Kev cog hniav hniav: contraindications thiab muaj teeb meem tshwm sim (tshuaj xyuas)

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Kev cog hniav hniav: contraindications thiab muaj teeb meem tshwm sim (tshuaj xyuas)
Kev cog hniav hniav: contraindications thiab muaj teeb meem tshwm sim (tshuaj xyuas)

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Video: Kev cog hniav hniav: contraindications thiab muaj teeb meem tshwm sim (tshuaj xyuas)
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mob lossis raug mob qee zaum ua rau cov hniav poob. Qhov no cuam tshuam tsis tau tsuas yog qhov txo qis hauv kev ua haujlwm ntawm lub qhov ncauj kab noj hniav, tab sis kuj cuam tshuam rau kev xav zoo nkauj thiab kev hwm tus kheej. Lub neej zoo heev tuaj yeem txiav txim siab los ntawm qhov zoo ntawm cov hniav. Thiab koj tuaj yeem sau qhov sib txawv nrog ob qho tib si txuas hniav, crowns thiab pins, nrog rau kev cog qoob loo. Nyob rau tib lub sijhawm, tom kawg yog qhov pom qhov tsis sib xws ntawm cov hniav tiag tiag, tsis tas yuav sib tsoo ntawm cov hniav nyob sib ze, tsis yuam cov qauv tshwj xeeb kom kho, uas nws muaj nuj nqis. Txawm li cas los xij, txawm tias kev cog hniav zoo li cas, tseem muaj contraindications thiab muaj teeb meem tshwm sim.

Dab tsi yog qhov teeb meem ntawm kev cog hniav?
Dab tsi yog qhov teeb meem ntawm kev cog hniav?

Nyob rau hauv keeb kwm

Thawj qhov kev cog hniav tau sim los ntawm tib neeg thaum ub. Archaeological pom tau hais tias kub yog nyob rau hauv Ancient tim lyiv teb chaws, Indians tau ua los ntawm semi-precious pob zeb, ancient Suav los ntawm kaus ntxhw, ancient Roman los ntawm hlau. Tab sis tom qab ntawd nws nyuaj heev los ua, nrog rau kev pheej hmoo siab. Kev kho hniav implantation nws tus kheej yog txaus ntshai,Cov teeb meem tom qab implantation txawm ntau deplorable.

Qhov teeb meem tseem ceeb yog cov ntaub ntawv siv nrog tib neeg lub puab tsaig tsis tuaj yeem ua raws, yog li teeb meem tshwm sim sai lossis tom qab. Tab sis nyob rau hauv lub 60s ntawm lub xyoo pua 20th, cov kws tshawb fawb tau nthuav tawm cov khoom zoo ntawm titanium, uas tau dhau los ua kev lom neeg tsis muaj zog, thiab txij li xyoo 80s lawv tau kawm paub yuav ua li cas koom ua ke cov khoom no rau hauv tib neeg cov pob txha, pib lub sijhawm cog qoob loo. Nws yog titanium uas tuaj yeem loj hlob mus rau hauv cov pob txha, yog li ntawd, ntsia hlau cylindrical implants tau tsim los ntawm nws lub hauv paus.

Tsis yog txhua yam yooj yim li: contraindications thiab teeb meem

Ntawm ib sab, koj tuaj yeem tso qhov cog rau txhua lub hnub nyoog ntawm txhua qhov chaw nyob hauv lub puab tsaig. Txawm hais tias nws tau raug puas tsuaj, ces nws txoj kev ncaj ncees yog rov qab los ntawm cov tshuaj niaj hnub los ntawm kev tsim cov pob txha pob txha, uas yuav muab cov hniav tshiab. Tab sis ntawm qhov tod tes, qhov txheej txheem no tsis muaj rau txhua tus. Muaj ntau tus contraindications uas yuav tsis tso cai rau koj los kho lub ntsej muag zoo nkauj nrog txoj kev no.

Kev kho hniav implantation contraindications thiab muaj teeb meem tshwm sim
Kev kho hniav implantation contraindications thiab muaj teeb meem tshwm sim

Yog li, cia peb saib cov pawg ntawm cov neeg siv khoom uas tsis haum rau kev cog hniav, leej twg ua tsis tau rau ib qho lossis lwm qhov.

qib tshuaj tam sim no siab, thev naus laus zis tau pov thawj, cov ntaub ntawv ntseeg tau. Nws yuav zoo li tias kev kho hniav tsis muaj kev phom sij, txawm tias nws yog kev cog hniav. Puas muaj teeb meem? Ib txhia txawm tsis xav txog nws. Qhov tseeb, qhov no tseem yog kev cuam tshuam kev ua haujlwm, uas muaj ntau yam txaus ntshai, yog li qhov teeb meem yuav tsum tau ua tiag tiag. Muab kiag litxhua yam tsis yog ib txwm ua tau, tab sis cov kws kho mob ua txhua yam ua tau kom tsis txhob muaj teeb meem tshwm sim.

