{"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\/news\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Instalimi i implantit: si b\u00ebhet kjo?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Instalimi
\nMir\u00ebm\u00ebngjes, miq t\u00eb nderuar! Sot do t\u00eb doja t'ju tregoj dhe, m\u00eb e r\u00ebnd\u00ebsishmja, t'ju tregoj se si kalon operacioni i vendosjes s\u00eb implanteve \u2014 me t\u00eb gjitha mjetet dhe gjith\u00e7ka tjet\u00ebr. N\u00ebse p\u00ebr procesin e heqjes s\u00eb dh\u00ebmbit<\/a><\/noindex>, sidomos dh\u00ebmbin e urt\u00eb<\/a><\/noindex> , tashm\u00eb kam folur, tani \u00ebsht\u00eb koha t\u00eb flasim p\u00ebr di\u00e7ka m\u00eb serioze.<\/p>\n

K\u00cbSHILL\u00cb!-Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-K\u00cbSHILL\u00cb!-Uwaga!-Pa\u017enju!<\/p>\n

M\u00eb posht\u00eb do t\u00eb paraqiten fotografi t\u00eb realizuara gjat\u00eb operacionit! Me pamje t\u00eb dh\u00ebmb\u00ebve, mishit t\u00eb mishit, gjakut dhe ndarjeve. Ata q\u00eb kan\u00eb nerva t\u00eb dob\u00ebta lutem t\u00eb heqin dor\u00eb nga leximi i k\u00ebtij artikulli.<\/b><\/p><\/blockquote>\n

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

Konsultimi dhe ekzaminimi<\/h3>\n

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

\"Instalimi
\n
\nNa nevojitet t\u00eb kryejm\u00eb nj\u00eb studim radiologjik. N\u00eb k\u00ebt\u00eb rast, nj\u00eb OPG i thjesht\u00eb (Fotografia panoramike e dh\u00ebmb\u00ebve) nuk do t\u00eb mjaftonte. Do t\u00eb nevojitet KLLT<\/b> (Tomografia kompjuterike me conus).<\/p>\n

\"Instalimi
\n<\/p>\n

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

\nOPG<\/b> (Orthopantomogram) \u2014 \u00ebsht\u00eb nj\u00eb fotografi e sistemit gojoso t\u00eb dh\u00ebmb\u00ebve. Kjo fotografi \u00ebsht\u00eb dy-dimensionale dhe do t\u00eb thot\u00eb se \u00e7do detaj i fotografis\u00eb vendoset nj\u00eb mbi tjetrin. Si rezultat, \u00ebsht\u00eb e pamundur t\u00eb shqyrtojm\u00eb objektin e studimit, n\u00eb ve\u00e7anti vendin e planifikuar t\u00eb implantimit, n\u00eb t\u00eb gjitha plane, nga nj\u00eb k\u00ebnd tjet\u00ebr ose n\u00eb nj\u00eb projekcion tjet\u00ebr.<\/p>\n

KLLT<\/b> (Tomografia kompjuterike me conus) \u2014 fotografia 3D n\u00eb t\u00eb v\u00ebrtet\u00eb na e ofron k\u00ebt\u00eb mund\u00ebsi.<\/p>\n

\"Instalimi
\n
\nN\u00eb k\u00ebt\u00eb rast, volumi i indeve kockore \u00ebsht\u00eb i mjaftuesh\u00ebm p\u00ebr stabilizimin e implantit optimal sipas madh\u00ebsis\u00eb, dhe cil\u00ebsia e mishit t\u00eb mishit e b\u00ebn t\u00eb mundur formimin e konturit estetik pa procedura t\u00eb tjera:<\/p>\n

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

\u00c7do gj\u00eb fillon, natyrisht, me anestezi. Askush nuk d\u00ebshiron t\u00eb b\u00ebj\u00eb z\u00eb nga dhembja gjat\u00eb operacionit, apo jo?<\/p>\n

