Ukuhlinzwa Orthognathic ngaphambi nangemva: Izibuyekezo

Izindlela amazinyo yesimanje Ungashintsha bite womuntu, ukuvumelanisa dentition. Kodwa ngokuvamile aliholeli ukuba ngcono okukhulu ngokubukeka. Futhi uma umuntu unazo zokugula kule nokwakheka umhlathi, kungasiza ukuhlinzwa orthognathic. Lokhu wamazinyo kwesigaba, elibhekene nomse- hhayi kuphela ukulungiswa malocclusion, kodwa, elikhishiwe kwezinye izinguqulo wesimethri kanye olinganise efanele ubuso. Ngokwesibonelo, izinguquko ukuma kwesilevu noma ukunwebeka mandible awutholakali esebenzisa kubakaki nezinye isakhiwo orthodontic. It ukuhlinzwa orthognathic kuholela ukubukeka ikhange nakakhulu. It ilungisa ukusonteka ezibucayi ebusweni e umhlathi.

Umlando ukuhlinzwa orthognathic

Lokhu legatsha amazinyo ihlanganisa imithi yezimonyo in kanye nokuhlinzwa maxillofacial. Inhloso yayo ukuze kuzuzwe izici obunobunye ebusweni. Igama lesi sigaba lisuselwa egameni lesi Latin ukuthi uhumusha ngokuthi "emhlathini ziqonde." Ekuqaleni, le misebenzi Kwakuseshwa kuphela bite lesifanele, ukuma ebusweni ngesikhathi esifanayo washintsha kancane. Isici esikhethekile kwaba ukuthi nomthelela umhlathi ongezansi, futhi imbobo senziwa kusukela ngaphandle, ukuze ubuso babe izibazi esikhumbeni.

Kodwa inqubo ukunyakaza yasungulwa ngo 1965 by the ongenhla. Ngemva kwalokho, ukuhlinzwa orthognathic isibe indlela ephumelelayo ukushintsha ukuma ebusweni. Ilokhu ngcono izindlela zokusebenzela, futhi maduze kwenziwe ngokusebenzisa ukusikeka yangaphakathi. Lokhu kwenza ukuba ogulayo ukuba ukubukeka ikhange nakakhulu. Eminyakeni yamuva, indlela yokuyala isibe zanamuhla, manje emva wayengatholi lushiye izibazi ezesabekayo.

Lapho ukuhlinzwa athuthukile kangcono orthognathic

Odokotela Abahlinzayo Latvia, Petersburg naseMoscow ezibhekwa okungcono kule iphrofayli. imisebenzi enjalo ingenziwa Riga nstitute amazinyo. Petersburg, a izikhungo ezimbalwa zokwelapha ukuthi enze ukulungiswa okunjalo. I kunazo owaziwa ukuhlinzwa uchwepheshe maxillofacial uDkt AR Andreischev.

abadumile Ikakhulukazi ukuhlinzwa orthognathic eMoscow. Ochwepheshe Ucwaningo Centre Clinical of Otorhinolaryngology enze le misebenzi usebenzisa ubuchwepheshe banamuhla kakhulu, usebenzisa njengoba entfutfukweni yabo. Lokhu PhD, odokotela best eRussia A. iphrofayela enjalo N. Senyuk, I. Lyashev, MA Mokhirev no D. N. Nazaryan.

izinhlobo imisebenzi

Bonke ukuxazulula inkinga eyodwa - silungise emhlathini zikhubazeke futhi zibe ngcono ukubukeka ebusweni. Kodwa kuncike izici ngamunye kanye degree of isifo kobukhulu salokhu kusebenza imisebenzi ehlukene:

• osteotomy elingenhla emhlathini - ukunyakaza nenkanuko edlulele yayo titanium amapuleti;
• osteotomy emhlathini ephansi - ekubeka kule sikhundla kwesokudla;
• kwezinye izimo kuba emhlathini kudingekile yizinqamu eziningana ukwandisa ke;
• ezihambayo esihlathini amathambo ;
• genioplasty - ukusika ngokweqile lwesilevu kanye yokulungiswa imigqa isilinganiso ebusweni;
• ngezinye izikhathi sidinga rhinoplasty okwengeziwe, liposuction noma umjovo amafutha, lipofilling.