YGeneral kiag li contraindications

Tsis txhob muab qhov kev pabcuam no rau cov neeg muaj ntshav, mob qog nqaij hlav hauv pob txha, mob ntsws, tiv thaiv kab mob thiab kab mob autoimmune, nrog rau cov neeg mob ntshav qab zib hom I. Lawv tsis ua kev phais rau cov neeg mob uas muaj qee yam kab mob hauv nruab nrog cev lossis kis tau tus kab mob hauv nruab nrab paj hlwb, suav nrog kev puas hlwb. Cov kab mob no yog cov contraindications kiag li. Txawm tias bruxism tuaj yeem dhau los ua kev cuam tshuam, piv txwv li. gnashing ntawm cov hniav, thiab hypertonicity ntawm masticatory nqaij, uas yuav tsis tso cai rau cov implants kho ib txwm thiab lub qhov txhab los kho. Kev tsis haum rau tshuaj loog kuj dhau los ua qhov cuam tshuam rau kev ua haujlwm.

Puas muaj teeb meem nrog kev cog hniav?
Puas muaj teeb meem nrog kev cog hniav?

Ntawm cov kev kho mob contraindications, kuj muaj cov txheeb ze uas yog ib ntus. Yog li, yog tias ib tus neeg muaj kev ntxhov siab lossis noj tshuaj uas yuav ua rau tsis zoo rau kev kho mob, ces kev cuam tshuam yuav raug tsis lees paub. Tsis txhob ua kev phais rau cov neeg mob uas nyuam qhuav tau txais xov tooj cua lossis kws khomob, tab sis dhau sijhawm, cov txheej txheem no tuaj yeem muaj rau lawv.

txheeb ze thiab ib ntus contraindications

Raws li cov lus qhia saum toj no, los ntawm qhov pom ntawm cov tshuaj, kev cog hniav tsis ua tiav. Contraindications thiab cov teeb meem tshwm sim kuj tseem cuam tshuam tsis yog nrog cov kab mob, tab sis nrog lub cev mob. Tus kws kho mob tshwj xeeb yuav tsis tso cai rau cov neeg mus rau cov txheej txheem uas muaj cov hlab ntsha xaus ntawm lub puab tsaig lossis cov pob txha nws tus kheej hauv qhov tsis zoo.daim ntaub. Lo lus nug no yog tus kheej thiab raug qhia tawm thaum kuaj tus kheej. Misdiagnosis tuaj yeem ua rau muaj teeb meem. Yog li, yog tias tus neeg mob muaj osteoporosis, i.e. cov pob txha mos mos, ces cov implants nyuaj rau implant.

Kev kho hniav implantation rau leej twg contraindications
Kev kho hniav implantation rau leej twg contraindications

Ib tug txheeb ze contraindication yog muaj teeb meem nrog lwm cov hniav. Tab sis nws yog txaus los ua kom huv ntawm lub qhov ncauj kab noj hniav kom tsis txhob muaj cov hniav carious thiab lwm yam kab mob, thiaj li hais tias qhov teeb meem yog reconsider. Nws tseem yog ib qho tsim nyog los kho cov kab mob ntawm cov kab mob thiab cov kab mob gingivitis ua ntej. Pathological tom, arthrosis ntawm temporomandibular sib koom ua ke tuaj yeem ua ib qho teeb meem. Implantation tsis ua rau cov poj niam cev xeeb tub. Tsis tas li ntawm cov npe ntawm cov xwm txheej tsis zoo yog kev haus dej cawv, haus luam yeeb thiab kev quav yeeb tshuaj.

Contraindications tsis yog ua rau poob siab

Tab sis nyob rau hauv qee yam mob, kev cog hniav tseem tuaj yeem ua tau, rau leej twg contraindications tsis tau tso cai thaum xub thawj. Ntau tus txheeb ze thiab ib ntus tuaj yeem raug tshem tawm, kho, tos lub sijhawm, thiab lwm yam. Qee lub sij hawm nws muaj peev xwm tshem tau tag nrho cov contraindications, thiab qee zaum nws txaus los txo qis lawv qhov ua tau kom ua tiav kev cog qoob loo.

