Tom qab kev tshaj tawm cov ntawv dhau los, thiab tshwj xeeb tshaj yog , Kuv tau txais ntau cov lus nrog cov lus nug - "Thiab yog tias tus hniav 7 tau raug tshem tawm ib zaug, tus 8 puas yuav muab nws qhov chaw?" los yog "Puas yog rub tawm tus 8th (kab rov tav) hniav thiab muab tso rau hauv qhov chaw ntawm 7th, uas ploj lawm?"
Yog li, nws yog qhov theoretical ua tau ua qhov no raws li koj xav txog nws, tab sis ... nyuaj.
Tsis yog, tau kawg, muaj "tus tswv" uas koom tes nrog thiab txhawb cov txheej txheem no. Tab sis tsis muaj leej twg yuav muab kev lees paub rau koj tias tom qab ib xyoos, lossis txawm tias ob xyoos ntawm kev sim rub tawm xws li 8 thiab muab tso rau hauv kab nrog rau koj cov hniav, koj yuav tau crowned nrog ib puas feem pua kev vam meej. Kuj tseem muaj txoj hauv kev rau kev kho hniav. Qhov kuv tsis ntseeg heev txog. Tshwj xeeb tshaj yog thaum, nyob rau hauv qhov chaw ntawm lub 6th los yog 7th hniav, uas tau raug tshem tawm ntev dhau los, ib tug dag "socket" (tsuas yog ib tug "lub qhov" nyob rau hauv cov pob txha) raug txiav tawm, nyob rau hauv uas ib tug zoo sib xws txiav kab rov tav cov hniav yog muab tso rau. . Uas, nyob rau hauv lem, yuav tsum tau kho endodontically (uas yog, tshem tawm cov hlab ntsha ntawm nws). Koj tsis xav tias qhov no yog absurd?
Hauv kuv lub tswv yim, qhov no yog qhov ruam xwb, tab sis! Qhov no tshwm sim. Txhua tus "ua haujlwm" raws li nws xav tau lossis paub yuav ua li cas, yog tias koj nyiam. Raws li lawv hais, "txhua yam yog raws li kev qhia." Kuv qhia kuv qhov kev xav, uas tej zaum yuav txawv ntawm qhov kev xav ntawm lwm tus.
Yog li vim li cas ho tsis rub tawm koj cov hniav ntse?
Tom qab tag nrho, orthodontists txhim kho braces, txav cov hniav, thiab rub "dag" cuam tshuam (tsis muaj kev cuam tshuam) fangs, uas nyob rau hauv kab rov tav lub puab tsaig. Wb rub 8k! Koj hais.
Qhov teeb meem yog thaj tsam ntawm kev txawj ntse cov hniav, thiab tshwj xeeb tshaj yog qis 8-ok yog qhov tshwj xeeb. Cov pob txha hauv qhov chaw no yog tuab heev, thiab thaj chaw nws tus kheej feem ntau yog dav. Cov cheeb tsam no tseem yog thaj chaw pub dawb rau kev phais osteoplasia.
Ntawd yog, nyob rau hauv qhov chaw no, siv cov cuab yeej tshwj xeeb, koj tuaj yeem nqa cov pob txha tawg (thaiv) thiab hloov mus rau qhov chaw uas tsis muaj cov pob txha txaus los tso cov pob txha. Thiab cheeb tsam no (qhov twg cov pob txha tawg tau raug coj mus) yuav rov zoo dua nyob rau lub sijhawm thiab, yog tias tsim nyog, kev ua haujlwm tuaj yeem rov ua dua.
Tab sis pob txha grafting yog lub ntsiab lus ntawm cov khoom cais, uas peb yuav xav txog tom qab.
Yog li no nws yog. Cov pob txha yog tuab thiab dav. Yog tias koj sim rub tawm 8 tus hniav, lub hnab ntim pob txha sib sib zog nqus yuav tsim tom qab nws, thiab txhua tus hniav uas hwm tus kheej yuav tsum tau nyob ib puag ncig ntawm cov pob txha ntawm txhua sab. Ib qho piv txwv me me - nqa ib tug pas thiab lo rau hauv cov xuab zeb, txav nws, yuav ua li cas? Ib tug "groove" yuav tshwm nyob rau hauv cov xuab zeb. Tseem yuav muaj teeb meem zoo sib xws hauv cov tsuav. Tshem tawm cov hniav kab rov tav kom nws nyob ib puag ncig ntawm cov pob txha ntawm txhua sab yog qhov tsis txaus ntseeg.
