Bahlobo abathandekayo, kumanqaku adlulileyo, sixoxe - ΠΈ . Namhlanje ndingathanda ukunqumla kancinci kwaye ndithethe malunga nokufakelwa, kwaye ngokukodwa ukufakelwa kwenqanaba elinye, xa ukufakelwa kufakwe ngokuthe ngqo kwisokethi yezinyo elikhutshiweyo, kunye nokuphakanyiswa kwe-sinus, ukunyuka komthamo wethambo lethambo ukuphakama. . Oku kuyafuneka xa ufaka implants kwindawo ye-6, 7, okanye ngaphantsi kwamazinyo ama-5 kumhlathi ongasentla. Ukwandiswa kwamathambo kuyafuneka kuba kukho umngxuma kumhlathi ongasentla - iMaxillary sinus. Ngokuqhelekileyo, ithatha umhlathi ophezulu, kwaye umgama ukusuka kumda wethambo ukuya ezantsi kwesi sinus akwanelanga ukufaka ukufakelwa kobude obufunekayo.
I-CT scan ibonisa ngokucacileyo ukuba kukho isithuba kwindawo yezinyo elilahlekileyo.
Ndihlala ndisiva oogqirha besithi, "Hayi, hayi, hayi, awukwazi ukufaka i-implant kwangoko! Okokuqala, siza kulisusa izinyo, kwaye emva kokuba yonke into ipholile, siya kuyifaka! Umbuzo osengqiqweni ngowokuba? Ngubani owaziyo? Ndinomdla kum. Mhlawumbi ngenxa yokungaqiniseki kwi-prognosis, okanye ngenxa yokoyika iingxaki, ezo, enyanisweni, azikho ngaphezu kotyando lwakudala. Ngokuqinisekileyo, ukuba yonke into yenziwe ngokuchanekileyo. Kwinkqubo yam, ipesenti yokufakelwa kwangaxeshanye ngokubhekiselele kwindlela yeklasikhi malunga ne-85% ukuya kwi-15%. Vuma, hayi kancinci. Apho phantse lonke utyando apho kutsalwa khona izinyo luphela ngokufakelwa. Okukuphela kokuphela kokudumba okubukhali kwindawo yezinyo le-causative, xa ubovu buphuma buxutywe ne-snot. Okanye xa i-implant ingazinzanga kwaye ijinga emngxunyeni njengepensile eglasini. Amandla emali nawo adlala indima ebalulekileyo. Nabani na uya kuchitha imali ngokuzithandela kuyo nantoni na, kodwa kungekhona kumazinyo. Awukwazi ukuphikisana naloo nto. Kodwa kukho enye ethi "Kodwa"! Kuya kufuneka uqonde ukuba ixesha elininzi lidlula ukusuka kumzuzu wokukhutshwa kwamazinyo ukuya ekuqaleni kweprosthetics, kokukhona iimeko zokubeka olu kufakelwa kwamazinyo mbi ngakumbi. Njengoko besithi: βIndawo engcwele ayinakuze ingabi nanto.β Ngokuhamba kwexesha, kukho iingxaki ezininzi ezifuna ukusonjululwa. Kwaye ezi zisoloko ziziindleko ezongezelelekileyo, kwaye zihlala ziba nkulu. Ngaba uyayidinga?
Kulungile! Masiqhubele phambili kwimizekelo.
Imeko elula yokufakelwa kwenyathelo elinye lizinyo elinengcambu enye. Yiba ngumhlathi ophezulu okanye ongezantsi.
Le CT scan yenziwa phambi kokuba izinyo liwe ngokupheleleyo.
Sibona ntoni?
Upper left 5, not subject to either therapeutic or orthopedic treatment. Senza ntoni? Kulungile - susa izinyo kunye ne-screw kwi-bolt.
Ndawakhupha amazinyo athambileyo ndaza ndafakela itshungama ngaphambili.
