Kutsanangurwa kweMabhureki Ekuzvisunga Anoshanda vs Passive Self-Ligating

Mabhureki anozvisunga isarudzo yekurapa tambo inoshandiswa kusimbisa waya ye arch ne clip kana gonhi rakavakirwa mukati. Chinyorwa chino chinotsanangura kuti magadzirirwo anoshanda uye asingashande akasiyana sei, kana imwe neimwe ichigona kusarudzwa, uye kuti makiriniki anofanira kutarisa sei asati atenga.

Ndezvipi Zvisungo Zvekuzvisunga Uye Nei Kugadzira Kwacho Kuchikosha?

Mabhureki anozvisunga ega anoderedza kudiwa kwe elastic kana waya dzinosungirirwa panguva yekubatanidza waya ye arch. Musiyano mukuru wekiriniki ndewekuti bhureki rinoshanda sei zvakasimba newaya, izvo zvinokanganisa kukweshana, kudzora waya, uye kushanda kwechigaro. Gwaro revarwere veAAO rinoti mabhureki aya anoshandisa maclip kana magonhi akavakirwa mukati kuti abate waya, uye kuti anogona kuderedza kukweshana uye kuwanda kwekusangana mune dzimwe nguva.

Muchokwadi, dhizaini yemabhuraketi inokanganisa kuti waya inotsvedza zvakanaka sei panguva yekurongeka uye kuvharwa kwenzvimbo. Ndosaka masisitimu anoshanda uye asingashande asingachinjike mune zvese zviitiko, kunyangwe ese ari maviri ari emhuri imwe chete yemidziyo. Kune zvikwata zvekutenga, sarudzo inofanira kusungirirwa pakusanganiswa kwekesi, kusarudzwa kwechiremba, uye hurongwa hwezvinhu pane kutaura kwekushambadzira chete.

Mabhureki Anoshanda Ekuzvisunga vs Mabhureki Anozvisunga Ega

Mabhureki anozvisunga anoshandisa chibodzwa che spring clip kana nzira yakafanana inodzvanya waya ye arch. Mabhureki anozvisunga anoshandisa siraidhi kana gonhi rinovhara pamusoro penzvimbo yacho pasina kushandisa simba rakafanana pawaya. Musiyano uyu wechimiro ndicho chikonzero chikuru chinoita kuti maitiro avo ekurapa asafanane.

Humbowo hahutsigire kuti munhu wese anokunda nguva yese yekurapwa. Ongororo yakarongeka uye meta-analysis haina kuwana mutsauko mukuru munguva yekurapwa, huwandu hwenguva dzekugadzwa, kana kusagadzikana kwekutanga apo masisitimu ekuzvisunga ega akaenzaniswa nemabhuraketi akajairwa. Imwe ongororo yekuenzanisa magadzirirwo anoshanda uye asingashande yakagumisa kuti mutsauko mukushanda unoenderana nemamiriro ezvinhu kwete zvachose.

Tafura Yekuenzanisa: Mabhureki Anoshanda vs Anoshanda Ega

Kune vanachiremba vazhinji, mubvunzo unoshanda hausi wekuti ndeipi dhizaini iri nani mudzidziso, asi kuti ndeipi inokodzera chikamu chekurapa. Masisitimu anoshanda anogona kusarudzwa kana kubatana kwakasimba kuchibatsira, nepo masisitimu asingashande anogona kusarudzwa kune makanika akareruka uye kuchinja waya kuri nyore. Musiyano iwoyo unonyanya kukosha mumaitiro ekurapa akasanganiswa.

Uchapupu hwekiriniki pamusoro penyaradzo, nguva, uye hutano hwemuromo

Mabhureki anozvisunga anowanzobatanidzwa nekunyaradzwa uye kushanda zvakanaka, asi humbowo hwakasiyana. Kuongorora kwakaitwa muongororo dzisina kurongeka kwakaratidza kuti hapana zvakanakira zvakanyanya munguva yese yekurapwa, uye hakunawo kudzikira kwakajeka kwekunzwa kusagadzikana kwekutanga kana huwandu hwenguva yekusangana. Izvi zvinoreva kuti ruzivo rwemurwere runogona kuvandudzika mune mamwe maitiro, asi hazvifanirwe kungofungidzirwa otomatiki.

Kuchena kwemuromo ndeimwe pfungwa inowanzotaurwa, asi zvinoenderanawo nemaitiro emurwere uye kugadziriswa kwemidziyo. Ongororo yakarongeka yehutano hwemazino yakawana kuti humbowo hwekiriniki huripo hahuratidzi mukana unogara uripo wekuti mazino azvisungirire pane mabhureki ekare. Nemamwe mashoko, kudzora plaque kuchiri kutsamira pakukwesha mazino, kuchenesa mazino, uye kutevedzera mitemo yekutevera.