Izinkomba ukuhlinzwa

Ngokuvamile, ezincane ukusonteka emhlathini malocclusion noma dentition okungajwayelekile kokulungisa nge besokunxele, imiqhele, noma veneers. Kodwa hhayi kuzo zonke izimo ngale ndlela ungakwazi impumelelo. Besokunxele ngokuvamile musa asize, noma, kunalokho, isimo sibe sibi isimo lesiguli. Uma impatho orthodontic enjalo wenziwa khona ngaphansi deformations okunzima emhlathini, kungaholela pathologies we ngokuhlanganyela temporomandibular, noma ngisho dislocation amazinyo.

Kukhona izinkomba ezithile ukuhlinzwa orthognathic, okukuvumela sokungenela kuphela uma kunesidingo. Ngokuvamile kuba isimo esinjalo:

• usayizi okungavamile nemihlathi;
• the asymmetry we emihlathini;
• bite prognathic, lapho isiguli kwesilevu encane kakhulu;
• projecting kakhulu umhlathi ongezansi;
• gingival noma ukumamatheka quin.

Izimo

Ortognasticheskaya ukuhlinzwa awabonisi zonke. Abanye abantu bazimisele ukufeza eyohlinzwa ezinjalo ngaphandle ukusonteka sina. Uma bite ilungile, kodwa kuphela ukubonakala indoda akakuthandanga odokotela bakhe asikhuthazi ukwelapha. Ngaphezu kwalokho, kukhona Izimo ezithile ukuze leyo misebenzi:

• esakhula ngaphambi kumiswa sokugcina isiphanga nemihlathi okungukuthi cishe iminyaka 18-21;
• ukopha disorder;
• isifo senhliziyo,
• zokugula kohlelo lwamathambo;
• ukuphazamiseka nezindlala endocrine;
• sikashukela;
• isifo emsipheni.

Kukhona yini okunye ukuqeqeshwa kuyadingeka

Ngaphambi ukusebenza okudingekayo ukuze ahlolwe ngudokotela wamazinyo. Udokotela ziyonquma nemingcele ezidingekayo ukuze operation kahle ngokuhlanganyela temporomandibular, afike ekugcineni clamping emihlathini. Isebenzisa uhlelo lwekhompyutha Ihlengethwa elikuvumela ukwakha 3D-imodeli izici obunobunye ebusweni ngoba kumuntu othize. Lokhu isifanekiso lisetshenziselwa ngesikhathi ukusebenza.

Kodwa ngaphambi kokuba baqale ukusebenzisa ukwelashwa orthognathic, kubalulekile ukuqondanisa dentition kancane. Faka isicelo le besokunxele noma ofeleba esobala, okumele ezigugile izinyanga okungenani 2-3. Ngezinye izikhathi le nkathi imisiwe iminyaka 1-1.5.

Njengoba ukusebenza

ukuhlinzwa Orthognathic - kuyinto ukuphathwa sina koda. Ngakho-ke, yonke imisebenzi lwenziwa esibhedlela. Kuyadingeka ukubulawa kwezinzwa okuvamile. Ngemva kokuhlinzwa angaqhubeka amahora 5-6. Emva kokubhekwa ngabezempilo kunesidingo, ngakho isiguli uhlala esibhedlela izinsuku ezimbalwa. Kodwa ngemva kokushiya ukuba enqabe emisebenzini yawo evamile. Ngakho-ke, uma kubhekwa esibhedlela kuze kube 3 amaviki.

Kuke kwenzeke yini kube yezinkinga

Ngokuvamile, imisebenzi enjalo esiphezulu ibekezelelwe kalula. Kungaba inkinga emva kokuhlinzwa - kuba ndikindiki sezindebe, okuyinto ngokushesha adlulisela kuwona uqobo ngisho kuye kwaba nomphumela omuhle: isiguli engazizwa ubuhlungu. Ngaphezu kwalokho, ngezinye izikhathi kukhona soft izicubu ukuvuvukala, umphimbo obuhlungu, inkulumo sifo, ukucinana acinene, isicanucanu okuncane. Ukuze siqiniseke yokuphumelela ukusebenza futhi ukungabi amathuba okuba nemiphumela engemihle, kubalulekile ukukhetha umtholampilo omuhle futhi odokotela onekhono.

