Kuisa implant: zvinoitwa sei?

Masikati akanaka, shamwari dzinodiwa! Nhasi ndinoda kukuudza, uye zvinonyanya kukosha, kukuratidza kuti kushanda kwekuisa implant kunoitwa sei - nematurusi ese uye zvichingodaro. Kana pamusoro nzira yekubvisa zino, zvikuru sei uchenjeri zino - Ndatokuudza, inguva yekutaura nezve chimwe chinhu chakakomba.

TARIRA!-Uwaga!-Pažnju!-Attention!-Achtung!-Attenzione!-CHENJERA!-Uwaga!-Pažnju!

Pazasi pane mafoto akatorwa panguva yekuvhiya! Nemaonero emazino, mazino, ropa uye kutemwa. Kana wakaora mwoyo, tapota rega kuverenga chinyorwa ichi.

Uchiri pano here? Zvino ngatiendei!

Kuonana uye kuongorora

Pamusoro pekutarisa kwekuona:

Tinofanira kuita x-ray ongororo. Muchiitiko ichi, nyore OPTG (Panoramic mufananidzo wemazino) haizokwaniri kwatiri. Zvinodiwa CBCT (Cone beam computed tomography).

Ndeupi musiyano?

OPTG (Orthopantomogram) - muchidimbu mufananidzo wemazino system. Ichi chifananidzo chine planar, zvinoreva kuti chimwe nechimwe chemufananidzo chakaiswa pamusoro peumwe neumwe. Nekuda kweizvozvo, hazvibviri kuongorora chinhu chekudzidza, kunyanya nzvimbo yekudyara yakarongwa, mundege dzese, kubva kune imwe kona kana kubva kune imwe fungidziro.

CBCT (Cone beam computed tomography) - mufananidzo we 3D volumetric, pane zvinopesana, unotipa mukana uyu.

Muchiitiko ichi, vhoriyamu yemapfupa emafupa inokwana kudzikamisa yakaringana saizi kuisirwa, uye mhando yemazamu inoita kuti zvikwanise kuumba aesthetic contour pasina mamwe maitiro:

Mushure mekuita bvunzo dzinodiwa, isu tinoenderera zvakananga kune implantation.

Zvose zvinotanga, zvechokwadi, neanesthesia. Hapana anoda kuchema nekurwadziwa panguva yekuvhiyiwa, handiti?

Kuti uderedze manzwiro ese asingafadzi uye jekiseni retsono rakanga risingarwadze, izvo zvinonzi topical anesthesia

Zvinotevera zvinoitwa kupinda mukati anesthetic munzvimbo yakarongwa kushanda. Mufananidzo wacho unoratidza reusable carpule syringe, iyo, chokwadi, inonatswa mushure memurwere wega wega, senge chero chiridzwa. Mapiritsi maviri anoraswa anesthetic capsules uye tsono mbiri dzehurefu hwakasiyana:

Zvazvinoita mumuromo:

Mushure meanesthesia, uchishandisa scalpel, zvinotevera zvinoitwa: kucheka, uye inonzi raspator - bone skeletonization. (kuparadzaniswa kweperiosteum kubva kune compact substance yefupa).

Incision:

Skeletonization yefupa:

Zvadaro, gomba rekuisa rakagadzirirwa (kugadzirira).

Pazasi pane seti yeimwe yeGerman implant masisitimu andinoshandisa mukuita kwangu.

Pamusoro pekiti yekuvhiya, isu tine yakakosha mudziyo unonzi physiodispenser:

Kusiyana neyakajairwa kudhiraivha kwemazino, inobvumidza iwe kwete chete kunyatso kudzora kumhanya uye kutonhodza mudziyo wekucheka nesaline solution, asiwo kudzora torque.

Kudyara kunotanga nekumaka. Izvi zvinoitwa uchishandisa spherical bur:

Zvadaro, uchishandisa pilot cutter ine dhayamita ye2 mm, axis yegomba rekuisa remangwana rinoiswa, iro rinodzorwa nepini*

* Gizmo yekutarisa chinzvimbo cheiyo implant

Zvadaro, sezvo axis yegomba yakarongedzwa zvakanaka, zvose zvatinofanira kuita kuunza gomba kune dhayamita inodiwa. Nokuda kwechikonzero ichi, makucheka makuru ekushanda anoshandiswa. Yekutanga yavo ndeye 3.0 mm muhupamhi:

Mushure meizvozvo, kudzora chinzvimbo uchishandisa analogue implants inosanganisirwa museti:

Inotevera mumutsetse ndiyo inocheka inotevera, ine dhayamita ye3.4 mm:

Uye zvino panouya nhanho yakakosha - iyo yekupedzisa yekucheka yekudyara yedu ine dhayamita ye3.8 mm. Iye zvino tinodzikisa kumhanya pane physiodispenser kusvika padiki kudzivirira kupisa uye kukuvara kune pfupa tishu, mushure mezvo isu tinopfuura nemugomba zvakanyanya, nekuchenjerera:

Isu tinoongorora zvese zvakare tichishandisa implant analogues. Sezvavanotaura, kuyera kaviri, namatira kamwe chete:

Takaunza gomba pakadzika 11 mm uye dhayamita ye3.8 mm. Asi kugadzirira kwegomba hakugumiri ipapo.

Izvi zvinodaro nekuti mapfupa emapfupa ndeye elastic medium, uye kudzoreredza kushushikana kubva kune cortical ndiro (uye kudzivirira peri-implantitis) tinoshandisa yakakosha cortical cutter:

Paunenge uchishanda neganda rakanyanya dense, isu tinoshandisawo tepi yakakosha:

Iye zvino unogona kutanga kuisa implant.

Kudyara kwehukuru hunodiwa (3.8x11 mm) inogadziriswa pane hexagonal kiyi uye yozoiswa mugomba rakagadzirirwa:

Tarisa pamire implant zvakare:

Tevere, isu tinobvisa iyo yenguva pfupi abutment, iyo mune iyi kesi yakashanda semubati wekuisa:

Nhanho inotevera ndeyekuiswa kwegum yekare:

Tichifunga nezvemamiriro ekiriniki, takasarudza Slim yekare (isina mawedzero) ane hurefu hwe 3 mm kune yakaiswa:

Isu tinopedzisa mashandiro edu nekugadzira suturing:

Uye pfuti yekudzora:

Kubatanidzwa kweiyo implant kunotora paavhareji 4 mwedzi. Panguva imwecheteyo, matishu akapfava ari kuumbwa, saka mukati memavhiki gumi nemaviri tichave nehurongwa hwakagadzirira kuisa korona.

Zvose ndezvanhasi.

Спасибо за внимание!

Nomwoyo wose, Andrey Dashkov

Ndezvipi zvimwe zvaungaverenga pamusoro pekudyara kwemazino?

- Sinus kusimudza uye kuisirwa panguva imwe chete

Source: www.habr.com