Vadikani, mune zvinyorwa zvakapfuura, takakurukura newe - ΠΈ . Nhasi ndinoda kudonhedza zvishoma uye kutaura nezve kuisirwa, uye kunyanya kuisirwa panguva imwe chete, kana iyo yekuisirwa yakaiswa yakananga mujinga rezino rakabviswa uye nezvekusimudza sinus, kuwedzera huwandu hwemapfupa emapfupa pakureba. Izvi zvinodikanwa kana uchiisa ma implants munzvimbo ye6, 7, zvishoma kazhinji mazino mashanu mushaya yepamusoro. Bone augmentation inodiwa nekuti kune mhango mushaya yepamusoro - iyo maxillary sinus. Kazhinji kazhinji, inotora yakawanda yeshaya yepamusoro, uye chinhambwe kubva kumucheto kwebhonzo kusvika kuzasi kwe sinus iyi haina kukwana kuisa implant yehurefu hunodiwa.
Iyo computed tomography inoratidza zvakajeka kuti pane gaka munzvimbo yezino risipo.
Ndinowanzonzwa vanachiremba vachiti, "Kwete, kwete, kwete, haugone kuisa implant pakarepo! Kutanga, tichabvisa zino, uye nokukurumidza kana zvinhu zvose zvapora, ipapo tichaiisa! Mubvunzo unonzwisisika - nei? Hongu, ndiani anoziva. Kunyanya kunakidza. Zvichida nekuda kwekusava nechokwadi mukufungidzira, kana nekuda kwekutya kwezvinetso, izvo, chaizvoizvo, hazvisi kupfuura ne classical operation. Zvechokwadi, nemamiriro ezvinhu ekuti zvose zvinoitwa nemazvo. Mukuita kwangu, chikamu chekuiswa panguva imwe chete maererano nemaitiro echinyakare ndeye 85% kusvika 15%. Bvumiranai, kwete zvakawanda. Uko kunenge kuvhiyiwa kwese kunoitwa kubviswa zino kunopera nekuiswa. Kusarudzika kunogona kungove kuzvimba kwakanyanya munzvimbo yezino rinokonzera, apo pus inoyerera yakasanganiswa ne snot. Kana, kana kudyara kusina kugadzikana zvachose uye kunorembera mugomba sepenzura mugirazi. Mikana yemari inoitawo basa rinokosha. Chero ani zvake achashandisa mari achizvidira pane chero chinhu kunze kwemeno. Iwe haugone kuita nharo nazvo. Asi pane imwe "Asi"! Iwe unofanirwa kunzwisisa kuti iyo nguva yakawanda inopfuura kubva panguva iyo zino rinobviswa kusvika pakutanga kweprosthetics, zvakanyanya kuipa mamiriro ekuisa ichi chakanyanya kudyara. Sezvo chirevo chinoti: "Nzvimbo tsvene haimbofi isina chinhu." Nekufamba kwenguva, matambudziko akati wandei anooneka, ayo anofanirawo kugadziriswa. Uye izvi zvinogara zvichiwedzera, uye kazhinji zvakanyanya, mari. Unoida here?
Zvakanaka! Ngatienderei kumienzaniso.
Nyaya yakapfava yekusimwa panguva imwe chete ndeye zino rine midzi. Ingave shaya yekumusoro kana yezasi.
Iyi CT scan yakatorwa zino risati radonha zvachose.
Chii chatinoona?
Iyo yepamusoro kuruboshwe 5 haisi pasi pekurapa kana kurapwa kwemapfupa. Tiri kuitei? Ndizvozvo - bvisa zino uye bhaudhi.
Ndakabvisa mazino zvinyoro-nyoro, zvinongoerekana zvaitika uye ndakaisa implant nechingamu.
A gum shaper chimwe chinhu chakaita sechadzikira (avhareji 3 mm kureba), chigutsa chesimbi chinonamira kunze zvishoma pamusoro pezinga rejamu, nekudaro ichigadzira contour yayo isati yaisa korona. Zvinotaridzika seizvi:
Izvi ndizvo zvinoita kunge implant:
Iro grey chikamu ndicho chakaiswa pachacho. Chikamu chebhuruu ndiyo inonzi temporary abutment, iyo korona yenguva pfupi inogona kusungirirwa kana kuiswa kunoperekedzwa nekukasira kurodha. Chaizvoizvo, ichi abutment chinoshanda sechibatiso chekuisa. Mushure mekunge iyo implant yaiswa, iyo abutment haina kuvharwa, semugadziri - ine yakakosha screwdriver, uye plug inoputirwa panzvimbo yayo. Inoiswa muchiitiko chekuti hazvibviri kuisa pakarepo gingiva yekare. Zvadaro kudyara uye zvikamu zvayo zvose zviri pasi pegum, zvinoreva kuti hatizooni chero chinhu mumuromo wemuromo mushure mekuvhiyiwa. Zvakanaka, kunze kwezvipfeko uye ... mamwe mazino, kana paiva neakasara. Muchiitiko ichi, shaper inoiswa mushure mekunge implant yadzika midzi.
Zvadaro, tinosarudza nhanho inotevera yekuoma, patinofanira kubvisa zino rechitanhatu mujaya rezasi. Zino iri rine midzi miviri. Ehe, isu hatisi kuzoisa implant munzvimbo yemudzi wega wega, sekufunga kungaitwa nemumwe munhu. Kunyangwe ndaona nyaya dzakafanana. Chiremba wacho sezviri pachena akanga ane chikwereti chemba.
Saka, tinoda kuisa imwe implant, asi zvakajeka pakati. Tichava nechinangwa chepfupa septum pakati pemidzi miviri.
