Masana abwino, okondedwa! Lero ndikufuna kukuuzani, ndipo chofunika kwambiri, ndikuwonetseni momwe ntchito yokhazikitsira implant imachitikira - ndi zida zonse ndi zina zotero. Ngati za , makamaka - Ndakuuzani kale, ndi nthawi yoti mulankhule za chinthu chovuta kwambiri.
Tcherani khutu!-Uwaga!-Pažnju!-Chenjerani!-Achtung!-Attenzione!-CHENJERANI!-Uwaga!-Pažnju!
Pansipa pali zithunzi zomwe zidatengedwa panthawi ya opareshoni! Ndi malingaliro a mano, mkamwa, magazi ndi kudulidwa. Ngati mukufooka, chonde lekani kuwerenga nkhaniyi.
Kodi mukadali pano? Ndiye tiyeni!
Kukambirana ndi kufufuza
Kuphatikiza pa kuyang'ana kowoneka:
Tiyenera kupanga x-ray. Pachifukwa ichi, OPTG yosavuta (Panoramic chithunzi cha mano) sichidzatikwanira. Chofunikira Mtengo wa CBCT (Cone beam computed tomography).
Kodi pali kusiyana kotani?
Zithunzi za OPTG (Orthopantomogram) - chithunzithunzi cha dongosolo la mano. Chithunzichi ndi planar, kutanthauza kuti tsatanetsatane wa chithunzicho ndi wosanjikiza pamwamba pa mzake. Chifukwa chake, ndizosatheka kuyang'ana chinthu chomwe chikuphunziridwa, makamaka malo omwe adakonzedwa, mu ndege zonse, kuchokera kumbali ina kapena kuchokera kuzinthu zina.
Mtengo wa CBCT (Cone beam computed tomography) - chithunzi cha 3D volumetric, m'malo mwake, chimatipatsa mwayi umenewu.
Pankhaniyi, kuchuluka kwa minofu ya fupa ndikokwanira kukhazikitsira kukula kwake, ndipo mtundu wa chingamu umapangitsa kuti pakhale mawonekedwe okongoletsa popanda njira zina:
Pambuyo poyesa mayeso ofunikira, timapita mwachindunji ku implantation.
Zonse zimayamba, ndithudi, ndi anesthesia. Palibe amene amafuna kulira ndi ululu panthawi ya opaleshoni, chabwino?
Pofuna kuchepetsa zomverera zonse zosasangalatsa ndi jekeseni wa singano sanali zopweteka kwambiri, otchedwa topical anesthesia
Chotsatira chikuchitika kulowetsa mankhwala oletsa ululu m'dera la ntchito anakonza. Chithunzicho chikuwonetsa syringe ya carpule yosinthika, yomwe, ndithudi, imatsekedwa pambuyo pa wodwala aliyense, monga chida china chilichonse. Makapisozi awiri ogonetsa otayidwa ndi singano ziwiri zautali wosiyana:
Momwe zimawonekera mkamwa:
Pambuyo pa opaleshoni, pogwiritsa ntchito scalpel, zotsatirazi zimachitika: kudula, ndi zomwe zimatchedwa raspator - fupa skeletonization. (kupatukana kwa periosteum ku chinthu chophatikizika cha fupa).
Chocheka:
Skeletonization ya fupa:
Kenako, dzenje la implants lakonzedwa (kukonzekera).
Pansipa pali imodzi mwama implants aku Germany omwe ndimagwiritsa ntchito pazochita zanga.
Kuphatikiza pa zida zopangira opaleshoni, tili ndi chida chapadera chotchedwa physiodispenser:
Mosiyana ndi kubowola kwa mano ochiritsira, kumakupatsani mwayi kuti musamangoyendetsa bwino liwiro ndikuziziritsa chida chodulira ndi saline solution, komanso kuwongolera torque.
Kuyika kumayamba ndi zizindikiro. Izi zimachitika pogwiritsa ntchito spherical bur:
Kenako, pogwiritsa ntchito chodulira choyendetsa ndege chokhala ndi mainchesi 2 mm, nsonga ya dzenje la implantation yamtsogolo imayikidwa, yomwe imayendetsedwa ndi zikhomo *
*Gizmo yowunika momwe implants alili
Chotsatira, popeza kuti nsonga ya dzenje imayikidwa bwino, zonse zomwe tiyenera kuchita ndikubweretsa dzenjelo kufika pamtunda wofunikira. Kwa izi, zida zazikulu zodulira zimagwiritsidwa ntchito. Yoyamba ndi 3.0 mm m'mimba mwake:
Pambuyo pake, kuwongolera malo pogwiritsa ntchito ma implants analogue omwe akuphatikizidwa mu seti:
Chotsatira pamzere ndi chodulira chotsatira, chokhala ndi mainchesi 3.4 mm:
Ndipo tsopano pakubwera gawo lofunika kwambiri - chodulira chomaliza cha implant yathu yokhala ndi mainchesi 3.8 mm. Tsopano timatsitsa liwiro pa physiodispenser kuti tipewe kutenthedwa ndi kuvulaza minofu ya fupa, kenako timadutsa dzenje mosamala kwambiri:
Timayang'ananso zonse pogwiritsa ntchito ma analogue a implant. Monga akunena, yesani kawiri, kanizani kamodzi:
Tinabweretsa dzenje kuya kwa 11 mm ndi m'mimba mwake 3.8 mm. Koma kukonzekera dzenje sikuthera pamenepo.
Izi ndichifukwa choti minyewa ya fupa ndi njira yotanuka, ndipo kuti muchepetse kupsinjika kwa cortical plate (ndi kupewa peri-implantitis) timagwiritsa ntchito chodulira chapadera cha cortical:
Pogwira ntchito ndi fupa lolimba kwambiri, timagwiritsanso ntchito tapi yapadera:
Tsopano mutha kuyamba kuyika implant.
Kuyika kwa kukula kofunikira (3.8x11 mm) kumakhazikika pa kiyi ya hexagonal ndikuyika mu dzenje lokonzekera:
Tiyeni tionenso malo a implant:
Kenako, timachotsa cholumikizira kwakanthawi, chomwe pankhaniyi chinali ngati chosungira:
Gawo lotsatira ndikuyika chingamu chakale:
Poganizira zachipatala, tidasankha Slim wakale (wopanda zowonjezera) wokhala ndi kutalika kwa 3 mm pa choyikapo:
Timamaliza ntchito yathu ndi suturing:
Ndipo control shot:
Kuphatikiza kwa implant kumatenga pafupifupi miyezi inayi. Panthawi imodzimodziyo, minofu yofewa imapangidwa, kotero pafupifupi masabata 4 tidzakhala ndi dongosolo lokonzekera kuyika korona.
Zonse ndi za lero.
Zikomo chifukwa cha chidwi chanu!
Moona mtima, Andrey Dashkov
Ndi chiyani chinanso chomwe mungawerenge ponena za kuyika mano?
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Source: www.habr.com