Nyob hauv lub neej ntawm txhua tus neeg muaj lub sijhawm thaum nws pib plam hniav. Qhov no tej zaum yuav tshwm sim los ntawm kev raug mob hauv tsheb sib tsoo lossis ua si kis las, tab sis feem ntau cov hniav raug tshem tawm vim nws muaj mob ntev thiab kev puas tsuaj tag.
Koj tsis tuaj yeem xav tias kev poob ib lossis ob tus hniav tsis yog teeb meem. Tseeb tiag, nrog tsis muaj cov hniav hauv lub qhov ncauj, cov neeg nyob sib ze pib warp, lub puab tsaig yog deformed, thiab qhov no ua rau mob taub hau tas li thiab kev noj qab haus huv tsis zoo. Tsis tas li ntawd, cov zaub mov tsis zoo ua rau muaj ntau yam kab mob ntawm lub plab zom mov. Thiab thaum kawg, qhov zoo nkauj ntawm tus neeg raug kev txom nyem heev yog tias qhov sib txawv tshwm sim hauv nws cov hniav pem hauv ntej.
Muab tag nrho cov no, cov nplaum nplaum ua ib qho tseem ceeb, uas yog, qhov tsim nyog.
Txoj kev ntawm txoj kev
Qhov tshwj xeeb ntawm cov nplaum nplaum yog qhov tseeb tias cov pob qij txha tau ntxig ntawm cov hniav noj qab haus huv yam tsis muaj kev sib tsoo ntxiv, thiab cov hlua khi ntawm cov hniav tsis pom, vim tias lawv tau nruab los ntawm cov hniav sab hauv.
Adhesive choj tsis tshua muaj zog dua li tus choj tsis tu ncua, yog li nws tau nruab rau ntawm cov hniav pem hauv ntej, tab sis ntawmpremolars, nws yuav sai sai los ntawm kev ntxhov siab.
Rau qhov tib yam (nce fragility), ntau tshaj 2 prostheses tsis muab tso rau ib sab. Muaj tsawg zaus, koj tuaj yeem nruab peb lub prostheses ua ke, tab sis dua, tsuas yog ntawm cov hniav pem hauv ntej xwb.
Indications rau installation
Adhesive prosthesis tau teeb tsa los ntawm tus kws kho mob pom zoo. Qhov no tshwm sim hauv cov xwm txheej hauv qab no:
- Cov hniav poob hauv ntau qhov anterior incisors pom thaum luag ntxhi. Tab sis koj yuav tsum ua kom cov hniav nyob sib ze muaj zog thiab noj qab nyob zoo.
- Yuav tsum tau ceev kom rov qab ua kom lub ntsej muag dawb huv.
- Adhesive prosthesis raug teeb tsa yog tus neeg mob raug mob plawv lossis kab mob vascular thiab lub cev tsis tuaj yeem ua haujlwm ntev rau kev txhim kho tus choj hniav.
- hom prosthesis no tuaj yeem suav tias yog kev daws teeb meem ib ntus thaum cov kws kho hniav ua kom muaj zog dua ntawm cov prosthesis.
Contraindications rau kev teeb tsa
Adhesive prosthesis yog ntsia tau yooj yim thiab sai, tsis muaj cov txheej txheem ntxiv. Yog li ntawd, cov npe ntawm contraindications nyob rau hauv cov ntaub ntawv no yog luv heev:
- Tus neeg mob lub hnub nyoog siab heev.
- Cov kab mob ntawm cov hniav uas tuaj yeem pab txhawb rau prosthesis.
- Yav dhau los hnav cov hniav enamel.
- Yam tsis raug, tiv thaiv kev kho ntawm lamellar hniav hniav.
- Nws tsis pom zoo kom siv cov prostheses ntawm hom no rau cov neeg ncaws pob koom nrog hauv kev ua yeeb yam, hockey thiab ncaws pob. Tom qab tag nrho, txhawm rau tawg, nws yuav txaus tsis yog lub tshuab muaj zog heev rau lub ntsej muag.txawm nrog hnab looj tes boxing los yog pob. Kev tiv thaiv kev kho hniav tshwj xeeb, lub qhov ncauj qhov ncauj, tej zaum yuav ua tsis tau zoo nyob rau hauv qhov xwm txheej zoo li no.
txiaj ntsig
hom kev sib tw no muaj ntau qhov zoo uas tsis tuaj yeem lees paub:
- Txhob muab tus hniav uas ploj lawm pem hauv ntej ntawm lub qhov ncauj hauv ib zaug.
