Ngemva kokushicilelwa kwezihloko ezedlule, futhi ikakhulukazi , ngithole ukuphawula okuningana ngombuzo othi - “Futhi uma izinyo lesi-7 lake lakhishwa, ingabe ele-8 liyothatha indawo yalo?” noma “Kungenzeka yini ukukhipha izinyo lesi-8 (elivundlile) ulibeke endaweni yesi-7, elingekho?”
Ngakho, ngokombono kungenzeka ukwenza lokhu ngendlela ocabanga ngayo, kodwa... kunzima.
Cha, yiqiniso, kukhona "amakhosi" abambe iqhaza futhi akhuthaze le nqubo. Kodwa akekho kubo ozokunikeza iziqinisekiso zokuthi ngemva konyaka, noma ngisho neminyaka emibili yokuzama ukukhipha i-8 enjalo futhi uyibeke ngokulandelana namanye amazinyo akho, uzothweswa umqhele wempumelelo engamaphesenti ayikhulu. Kukhona nezindlela zokutshala kabusha izinyo. Enginokungabaza okukhulu ngakho. Ikakhulukazi esimweni lapho, esikhundleni sezinyo lesi-6 noma lesi-7, elakhishwa kudala, “isisekelo” sokwenziwa (umgodi nje “oyimbobo” ethanjeni) sinqunywa, lapho kufakwa khona izinyo lokuhlakanipha elisikwe ngokufanayo elivundlile. . Yikuphi, okudinga ukwelashwa nge-endodontically (okungukuthi, ukususa umsipha kuyo). Awucabangi ukuthi lokhu kuwumbudane?
Ngokubona kwami, lokhu kuwubuwula nje, kodwa! Lolu hlobo lwento luyenzeka. Wonke umuntu "usebenza" njengoba efuna noma azi ukuthi kanjani, uma uthanda. Njengoba besho, "konke kuhambisana nezinkomba." Ngiveza umbono wami, ongahluka kakhulu emibonweni yabanye.
Ngakho kungani ungakhiphi amazinyo akho okuhlakanipha?
Phela, odokotela bamazinyo bafaka izinsimbi, banyakazise amazinyo, futhi badonse amazinyo “aqamba amanga” athintekile (anganqamuki), atholakala avundlile emhlathini. Masikhiphe u-8k futhi! Uthi.
Inkinga ukuthi indawo yamazinyo okuhlakanipha, futhi ikakhulukazi ngaphansi I-8-ok icacile. Izicubu zamathambo kule ndawo ziminyene kakhulu, futhi indawo ngokwayo ivame ukuba banzi. Le ndawo iyindawo yokunikela ngokuhlinzwa kwe-osteoplastic.
Okusho ukuthi, kule ndawo, usebenzisa izinsimbi ezikhethekile, ungathatha ucezu lwethambo (block) bese uludlulisela lapho kungekho khona izicubu zamathambo ezanele ukuze ubeke ukufakelwa. Futhi le ndawo (lapho isiqephu samathambo sithathwe khona) sizolulama ngokuhamba kwesikhathi futhi, uma kunesidingo, ukukhohlisa kungaphinda kuphindwe.
Kodwa ukuxhunyelelwa kwamathambo kuyisihloko sezihloko ezihlukene, esizozicabangela nakanjani kamuva.
Ngakho nakhu. Ithambo liminyene futhi libanzi. Uma uzama ukukhipha izinyo lesi-8, iphakethe lethambo elijulile lizokwakhiwa ngemuva kwalo, futhi noma yiliphi izinyo elizihloniphayo kufanele lizungezwe izicubu zethambo kuzo zonke izinhlangothi. Isibonelo esincane - thatha induku uyinamathisele esihlabathini, uyinyakazise, kuzokwenzekani? Kuzovela "i-groove" esihlabathini. Kuzoba nenkinga efanayo kumadayisi. Ukukhipha izinyo elivundlile ukuze lizungezwe ithambo nhlangothi zonke kuyangabazeka kakhulu.
Wena uthi, “Kulungile, kuthiwani ngezinyo elimile kunelivundlile?”
Impendulo yami ukuthi isimo sezinyo elimile sihluke ngandlela thize; ukunyakaza okungathí sina okunjalo, vele, ngeke kudingeke. Kodwa inkinga izoba efanayo; kunzima kakhulu ukuhambisa "umzimba" wezinyo. Sonke siyazi ukuthi lapho umuntu ekhula, izinqubo zokuphulukisa emzimbeni zihamba kancane uma ziqhathaniswa nabantu abasha. Yiba, isibonelo, ukuphuka. Futhi konke ngenxa yokuthi amathambo engane aqukethe izinto eziphilayo kakhulu kunezabantu abadala. Igobolondo elimboze ingaphandle lethambo (periosteum) liwugqinsi futhi lihlinzekwa kahle ngegazi. njll. njalo njalo. Futhi lapho umuntu ekhula, izinqubo zokubuyisela zithatha isikhathi eside nangaphezulu. Yindaba efanayo namazinyo. Uma uneminyaka engu-14 ubudala, khona-ke konke ukunyakaza kwamazinyo okushiwo udokotela wamazinyo kuzodlula ngokushesha futhi kube lula kuwe kunokuba uneminyaka engu-40. Indaba efanayo "nokudonsa" kwamazinyo, engikhulume ngayo ngenhla. - uma wenza lokhu eneminyaka engu-14 ubudala, impumelelo yale nqubo iphezulu.