Isu tinoisa iyo implant. Kuruboshwe nekurudyi kwaro mumufananidzo, maburi kubva pazino idzva rakabudiswa anooneka zvakajeka, izvo, sezvavanoporesa, zvichasimbiswa.
Zvakanaka, inguva yekufunga nezvenyaya yacho kana iwe uchida kubvisa zino, kuisa implant uye kuvaka pfupa tishu mushaya yepamusoro - sinus lift. Uye nhanho yekuoma, panguva iyi, inowedzera. Kwete mishoni ine helikopta kubva kuVice City, hongu, asi iwe unofanirwa kuve wakangwarira zvishoma kupfuura mune yapfuura kesi.
Rangarira pandakati implant inofanira kuiswa pakati? Saka iyo 3-midzi zino haisi iyo. Kuiswa kunoiswa, sezvakaitika kare, mu septum, asi yatova zino rine midzi mitatu. Sezvatinoona, kureba kwepfupa munzvimbo iyi inenge 3mm. Iri vhoriyamu harina kukwana kuti uise kuisirwa kwehurefu hwakakwana, saka, vhoriyamu inofanira kuwedzerwa. Kunyengedza kunoitwa uchishandisa yakakosha "bone material". Mumwe munhu anoritumidza kuti "pfupa poda", kwete kuvhiringidzika ne "white powder", kunyange iri chena, ichiri kuratidzwa nenzira yegranules. Yakagadzirwa zviri nyore mumidziyo yegirazi,
uye mune imwe nzira iri nyore - majekiseni anokosha, nerubatsiro rwayo zviri nyore kushanda uye kuunza zvinhu mumunda wekuvhiya.
Iko kukanganisa kutenda kuti sinus lift is operation "B" ye maxillary (maxillary) sinus. Muchokwadi, iko kunyengedza kunoitwa "PASI" payo. Sezvatakatoona, sinus igomba repamusoro peshaya, shaya, kana iwe uchida, iyo yakarongedzerwa kubva mukati nekatetepa mucous membrane ine ciliated epithelium. Saka, kuitira kuti kuvhiyiwa kubudirire, iyo mucous membrane inobviswa munharaunda kubva mumapfupa emapfupa uye "mapfupa emapfupa" anoiswa munzvimbo yakaumbwa pakati pepasi pe sinus uye mucous membrane, semuhamvuropu. Muchiitiko ichi, pamwe nekuiswa kwakafanana kwekuisa.
Uye zvino muenzaniso wekusimudza sinus uye kuiswa, asi mwedzi miviri mushure mekunge zino rechitanhatu riri mushaya yepamusoro rakabviswa. Murwere uyu akamubvisa 2 svondo rapfuura kune imwe kiriniki. Mubatsiri akaita CT scan.
Pamusana pekuti vhiki chete yapfuura kubva pakubviswa, tinoonawo "gomba rakasviba" mumufananidzo, rakafanana neiyo yekare yakasiya mumoyo mako. Paimbove zino. Ndiko kuti, hapana mapfupa emapfupa munzvimbo iyi. Ndakazotanga kuvhiya kwapera mwedzi miviri. Havana kuita yechipiri CT scan mushure mekunge gomba rapora, asi nditendei, zvese zvakapora zvakakwana kuitira kuti oparesheni iitwe. Panguva yekuvhiya, zvaisaita kuwana kugadzikana kwakasimba kweiyo implant, saka ndakafunga kuisa plug pane gingiva yekare. Sei? Uye nekuti kana murwere akatanga kutsenga macrackers, ipapo kumanikidza kwakasimba kunogona kuisirwa pakudyara, kunyanya iyo shaper, uye saka iyo implant inogona kusununguka kana "kubhururuka" mu sinus. Panguva imwecheteyo, 2 vakaenda kune zvimedu.
Zvakanaka, muenzaniso wekupedzisira wemazuva ano ndiko kubviswa kwemazino maviri, kuiswa kwe 2 implants uye sinus lift.
Sezvatinogona kuona, mamiriro ezvinhu munyaya iyi akawedzera kuipa, anenge 2 mm. Asi izvi hazvina kutitadzisa kuita oparesheni yacho zvizere.
Unogona kubvunza: - "Sei kune 2 maimplants, uye kwete matatu?" "Ko, pachava nezambuko?" "Asi zvakadini nekugovera mutoro", nezvimwewo?
Muchokwadi, dambudziko rekuremerwa kwakabatana nemabhiriji rine chekuita nemazino avo chete. Sezvo mazino ane ligamentous apparatus. Ndiko kuti, zino harina kunyatsobatanidzwa nefupa, asi, sezviri, matsime mairi. Heino dhayagiramu:
Pamberi pebhiriji, mazino anotsigira anotora zvose zviri zviviri mutoro wavo uye mutoro wezino usipo. Nokudaro, mazino akawandisa anokura, uye anozopedzisira aita mazino. Iyo inoiswa haina ligament rakadaro. Inonyatsobatana nematishu akapoteredzwa, saka hapana matambudziko akadaro senge mune yako mazino. Asi izvi hazvirevi kuti bhiriji guru reshaya rose rinogona kuiswa pamakumbo maviri. Chinhu chimwe chete chinotambura pamberi pemabhiriji ihutsanana, huchada kutariswa zvakanyanya. Nokuti zviri nyore kwazvo kutarisira mazino akasununguka-akamira pane ma prostheses akafanana.
Izvozvo, chaizvoizvo, ndezvese nhasi. Ndichafara kupindura mibvunzo yako!
Ramba wakashama!
Nomwoyo wose, Andrey Dashkov.
Source: www.habr.com