- Cov hniav uas lamellar prosthesis txuas tsis tas yuav tig, thiab ntau dua yog li tshem tawm cov hlab ntsha thiab cov hlab ntsha ntawm cov hlab ntsha.
- Cov hniav yas yog qhov txawv ntawm cov hniav tiag, vim lawv ua tib zoo xaiv los ntawm xim.
- Cov pob qij txha tuaj yeem tshem tau yooj yim yog tias tsim nyog.
- Tsis muaj hlau hauv cov hniav yas, yog li tsis muaj oxidation lossis tsis haum rau lub cev rau cov hniav.
- Resin hniav hniav thiab txuas hniav yog yooj yim kho yog tawg los yog chipped los yog tawg.
- Tus nqi ntawm hom choj hniav nyiaj hniav kub no qis dua li lwm yam khoom siv.
Flaws
Txawm hais tias cov thev naus laus zis zuj zus, cov hniav nplaum nplaum muaj ntau qhov tsis zoo:
- Vim nws qhov tsis yooj yim, cov khoom siv luv luv. Koj tuaj yeem siv nws tsis pub dhau tsib xyoos. Tias yog vim li cas nws thiaj li pom tau tias yog kev ntsuas ib ntus.
- hom prosthesis no tsuas yog siv rau ntawm cov hniav pem hauv ntej xwb, dua vim nws qhov tsis yooj yim.
- Cov pob txha hauv qab prosthesis raug atrophy vim tias tsis muaj lub siab siv rau nws.
- Cov khoom txuas ua rau nws nyuaj rau kev ntxuav kom huv.
- Abrasions ntawm enamel ntawm cov hniav tuav lub prosthesis,coj mus rau caries rau lawv.
- Tiv thaiv cov pob txha los ntawm kev puas tsuaj, ib tug neeg siv lwm cov hniav, uas ua rau lawv cov load.
Txoj Kev Mounting
Txhawm rau kom ua tau zoo thiab lub zog ntawm cov pob qij txha, ntau txoj hauv kev kho nws tau tsim:
- Beam fastening. Cov txheej txheem yog ua raws li kev kho cov prosthesis ntawm cov hlau xaim raug tshem tawm ntawm cov hniav abutment. Ua li no, lawv txiav me grooves nyob rau hauv lawv. Cov hlau nws tus kheej txuas nrog cov khoom sib xyaw.
- Thaum splinting, siv daim kab xev fiberglass, tsau rau cov hniav txhawb nqa, tshwj xeeb hauv cov grooves. Lub prosthesis nws tus kheej yog txuas mus rau daim kab xev no. Qhov no ua rau lub clutch hloov tau yooj yim, uas tiv thaiv cov pob qij txha los ntawm kev tawg thaum thauj khoom.
- Txhob tsis tig cov hniav abutment. Nyob rau hauv cov ntaub ntawv no, lub prosthesis yog txuas mus rau ib tug fiberglass daim kab xev nplaum rau cov hniav abutment, los yog tuav rau lawv nrog yas nres nyob rau hauv daim ntawv ntawm tis. Txoj kev no tsis tshua muaj kev ntseeg siab thiab zoo nkauj, vim tias cov nplaum tsis ua raws li qhov zoo, thiab cov yas txhawb nqa tau pom zoo heev.
Nyob rau hauv txhua rooj plaub, txoj kev fastening yog sab laug rau kev txiav txim siab ntawm tus kws kho mob, vim hais tias tus mob ntawm cov hniav yog txawv rau txhua tus neeg. Qee qhov xwm txheej, tus kws kho mob yuav tsum muab cov txheej txheem txuas.
Kev tsim khoom
hniav hniav yog tsim los ntawm ntau txoj kev, nyob ntawm seb qhov xwm txheej tshwj xeeb. Tus kws kho mob xaiv cov txheej txheem tom qab kuaj hniav thiab ntsuas lawv tus mob.