Ngaphezu kwalokho, ukuze ugweme nemiphumela ebuhlungu ngeke ngokugcinwa imithetho eziningana, ngoba ukusebenza wenziwa ngaphansi izinzwa jikelele:

• ungalilahli adle noma aphuze lokungenani emahora lalingana langu 8 ngaphambi kokuba sihlinzwe;
• zama ukuba bangabhemi ngayizolo lokhu;
• hhayi ahlinzwe ngaso indisposition kancane, imfiva noma sokuphazamiseka emathunjini.

imiphumela imisebenzi

Ortognasticheskaya Ukuhlinzwa uyakwazi ukuguqula ukubukeka komuntu. Thuthukisa kobuso kusiza kuye bheka omncane futhi kukhanga ngokwengeziwe. Lokhu kuyadingeka ngoba esezingeni nobuhle ziyalingana ebusweni shape. Ngaphezu kwalokho, ukumomotheka enhle, futhi, sidonsa abantu. ngokuvamile Indoda ukuma obuhlukahlukene nemihlathi ukumamatheka nje enamahloni, ulivala ilahlekelwa ukuzethemba.

Ukuze ezihlukahlukene izithombe, ungakwazi ukubona ukuthi hlobo luni imiphumela kusiza sifinyelele ukuhlinzwa orthognathic. Ngaphambi nangemva kokuhlinzwa isiguli ngokuvamile ubukeka ngayo ihluke ngokuphelele. Umzimba womuntu ungakwazi ukuba zinde emhlathini, noma ukuze uyenze ibe mfushane, ukushintsha isikhundla yayo, ukushintsha ukuma kanye nosayizi kwesilevu. Ngenxa yalokho, izici zobuso baba njalo ngaphezulu futhi ukubukeka zishintshe. Umphumela omuhle ukusebenza alichaza yokuthi wonke ukusikeka zenziwa kusuka ngaphakathi, kanjalo nobuqotho lendwangu yangaphandle is hhayi kuphazamisekile.

Ngaphezu kokuthola yi tebuciko, lo msebenzi kuyasiza kuqedwe izifo ezibangelwa ukusebenza, ezifana Ukwehluleka ukucacisa yokukhuluma, nobunzima ukuhlafuna imisebenzi. Futhi okubaluleke nakakhulu, ortognasticheskaya ukuhlinzwa ngcono isimo ngokwengqondo isiguli kanye kungenza ngizethembe yakhe.

Izibuyekezo lokhu ukulungiswa

Eqinisweni abantu abambalwa kakhulu ukwazi ukuthi ukuhlinzwa orthognathic. Izibuyekezo abonisa ukuthi iningi bite ukulungiswa Kwenziwa ngosizo besokunxele. Kuphela uma deformations sina abantu emhlathini isinqumo akhuluma ngokuhlinza. Kodwa labo owasizakala ezinsizakalweni ezifana bathi ukubukeka zabo zashintsha zaba ngcono. Abaningi, ehlushwa iminyaka kusukela inkulumo iziyaluyalu futhi malocclusion, uhlushwa ngiyisiphukuphuku, zishintshe ngemuva kokuhlinzwa. ukuhlinzwa Orthognathic, ngisho ukusiza uvuseleleke eminyakeni embalwa. Futhi akukho imiphumela emibi noma yezinkinga ngemva kokuhlinzwa, iziguli awuboni.

ukuhlinzwa Orthognathic - yilokhu uyoshintsha kangconywana futhi sibukeka kangcono ngesikhathi izinkinga ezingathi sína isakhiwo emhlathini. izindlela zesimanje okwenza ukulungiswa okunjalo imisebenzi iphephile futhi isebenza ngempumelelo.