{"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\/sq\/blog\/novosti-interneta\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Si b\u00ebhet vendosja e implanteve?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Si
\nP\u00ebrsh\u00ebndetje e nderuar miq! Sot do t\u00eb doja t\u00eb flisja, dhe sidomos, t'ju tregoja \u2014 si zhvillohet operacioni i vendosjes s\u00eb implantit \u2014 me t\u00eb gjith\u00eb mjetet dhe t\u00eb tjera. N\u00ebse p\u00ebr procesin e heqjes s\u00eb dh\u00ebmbit<\/a><\/noindex>, n\u00eb ve\u00e7anti dh\u00ebmbin e men\u00e7uris\u00eb<\/a><\/noindex> \u2014 tashm\u00eb kam folur, erdhi koha t\u00eb flas p\u00ebr di\u00e7ka m\u00eb serioze.<\/p>\n

V\u00cbMENDJE!-Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-V\u00cbMENDJE!-Uwaga!-Pa\u017enju!<\/p>\n

M\u00eb posht\u00eb do t\u00eb paraqiten fotografi t\u00eb b\u00ebra gjat\u00eb operacionit! Me pamjet e dh\u00ebmb\u00ebve, mishit t\u00eb dh\u00ebmb\u00ebve, gjakut dhe pjes\u00ebve t\u00eb ndara. Ata q\u00eb jan\u00eb t\u00eb dob\u00ebt n\u00eb nerva ju lutem t\u00eb heqin dor\u00eb nga leximi i k\u00ebtij artikulli.<\/b><\/p><\/blockquote>\n

<\/a><\/noindex>
\nA jeni ende k\u00ebtu? At\u00ebher\u00eb le t\u00eb vazhdojm\u00eb!<\/p>\n

Konsultimi dhe ekzaminimi<\/h3>\n

\nP\u00ebrve\u00e7 ekzaminimit vizual:<\/p>\n

\"Si
\n
\nNa nevojitet t\u00eb kryejm\u00eb nj\u00eb ekzaminim rentgen. N\u00eb k\u00ebt\u00eb rast, nj\u00eb OPTH (Fotografia panoramike e dh\u00ebmb\u00ebve) nuk do t\u00eb mjaftonte. Ne do t\u00eb ket\u00eb nevoj\u00eb p\u00ebr KLKT<\/b> (Tomografia kompjuterike konusore).<\/p>\n

\"Si
\n<\/p>\n

Cila \u00ebsht\u00eb ndryshimi?<\/h3>\n

\nOPTH<\/b> (Ortopantomograma) \u2014 nj\u00eb fotografi e p\u00ebrgjithshme e sistemit dh\u00ebmbor. Ky imazh \u00ebsht\u00eb dy-dimensionale, q\u00eb do t\u00eb thot\u00eb se secila pjes\u00eb e fotografis\u00eb \u00ebsht\u00eb e mbivendosur nj\u00ebra mbi tjetr\u00ebn. Prandaj, nuk \u00ebsht\u00eb e mundur t\u00eb shqyrtohet objekti i hulumtimit, ve\u00e7an\u00ebrisht vendi i implantimit t\u00eb planifikuar, nga t\u00eb gjitha k\u00ebndet ose ndryshe.<\/p>\n

KLKT<\/b> (Tomografia kompjuterike konusore) \u2014 nj\u00eb imazh 3D, nga ana tjet\u00ebr, na ofron k\u00ebt\u00eb mund\u00ebsi.<\/p>\n

\"Si
\n
\nN\u00eb k\u00ebt\u00eb rast, volumet e indit kockor jan\u00eb t\u00eb mjaftuesh\u00ebm p\u00ebr stabilizimin e implantit t\u00eb dimensioneve optimale, dhe cil\u00ebsia e mishit t\u00eb dh\u00ebmb\u00ebve e b\u00ebn t\u00eb mundur formimin e konturit estetik pa procedura t\u00eb tjera:<\/p>\n

\"Si
\n
\nPas kryerjes s\u00eb ekzaminimeve t\u00eb nevojshme \u2014 kalojm\u00eb direkt n\u00eb implantim.<\/p>\n

E gjitha fillon, natyrisht, me anestezin\u00eb. Askush nuk d\u00ebshiron t\u00eb b\u00ebrtas\u00eb nga dhimbja gjat\u00eb operacionit, apo jo?<\/p>\n

P\u00ebr t\u00eb minimizuar t\u00eb gjitha p\u00ebrjetimet e pak\u00ebndshme dhe p\u00ebr ta b\u00ebr\u00eb shqyerjen e gjilp\u00ebr\u00ebs m\u00eb pak t\u00eb dhimbshme \u2014 p\u00ebrdoret e ashtuquajtura anestezia aplikative.<\/b><\/p>\n