Yog tias ua tau prosthesisyuav tsum tau ua txoj cai ntawm qhov chaw ntawm nws lub installation thaum lub sij hawm ib zaug, ces txoj kev no yog hu ua chaw kho mob.
Nyob rau hauv lub chaw tsim khoom txoj kev, lub prosthesis yog ua los ntawm lub hauv paus ntawm kev txaus siab nyob rau hauv tej yam kev mob ntawm ib tug kho hniav prosthetics Rhiav.
Rau cov txheej txheem ua ke, cov txheej txheem kho mob thiab kev sim siv ib txhij. Ntawd yog, ib qho chaw ua haujlwm ua hauv chav kuaj tau nruab nrog kev hloov kho hauv tsev kho mob. Txhua tus prosthesis muaj qhov ntxoov ntxoo ntawm tus kheej thiab translucency, nyob ntawm tus neeg mob cov hniav.
Installation
Txhim kho cov pob qij txha yog cov txheej txheem yooj yim, tab sis tsuas yog tus kws kho hniav uas muaj kev paub nplua nuj tuaj yeem nqa tawm, vim tias cov txheej txheem yuav tsum muaj tswv yim. Qhov no yog vim qhov sib txawv loj hauv cov qauv ntawm cov hniav ntawm txhua tus neeg, lawv cov xim, cov duab, loj:
- Ua ntej ntawm tag nrho, cov hniav abutment tau npaj. Lawv txiav cov kab noj hniav rau fasteners.
- Tom qab ntawd kev txhawb nqa nws tus kheej, xaim lossis fiberglass daim kab xev yog mounted.
- Kev txhawb nqa thiab cov hniav yog ntxuav nrog phosphoric acid.
- Teb ntawm no, lub hauv paus ntawm prosthesis los ntawm cov khoom tshwj xeeb yog txuas nrog rau kev txhawb nqa.
- Yuav muab cov hniav yav tom ntej kom zoo li qhov xav tau, cov pwm tooj dag raug teeb tsa nyob ib puag ncig cov hniav txhawb nqa thiab qhov chaw khoob.
- Tom qab ntawd, cov hniav nws tus kheej yog tsim los ntawm qhov yuav tsum tau muaj qhov siab thiab tuab, kom tsis txhob cuam tshuam qhov tom ntej.
- Tom qab cov resin kho tau thiab cov pwm tooj dag tshem tawm, tus kws kho mob yuav zom thiab txhuam cov khoom siv ua kom zoo.
Yuav tsum tau ntxiv qhov ua tiavsib tov cov ntaub ntawv rau kev tsim cov hniav, ib tug photopolymer yog siv los hloov nws cov xim nyob rau hauv qhov kev txiav txim ntawm ib tug coj beam nrog ib tug tej yam wavelength. Qhov no tso cai rau tom qab qhov kawg molding thiab polishing ntawm cov hniav kom nws muaj xim ntuj, indistinguishable los ntawm cov neeg nyob sib ze - cov hniav tiag. Qhov no yog tiav los ntawm gradual irradiation ntawm cov hniav nrog ib tug radiator. Nyob rau theem no, kev vam meej nyob ntawm qhov rhiab heev ntawm tus kws kho hniav qhov muag, nws yuav tsum muaj peev xwm hnov qhov sib txawv ntawm qhov ntxoov ntxoo. Txawm hais tias muaj cov cuab yeej tshwj xeeb uas tso cai rau koj los txiav txim siab qhov zoo thiab qhov tsis zoo ntawm qhov ntxoov ntxoo. Tab sis qhov no yog qhov yuav tsum tau muaj kev paub dhau los ntawm tus kws kho mob zoo.
khoom tu
Txhawm rau ua kom lub neej ntev ntawm cov pob qij txha thiab khaws nws qhov zoo nkauj, nws yuav tsum ua tib zoo ua raws li cov cai rau kev saib xyuas nws:
- Nco ntsoov txhuam ob zaug hauv ib hnub nrog tshuaj txhuam hniav thiab txhuam txhuam.
- Yaug koj lub qhov ncauj tom qab txhua pluas noj. Koj tuaj yeem siv txoj kev tshwj xeeb rau kev yaug qhov ncauj. Qhov no yog tshwj xeeb tshaj yog tsim nyog ua tom qab noj mov nrog dyes. Lawv yuav tsum tsis txhob raug tso cai rau absorbed rau hauv cov qauv ntawm cov prosthesis. Tias yog vim li cas cov kws kho hniav pom zoo kom muab kas fes thiab tshuaj yej muaj zog, nws ua rau qhov zoo nkauj ntawm cov hniav.
