Emva kokupapashwa kwamanqaku angaphambili, kwaye ngakumbi , ndafumana izimvo ezininzi ngombuzo othi - "Kwaye ukuba izinyo le-7 lisuswe kanye, ngaba eli-8 liya kuthatha indawo yalo?" okanye "Ngaba kunokwenzeka ukukhupha izinyo le-8 (elithe tyaba) kwaye ulibeke kwindawo ye-7, elahlekileyo?"
Ngoko ke, kuyenzeka ngokwethiyori ukwenza oku ngendlela ocinga ngayo, kodwa... kunzima.
Hayi, kunjalo, kukho "iinkosi" ezithatha inxaxheba ngokukhutheleyo kwaye zikhuthaza obu buchule. Kodwa akukho namnye kubo oya kukunika iziqinisekiso zokuba emva konyaka, okanye iminyaka emibini yokuzama ukukhupha i-8 enjalo kwaye uyibeke kumqolo kunye namanye amazinyo akho, uya kuthweswa isithsaba sempumelelo yekhulu leepesenti. Kukwakho neendlela zokutyalwa ngokutsha kwamazinyo. Into endiyithandabuza kakhulu ngayo. Ngokukodwa kwimeko xa, endaweni yezinyo le-6 okanye le-7, elasuswa kwakudala, "isokethi" eyenziweyo (nje "umngxuma" ethanjeni) inqunyulwa, apho kunqunyulwa izinyo lobulumko elithe tye. . Yiyiphi ke, kufuneka iphathwe nge-endodontically (oko kukuthi, ukususa i-nerve kuyo) Ngaba awucingi ukuba oku kungenangqondo?
Ngokombono wam, oku kubudenge nje, kodwa! Olu hlobo lwento luyenzeka. Wonke umntu "usebenza" njengoko efuna okanye uyazi njani, ukuba uyathanda. Njengoko bethetha, "yonke into ihambelana neempawu." Ndivakalisa uluvo lwam, olunokwahluka kakhulu kwizimvo zabanye.
Ngoko kutheni ungakhuphi amazinyo akho obulumko?
Emva kwayo yonke loo nto, i-orthodontists ifaka i-braces, ihambisa amazinyo, kwaye idonsa "ukuxoka" kwamazinyo achaphazelekayo (angenasiphelo), abekwe ngokuthe tye emhlathini. Masikhuphe u-8k nathi! Uthi.
Ingxaki kukuba indawo yamazinyo obulumko, kwaye ngakumbi ngaphantsi 8-ok ichanekile. Izicubu zethambo kule ndawo zixinene kakhulu, kwaye indawo ngokwayo idla ngokuba banzi. Le ndawo ikwayindawo yabanikeli yotyando lwe-osteoplastic.
Okokuthi, kule ndawo, usebenzisa izixhobo ezikhethekileyo, unokuthatha iqhekeza lethambo (ibhloko) kwaye uyitshintshe apho kungekho zicubu zamathambo ezaneleyo zokubeka i-implant. Kwaye lo mmandla (apho iqhekeza lethambo lithathwe khona) liya kubuyiselwa emva kwexesha kwaye, ukuba kuyimfuneko, ukukhwabanisa kunokuphinda kuphindwe.
Kodwa ukuxutywa kwamathambo sisihloko samanqaku ahlukeneyo, esiya kuthi siqwalasele ngokuqinisekileyo kamva.
Ngoko nantsi. Ithambo lixinene kwaye libanzi. Ukuba uzama ukukhupha izinyo le-8, i-pocket yethambo enzulu iya kubumba emva kwayo, kwaye nayiphi na izinyo ezizihloniphayo kufuneka ijikelezwe ngamathambo ethambo kuwo onke macala. Umzekelo omncinci - thatha intonga kwaye uyifake esantini, uyishukumise, kuya kwenzeka ntoni? I "groove" iya kuvela esantini. Kuya kubakho ingxaki efanayo kwiidayisi. Ukukhupha izinyo elixwesileyo ukuze lijikelezwe lithambo macala onke kuyathandabuzeka kakhulu.
Uthi, "Kulungile, kuthekani ngezinyo elithe nkqo kunelithe tye?"
Impendulo yam kukuba imeko enezinyo elime nkqo yahlukile; iintshukumo ezinzulu, ewe, aziyi kuba yimfuneko. Kodwa ingxaki iya kuba yinto efanayo; kunzima kakhulu ukuhambisa "umzimba" wezinyo. Sonke siyazi ukuba umntu omdala ufumana, ngokukhawuleza iinkqubo zokuphilisa emzimbeni zifaniswa nabantu abancinci. Yiba, umzekelo, ukuphuka. Kwaye konke ngenxa yokuba amathambo omntwana aqulethe izinto ezininzi eziphilayo kunezo zabantu abadala. Iqokobhe eligqume umphandle wethambo (periosteum) lingqindilili kwaye libonelelwa kakuhle ligazi. njl. kwaye nangokunjalo. Kwaye xa umntu ekhula, ixesha elide kwaye linzima ngakumbi iinkqubo zokubuyisela. Libali elinye ngamazinyo. Ukuba uneminyaka eyi-14 ubudala, ngoko zonke iintshukumo zamazinyo ezichazwe ngugqirha wamazinyo ziya kuhamba ngokukhawuleza kwaye zibe lula kuwe kunokuba uneminyaka engama-40. Ibali elifanayo "nokutsalwa" kwamazinyo, endithethe ngawo ngasentla - ukuba wenza oku kwiminyaka eyi-14 ubudala, ke impumelelo yale nkqubo iphezulu.