Uma, lapho uneminyaka engu-40, uqale wathatha isithombe samazinyo akho futhi udokotela wathola inja elele evundlile lapho, khona-ke amathuba okuphumelela mancane kakhulu. Kuyafana no-8, uma uneminyaka engu-14 ubudala, ngokombono ukukhwabanisa okunjalo kungenzeka, ngingacabanga ukuthi kungaba yimpumelelo. Kodwa kukhona okukhulu KODWA! Kule minyaka, izimpande azikakakheki; esithombeni se-panoramic, singabona kuphela ingxenye ye-coronal yezinyo, etholakala ku-follicle (i-capsule ezungeze igciwane lezinyo), yini-ke okufanele "siyidonse"?
Kulokhu, i-rudiment ingalimala futhi izinyo kusazodingeka likhishwe. Yebo, futhi uma uneminyaka engu-14 ulethe elinye lamazinyo akho endaweni yokususwa ... Lokhu kungukuthi, ukubeka ngobumnene, ukudabukisa. Kuzokwenzekani-ke emazinyweni akho lapho usuneminyaka engu-40?
Futhi elinye iphuzu, hhayi elibaluleke kangako, kodwa elifanele. Lena i-anatomy yokuma nobukhulu bengxenye yomqhele wamazinyo we-7th kanye ne-8th. Bahlukene. Kungenzeka ukudala othintana naye ogcwele kuleli cala, kodwa ingabe kuzolunga?
Uma izinyo lesi-6 kade likhishiwe, ingabe ele-7 lingakwazi ukuya endaweni yesi-6, nelesi-8 liye endaweni yesi-7?”
Cha... Kuzoba yinto enjena -
"Indawo engcwele ayinalutho". Uma izinyo lilahlekile isikhathi eside, amazinyo angomakhelwane aqala ukushintshela kuwo kancane kancane. Ukunyakaza okunjalo kwenzeka kuphela phambili. Okusho ukuthi, uma , khona-ke izinyo lesi-7 ngeke lihlehle njengaleli eliboniswe esithombeni. Uma zingekho izinkinga ngokulunywa. (ukuvala amazinyo).
“Ngingakwazi yini ukususa izinyo eliphansi kuphela futhi ngishiye elingaphezulu (noma okuphambene nalokho), ngeke likukhathaze?”
Maye, kodwa akunjalo.
Ngezansi, nokho, isibonelo hhayi ngezinyo lesi-8, kodwa incazelo iyafana. Uma lingekho izinyo, umphikisi walo (izinyo elivala ngalo) uqala kancane kancane ukuya kwelilahlekile, "ezama" ukuthola ukuthintana.
Ukufaka i-implant endaweni yezinyo lesi-7 akuyona inkinga, kodwa ngeke kwenzeke ukwenza i-prosthetize (ukufaka umqhele) izinyo elinjalo ngendlela efanele. Kungani? Ngoba kulokhu umqhele uzoba ngaphansi ngokuphindwe kabili ukuphakama. Futhi okuthiwa "block" kwakhiwa lapho umhlathi ophansi uhamba, engikushilo .
Umbuzo onengqondo uthi: “Kuyini-ke? Yini okufanele yenziwe ngalesi simo?
Nakhu. Sibiza ama-orthodontists abathandayo bonke abantu ukuze bathole usizo futhi, ngosizo lwezakhiwo ezikhethekile nezinduku, sizama ukubeka amazinyo endaweni efanele, njengoba imvelo ihlosiwe. Ngokuvamile, ngikholelwa ukuthi odokotela bamazinyo bangodokotela bamazinyo ababaluleke kakhulu. Kungani? Uma ucabanga, yiziphi zonke izinkinga ngamazinyo? - Kusukela esikhundleni sabo. Uma “amazinyo egwegwile,” khona-ke imfucumfucu yokudla iba matasa kakhulu phakathi kwamazinyo, yingakho inhlanzeko ihlupheka, yingakho i-caries, nazo zonke izinkinga ezihambisana nayo. Kanye nokugcwala kwamazinyo ngenxa yokuvaleka ngendlela engafanele. Sawubona ku-abrasion, ama-chips emazinyweni kanye nazo zonke izinhlobo zokukhubazeka okumise okwe-wedges (izilonda ezingenabungozi ezitholakala endaweni yezintamo zamazinyo ngesimo sesici esimise okwe-wedge). I-TMJ (ijoyinti le-temporomandibular) nalo liyahlupheka, ukugoqa, ukuchofoza, ubuhlungu, njll. Futhi uma zingekho izinkinga ngokuluma kwakho, vele uxube amazinyo akho futhi uzojabula. Kodwa kungakhathaliseki ukuthi kungase kuzwakale kuhlekisa kanjani, kufanele kwenziwe ngendlela efanele. Ungakwazi ukuxubha amazinyo akho imizuzu engu-20, kodwa ngeke kusize ngalutho.