\"Si
\n
\nP\u00ebrdoret m\u00eb pas infiltrimi<\/b> i anestetik\u00ebs n\u00eb zon\u00ebn e planifikuar p\u00ebr operacion. N\u00eb foto \u00ebsht\u00eb nj\u00eb shiring\u00eb shum\u00ebp\u00ebrdorimshme p\u00ebr karpula, e cila, natyrisht, sterilizohet pas \u00e7do pacienti, si \u00e7do mjet tjet\u00ebr. Dy karpula nj\u00ebp\u00ebrdorim\u00ebshe me anestetik dhe dy gjilp\u00ebra me gjat\u00ebsi t\u00eb ndryshme:<\/p>\n

\"Si
\n
\nSi duket n\u00eb goj\u00eb:<\/p>\n

\"Si
\n
\nPas anestezis\u00eb, me an\u00eb t\u00eb nj\u00eb skalpeli kryhet \u2014 prerja<\/b>, dhe me nj\u00eb hap\u00ebsirues t\u00eb ashtuquajtur \u2014 skelerizimi i kock\u00ebs<\/b>. (ndarja e periosteumit nga substanca kompakte e kock\u00ebs).<\/p>\n

\"Si
\n
\nPrerja:<\/p>\n

\"Si
\n
\nSkelerizimi i kock\u00ebs:<\/p>\n

\"Si
\n
\nM\u00eb pas kryhet p\u00ebrgatitja e lukut p\u00ebr implantin (preparimi).<\/p>\n

M\u00eb posht\u00eb \u00ebsht\u00eb nj\u00eb set i nj\u00eb prej sistemeve t\u00eb implantologjis\u00eb gjermane q\u00eb un\u00eb p\u00ebrdor n\u00eb praktik\u00ebn time.<\/p>\n

\"Si
\n
\nP\u00ebrve\u00e7 setit kirurgjik, ne kemi nj\u00eb pajisje speciale t\u00eb quajtur fiziodispensues:<\/p>\n

\"Si
\n
\nN\u00eb dallim nga ndihm\u00ebsit dentar\u00eb t\u00eb zakonsh\u00ebm, ajo lejon jo vet\u00ebm t\u00eb rregulloj\u00eb sakt\u00ebsisht frekuenc\u00ebn e zakonshme dhe t\u00eb ftoh\u00eb vegl\u00ebn prer\u00ebse me solucion t\u00eb fizik, por gjithashtu t\u00eb kontrolloj\u00eb momentin e rrotullimit.<\/p>\n

Implantimi fillon me sh\u00ebnimin. Kjo b\u00ebhet me an\u00eb t\u00eb nj\u00eb freze sferike:<\/p>\n

\"Si
\n
\nM\u00eb pas, me ndihm\u00ebn e nj\u00eb freze pilote me diamet\u00ebr 2 mm vendosim boshtin e lukut t\u00eb implantit t\u00eb ardhsh\u00ebm, t\u00eb cilin e kontrollojm\u00eb me ndihm\u00ebn e pinave*<\/p>\n

\"Si
\n*Nj\u00eb gj\u00eb p\u00ebr t\u00eb kontrolluar pozitat e implantit.<\/p>\n

M\u00eb pas, pasi t\u00eb jet\u00eb vendosur sakt\u00eb boshti i lukut, na mbetet vet\u00ebm t\u00eb arrijm\u00eb diameterin e nevojsh\u00ebm t\u00eb lukut. P\u00ebr k\u00ebt\u00eb p\u00ebrdoren frezat kryesore t\u00eb pun\u00ebs. E para \u00ebsht\u00eb me diamet\u00ebr 3.0 mm:<\/p>\n

\"Si
\n
\nPas k\u00ebsaj \u2014 kontrollohet pozita me an\u00eb t\u00eb analog\u00ebve t\u00eb implantit q\u00eb jan\u00eb n\u00eb set:<\/p>\n

\"Si
\n
\nM\u00eb pas vjen freza tjet\u00ebr, me diamet\u00ebr 3.4 mm:<\/p>\n

\"Si
\n
\nDhe tani vijm\u00eb n\u00eb faz\u00ebn m\u00eb t\u00eb r\u00ebnd\u00ebsishme \u2014 freza finale p\u00ebr implantin ton\u00eb me diamet\u00ebr 3.8 mm. Tani ulim rrotullimet n\u00eb fiziodispensues deri n\u00eb minimum, p\u00ebr t\u00eb shmanguar mbinxehjen dhe d\u00ebmtimin e indit kockor, pas s\u00eb cil\u00ebs kalojm\u00eb shum\u00eb kujdessh\u00ebm n\u00eb luk:<\/p>\n