Koj hais tias, "Okay, ua li cas txog tus hniav ntsug es tsis yog kab rov tav?"
Kuv cov lus teb yog tias qhov xwm txheej nrog tus hniav ntsug yog qhov txawv me ntsis; xws li kev txav loj, tau kawg, yuav tsis tsim nyog. Tab sis qhov teeb meem yuav zoo ib yam; nws yog qhov nyuaj heev kom txav "lub cev" ntawm cov hniav. Peb txhua tus paub tias tus neeg laus dua, qhov kev kho mob hauv lub cev qeeb dua piv rau cov neeg hluas. Ua nws, piv txwv li, pob txha. Thiab tag nrho vim yog qhov tseeb tias tus menyuam cov pob txha muaj ntau cov organic ntau dua li cov neeg laus. Lub plhaub npog sab nraud ntawm cov pob txha (periosteum) yog tuab thiab zoo nrog cov ntshav. Lwm yam thiab lwm yam. Thiab tus neeg laus dua, qhov ntev thiab nyuaj dua cov txheej txheem rov qab siv sijhawm. Nws yog tib zaj dab neeg nrog cov hniav. Yog tias koj muaj 14 xyoos, ces tag nrho cov hniav txav uas tus kws kho hniav tau hais tseg yuav dhau mus sai thiab yooj yim dua rau koj dua yog tias koj muaj 40 xyoo.Tej zaj dab neeg nrog "rub" ntawm cov fwj, uas kuv tau tham saum toj no - yog tias koj ua qhov no thaum muaj hnub nyoog 14 xyoos, qhov ua tiav ntawm txoj haujlwm no yog qhov siab tshaj plaws.
Yog tias, thaum muaj hnub nyoog 40 xyoo, koj thawj zaug thaij duab panoramic ntawm koj cov hniav thiab tus kws kho mob pom tias muaj kev cuam tshuam rau kab rov tav pw canine nyob rau ntawd, ces txoj kev vam meej yuav tsawg dua. Nws zoo ib yam nrog 8, yog tias koj muaj 14 xyoos, ces qhov kev xav zoo li kev tswj hwm yog ua tau, kuv tuaj yeem xav tias nws yuav ua tiav. Tab sis muaj ib tug loj TAB SIS! Lub hnub nyoog no, cov hauv paus hniav tseem tsis tau tsim; nyob rau hauv daim duab panoramic, peb tsuas tuaj yeem pom qhov tsim coronal ntawm cov hniav, nyob rau hauv lub follicle (capsule nyob ib ncig ntawm cov kab mob), ces peb yuav tsum "rub" dab tsi?
Hauv qhov no, cov rudiment tuaj yeem raug puas tsuaj thiab cov hniav tseem yuav tau muab tshem tawm. Yog, thiab yog tias thaum muaj hnub nyoog 14 xyoos koj coj ib qho ntawm koj cov hniav mus rau qhov kev tshem tawm... Qhov no yog, muab nws me me, tu siab. Yuav ua li cas rau koj cov hniav thaum muaj hnub nyoog 40?
Thiab ib qho ntxiv, tsis tseem ceeb, tab sis tseem ceeb. Qhov no yog lub cev ntawm lub cev ntawm cov duab thiab qhov loj ntawm lub kaus mom ntawm 7th thiab 8th cov hniav. Lawv txawv. Nws muaj peev xwm tsim kom muaj kev sib cuag tag nrho hauv qhov no, tab sis nws puas yuav raug?
"Yog hais tias tus hniav 6 tau muab tshem tawm ntev, qhov 7 tuaj yeem txav mus rau qhov chaw ntawm 6th, thiab 8th mus rau qhov chaw ntawm 7th?"