Ukuba, xa uneminyaka engama-40, uqale wathatha ifoto yepanoramic yamazinyo akho kwaye ugqirha wafumanisa inja elele ethe tyaba apho, ke amathuba okuphumelela mancinci kakhulu. Kuyafana no-8, ukuba uneminyaka eli-14 ubudala, ngoko ke ithiyori ukukhohlisa okunjalo kunokwenzeka, ndinokucinga ukuba kuya kuphumelela. Kodwa kukho enkulu KODWA! Kule minyaka, iingcambu ayikabunjwa, kumfanekiso we-panoramic, sinokubona kuphela i-coronal part of the tooth, ebekwe kwi-follicle (i-capsule ejikeleze intsholongwane yezinyo), ngoko kufuneka "sitsale"?
Kule meko, i-rudiment inokonakala kwaye izinyo kuya kufuneka kususwe. Ewe, kwaye ukuba uneminyaka eyi-14 uzise enye yamazinyo akho kwinqanaba lokususa ... Oku, ukuyibeka ngobumnene, buhlungu. Kuya kwenzeka ntoni ke emazinyweni akho kwiminyaka engama-40?
Kwaye enye inqaku, ayibalulekanga kangako, kodwa ifanelekile. Le yi-anatomy yesimo kunye nobukhulu bengxenye yesithsaba se-7th kunye ne-8th yamazinyo. Bahlukile. Kunokwenzeka ukwenza umnxibelelwano ogcweleyo kule meko, kodwa ngaba kuya kulunga?
Ukuba izinyo le-6 kudala lisusiwe, ngaba elesi-7 linokufudukela kwindawo yesi-6, neyesi-8 liye kwindawo yesi-7?”
Hayi ... Kuya kuba yinto enje -
"Indawo engcwele ayinakuze ingabi nanto". Ukuba izinyo lilahlekile ixesha elide, amazinyo angabamelwane aqala ukutshintshela kuwo. Iintshukumo ezinjalo zenzeka kuphela phambili. Oko kukuthi, ukuba , emva koko izinyo lesi-7 aliyi kubuyela ngasemva njengoko kuboniswe emfanekisweni. Ukuba akukho ngxaki ngokuluma. (ukuvala amazinyo).
Ngaba ndingasusa kuphela izinyo lobulumko elisezantsi ndize ndilishiye elingaphezulu (okanye ngokuphambeneyo), akuyi kukukhathaza?”
Ewe, kodwa akunjalo.
Ngezantsi, nangona kunjalo, umzekelo ongekho ngezinyo le-8, kodwa intsingiselo iyafana. Xa kungekho naliphi na izinyo, umchasi walo (izinyo elivala ngalo) uqala ukuhamba ngokuthe ngcembe ukuya kwindawo elahlekileyo, "ezama" ukufumana uqhagamshelwano.
Ukubeka i-implant kwindawo yezinyo le-7 akuyona ingxaki, kodwa kuya kuba nzima ukwenza i-prosthetize (ukufaka isithsaba) ngokuchanekileyo izinyo. Ngoba? Ngenxa yokuba kule meko isithsaba siya kuba ngamaxesha amabini aphantsi ukuphakama. Kwaye into ebizwa ngokuba "ibhloko" yenziwe xa umhlathi ophantsi uhamba, endikukhankanyileyo .
Umbuzo osengqiqweni ngulo: “Kuthekani ke ngoko? Kwenziwa ntoni ngale meko?
Nantsi into. Sibiza i-orthodontists eyintandokazi yomntu wonke ngoncedo kwaye, ngoncedo lwezakhiwo ezikhethekileyo kunye neentonga, sizama ukubeka amazinyo kwindawo echanekileyo, njengoko indalo ifuna. Ngokubanzi, ndikholelwa ukuba oogqirha bamazinyo babaluleke kakhulu. Ngoba? Ukuba ucinga ngako, zeziphi zonke iingxaki zamazinyo? - Ukusuka kwisikhundla sabo. Ukuba “amazinyo agoso,” ngoko ke inkunkuma yokutya iba shushu ngakumbi phakathi kwamazinyo, ngenxa yoko ucoceko luyabandezeleka, kungoko kukho i-caries, kunye nazo zonke iingxaki ezinxulumene noko. Plus ukugcwala kwamazinyo ngenxa yokuvalwa ngokungafanelekanga. Molweni kwi-abrasion, iitshiphusi emazinyweni kunye nazo zonke iintlobo zeziphene ezimile (izilonda ezingenabungozi ezibekwe kwindawo yeentamo zamazinyo ngendlela yesiphene esimise okwe wedge). I-TMJ (ijoyinti ye-temporomandibular) nayo inengxaki, ukukrala, ukucofa, iintlungu, njl. Kwaye ukuba akukho ngxaki ngokuluma kwakho, vele uhlambe amazinyo akho kwaye uya kuvuya. Kodwa nokuba ivakala ihlekisa kangakanani na, kufuneka yenziwe ngokuchanekileyo. Unokuxubha amazinyo akho imizuzu engama-20, kodwa ayiyi kwenza nantoni na.
