Sawubona, bahlobo abathandekayo! Namhlanje ndingathanda ukukuxelela, kwaye okona kubaluleke kakhulu, ndikubonise ukuba umsebenzi wokufaka ukufakelwa kwenziwa njani - kunye nazo zonke izixhobo kunye nokunye. Ukuba malunga , ukuthi ngqo - Sele ndikuxelele, lixesha lokuthetha ngento enzulu ngakumbi.
QAPHELA!-Uwaga!-Pažnju!-Ingqalelo!-Achtung!-Qwalasela!-NGQAPHELA!-Uwaga!-Pažnju!
Ngezantsi kukho iifoto ezithathwe ngexesha lokusebenza! Ngeembono zamazinyo, iintsini, igazi kunye nokunqunyulwa. Ukuba utyhafile yintliziyo, nceda uyeke ukufunda eli nqaku.
Uselapha? Emva koko masihambe!
Uthethwano kunye noviwo
Ukongeza kuhlolo olubonakalayo:
Kufuneka senze uviwo lweX-reyi. Kule meko, i-OPTG elula (ifoto yePanoramic yamazinyo) ayiyi kukwanela. Kufuneka I-CBCT (I-Cone beam computed tomography).
Yintoni umahluko?
OPTG (I-Orthopantomogram) - umfanekiso wesishwankathelo senkqubo yamazinyo. Lo mfanekiso ucwangciswe, nto leyo ethetha ukuba inkcukacha nganye yomfanekiso ibekwe phezu komnye. Ngenxa yoko, akunakwenzeka ukuhlola into efundwayo, ngokukodwa indawo yokufakelwa okucwangcisiweyo, kuzo zonke iindiza, ukusuka kwi-angle eyahlukileyo okanye kwintelekelelo eyahlukileyo.
I-CBCT (I-cone beam computed tomography) - umfanekiso we-volumetric we-3D, ngokuchaseneyo, usinika eli thuba.
Kule meko, umthamo wezicubu zethambo wanele ukuzinzisa ubungakanani obufanelekileyo bokufakelwa, kwaye umgangatho weentsini wenza kube lula ukwenza i-aesthetic contour ngaphandle kweenkqubo ezongezelelweyo:
Emva kokwenza iimviwo eziyimfuneko, siqhubeka ngokuthe ngqo ekufakeni.
Konke kuqala, ngokuqinisekileyo, nge-anesthesia. Akukho mntu ufuna ukukhala ngeentlungu ngexesha lotyando, akunjalo?
Ukuze kuncitshiswe zonke iimvakalelo ezingathandekiyo kunye nenaliti yenaliti yayingaphantsi kwentlungu, ebizwa ngokuba i-anesthesia yendawo
Okulandelayo kuqhutywa ukungena i-anesthetic kwindawo yokusebenza okucwangcisiweyo. Ifoto ibonisa isirinji ye-carpule enokuphinda isetyenziswe, ethi, ewe, inzala emva kwesigulane ngasinye, njengaso nasiphi na esinye isixhobo. Iipilisi ezimbini zokuthomalalisa ezilahlwayo kunye neenaliti ezimbini zobude obahlukeneyo:
Ijongeka njani emlonyeni:
Emva kwe-anesthesia, usebenzisa i-scalpel, oku kulandelayo kwenziwa: ukusika, kunye nento ebizwa ngokuba yi-raspator - ithambo skeletonization. (ukwahlukana kwe-periosteum kwi-compact substance yethambo).
Ukusika:
Ukwenziwa kwaSkeletonization kwethambo:
Emva koko, umngxuma wokufakelwa ulungiselelwe (ukulungiswa).
Apha ngezantsi kukho iseti yenye yeenkqubo zokufakelwa kweJamani endizisebenzisayo kwindlela yam yokuziqhelanisa.
Ukongeza kwikhithi yotyando, sinesixhobo esikhethekileyo esibizwa ngokuba yiphysiodispenser:
Ngokungafani ne-drill yamazinyo eqhelekileyo, ikuvumela ukuba ungagcini nje ukulawula ngokuchanekileyo isantya kwaye upholise isixhobo sokusika ngesisombululo se-saline, kodwa nokulawula i-torque.
Ukufakelwa kuqala ngokuphawula. Oku kwenziwa kusetyenziswa i-spherical bur:
Emva koko, usebenzisa i-pilot cutter enobubanzi obuyi-2 mm, i-axis yomngxuma wokufakelwa kwexesha elizayo iseti, elawulwa kusetyenziswa izikhonkwane *
*I-Gizmo yokubeka iliso kwindawo yofakelo
Okulandelayo, ekubeni i-axis yomngxuma ibekwe ngokuchanekileyo, konke okufuneka sikwenze kukuzisa umngxuma kwi-diameter efunekayo. Ngenxa yale njongo, ii-cutters eziphambili zokusebenza zisetyenziswa. Eyokuqala kubo yi-3.0 mm ububanzi:
Emva koko, ulawulo lwendawo usebenzisa izifakelo ze-analogue ezibandakanyiweyo kwiseti:
Okulandelayo kumgca ngumsiki olandelayo, nobubanzi obuyi-3.4 mm:
Kwaye ngoku kuza inqanaba elibaluleke kakhulu - umsiki wokugqiba ukufakelwa kwethu kunye nobubanzi be-3.8 mm. Ngoku sehlisa isantya kwi-physiodispenser ukuya kubuncinci ukunqanda ukutshisa kakhulu kunye nokwenzakala kwithambo lethambo, emva koko singena emngxunyeni ngononophelo olukhulu:
Sijonga yonke into kwakhona usebenzisa ii-analogues zokufakelwa. Njengoko bethetha, linganisa kabini, unamathele kube kanye:
Sazisa umgodi kubunzulu be-11 mm kunye nobubanzi be-3.8 mm. Kodwa ukulungiswa komngxuma akupheli apho.
Oku kungenxa yokuba izicubu zethambo ziyinto enwebekayo, kwaye ukunciphisa uxinzelelo kwipleyiti yecortical (kunye nokuthintela i-peri-implantitis) sisebenzisa i-cortical cutter ekhethekileyo:
Xa sisebenza ngeethambo ezixinene kakhulu, sisebenzisa itephu ekhethekileyo:
Ngoku ungaqala ukufakela isifakelo.
Ukufakelwa kobukhulu obufunekayo (3.8x11 mm) kugxininiswe kwisitshixo esine-hexagonal emva koko kufakwe kumngxunya olungisiweyo:
Jonga indawo yofakelo kwakhona:
Okulandelayo, sisusa i-abutment yethutyana, ethi kule meko isebenze njengesibambi sofakelo:
Inqanaba elilandelayo kukufakelwa kwentlaka yangaphambili:
Ukuthathela ingqalelo iimeko zonyango, sikhethe i-Slim yangaphambili (ngaphandle kwezandiso) enobude obuyi-3 mm yofakelo olufakelweyo:
Sigqibezela umsebenzi wethu ngokufaka i-suturing:
Kwaye isithonga solawulo:
Ukuhlanganiswa kofakelo kuthatha umyinge weenyanga ezi-4. Ngelo xesha, izicubu ezithambileyo zenziwa, ngoko malunga neeveki ze-12 siya kuba nenkqubo elungele ukufaka isithsaba.
Konke okwanamhlanje.
Спасиalu
Ngokunyanisekileyo, uAndrei Dashkov
Yintoni enye onokuyifunda malunga nokufakelwa kwamazinyo?
-
umthombo: www.habr.com