{"id":36008,"date":"2019-10-31T22:09:07","date_gmt":"2019-10-31T19:09:07","guid":{"rendered":"https:\/\/prohoster.info\/blog\/ustanovka-implantata-kak-eto-delaetsya\/"},"modified":"2019-10-31T22:09:07","modified_gmt":"2019-10-31T19:09:07","slug":"ustanovka-implantata-kak-eto-delaetsya","status":"publish","type":"post","link":"https:\/\/prohoster.info\/et\/blog\/news\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Implantaadi paigaldamine: kuidas see toimub?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implantaadi
\nTere p\u00e4evast, kallid s\u00f5brad! T\u00e4na tahaksin r\u00e4\u00e4kida ja peamiselt n\u00e4idata teile, kuidas toimub implantaatide paigaldamise operatsioon \u2014 koos k\u00f5ikide t\u00f6\u00f6riistade ja muu vajalikuga. Kui ma olen juba r\u00e4\u00e4kinud hambaarst eemaldamisprotsessist<\/a><\/noindex>, eesk\u00e4tt tarkushambast<\/a><\/noindex> , siis on aeg r\u00e4\u00e4kida millegi t\u00f5sisema \u00fcle.<\/p>\n

TAHTMINE! -Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-TAHTMINE!-Uwaga!-Pa\u017enju!<\/p>\n

Allpool on n\u00e4idatud operatsiooni k\u00e4igus tehtud fotosid! N\u00e4htud hammastest, igemetest, verest ja t\u00fckkidest. Kui teil on n\u00f5rgad n\u00e4rvid, palun loobuge selle artikli lugemisest.<\/b><\/p><\/blockquote>\n

<\/a><\/noindex>
\nKas olete ikka veel siin? Siis alustame!<\/p>\n

Konsultatsioon ja uuring<\/h3>\n

\nLisaks visuaalsele kontrollile:<\/p>\n

\"Implantaadi
\n
\nPeame teostama r\u00f6ntgenuuringu. Sel juhul ei piisa lihtsalt OP TG-st (panoraamr\u00f6ntgenist). On vajalik CBCT<\/b> (koonusekihiline kompuutertomograafia).<\/p>\n

\"Implantaadi
\n<\/p>\n

Mis on siis erinevus?<\/h3>\n

\nOP TG<\/b> (ortopantomogramm) \u2014 \u00fclevaatepilt hamba- ja l\u00f5ualuus\u00fcsteemist. See pilt on lame, seega kattuvad k\u00f5ik pildi detailid kihiti \u00fcksteisega. Seet\u00f5ttu ei ole v\u00f5imalik uuritavat objekti, eriti planeeritava implantatsiooni kohta, vaadata k\u00f5igis tasandites, teistest nurkadest v\u00f5i teistes projektsioonides.<\/p>\n

CBCT<\/b> (koonusekihiline kompuutertomograafia) \u2014 3D-ruumiline pilt, vastupidiselt annab meile sellise v\u00f5imaluse.<\/p>\n

\"Implantaadi
\n
\nAntud juhul on luu koe maht piisav optimaalse suurusega implantaadi stabiliseerimiseks ning igeme kvaliteet v\u00f5imaldab luua esteetilise kontuuri ilma t\u00e4iendavate protseduurideta:<\/p>\n

\"Implantaadi
\n
\nP\u00e4rast vajalike uuringute l\u00e4biviimist liigume otse implantatsioonile.<\/p>\n

K\u00f5ik algab, muidugi, anesteesiast. Keegi ei taha ju operatsiooni ajal valust karjuda, eks ole?<\/p>\n

Kuna soovime minimeerida k\u00f5ik ebameeldivad aistingud ja n\u00f5ela pistmine oleks v\u00e4hem valulik \u2014 kasutatakse nn aplikatsioonianesteesiat<\/b><\/p>\n

\"Implantaadi
\n
\nSeej\u00e4rel teostatakse anesteetiku infiltreerimine planeeritava operatsiooni piirkonnas. Pildil on n\u00e4idatud korduvkasutatav karpuli s\u00fcstal, mis loomulikult steriliseeritakse p\u00e4rast iga patsienti, nagu ka k\u00f5ik teised t\u00f6\u00f6riistad. Kaks \u00fchekordset karpuli anesteetikuga ja kaks erineva pikkusega n\u00f5ela:<\/b> Kuidas see suus v\u00e4lja n\u00e4eb:<\/p>\n

\"Implantaadi
\n
\nKuidas see suus v\u00e4lja n\u00e4eb:<\/p>\n

\"Implantaadi
\n
\nP\u00e4rast anesteesiat tehakse scalpelliga \u2014 l\u00f5ige<\/b>, ja nii nimetatud h\u00e4irib m\u00f5\u00f5t\u00fchikuga \u2014 luu skeletoniseerimine<\/b>. (koskude eraldamine luu kompaktainest).<\/p>\n

\"Implantaadi
\n
\nL\u00f5ige:<\/p>\n

\"Implantaadi
\n
\nSkeletoniseerimine:<\/p>\n

\"Implantaadi
\n
\nEdasi toimub implantaadi aukude ettevalmistamine (operatsioon).<\/p>\n

Allpool on esitatud komplekt \u00fchele Saksamaa implantatsioonis\u00fcsteemile, mida ma oma praktikas kasutan.<\/p>\n