Saphazamiseka. Nantsi imeko encinci yeklinikhi.
Ukufakelwa kwafakelwa kwaye kwangaxeshanye unyango kunye nogqirha wamazinyo lwaqala. Njengoko sibona, izinyo elingezantsi lasekunene lesi-7 lithambekile, kwaye izinyo eliphezulu lasekunene lesi-6 liye lehla kancinci.
Nceda uqaphele ukuba akuyimfuneko ukufaka inkqubo ye-braces epheleleyo ukwenzela ukuphelisa le ngxaki. Kwanele ukuncamathelisa i-3 braces kwi-4th, 5th, kunye namazinyo e-7, kwaye usebenzise intwasahlobo ekhethekileyo ukutyhala ingxaki yezinyo kwindawo. Kumhlathi ongasentla imeko yahluke ngandlel’ ithile. Ukulungisa ingxaki, izikrufu ezimbini ze-orthodontic zifakwe. Omnye ukusuka kwicala lesidleleni, kwaye okwesibini ukusuka kwicala lenkalakahla. Amaqhosha amabini ancanyathiselwe emazinyweni, kwaye i-traction inikwe (iibhendi ezikhethekileyo ze-elastic). “Batsala” izinyo endaweni.
Kwaye ukusuka kwelinye icala -
Kwaye ngoku umbuzo wam ngulo, kutheni uyidinga le nto? Ndithetha ngokutsala u8.
Izinyo lobulumko ‘asilovili elisecaleni. Abanakuvele bathathe kwaye babuyisele izinyo elilahlekileyo. Ukongeza kwinto yokuba inkqubo yokunyakaza ide kakhulu, ngakumbi ngobudala, nayo ayiqinisekiswanga. Oko kukuthi, uchithe malunga nonyaka okanye emibini "utsala" isi-8. Akukho mntu uya kukunika iziqinisekiso kule nto, kwaye ekugqibeleni, ukuba kuyenzeka, uya kuyicima. Ngaba kufanelekile?
Kodwa unokubeka ukufakelwa okukodwa ngexesha kwindawo yezinyo elikhutshiweyo kwaye emva kweenyanga ezi-3 (ukuba sithetha ngomhlathi osezantsi) uqinisekisiwe ukuba unezinyo elipheleleyo, elihlafunayo eliya kukusebenzela. ubomi bakho bonke. Kwaye akukho "tsalo-tsalo" eyongezelelweyo. Konke oku kuxhomekeke ekuthotyelweni kwazo zonke iingcebiso kunye notyelelo kugqirha wamazinyo kanye kwiinyanga ezintandathu zovavanyo lothintelo. Akukho nto iya kwenzeka nje kwi-implant. Xola:"kutheni uze?" Ukuze ukuba iingxaki ziqala ngamazinyo angabamelwane, zinokuchaphazela nokufakelwa. Nokuba yingxaki kwiintsini okanye kwithambo lethambo elijikelezileyo. Iimviwo zokuthintela ngee-x-reyi zamazinyo ezinyanzelekileyo ziya kunceda ukuphepha ingxaki enjalo. Kwaye, ewe, ucoceko lomlomo lobuchwephesha lufanelekile, rhoqo emva kweenyanga ezintandathu. Ingakumbi kubantu abanemikhwa emibi, njengokutshaya. Andiqondi ukuba kufanelekile ukucacisa ukuba kutheni. Yonke into icacile.
Uthi, “Ixabiso eliphezulu kakhulu le nto!” okanye “Amazinyo akho angcono!”
Kumba weendleko. Andifuni ukukukhathaza, kodwa inqanaba lotyando, kunye nokufakelwa kwesakhiwo samathambo kunye nokutshintshwa kweentonga, kwiminyaka embalwa kunye nogqirha wamazinyo, ekugqibeleni kuya kuthelekiswa neendleko zokufakela ukufakelwa kunye nokwenza isithsaba. . Kodwa kwimeko yokuqala akukho ziqinisekiso, kwaye okwesibini kukho iziqinisekiso zobomi bonke. Ngaba uyawuva umahluko?
Amazinyo akho, ngokuqinisekileyo, angcono. Ukususela kwigama rhoqo. Kufuneka sibalwele de kube sekugqibeleni. Kodwa kuphela ukuba la mazinyo abalulekile. Kwaye oku akuzona amazinyo obulumko, apho kungekho nto inokulindela ngaphandle kweengxaki.
Kuphelele apho namhlanje, enkosi ngengqalelo yakho!
Hla umamele!
Ngokuzithoba, Andrey Dashkov.
umthombo: www.habr.com