Sauran hanyoyin zuwa amalgam sun hada da resin mai hade, gilashin ionomer, ain, da zinariya, a tsakanin sauran zabin. Yawancin masu amfani suna zaɓar cikewar kai tsaye kai tsaye saboda launin launin fari yayi daidai da haƙori kuma ana ɗaukar farashi matsakaici.
A baya, hujja ta gama gari game da abubuwan cikewa shine cewa basu da karko kamar amalgam. Koyaya, binciken da aka yi kwanan nan ya ɓata wannan da'awar. Masu bincike na binciken da aka buga a cikin 2016 kuma aka gudanar a kan marasa lafiya 76,000 na tsawon shekaru goma sun gano cewa abubuwan cikewar amalgam sun fi yawan gazawar shekara-shekara fiye da hadaddun.1Karatuttuka guda biyu da aka buga a cikin 2013 sun gano cewa an cika abubuwan cikawa hade da haɗuwa yayin kwatanta ƙimar gazawa2da sauya farashin cikawa.3Sauran bincike sun bayar da irin wannan binciken: binciken da aka buga a cikin 2015 an rubuta "kyakkyawan aikin asibiti" na ƙananan ƙwayoyin cuta akan ƙimar shekaru 30,4wani meta-bincike da aka buga a cikin 2014 ya lura da "rayuwa mai kyau" na sake dawo da hadadden gudummawar komputa,5wani bincike da aka buga a shekarar 2012 ya nuna wasu nau'ikan kayan hada abubuwa zasu kasance muddin aka hadu,6kuma wani binciken da aka buga a cikin 2011 ya samo "kyakkyawan aikin asibiti" na masu haɗaka a cikin shekaru 22.7
Hakanan an soki abubuwan cika abubuwa saboda wasu daga cikinsu suna dauke da abu mai rikitarwa bisphenol-A (BPA). Likitocin hakora suna da ra'ayoyi iri-iri game da amincin BPA da sauran nau'ikan bisphenol, kamar su Bis-GMA da Bis-DMA. Hakanan akwai damuwa game da ionomers na gilashi, dukansu suna ƙunshe fluoride.
Marasa lafiya da ke damuwa game da abubuwan da ke cikin kayan hakoran su galibi suna zaɓar yin magana da likitocin hakora game da amfani da kayan da ba ya ƙunshe da wasu abubuwan. Misali, samfurin mai suna Admira Fusion8/Admira Fusion X-tra9wanda aka fitar a watan Janairun 2016 daga kamfanin haƙori na VOCO ya ruwaito cewa yumbu ne10kuma kada a dauke Bis-GMA ko BPA kafin ko bayan an warke.
Wani zaɓi ga marasa lafiya na haƙori waɗanda ke damuwa game da wacce za a iya amfani da ita azaman kayan kyauta ba tare da mekuri ba ita ce yin nasu bincike da / ko yin gwajin gwajin haƙori. Idan anyi amfani da gwajin nazarin halittu, za a aika da jinin jinin mara lafiya zuwa dakin gwaje-gwaje inda ake tantance sinadarin kasancewar kwayoyin IgG da IgM zuwa sinadaran sinadaran da ake amfani da su a kayayyakin hakora.11 An baiwa mai haƙuri cikakken jerin abin da kayan haƙori na suna masu aminci don amfanin su kuma waɗanne ne zasu iya haifar da wani abu. Misalai biyu na dakunan gwaje-gwaje waɗanda ke ba da wannan sabis a halin yanzu sune Biocomp dakunan gwaje-gwaje12da kuma ELISA / ACT Biotechnologies13
Har ila yau, game da ciwon hakori, Dr. Stejskal ya gabatar da Gwajin MELISA a cikin 1994. Wannan fasalin da aka gyara na (Lymphocyte Transformation Test) LLT an tsara shi don gwaji don ƙwarewar ƙarfe irin na IV da jinkirta saurin damuwa zuwa karafa, gami da ƙwarewa ga mercury.14
Bugu da ƙari, la'akari da abin da abu don amfani da hakori fillings, yana da muhimmanci cewa hakori marasa lafiya da kuma kwararru zama saba da kuma yi amfani da matakan tsaro yayin cire abubuwan cikewar amalgam mercury.