P\u00ebr t\u00eb minimizuar t\u00eb gjitha ndjenjat e pak\u00ebndshme dhe p\u00ebr t\u00eb b\u00ebr\u00eb q\u00eb g\u00ebrryerja t\u00eb jet\u00eb m\u00eb pak e dhimbshme \u2014 p\u00ebrdoret ajo q\u00eb quhet anestezia aplikative.<\/b><\/p>\n

\"Instalimi
\n
\nM\u00eb pas, kryhet infuzionin<\/b> e anestezikut n\u00eb zon\u00ebn e planifikuar t\u00eb operacionit. N\u00eb foto \u00ebsht\u00eb paraqitur nj\u00eb shiring\u00eb shum\u00ebp\u00ebrdorimshme, e cila, natyrisht, pas \u00e7do pacienti sterilizohet, ashtu si \u00e7do mjet tjet\u00ebr. Dy kapsula t\u00eb nj\u00eb p\u00ebrdorimi me anestezik dhe dy gjilp\u00ebra me gjat\u00ebsi t\u00eb ndryshme:<\/p>\n

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

\"Instalimi
\n
\nPas operacionit t\u00eb anestezis\u00eb, me ndihm\u00ebn e nj\u00eb skalpeli b\u00ebhet \u2014 prerja<\/b>, dhe nj\u00eb instrument t\u00eb quajtur separator \u2014 skeletizimi i eshtrave<\/b>. (ndarja e periostit nga substanca kompakte e eshtrit).<\/p>\n

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

\"Instalimi
\n
\nSkeletizimi i eshtrave:<\/p>\n

\"Instalimi
\n
\nM\u00eb pas p\u00ebrgatitet vendi p\u00ebr implantin (preparimi).<\/p>\n

M\u00eb posht\u00eb \u00ebsht\u00eb paraqitur nj\u00eb set i nj\u00eb sistemi t\u00eb implantologjis\u00eb gjermane, t\u00eb cilat un\u00eb i p\u00ebrdor n\u00eb praktik\u00ebn time.<\/p>\n

\"Instalimi
\n
\nP\u00ebrve\u00e7 setit kirurgjik, ne kemi nj\u00eb aparat t\u00eb ve\u00e7ant\u00eb t\u00eb quajtur fiziodispencer:<\/p>\n

\"Instalimi
\n
\nN\u00eb dallim nga nj\u00eb bormashine dentare t\u00eb zakonshme, ai lejon jo vet\u00ebm t\u00eb rregulloj\u00eb sakt\u00ebsisht frekuenc\u00ebn e rrotullimeve dhe t\u00eb ftoht\u00ebsoj\u00eb mjetin e prerjes me solucion fizilogjik, por gjithashtu t\u00eb kontrolloj\u00eb momentin e kthes\u00ebs.<\/p>\n

Implantimi fillon me sh\u00ebnimin. Kjo b\u00ebhet me ndihm\u00ebn e nj\u00eb borit sferik:<\/p>\n

\"Instalimi
\n
\nM\u00eb pas, me ndihm\u00ebn e nj\u00eb freze pilote me diamet\u00ebr 2 mm, vendosim boshtin e vendit p\u00ebr implantin e ardhsh\u00ebm, t\u00eb cilin e kontrollojm\u00eb me ndihm\u00ebn e pins*<\/p>\n

\"Instalimi
\n*Nj\u00eb pajisje p\u00ebr kontrollin e pozicionit t\u00eb implantit<\/p>\n

M\u00eb pas, n\u00ebse boshti i vendit \u00ebsht\u00eb vendosur sakt\u00eb, na mbetet vet\u00ebm t\u00eb tejkalojm\u00eb vendin n\u00eb diametrin e d\u00ebshiruar. P\u00ebr k\u00ebt\u00eb p\u00ebrdoren frezat kryesore t\u00eb pun\u00ebs. Freza e par\u00eb \u2014 me diamet\u00ebr 3.0 mm:<\/p>\n

\"Instalimi
\n
\nPas k\u00ebsaj \u2014 kontrolli i pozicionit me ndihm\u00ebn e analog\u00ebve t\u00eb implantit q\u00eb p\u00ebrfshihen n\u00eb set:<\/p>\n

