndira 2016 nekambani yemeno VOCO inonzi ndeye ceramic10uye kusave neBis-GMA kana BPA isati kana kana yapora.
Imwe sarudzo yevarwere vemazino vane hanya nekuti ndeipi imwe mercury-yemahara imwe yekushandisa seyokuzadza zvinhu ndeyekutsvaga kwavo uye / kana kutora bvunzo yemazino biocompatibility. Kana kuongororwa kwehupenyu kuchishandiswa, muropa ropa remuropa rinotumirwa murabhoritari uko iyo serum inoongororwa kuvepo kwemaIgG uye IgM antibodies kumakemikari zvigadzirwa zvinoshandiswa mune zvigadzirwa zvemazino.11 Murwere anobva apihwa runyorwa rwakadzama rwekuti ndeapi mazita-brand mazino zvinhu zvakachengeteka kuti zvishandiswe uye izvo zvinogona kukonzera mhinduro. Mienzaniso miviri yemarabhoramu ayo parizvino anopa sevhisi iyi Biocomp Laboratories12uye ELISA / ACT Biotechnologies13
Uyewo, maererano nemishonga yemazino, Dr. Stejskal akaunza MELISA bvunzo muna 1994. Iyi inguva yakashandurwa ye (Lymphocyte Shanduko Bvunzo) LLT yakagadzirirwa kuyedza simbi senzwi mhando IV yakanonoka hypersensitivity kune simbi, kusanganisira kunzwisisika kune mercury.14
Pamusoro pekufunga nezvekuti ndezvipi zvekushandisa pakuzadza mazino, zvakakosha kuti varwere vemazino uye nyanzvi vazive uye shandisa matanho ekuchengetedza kana uchibvisa mazino amalgam mercury kuzadza.