\"Si
\n
\nP\u00ebrs\u00ebri kontrollojm\u00eb gjith\u00e7ka me an\u00eb t\u00eb analog\u00ebve t\u00eb implantit. Si\u00e7 thon\u00eb, shtat\u00eb her\u00eb mat, nj\u00eb her\u00eb rr\u00ebmbe:<\/p>\n

\"Si
\n
\nNe e arrijm\u00eb lukun deri n\u00eb thell\u00ebsin\u00eb 11 mm dhe diametrin 3.8 mm. Por p\u00ebrgatitja e lukut nuk p\u00ebrfundon k\u00ebtu.<\/p>\n

E gjitha p\u00ebr shkak se inde kockore \u2014 jan\u00eb nj\u00eb mjedis elastik, dhe p\u00ebr t\u00eb ulur tensionin nga tabela kortikale (dhe p\u00ebr t\u00eb parandaluar periimplantitin) ne p\u00ebrdorim nj\u00eb frez\u00eb t\u00eb ve\u00e7ant\u00eb kortikale:<\/p>\n

\"Si
\n
\nKur punojm\u00eb me ind t\u00eb kock\u00ebs shum\u00eb t\u00eb ngjeshur, ne p\u00ebrdorim gjithashtu nj\u00eb gur t\u00eb ve\u00e7ant\u00eb:<\/p>\n

\"Si
\n
\nTani mund t\u00eb fillojm\u00eb me vendosjen e implantit.<\/p>\n

Implanti i madh\u00ebsis\u00eb s\u00eb nevojshme (3.8x11 mm) fijsohet n\u00eb nj\u00eb \u00e7el\u00ebs hexagonal, pas s\u00eb cil\u00ebs vendoset n\u00eb lukun e p\u00ebrgatitur:<\/p>\n

\"Si
\n
\nP\u00ebrs\u00ebri kontrollojm\u00eb pozitat e implantit:<\/p>\n

\"Si
\n
\nM\u00eb pas ne heqim abutmentin p\u00ebrkoh\u00ebsor, i cili n\u00eb k\u00ebt\u00eb rast ka kryer funksionin e mbajt\u00ebsit t\u00eb implantit:<\/p>\n

\"Si
\n
\nHapi tjet\u00ebr \u00ebsht\u00eb vendosja e formuesit t\u00eb gingiv\u00ebs:<\/p>\n

\"Si
\n
\nDuke marr\u00eb parasysh kushtet klinike, ne zgjodh\u00ebm formuesin Slim (pa zgjerime) me lart\u00ebsi 3 mm p\u00ebr implantin e vendosur:<\/p>\n

\"Si
\n
\nP\u00ebrfundojm\u00eb operacionin ton\u00eb me vendosjen e qepjeve:<\/p>\n

\"Si
\n
\nDhe me nj\u00eb skaner kontrollues:<\/p>\n

\"Si
\n
\nIntegrimi i implantit zgjat, n\u00eb mesatare, 4 muaj. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb formohen indet e buta, prandaj diku pas 12 jav\u00ebsh do t\u00eb kemi nj\u00eb sistem t\u00eb gatsh\u00ebm p\u00ebr vendosjen e kuror\u00ebs.<\/p>\n

Kjo \u00ebsht\u00eb e gjitha p\u00ebr sot.<\/p>\n

Faleminderit p\u00ebr v\u00ebmendjen!<\/p>\n

Me respekt, Andrey Dashkov<\/p>\n

\u00c7far\u00eb tjet\u00ebr mund t\u00eb lexoni rreth implantimit t\u00eb dh\u00ebmb\u00ebve?<\/b><\/p>\n

—<\/b> Sinus-lifting dhe implantim momental<\/a><\/noindex>
\n
Burimi: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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Sot do t\u00eb doja t\u00eb flisja, dhe m\u00eb e r\u00ebnd\u00ebsishmja, t\u00eb ju tregoj \u2014 si zhvillohet operacioni p\u00ebr vendosjen e implantit \u2014 me t\u00eb gjitha mjetet dhe t\u00eb tjera. N\u00ebse p\u00ebr procesin e heqjes s\u00eb dh\u00ebmbit, ve\u00e7an\u00ebrisht dh\u00ebmbit t\u00eb urt\u00eb \u2014 kam treguar m\u00eb par\u00eb, tani erdhi koha t\u00eb flasim p\u00ebr di\u00e7ka m\u00eb serioze. K\u00cbSHILL\u00cb!-Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-K\u00cbSHILL\u00cb!-Uwaga!-Pa\u017enju! 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