Intlaka yangaphambili yinto efana nesezantsi (kumndilili we-3mm ubude), isiphunzi sesinyithi esithi nca kancinane ngaphezu komgangatho wetshungama, ngaloo ndlela senza ikhonto yaso phambi kokufaka isithsaba. Ijongeka ngolu hlobo:
Kwaye yile nto i-implant ngokwayo ibonakala ngathi:
Inxalenye engwevu lufakelo ngokwalo. Inxalenye eluhlaza okwesibhakabhaka yinto ebizwa ngokuba yi-abutment yesikhashana, apho isithsaba sexeshana sinokuqhotyoshelwa ukuba ukufakelwa kuhamba kunye nokulayisha ngokukhawuleza. Ngokusisiseko, olu luhlu lusebenza njengesibambi sokufakelwa. Emva kokufakwa kokufakelwa, i-abutment ikhutshwe njengomakhi - kunye ne-screwdriver ekhethekileyo, kwaye iplagi ifakwe kwindawo yayo. Ifakwe ukuba akunakwenzeka ukufaka ngokukhawuleza i-gum yangaphambili. Emva koko ukufakelwa kunye nazo zonke iinxalenye zayo ezithintekayo ziphantsi kwegum, oku kuthetha ukuba asiyi kubona nantoni na emlonyeni womlomo emva kokusebenza. Ewe, ngaphandle kwe-stitches kunye ... amazinyo aseleyo, ukuba kukho nawaphi na asele. Kule meko, yangaphambili ifakwe emva kokuba i-implant ithathe ingcambu.
Emva koko, sikhetha inqanaba elilandelayo lobunzima, xa kufuneka sisuse izinyo le-6 kumhlathi ophantsi. Eli zinyo lineengcambu ezimbini. Thina, ewe, asiyi kufaka implanti kwindawo yengcambu nganye, njengoko umntu enokucinga. Nangona ndibone iimeko ezifanayo. Kuyabonakala ukuba ugqirha wayenemali-mboleko yendlu.
Ngoko ke, kufuneka sifake implanti enye, kodwa ngokucacileyo embindini. Siza kujolisa kwisahlulelo samathambo phakathi kweengcambu ezimbini.
Sifaka i-implant. Ngakwesobunxele nangakwesokudla kulo mfanekiso unokubona ngokucacileyo imingxuma kwizinyo elikhutshwe nje, eliya kuphilisa njengoko liphilisa.
Ewe, lixesha lokuqwalasela imeko apho kuyimfuneko ukususa izinyo, ukufakela ukufakelwa kunye nokwakha izicubu zethambo kumhlathi ongasentla - ukunyuswa kwe-sinus. Okwangoku, inqanaba lobunzima liyanda. Hayi i-mission eneenqwelo-moya ezisuka kwi-Vice City, kunjalo, kodwa kufuneka ulumke ngakumbi kunakwimeko yangaphambili.
Uyakhumbula xa ndisithi ukufakelwa kufuneka kubekwe embindini? Ke, izinyo elineengcambu ezi-3 azinjalo. Ukufakelwa kufakwe, njengakwimeko yangaphambili, kwi-septum, kodwa yezinyo elineengcambu ezintathu. Njengoko sibona, ukuphakama kwethambo kule ndawo malunga ne-3mm. Lo mqulu awunelanga ukufaka ukufakelwa kobude obufanelekileyo, ngoko ke umthamo kufuneka unyuswe. Ukukhwabanisa kuqhutyelwa ngokusebenzisa "impahla yethambo" ekhethekileyo. Abanye abantu babiza ngokuthi "umgubo wamathambo", ungadideki "umgubo omhlophe", nangona umhlophe, usasazwa ngendlela yeegranules. Ifumaneka ngokulula kwizikhongozeli zeglasi,
kwaye ngendlela efanelekileyo ngakumbi - iisirinji ezikhethekileyo, apho kulungeleka ngakumbi ukusebenza kunye nokwazisa izinto ezibonakalayo kwintsimi yotyando.
