Ezokwelapha kwamazinyo, kunezinhlobo eziningana zokubeka okungavamile komhlathi ophezulu nangaphezulu. Esinye sezifo ezivamile kakhulu ukukhubazeka kweprognathic noma distal, ngokusho izibalo, kwenzeka cishe isigamu seziguli abaphendukela othodontist.
Ngaphandle kokubukeka okungenakunelisayo, nale nkinga, kubonakala izinkinga eziningana-ukwephulwa kwemisebenzi yokugwinya nokuhlafuna, ukuphazamiseka kokuhlanganiswa kwe-temporomandibular. Ingozi yokubunjwa kwe- tartar kanye ne-caries yentuthuko nayo iyanda.
Kuyini ukugaxa okujulile kokulunywa?
Iphutha elichazwe libhekene nokunyuka ngokweqile komhlathi ophezulu, kuyilapho ugoqa umhlathi ophansi kakhulu. Ngaphezu kwalokho, wonke amazinyo aphezulu naphansi ahambelana nomunye nomunye - avaliwe engavaliwe.
Ukulunywa okulindelekile kuvame ukuhambisana nezimpawu zangaphandle ezicacile:
- ubuso be-convex;
- i-lip engenhla futhi ehamba phambili;
- isikhangiso sangemuva;
- umhlathi ophezulu kakhulu kakhulu kunasekugcineni;
- ukuvala okungapheli kwezindebe;
- ngezinye izikhathi umlomo ophansi utholakala ngemuva kwama-incisors we-dentition engenhla.
Kungenzeka yini ukulungisa ukumiswa okuphambene ngaphandle kokuhlinzwa?
Ngokuphambene nokwesaba kweziguli eziningi, ukukhishwa okukhulunywe ngakho okungajwayelekile kuncike ekuthatheni ukwelashwa. Ukwelapha okuhlinzekwa kokudalwa okwehlukanisa ngosizo lwe-osteotomy kwenziwa kuphela ezimweni ezingenakiwe futhi ezimbi kakhulu phambi kwezinkomba:
- ukulinganisa ubuso;
- ukuvuleka kwangaphambili;
- i-chin dysplasia;
- Izinguquko ezishintshayo zokuhlanganyela kwe-temporomandibular.
Amasu amancane amancane asetshenziselwa ukulungiswa kokungabikho - ubuchwepheshe be-hardware-yokuhlinzwa nobuchwepheshe bokufakelwa komzimba, inhlanganisela yabo.
Njengomthetho, inkinga ingasuswa ngezinhlelo ze-bracket. Ziphumelele ngisho nalapho sezikhulile.
Ukulungiswa kwe-distal bite nge-braces
Ukuze uthole imiphumela efunwa njalo, kuzodingeka ube nesineke futhi ube nesineke, njengoba ukwelashwa kokuthungathwa kwe-prognathic kuzothatha isikhathi eside, cishe eminyakeni engu-3-4.
Phakathi nalesi sikhathi, kubalulekile ukuba njalo futhi ujikeleze iwashi ukugqoka amabhande , ukulungisa okuzokwenziwa yi-orthodontist ngokuhambisana nesiphakamiso sokwelapha esithuthukile. Kwezinye izimo, le ndlela yokwelashwa ihlanganiswa nokusetshenziswa kobuchwepheshe be-hardware:
- ubuso be-arc;
- intwasahlobo yeSabbah;
- idivayisi yeGerbst;
- i-intermaxillary ne-sliding traction kanye nabanye.
Kumele uqaphele ukuthi ngisho nangemva kokususwa kwesistimu ye-bracket, ukwelashwa isikhathi eside nokulungiswa komphumela kuyadingeka. Ngalesi sizathu, ukusetshenziswa kwamadivaysi abathintekayo noma okugcinayo okugcinwa, abaqeqeshi (abagcinayo) eminyakeni engama-4,5-8 elandelayo banikezwa. Ngezinye izikhathi kubalulekile ukuqedela ukwelashwa ngezindlela zokuhlinzwa - compactotestomy, ukususwa kwamanye amazinyo.
I-Myogymnia ene-distal occlusion
Njengoba kunikezwe ingozi yokuvuvukala nezinguquko eziguqukayo ezihlanganisweni ze-temporomandibular, kubalulekile ukunakekelwa kokuqinisa imisipha ezungezile. Aba-Orthodontists batusa ukuqeqesha kwabo ukuba benze njalo izivivinyo eziningana ezilula ezivivinyweni zokuhlolwa kwe-myogym:
- I-Inflate bese uhlaziya izihlathi.
- Gudluza izindebe zibe yi-tube.
- Sula umlomo wakho ngokumomotheka.
- Khipha umhlathi ophansi phambi komhlathi ophezulu.
- Vula umlomo wakho kabanzi.
Kuyasiza futhi ukufaka amabhaluni, ukubeka amakhandlela ngokuphefumula kwakho, ngokuvamile ukumomotheka.
Kuyinto efiselekayo ukuthi ukuzivocavoca kwenziwa ekuseni futhi kancane kancane. Ekusetshenzisweni kwazo kufanele kwabiwa okungenani imizuzu engu-10-15, yenza kancane kancane.