Qee zaum, kev kho mob lossis kev npaj ua ntej tshwj xeeb tuaj yeem ua tiav, uas txawm tias qhov xwm txheej tshwm sim. Piv txwv li, yog hais tias qhov teeb meem yog vim tsis txaus ntim ntawm cov pob txha cov ntaub so ntswg nyob rau hauv qhov chaw, ces pob txha grafting yuav ua tau, uas yuav cia cov implantation. Thiab muaj ntau cov txheej txheem uas tiv thaiv osteoporosis, txhawb cov pob txha loj hlob thiab pab nws dhau sijhawm.rov qab.

Muaj Teeb Meem

Muaj kev cog hniav contraindications thiab muaj teeb meem tshwm sim. Qee tus ntawm lawv tuaj yeem tshwm sim txawm tias thaum lub sijhawm teeb tsa ntawm titanium pas nrig thiab / lossis lub ntsej muag nrog lub kaus mom, lwm tus tshwm sim hauv lub sijhawm tom qab phais, thiab qee qhov yuav tshwm sim tom qab lub sijhawm ntev. Cov kev tsim nyog ntawm tus kws tshaj lij thiab nws cov kev paub dhau los tseem ceeb heev txhawm rau txhawm rau txheeb xyuas qhov xwm txheej ntawm tus neeg siv cov ntaub so ntswg ua ntej ua haujlwm, nrog rau kev ua haujlwm ntawm nws tus kheej. Raws li qee qhov kev kwv yees, qhov teeb meem tshwm sim hauv 5% ntawm kev ua haujlwm.

leej twg tsis tuaj yeem tau txais kev cog hniav
leej twg tsis tuaj yeem tau txais kev cog hniav

Nws tsim nyog sau cia tias qee qhov teeb meem tshwm sim los ntawm kev ua txhaum ntawm cov neeg mob lawv tus kheej. Cov lus pom zoo kho mob yuav tsum tau ua raws li nruj me ntsis: ua tib zoo saib xyuas kev nyiam huv, tso tseg qee yam cwj pwm tsis zoo thiab, qhov tseem ceeb, ua raws li cov txheej txheem thauj khoom uas poob ntawm qhov cog. Koj yuav tsum tsis txhob nco lub sijhawm teem sijhawm kuaj xyuas txhawm rau ua kom cov txheej txheem ntawm osseointegration tswj hwm, thiab thaum muaj teeb meem, txheeb xyuas thiab tshem tawm lawv nyob rau theem pib.

Teeb meem thaum phais

Thaum tus txheej txheem nws tus kheej, cov nqaij mos, cov kwj dej alveolar lossis txawm tias cov hlab ntsha ntawm lub ntsej muag tuaj yeem raug puas tsuaj. Qee lub sij hawm muaj kev txheeb xyuas tias muaj qhov perforation ntawm maxillary sinus los yog qhov ntswg kab noj hniav. Thaum ua haujlwm nrog lub puab tsaig qis, qee zaum muaj kev puas tsuaj rau cov hlab ntsha, nkag mus ntawm cov pob txha hauv cov kwj dej mandibular. Kuj tseem muaj qhov txaus ntshai los ntshav, lossis cov pob txha cov ntaub so ntswg overheats hauv cov txheej txheem ntawm kev tsim lub txaj rauyav tom ntej implant.

Qee zaum nyob rau hauv cov xwm txheej zoo li no, cov txheej txheem yuav tsum tau cuam tshuam yooj yim, tab sis muaj kev pheej hmoo tias qhov kev cog hniav no yuav ua tsis tau txhua. Contraindications thiab muaj teeb meem tshuaj xyuas ntawm no yog tus cwj pwm tsis zoo tshaj plaws. Yog li, overheating ntawm cov pob txha cov ntaub so ntswg yuav tsis tso cai rau cov titanium pas nrig mus rau hauv paus nyob rau hauv qhov chaw no yav tom ntej. Pob txha perforation thiab sinus nkag yog qhov txaus ntshai dua. Hmoov zoo, qhov kev pheej hmoo tsawg tsawg, cov xwm txheej no tsis tshua muaj heev.