\"Instalimi
\n
\nN\u00eb rend \u00ebsht\u00eb freza tjet\u00ebr, me diamet\u00ebr 3.4 mm:<\/p>\n

\"Instalimi
\n
\nDhe tani n\u00eb rend \u00ebsht\u00eb etapa m\u00eb e r\u00ebnd\u00ebsishme \u2014 freza p\u00ebrfundimtare p\u00ebr implantin ton\u00eb me diamet\u00ebr 3.8 mm. Tani ne ul\u00ebm rrotullimet n\u00eb fiziodispencer n\u00eb minimum, p\u00ebr t\u00eb shmangur ngrohjen dhe d\u00ebmtimin e indeve kockore, pas s\u00eb cil\u00ebs kalojm\u00eb shum\u00eb shum\u00eb me kujdes vendin:<\/p>\n

\"Instalimi
\n
\nPrap\u00eb kontrollojm\u00eb gjith\u00e7ka me ndihm\u00ebn e analog\u00ebve t\u00eb implantit. Si\u00e7 thon\u00eb, mat s\u00eb paku shtat\u00eb her\u00eb, vendos nj\u00eb her\u00eb:<\/p>\n

\"Instalimi
\n
\nNe e \u00e7uam vendin n\u00eb thell\u00ebsin\u00eb 11 mm dhe diamet\u00ebr 3.8 mm. Por p\u00ebrgatitja e vendit nuk p\u00ebrfundon k\u00ebtu.<\/p>\n

E gjitha kjo sepse indet kockore jan\u00eb nj\u00eb mjedis elastik, dhe p\u00ebr t\u00eb eliminuar tensionin nga pllakata kortikale (dhe p\u00ebr t\u00eb parandaluar periimplantitin) ne p\u00ebrdorim nj\u00eb frez\u00eb kortikale t\u00eb ve\u00e7ant\u00eb:<\/p>\n

\"Instalimi
\n
\nGjat\u00eb pun\u00ebs me inde kockore shum\u00eb t\u00eb ngurta ne gjithashtu p\u00ebrdorim nj\u00eb mat\u00ebs t\u00eb ve\u00e7ant\u00eb:<\/p>\n

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

Implanti me madh\u00ebsin\u00eb e k\u00ebrkuar (3.8x11 mm) fiksohet n\u00eb \u00e7el\u00ebsin heksagonal, pas s\u00eb cil\u00ebs vihet n\u00eb vendin e p\u00ebrgatitur:<\/p>\n

\"Instalimi
\n
\nPrap\u00eb kontrollojm\u00eb pozicionin e implantit:<\/p>\n

\"Instalimi
\n
\nPastaj ne heqim abutmentin e p\u00ebrkohsh\u00ebm, i cili n\u00eb k\u00ebt\u00eb rast kishte rol si mbajt\u00ebs i implanteve:<\/p>\n

\"Instalimi
\n
\nHapi i ardhsh\u00ebm \u00ebsht\u00eb vendosja e formuesit t\u00eb gingiv\u00ebs:<\/p>\n

\"Instalimi
\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

\"Instalimi
\n
\nE mbyllim operacionin ton\u00eb me vendosjen e qepjeve:<\/p>\n

\"Instalimi
\n
\nDhe me nj\u00eb imazh kontrolli:<\/p>\n

\"Instalimi
\n
\nIntegrimi i implantit zgjat, n\u00eb mesatare, 4 muaj. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb formohet indet e buta, prandaj pas rreth 12 jav\u00ebsh ne do t\u00eb kemi sistemin t\u00eb gatsh\u00ebm p\u00ebr t\u00eb vendosur kuror\u00ebn.<\/p>\n

Kjo \u00ebsht\u00eb gjith\u00e7ka p\u00ebr sot.<\/p>\n

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

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

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

\u2014<\/b> Sinus-lifting dhe implantim nj\u00ebkoh\u00ebsish<\/a><\/noindex>
\n
Burimi: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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