Orthognathic Kuvhiya vasati uye pashure: wongororo

Nzira dentistry ano anogona kuchinja nokuruma kwevanhu, swatanudza ari dentition. Asi kazhinji haitungamiriri chinokosha kuvandudza chitarisiko. Uye kana munhu aine chinhu zvokurwara mu sechivako shaya, rinogona kubatsira orthognathic kuvhiyiwa. Ichi chikamu orthodontist, izvo anobata kwete chete kurangwa malocclusion, asi anodzoreredza symmetry uye yakarurama kukura kumeso. Somuenzaniso, kuchinja Maumbirwe chirebvu kana mandible elongation hakungagoni kukwanisika pachishandiswa mumabhuraketi nezvimwe orthodontic marongerwo. It orthognathic Kuvhiya kunotungamirira chitarisiko zvinoyevedza. It anogadzirisa kwakakomba deformation chiso iri shaya.

Nhoroondo orthognathic kuvhiyiwa

Bazi iri dentistry rinobatanidza zvizorwa mushonga uye maxillofacial kuvhiyiwa. Chinangwa charo kuti vabudirire Anobvumirana pameso hazvishandi. Zita muchikamu ichi rinobva muchiLatin shoko anoshandura se "kururamiswa shaya." Pakutanga, akavhiyiwa izvi rwaiitwa chete kune zvakarurama nokuruma, Maumbirwe nechiso panguva iyoyo achinja zvishoma. Chimwe chinhu chinokosha ndechokuti zvaikanganisa chete rezasi shaya, uye incision unoitwa kubva kunze, kuti zviso mavanga ganda.

Asi magadzirirwo kufamba yakazokudziridzwa muna 1965 ne yokumusoro shaya. Pashure paizvozvo, orthognathic kuvhiya razova zvinobudirira nzira kushandura chimiro kumeso. Kuramba hwakavandudzika nzira kushanda, uye ivo achakurumidza kuitwa kuburikidza pezviri maronda. Izvi akabvumira murwere kuti chitarisiko zvinoyevedza. Mumakore achangopfuura, nzira chokuranga kwazova ano, zvino pashure iye haana kusiya mavanga.

Where dzakabudirira nani orthognathic kuvhiyiwa

Vanachiremba Latvia, St. Petersburg uye Moscow vanonzi zvakanakisisa iyi profile. kwacho kunogona kuitwa Riga nstitute dentistry. In St. Petersburg, vashoma zvokurapa nzvimbo kuti aite kururamiswa kwakadaro. The inozivikanwa zvikuru Kuvhiya nyanzvi maxillofacial ndiye Dr. AR Andreischev.

Kunyanya inozivikanwa orthognathic kuvhiya muMoscow. Nyanzvi Research uye Clinical Center of Otorhinolaryngology kuvhiya izvi vachishandisa kupfuura ano nzira, kushandisa sezvo pachavo kukura kwavo. Miteva ichi, yakanakisisa vanachiremba kuRussia hwakadaro Profile A. N. Senyuk, I. Lyashev, MA Mokhirev uye D. N. Nazaryan.

Mhando remapazi

Vose vagadzirise rimwe dambudziko - kugadzira rushaya zvikanganiso uye kuvandudza pakuonekwa kumeso. Asi kuchitsamira pamunhu zvatariswa uye ukuru chirwere nekuomarara iyi kushandiswa zvakasiyana akavhiyiwa:

• osteotomy rokumusoro rushaya - rwokufamba Kuda kutamba waro titanium mahwendefa;
• osteotomy repasi rushaya - akagara nayo zvakarurama nzvimbo;
• mune zvimwe zviitiko zvinokosha rushaya rakakamurwa akawanda kumativi kuwedzera nayo;
• zvinofamba dama mapfupa ;
• genioplasty - akagura zvakawandisa pamusoro chirebvu uye kurangwa avhareji akarongwa chiso;
• dzimwe nguva zvinoda mimwe rhinoplasty, liposuction kana mafuta jekiseni, lipofilling.

Zvairatidza kunorapwa

Kazhinji, duku deformation shaya malocclusion kana kutadza dentition kugadzirisa to kufamba ndakaisa simbi mumakumbo, korona, kana veneers. Asi kwete nguva dzose nenzira iyi unogona vabudirire. Kufamba ndakaisa simbi mumakumbo vasingawanzotauri kubatsira, kana, nekusiyana, achiipa murwere ezvinhu. Kana akadaro orthodontic kurapwa rinoitwa pasi kwazvo deformations pakati shaya, zvinogona kutungamirira pathologies ari temporomandibular muhudyu, kana kunyange dislocation kwemeno.

Pane zvimwe zviratidzo nokuda orthognathic kuvhiyiwa, hunoita kupindira kwakadaro kana zvakakodzera chete. Kazhinji zvinhu zvakadaro:

• zvemamiriro kukura shaya;
• ari asymmetry of shaya;
• prognathic nokuruma, umo murwere iduku kwazvo chirebvu;
• projecting repasi rushaya zvakasimba;
• gingival kana asymmetric achinyemwerera.

Contraindications

Ortognasticheskaya vavhiyiwa kwete kunoratidza zvose. Vamwe vanhu vanoda kuita kuvhiyiwa yakadaro pasina zvakakomba deformation. Kana nokuruma wakarurama, asi chete chitarisiko murume haana kufanana vanachiremba ake regai ita kurapa. Uyezve, pane zvimwe contraindications nokuda kwacho:

• uduku uye kuyaruka pamberi chokupedzisira paumbwe shaya, kuti ndiye anenge makore 18-21;
• ropa nyonganyonga;
• zvemwoyo chirwere;
• zvokurwara of skeletal hurongwa;
• Kuvhiringidza of kwemakemikari anobudiswa mumasero;
• chirwere cheshuga;
• chirwere tsinga.