Saphazamiseka. Nali icala elincane lomtholampilo.
Kwafakwa i-implant ngesikhathi esifanayo ukwelashwa nodokotela wamazinyo kwaqala. Njengoba sibona, izinyo lesi-7 elingezansi kwesokudla litshekile, futhi elingaphezulu kwesokudla lesi-6 liye lehla kancane.
Sicela uqaphele ukuthi akudingekile ukufaka uhlelo lwe-braces olugcwele ukuze kuqedwe le nkinga. Kwanele ukunamathisela ama-braces angu-3 kumazinyo we-4, 5, no-7, futhi usebenzise isiphethu esikhethekile ukusunduza izinyo lenkinga endaweni. Emhlathini ongenhla isimo sithe ukuhluka. Ukulungisa inkinga, kufakwa izikulufu ezimbili ze-orthodontic. Eyodwa isuka ohlangothini lwesihlathi, kanti eyesibili isuka ohlangothini lolwanga. Izinkinobho ezimbili zinamathiselwe emazinyweni, bese kunikezwa ukudonsa (amabhande okunwebeka akhethekile). “Balikhipha” izinyo endaweni yalo.
Futhi ngenye indlela -
Futhi manje umbuzo wami uwukuthi, kungani ukudinga lokhu? Ngikhuluma ngokudonsa u-8.
Izinyo lokuhlakanipha alilona “isondo eliyisipele.” Abakwazi ukuvele bathathe futhi babuyisele izinyo elilahlekile. Ngaphezu kokuthi inqubo yokunyakaza yinde kakhulu, ikakhulukazi ngeminyaka yobudala, futhi ayiqinisekisiwe. Okusho ukuthi, uchithe cishe unyaka noma emibili "udonsa" u-8. Akekho ozokunikeza iziqinisekiso zalokhu, futhi ekugcineni, uma kwenzeka, uzokususa noma kunjalo. Kuyafaneleka?
Kepha ungafaka ukufakelwa okukodwa ngesikhathi endaweni yezinyo elikhishiwe futhi ngemuva kwezinyanga ezi-3 (uma sikhuluma ngomhlathi ongezansi) uqinisekisiwe ukuthi unezinyo eligcwele, elihlafunayo elizokusebenzela. impilo yakho yonke. Futhi akukho "pull-pull" eyengeziwe. Konke lokhu kungaphansi kokuhambisana nazo zonke izincomo kanye nokuvakashela udokotela wamazinyo kanye njalo ezinyangeni eziyisithupha ukuze kuhlolwe ukuvimbela. Akukho okuzokwenzeka ku-implant. Buza: “Pho kungani uze?” Ukuze uma izinkinga ziqala ngamazinyo angomakhelwane, zingathinta nokufakelwa. Kungakhathaliseki ukuthi kuyinkinga ngezinsini noma izicubu zethambo ezizungezile. Ukuhlolwa kokuvimbela ngama-x-ray wamazinyo okuphoqelekile kuzosiza ukugwema inkinga enjalo. Futhi-ke, inhlanzeko yomlomo yochwepheshe ilungile, futhi njalo ezinyangeni eziyisithupha. Ikakhulukazi kubantu abanemikhuba emibi, njengokubhema. Angicabangi ukuthi kufanelekile ukuchaza ukuthi kungani. Konke kucacile.
Uthi, “Lokhu kubiza ngokungenakulinganiswa!” noma “Amazinyo akho angcono!”
Odabeni lwezindleko. Angifuni ukukucasula, kodwa isigaba sokuhlinza, kanye nokufakwa kwesakhiwo se-orthodontic nokushintshwa kwezinduku, phakathi neminyaka embalwa nodokotela wamazinyo, ekugcineni kuzocishe kuqhathaniswe nezindleko zokufaka isifakelo nokwenza umqhele. . Kodwa esimweni sokuqala azikho iziqinisekiso, kanti okwesibili kuneziqinisekiso zokuphila konke. Uyawuzwa umehluko?
Amazinyo akho, vele, angcono. Kusukela ezwini njalo. Kumele sibalwele kuze kube sekugcineni. Kodwa kuphela uma la mazinyo ebalulekile. Futhi lawa akuwona amazinyo okuhlakanipha, okungekho lutho okulindeleke kuwo ngaphandle kwezinkinga.
Yilokho kuphela okwanamuhla, ngiyabonga ngokunaka kwakho!
Hlala ubukele!
Ozithobayo, u-Andrey Dashkov.
Source: www.habr.com