Pali zifukwa zambiri zachipatala zomwe zimayambitsa kusweka kwa mabasi a mano othamanga kwambiri, monga kusankha ma burs, kukhazikika kwa ndodo yoyambira, kupha tizilombo toyambitsa matenda ndi zinthu zina.Kusankha kolondola kwa bursshape kutalika kwa opaleshoni(1) Kusankha kwapang'onopang'ono.
Carbide Burs1, yolimba kwambiri; 2, yabwino, lolani kuwawa kwa odwala; 3, kutentha kwapamwamba4, Mtengo wokweraMatungsten carbide ndi mabala a diamondi ndi zida zapadera zamano zomwe zimagwiritsidwa ntchito popanga mano osiyanasiyana Chida chilichonse cha mano chilipo.
Mau oyamba a Mano a Mano ndi Ntchito Zawo Mabomba am'mano ndi zida zofunika kwambiri pamano amakono, ofunikira pamachitidwe osiyanasiyana kuyambira pakukonza pabowo mpaka kupanga korona. Zida zozungulira izi zimamangiriridwa ku kubowola kwa mano ndipo zimabwera mochuluka