Chii kurovedza chinodiwa

kwomudzimu asati ari aifanira kuva kuongorora zvizere nokuda chiremba wemazino. The chiremba kuona parameters zvakakodzera zvakakodzera nokushanda temporomandibular muhudyu, kusvikira zvakazara clamping shaya. It anoshandisa kombiyuta Dolphin chirongwa unokubvumira kuvaka 3D-muenzaniso rinopindirana pameso hazvishandi kuti yakananga munhu. template iri ipapo kushandiswa panguva oparesheni.

Asi vasati vatanga orthognathic kurapwa, zvinokosha kuti vaenzanise zvishoma dentition. Shandisa uyu kufamba ndakaisa simbi mumakumbo kana usiri ngowani, izvo zvinofanira kupfekwa dzinenge 2-3 mwedzi. Dzimwe nguva iyi iri kunonoka kwemakore 1-1.5.

Sezvo ari oparesheni

Orthognathic Kuvhiya - haisi invasive kurapwa. Naizvozvo, zvinhu zvose zviri kuitwa muchipatara. Zvaida mukuru yokutindivadza. Avhiyiwa irambe kwemaawa 5-6. Mushure zvakafanira zvokurapa cherechedzo, saka murwere achagara muchipatara kwemazuva anoverengeka. Asi pashure vachimusiya varegedze ezuva. Saka, vakapa muchipatara kusvika 3 mavhiki.

Pangava nemamwe matambudziko

Kazhinji, kwacho kunonyanyisa akashivirira nyore. Zvingava kuomesa pashure pokuvhiyiwa - ndiwo chiveve nemiromo, iyo nokukurumidza inopfuura pacharo uye kunyange kunobatsirawo: murwere haafungi marwadzo. Uyezve, dzimwe nguva pane nyoro zvinyama kuzvimba, kwazvo huro, kutaura chirwere, nasal kuzara, zvishomanana svoto. Kuti tive nechokwadi chokuti kubudirira kuvhiyiwa uye pasina nemishonga, zvinokosha kusarudza kukiriniki zvakanaka uye vanachiremba vane unyanzvi.

Uyezve, kudzivisa nemigumisiro vachatitaka kuchengetwa mitemo akawanda, nokuti oparesheni rinoitwa pasi vakawanda yokutindivadza:

• regai kudya kana kunwa kwemaawa dzinenge 8 pamberi kuvhiya;
• musaedza kuputa zuva rino risati;
• kwete kuvhiyiwa kuchangotanga indisposition, fivha kana intestinal nyonganyonga.

zvabuda remapazi

Ortognasticheskaya kuvhiya anokwanisa kuchinja munhu chitarisiko. Kuvandudza chiso kunomubatsira kutarisa muduku uye zvinoyevedza. Izvi zvinokosha nokuti zvinodiwa runako zvakafanana, ichibata chiso chimiro. Mukuwedzera, kunyemwerera wakanaka, zvakare, chinokwezva vanhu. Munhu ane mugari Maumbirwe shaya kazhinji vanonyara achinyemwerera, rinogumisa uye anorasikirwa chivimbo.

Zvakasiyana-siyana mapikicha, unogona kuona kuti zvibereko mhando inobatsira kuita orthognathic kuvhiyiwa. Usati uye avhiyiwa murwere kazhinji anotarisa zvakasiyana. Zviri inokwanisa kureba shaya, kana kuti mupfupi, kuchinja nzvimbo yayo, kushandura chimiro uye kukura chirebvu. Somugumisiro, chiso zvinhu kuwedzera dzose uye chitarisiko wakashandurwa. Mugumisiro kuvhiyiwa rinotsanagurwa ndechokuti vose maronda dzinoitwa kubva mukati, saka kuvimbika chinokosha dzokunze hazvimbotinetsi.

Kuwedzera pakuwana aesthetic mugumisiro, kuvhiyiwa ichi chinobatsira kubvisa dzichipfekeka zvinetso, zvakadai kujeka kutaura, zvakaoma kutsenga mabasa. Uye Chikurukuru, ortognasticheskaya kuvhiya anovandudza mupfungwa mamiriro murwere uye inowedzera ake chivimbo.

Reviews nokuraira ichi

Kutaura chokwadi vanhu vashoma vanoziva zvinotaurwa orthognathic kuvhiyiwa. Reviews inoratidza kuti vakawanda nokuruma kururamiswa rinoitwa nokubatsirwa kufamba ndakaisa simbi mumakumbo. Chete kana zvakakomba deformations pakati shaya vanhu vakasarudza pamusoro kuvhiyiwa. Asi avo yaingoda mabasa akadai vanoti chitarisiko chavo zvakachinja nani. Vazhinji, achitambura kwemakore chidzora zvinetso uye malocclusion, kutambura uduku yakaoma, kushandurwa pashure kuvhiya. Orthognathic pokuvhiyiwa, kunyange kubatsira kusimbisazve makore mashomanana. Uye hapana divi migumisiro kana matambudziko pashure pokuvhiyiwa, varwere regai cherechedzai.

Orthognathic Kuvhiya - ndicho chii ichachinja nokuda nezviso nani pane matambudziko akakomba sechivako shaya. Modern nzira yokuita kururamiswa kwakadaro akavhiyiwa vakachengeteka uye inobudirira.