\"Implantaadi
\n
\nLisaks kirurgilisele komplektile on meil spetsiaalne seade, mida nimetatakse f\u00fcsiodispensaatoriks:<\/p>\n

\"Implantaadi
\n
\nErinevalt tavalisest hambaravimismasinast v\u00f5imaldab see mitte ainult t\u00e4pselt reguleerida p\u00f6\u00f6rlemiskiirust ja jahutada l\u00f5ikeinstrumenti f\u00fcsioloogilise lahusega, vaid ka kontrollida p\u00f6\u00f6rdemomenti.<\/p>\n

Implanteerimine algab m\u00e4rgistamisega. Seda tehakse sf\u00e4\u00e4rilise puuri abil:<\/p>\n

\"Implantaadi
\n
\nSeej\u00e4rel m\u00e4\u00e4ratleme 2 mm l\u00e4bim\u00f5\u00f5duga pilootfreese abil tulevase implantaadi augu telje, mida kontrollime pin-sildade abil*<\/p>\n

\"Implantaadi
\n*Asi, mida kasutatakse implantaadi positsiooni kontrollimiseks<\/p>\n

Seej\u00e4rel, kui augu telg on \u00f5igesti m\u00e4\u00e4ratud, peab me vaid viima augu \u00f5igesse l\u00e4bim\u00f5\u00f5tu. Selleks kasutatakse p\u00f5hitoimimisfreese. Esimene neist \u2014 l\u00e4bim\u00f5\u00f5duga 3,0 mm:<\/p>\n

\"Implantaadi
\n
\nP\u00e4rast seda \u2014 positsiooni kontrollimine muddide sarnaste implantaadiga:<\/p>\n

\"Implantaadi
\n
\nJ\u00e4rgmisel on j\u00e4rgmine freese, l\u00e4bim\u00f5\u00f5duga 3,4 mm:<\/p>\n

\"Implantaadi
\n
\nJa n\u00fc\u00fcd on k\u00e4es k\u00f5ige vastutustundlikum etapp \u2014 l\u00f5ppfreese meie implantaadi jaoks l\u00e4bim\u00f5\u00f5duga 3,8 mm. N\u00fc\u00fcd v\u00e4hendame f\u00fcsiodispensaatori p\u00f6\u00f6rlemiskiirus minimaalseks, et v\u00e4ltida \u00fclekuumenemist ja luukoe vigastusi, mille j\u00e4rel v\u00e4ga ettevaatlikult l\u00e4bime augu:<\/p>\n

\"Implantaadi
\n
\nKontrollime veel kord k\u00f5ike sarnaste implantaatide abil. Nagu \u00f6eldakse, seitse korda m\u00f5\u00f5da, \u00fcks kord l\u00f5ika:<\/p>\n

\"Implantaadi
\n
\nOleme viinud augu s\u00fcgavuseks 11 mm ja l\u00e4bim\u00f5\u00f5t on 3,8 mm. Kuid see ei ole k\u00f5ik, aukude ettevalmistamine ei l\u00f5ppe sellega.<\/p>\n

Ja k\u00f5ik, kuna luukoe on elastne keskkond, ja et leevendada pinget kortikaalsel plaatil (ja v\u00e4ltida periimplantaati), kasutame spetsiaalset kortikaalset freese:<\/p>\n

\"Implantaadi
\n
\nT\u00f6\u00f6tades v\u00e4ga tiheda luukoega, kasutame t\u00e4iendavalt spetsiaalset niiti:<\/p>\n

\"Implantaadi
\n
\nN\u00fc\u00fcd v\u00f5ib implantaadi paigaldamisega alustada.<\/p>\n

N\u00f5utava suurusega (3.8x11 mm) implantaadi kinnitamine kuueh\u00fcdroone, seej\u00e4rel paigaldatakse see ettevalmistatud auku:<\/p>\n

\"Implantaadi
\n
\nKontrollime veel kord implantaadi positsiooni:<\/p>\n

\"Implantaadi
\n
\nSeej\u00e4rel eemaldame ajutise abutment'i, mis meie puhul t\u00e4itis implantaadi hoidja funktsiooni:<\/p>\n

\"Implantaadi
\n
\nJ\u00e4rgmine etapp on igemesoojendaja paigaldamine:<\/p>\n

\"Implantaadi
\n
\nArvestades kliinilisi tingimusi, valisime paigaldatud implantaadi jaoks Slim-formeerija (ilma laiendusteta) k\u00f5rgusega 3 mm:<\/p>\n

\"Implantaadi
\n
\nL\u00f5petame meie operatsiooni \u00f5mbluste panemisega:<\/p>\n

\"Implantaadi
\n
\nJa kontrollpildiga:<\/p>\n

\"Implantaadi
\n
\nImplantaadi integreerimiseks kulub keskmiselt 4 kuud. Samal ajal toimub pehmete kudede kujunemine, seega umbes 12 n\u00e4dala p\u00e4rast saame \u00f5igeaegselt kroonide paigaldamiseks valmis s\u00fcsteemi.<\/p>\n

Sellega on t\u00e4naseks k\u00f5ik.<\/p>\n

Ait\u00e4h t\u00e4helepanu eest!<\/p>\n

Lugupidamisega, Andrei Dashkov<\/p>\n

Mida veel lugeda hammaste implantatsioonist?<\/b><\/p>\n

\u2014<\/b> Sinus-lifting ja samaaegne implantatsioon<\/a><\/noindex>
\n
Allikas: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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