Tsis yog... Nws yuav zoo li no -
"Ib qho chaw dawb huv yeej tsis npliag". Yog tias tus hniav ploj mus ntev, cov hniav nyob sib ze pib maj mam hloov mus rau lawv. Cov kev txav no tshwm sim rau pem hauv ntej xwb. Ntawd yog, yog tias , ces tus hniav 7 yuav tsis qaij rov qab zoo li qhov pom hauv daim duab. Yog tsis muaj teeb meem nrog qhov tom. (kaw cov hniav).
"Kuv puas tuaj yeem tshem tawm tsuas yog cov hniav qis qis thiab tawm sab saud (lossis rov ua dua), nws yuav tsis thab koj?"
Alas, tab sis tsis yog.
Hauv qab no, txawm li cas los xij, yog piv txwv tsis yog nrog 8 tus hniav, tab sis lub ntsiab lus yog tib yam. Thaum tsis muaj tus hniav, nws cov antagonist (tus hniav uas nws kaw) pib maj mam txav mus rau qhov ploj lawm, "sim" nrhiav kev sib cuag.
Tso ib qho kev cog rau hauv thaj tsam ntawm 7th hniav tsis yog ib qho teeb meem, tab sis nws yuav ua tsis tau rau prosthetize (nruab lub crown) xws li cov hniav kom raug. Vim li cas? Vim hais tias nyob rau hauv cov ntaub ntawv no lub crown yuav yog ob zaug qis nyob rau hauv qhov siab. Thiab qhov hu ua "block" yog tsim thaum lub puab tsaig qis txav, uas kuv tau hais .
Lo lus nug logical yog: “Yog li cas? Yuav ua li cas txog qhov xwm txheej no?
Nov yog dab tsi. Peb hu rau txhua tus neeg nyiam orthodontists los pab thiab, nrog kev pab los ntawm cov qauv tshwj xeeb thiab cov pas nrig, peb sim muab cov hniav tso rau hauv txoj haujlwm kom raug, raws li qhov xwm txheej tau npaj tseg. Feem ntau, kuv ntseeg tias cov kws kho hniav yog cov kws kho hniav tseem ceeb tshaj plaws. Vim li cas? Yog tias koj xav txog nws, txhua yam teeb meem ntawm cov hniav yog dab tsi? - Los ntawm lawv txoj haujlwm. Yog tias "cov hniav yog crooked," ces cov khoom noj khoom haus yuav ua rau muaj kev cuam tshuam ntau dua ntawm cov hniav, yog li kev huv huv raug mob, yog li caries, thiab tag nrho cov teeb meem cuam tshuam nrog nws. Ntxiv rau qhov overload ntawm cov hniav vim raug kaw. Nyob zoo rau kev puas tsuaj, daim tawv nqaij ntawm cov hniav thiab txhua yam ntawm cov kab tsis zoo (cov kab mob uas tsis yog-carious uas nyob hauv thaj tsam ntawm lub caj dab ntawm cov hniav nyob rau hauv daim ntawv ntawm ib tug wedge-shaped defect). TMJ (temporomandibular joint) kuj raug kev txom nyem; crunching, nias, mob, thiab lwm yam yuav tshwm sim. Thiab yog tias tsis muaj teeb meem nrog koj tom, tsuas yog txhuam koj cov hniav thiab koj yuav zoo siab. Tab sis tsis muaj teeb meem li cas nws yuav suab, nws yuav tsum ua kom raug. Koj tuaj yeem txhuam koj cov hniav rau 20 feeb, tab sis nws yuav tsis ua haujlwm zoo.
Peb tau cuam tshuam. Nov yog qhov chaw kho mob me me.
Ib qho kev cog cog tau raug ntsia thiab tib lub sijhawm kho nrog tus kws kho hniav pib. Raws li peb pom, sab xis sab xis 7 hniav yog qaij, thiab sab xis sab xis 6 tus hniav tau txav me ntsis.
Thov nco ntsoov tias nws tsis tsim nyog rau nruab ib lub braces tag nrho kom tshem tawm qhov teeb meem no. Nws yog txaus los nplaum 3 braces ntawm 4th, 5th, thiab 7th hniav, thiab siv lub caij nplooj ntoos hlav tshwj xeeb los thawb cov teeb meem hniav rau hauv qhov chaw. Ntawm lub puab tsaig sab sauv qhov xwm txheej yog qhov txawv me ntsis. Txhawm rau kho qhov teeb meem, ob lub ntsia hlau orthodontic raug teeb tsa. Ib sab ntawm sab plhu, thiab qhov thib ob los ntawm sab ntawm lub palate. Ob lub nyees khawm yog glued rau cov hniav, thiab traction yog muab (tshwj xeeb elastic bands). Lawv "rub" cov hniav rau hauv qhov chaw.