- Cais, nws yuav tsum tau hais tias kev haus luam yeeb tsis yog tsuas yog cov tsos ntawm cov hniav, tab sis kuj ua rau ntau yam kab mob, ua rau cov enamel tsis muaj zog. Yog li ntawd, ua ib feem ntawm kev kho hniav, nws yog ib qho tsim nyog yuav tsum tso tseg tus cwj pwm txaus ntshai no mus ib txhis.
- Yuav kom cov hniav abutment tsis raug kev txom nyem los ntawm caries, tom qab noj nws yog tsim nyogntxuav qhov chaw nruab nrab ntawm cov hniav, rau qhov no siv cov hlua khi tshwj xeeb.
- Yuav kom tsis txhob ua rau cov pob qij txha, koj tsis tuaj yeem ua rau tus cwj pwm zom cov noob, xaum lossis qhib corks nrog koj cov hniav.
Cov chaw tsim khoom tau lees paub qhov zoo ntawm lawv cov prostheses rau peb mus rau tsib xyoos, nyob ntawm kev saib xyuas kom raug. Tab sis yog tias koj tsim tag nrho cov cai ntawm kev saib xyuas thiab tsis tsim txom cov zaub mov uas yuav tsum tau zom, ces cov khoom siv tes ua tuaj yeem kav ntev txog kaum xyoo.
khoom nqi
Raws li cov hniav hniav, tus nqi rau nws muaj cov khoom siv los ua nws. Tus nqi ntawm tus choj kho hniav kuj nyob ntawm nws qhov nyuaj, uas yog, pes tsawg tus hniav nws hloov - ib, ob lossis peb.
Piv txwv li, tus nqi ntawm tus npauj npaim prosthesis rau ib tus hniav yog kwv yees li ib txhiab rubles. Tab sis yog hais tias nws yog ua los ntawm chromium los yog cob alt, tus nqi nce mus rau tsib mus rau rau txhiab rubles. Hauv qhov no, tus nqi ntawm tus npauj npaim prosthesis ib tus hniav yog sib npaug rau tus choj tus qauv. Yog li ntawm no qhov kev xaiv yuav nyob ntawm tus nqi xwb.
tshuaj xyuas khoom
Feem ntau, cov lus teb ntawm cov nplaum nplaum yog qhov zoo. Qhov no yog vim qhov yooj yim thiab ceev ntawm cov txheej txheem. Tseeb tiag, kev tsim cov choj txuas rau ntawm tus hniav pem hauv ntej yuav siv peb mus rau tsib mus ntsib kws kho hniav. Thiab cov nplaum prosthesis tau muab tso rau thawj zaug.
Tib neeg kuj nyiam qhov tseeb tias koj tsis tas yuav zom cov hniav noj qab haus huv uas txhawb nqa tus choj. Tom qab tag nrho, nrog kev ua tsis zoo, kev txhim kho ntawm cov kab mob twb tau ua tiav ntawm cov hniav noj qab haus huv, uas ua rau kev rov ua haujlwm ntawm tus choj. Thiab ntawm chav kawm, tus nqi tsis yog txhua yam.muaj peev xwm them taus tus choj kim, thiab cov nplaum nplaum yog qhov kev txiav txim ntawm qhov loj me uas pheej yig dua li tus choj yooj yim tshaj plaws.
Zoo kawg
Adhesive prosthesis tuaj yeem txuag cov hniav ntawm qhov deformation - qhov no yog qhov tseeb. Thiab los ntawm qhov zoo nkauj ntawm qhov pom, nws yog qhov zoo - kev xaiv kom raug prosthesis tsis sawv tawm ntawm kev kho hniav hauv txhua txoj kev. Txawm li cas los xij, muaj qee qhov nuances ntawm no thiab. Feem ntau txoj kev no ntawm cov khoom siv prosthetics yog siv los ua ib qho kev pab cuam, ua ntej loj manipulations. Tom qab tag nrho, cov yas prostheses yog luv luv.