Postoperative and long-term complications

Xav tias kev cog cov hniav twb dhau lawm. Yuav muaj teeb meem dab tsi tom qab nws? Qee lub sij hawm muaj kev sib txawv ntawm cov seams, qhov tshwm sim ntawm qhov mob thiab o. Lub titanium pas nrig tej zaum yuav yooj yim tsis noj hauv paus, tsis tas ruaj los yog loosened. Qee zaum cov pob txha cov ntaub so ntswg nyob ib ncig ntawm nws tuaj yeem tawg, uas yog hu ua peri-implantitis. Qee zaum, ntawm qhov tsis sib xws, cov pob txha loj tuaj tshwm nyob ib ncig ntawm qhov chaw kho. Nws kuj tseem muaj peev xwm hais tias qhov cog cog yuav ua tsis tiav vim muaj kev fab tshuaj titanium, pob txha pob txha, lossis pob txha hlawv, tiv thaiv kev cog qoob loo ntxiv.

Dab tsi yog qhov teeb meem ntawm kev cog hniav?
Dab tsi yog qhov teeb meem ntawm kev cog hniav?

Kev xaiv tshwj xeeb

Ceev nrooj thiab kev lag luam hauv qhov teeb meem no tsis tsim nyog. Qhov kev ua haujlwm no tsis pheej yig, thiab nws kuj tseem cuam tshuam nrog tus nqi kim tshaj plaws - kev noj qab haus huv, thiab yog li ntawd yuav tsum tau ua kom loj tshaj plaws. Txhawm rau kom paub tseeb tias kev cog hniav puas tsim nyog, kom paub meej contraindications thiab muaj teeb meem tshwm sim, koj yuav tsum hu rau tsawg kawg ob tus kws kho mob tshwj xeeb los ntawm cov chaw kho mob zoo. Cov lus qhia no yog muab los ntawm cov neeg paub txog txog txhua tus kws kho mob,tab sis ntawm no nws kuj tseem ceeb heev. Txoj hauv kev no yuav ua rau koj nkag siab qhov teeb meem zoo dua, mloog cov kev xav ntawm cov kws kho mob sib txawv, kab tias txheeb xyuas qee qhov tsis sib xws thiab txheeb xyuas lawv raws sijhawm.

Nws tseem tsim nyog kawm ntxiv txog lub tsev kho mob thiab tus kws kho mob, ob qho tib si los ntawm cov ntaub ntawv raug cai thiab los ntawm cov neeg mob tiag tiag uas tau muab tso rau ntawm no. Qhov zoo tshaj plaws, yog tias cov no yog cov neeg paub, nws cov lus tuaj yeem ntseeg tau tag nrho. Tab sis nws yuav tsis yog superfluous los kawm cov kev txheeb xyuas ntawm lwm tus.

Cov lus qhia thiab lus tim khawv los ntawm cov neeg siv khoom tiag

Feem ntau cov tswv ntawm cov cog tshiab, tsis paub qhov txawv ntawm cov hniav tiag, txaus siab heev rau kev yuav khoom. Tab sis muaj cov neeg uas muaj mob los yog tsis xis nyob thaum tom ntev, thiab cov neeg uas tau dhau los ntawm o. Los ntawm txoj kev, koj yuav tsum nkag siab tam sim ntawd qhov kev cog hniav yog dab tsi, qhov teeb meem dab tsi thiab yuav tsum ua li cas hauv cov xwm txheej no.

Kev kho hniav implantation contraindications thiab muaj peev xwm tshuaj xyuas
Kev kho hniav implantation contraindications thiab muaj peev xwm tshuaj xyuas

Yog li, nrog tib qho mob, "kev ntxuav" tau ua hauv tsev kho mob, kev kho mob tau sau tseg, tom qab ntawd nws yuav muaj peev xwm tsis nco qab txog teeb meem mus ib txhis. Nyob rau hauv tsis muaj qhov xwm txheej yuav tsum tau tso tseg rau lub caij nyoog. Yog tias kev kho mob tsis ua haujlwm tsis zoo, qhov kev cog hniav tuaj yeem raug tshem tawm.

Thawj zaug tom qab kev phais mob ib txwm muaj kev mob loog nrog tshuaj loog. Tab sis yog tias qhov rhiab heev tsis rov qab los tom qab 4 teev lossis ntau dua, qhov no yuav qhia tau tias muaj kev puas tsuaj rau cov hlab ntsha mandibular. Tsis tas li ntawd, thawj teev tom qab kev ua haujlwm, los ntshav los ntawm qhov txhab yuav tshwm sim. Yog tias tom qab ib lub lim tiam nws tsis nres, peb tuaj yeem hais tias lub nkoj tau raug ntaus thaum lub sijhawm ua haujlwm. Cov teeb meem no xav tau kev cuam tshuam ntawm cov kws tshaj lij.

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