Thiab los ntawm lwm lub kaum sab xis -
Thiab tam sim no kuv lo lus nug yog, vim li cas koj xav tau qhov no? Kuv hais txog rub tus 8.
Cov hniav ntse tsis yog "cov log tsheb seem." Lawv tsis tuaj yeem khaws thiab hloov cov hniav ploj. Ntxiv rau qhov tseeb tias cov txheej txheem ntawm kev txav mus los ntev heev, tshwj xeeb tshaj yog muaj hnub nyoog, nws kuj tsis tau lees tias. Ntawd yog, koj siv li ib xyoos lossis ob "rub" 8. Tsis muaj leej twg yuav muab kev lees paub rau koj rau qhov no, thiab thaum kawg, yog tias nws tshwm sim, koj yuav rho tawm nws li cas. Nws puas tsim nyog?
Tab sis koj tuaj yeem tso ib qho kev cog qoob loo hauv lub sijhawm hauv thaj tsam ntawm cov hniav rho tawm thiab tom qab 3 lub hlis (yog tias peb tham txog lub puab tsaig sab hauv) koj tau lees tias yuav muaj cov hniav zom zaws uas yuav pab tau koj. so ntawm koj lub neej. Thiab tsis muaj ntxiv "rub-rub". Tag nrho cov no yog ua raws li tag nrho cov lus pom zoo thiab mus ntsib kws kho hniav ib zaug txhua rau lub hlis rau kev kuaj kev tiv thaiv. Tsis muaj dab tsi yuav tshwm sim rau qhov cog. Nug: “Cia li tuaj?” Yog li ntawd yog tias muaj teeb meem pib nrog cov hniav nyob sib ze, lawv kuj tuaj yeem cuam tshuam rau kev cog qoob loo. Seb nws yog ib qho teeb meem nrog cov pos hniav los yog cov pob txha pob txha nyob ib ncig ntawm nws. Kev tiv thaiv kev kuaj hniav nrog kev kuaj hniav x-ray yuav pab kom tsis txhob muaj teeb meem zoo li no. Thiab, ntawm chav kawm, kev tu cev ntawm qhov ncauj yog qhov zoo tagnrho, thiab txhua rau lub hlis. Tshwj xeeb tshaj yog rau cov neeg muaj tus cwj pwm phem, xws li haus luam yeeb. Kuv tsis xav tias nws tsim nyog piav qhia vim li cas. Txhua yam yog qhov tseeb.
Koj hais tias, "Qhov no yog kim heev!" los yog "Koj cov hniav zoo dua!"
Ntawm qhov teeb meem ntawm tus nqi. Kuv tsis xav ua rau koj chim siab, tab sis lub sijhawm phais, ntxiv rau kev teeb tsa ntawm cov qauv orthodontic thiab hloov cov pas nrig, dhau ob peb xyoos nrog tus kws kho hniav, thaum kawg yuav luag piv rau tus nqi rau kev txhim kho kev cog hniav thiab ua ib lub kaus mom. . Tab sis nyob rau hauv thawj rooj plaub tsis muaj guarantees, thiab nyob rau hauv lub thib ob muaj guarantees mus txog lub neej. Koj puas xav tias qhov txawv?
Koj tus kheej cov hniav yog, ntawm chav kawm, zoo dua. Los ntawm lo lus ib txwm. Peb yuav tsum sib ntaus sib tua rau lawv mus rau qhov kawg. Tab sis tsuas yog cov hniav no tseem ceeb. Thiab cov no tsis yog cov hniav txawj ntse, los ntawm qhov uas tsis muaj ib yam dab tsi uas yuav xav tau tsuas yog muaj teeb meem.
Qhov ntawd yog txhua yam rau hnub no, ua tsaug rau koj qhov kev mloog!
Nyob zoo!
Nyob zoo, Andrey Dashkov.
Tau qhov twg los: www.hab.com