Kuyimpazamo ukukholelwa ukuba ukunyuswa kwe-sinus kukusebenza "Ku" i-maxillary (Highmore) sinus. Ngapha koko, ukukhohlisa kuqhutywa "PHANTSI" kwayo. Njengoko sele sifumene, i-sinus ingumngxuma kumhlathi ophezulu, i-void, ukuba uyathanda, efakwe ngaphakathi kunye ne-membrane ye-mucous encinci ene-ciliated epithelium. Ngoko ke, ukwenzela ukuba umsebenzi ube yimpumelelo, i-detachment yendawo ye-mucous membrane evela kwithambo yethambo iyenziwa kwaye "impahla yamathambo" ifakwe kwindawo ephakathi kwe-sinus kunye ne-mucous membrane, njengemvulophu. . Kule meko, kunye nofakelo oluhambelanayo lokufakelwa.
Kwaye ngoku umzekelo wokunyuswa kwe-sinus kunye nokufakelwa, kodwa iinyanga ezi-2 emva kokuba izinyo le-6 kumhlathi ophezulu lisuswe. Esi sigulana saye sasuswa ezi-6 kwiveki ephelileyo kwenye ikliniki. Umncedisi wenze i-CT scan.
Ngenxa yokuba iveki kuphela idlulile ukususela ekucinyweni, emfanekisweni sibona "umngxuma omnyama", njengalowo washiya intliziyo yakho. Kwindawo apho lalikade likhona izinyo. Oko kukuthi, akukho zicubu zethambo kule ndawo. Ndaqalisa uqhaqho kwiinyanga ezi-2 kamva. Abazange baphinde benze i-CT scan emva kokuba umngxuma uphole, kodwa ndikholelwe, yonke into yayiphile ngokwaneleyo ukuba yenziwe utyando. Ngethuba lokusebenza, kwakungenakwenzeka ukufezekisa ukuzinza okuqinileyo kokufakelwa, ngoko ke ndagqiba ekubeni ndifake iplagi kunokuba i-abutment yokuphilisa. Ngoba? Kodwa ngenxa yokuba isigulana siqala ukuhlafuna ama-crackers, ngoko ke uxinzelelo olunamandla lunokuthi lufakwe kwi-implant, ngokukodwa okokuqala, kwaye ngoko ke ukufakelwa kunokukhululeka okanye "ukubhabha" kwi-sinus. Kwangelo xesha, abasi-8 baya kulahlwa.
Ewe, umzekelo wokugqibela namhlanje kukukhutshwa kwamazinyo ama-2, ukufakwa kwe-2 implants kunye nokuphakanyiswa kwe-sinus.
Njengoko sibona, iimeko kule meko zimbi kakhulu, malunga 2mm. Kodwa oku akuzange kusithintele ekubeni silwenze olu tyando ngokupheleleyo.
Usenokubuza:- βKutheni kukho izihlomelo ezi-2 hayi ezi-3?β "Yintoni, ingaba ibhulorho?" βKuthekani ngolwabiwo lomthwalo,β njl.?
Ngapha koko, ingxaki yomthwalo ogqithisileyo onxulumene neebhulorho ichaphazela amazinyo akho kuphela. Ekubeni amazinyo anezixhobo ze-ligamentous. Oko kukuthi, izinyo alixutywanga ngokuqinileyo kwithambo, kodwa libonakala lingena kulo. Nanku umzobo:
Xa kukho ibhuloho, amazinyo axhasayo athatha umthwalo wabo kunye nomthwalo wezinyo elilahlekileyo. Ngaloo ndlela, ukugcwala kwamazinyo kukhula, kwaye emva koko baphelela kwi-fairy yezinyo. Ufakelo alunawo umsipha onjalo. Idibanisa ngokuqinileyo kunye nezicubu ezijikelezileyo, ngoko ke akukho zingxaki njengakwimeko yamazinyo akho. Kodwa oku akuthethi ukuba ukufakelwa kabini kungasetyenziselwa ukufaka ibhulorho enkulu phezu komhlathi wonke. Into kuphela ehluphekayo phambi kweebhulorho kukucoceka, okuya kufuneka ukuba kubekwe iliso ngokukodwa. Kuba ukunyamekela amazinyo akhululekileyo kulula kakhulu kunokunyamekela amazinyo okufakelwa afanayo.
Kuphelele apho namhlanje. Ndingavuya ukuphendula imibuzo yakho!
Hla umamele!
Ngokuzithoba, Andrey Dashkov.
umthombo: www.habr.com