Tafura Yepfupiso yeUchapupu: Zvinokurudzirwa neMabhuku

Zvakawanikwa izvi zvinobatsira nekuti zvinodzivirira kuwanda kwezviratidzo. Kiriniki haifanirwe kutenga nzira yekubatanidza varwere ichitarisira kurapwa kwenguva pfupi kana kuderedza marwadzo kumurwere wese. Pane kudaro, inofanira kuongorora kana bracket ichitsigira mashandiro echiremba, nguva yekusangana, uye huwandu hwevarwere.

Maitiro eOrthodontic Standards Anoumba Sei Sarudzo Yechigadzirwa

Mabhureki eOrthodontic nemachubhu zvigadzirwa zvinodzorwa, uye zviyero zvakakosha pakutenga. ISO 27020:2019 inotsanangura zvinodiwa uye nzira dzekuyedza dzehukuru hwekushanda, kuburitswa kwemaion emakemikari, kurongedza, uye kunyora mazita emabhureki nemachubhu anoshandiswa mumidziyo yeorthodontic yakagadziriswa. FDA inobvumawo ANSI/ADA Standard No. 100-2020 sekushandiswa kwakafanana kweISO 27020.

Kune vatengi, izvi zvinoreva kuti zvinodiwa zvinofanira kuongororwa mutengo usati wasvika. Saizi yenzvimbo, mushonga wechiremba, zvinhu, kurongeka kwekurongedza, uye kugara zvakanaka kwemazita zvese zvinokanganisa kuenderana kwekiriniki uye kuvimbika kwekuwanikwa kwezvigadzirwa. MuUnited States, midziyo yemazino nemidziyo zvinofukidzwa pasi pemitemo yeFDA yemidziyo yemazino, iyo inosimbisa kudiwa kwekuenderana kwakanyorwa uye ruzivo rwechigadzirwa runogona kuteverwa.

Rondedzero yeKutenga Makiriniki

• Simbisa rudzi rwebhuraketi, mushonga wechiremba, uye saizi yenzvimbo usati waraira.
• Simbisa magwaro ekutevedzera mitemo akadai seCE, ISO, kana FDA-records kana zvichibvira.
• Enzanisa sisitimu yemabhureki nehurongwa hwe archwire hwaunoda kukiriniki.
• Tarisa kana mutengesi wacho achipa machubhu ebhukcal, waya dzemaarch, uye elastics zvinoenderana.
• Ongorora kurongedza, kunyora mazita, uye kurongeka kwenzvimbo kuti uone kana zvinhu zviri mudura zvirimo.

Kuongorora uku kunoderedza njodzi yezvikamu zvisina kuenzana uye kunonoka kwechigaro kunodzivisika. Kunonyanya kukosha kune vanogovera zvinhu vanoshandira makiriniki akawanda, uko kurongeka kunogona kuderedza kudzoka kwezvinhu uye kurerutsa kuodha patsva.

Mabhureki Ekuzvisunga Anokodzera Muhurongwa Hwakazara hweOrthodontic

Mabhureki anozvisunga anoshanda zvakanyanya sechikamu chekushanda kwemidziyo yakakwana isina kugadzika. Kutevedzana kwakajairika kunosanganisira kurongeka kwekutanga newaya dzeNiTi, kudzora kwepakati penzira newaya dzakasimba, uye kupedzisa newaya dzesimbi dzisina ngura kana dzakasarudzika. Machubhu eBuccal, elastics, macheni emagetsi, uye pliers zvinopedzisa system uye zvinokanganisa mhedzisiro yekupedzisira sezvakaita bhureki pachayo.

Maumbirwo ezvigadzirwa zveDenrotary anoratidza nzira iyoyo yakazara, ine zvikamu zvinosanganisira mabhureki, machubhu ebhukcal, waya dzemaarch, machira epurasitiki, uye maturusi ekurapa. Kune makiriniki ari kuvaka zvinhu zvakajairwa, zvikamu zvemukati zvinobatsira zvikuru ndeizvisisitimu yebraketi ye orthodontic, chubhu yebuccal uye sisitimu yebhendi, sisitimu yewaya ye orthodontic archwalluyepliers dze orthodontic nezvimwe zvinoshandiswaMapoka aya ezvigadzirwa anotsigira nzira yekutanga kusvika pakupera kwemishonga pane kutenga kamwe chete.

Panyaya dzerunako, sarudzo dzeceramic nesafire dzinogona kunge dzakakosha kupfuura masisitimu esimbi. Panyaya dzekutonga kukweshana kwakanyanya kana kuti nzira dzechinyakare, magadzirirwo esimbi anoramba aripo. Sarudzo chaiyo inoenderana nezvinetso zvekuona kwemurwere, hurongwa hwesimba rechiremba, uye danho rekurapwa.

Mufananidzo weChisarudzo cheKliniki: Sarudza Chinoshanda kana Chisingashande

Sarudza chinoshanda kana chivharo chichida waya yakasimba, torque iri nyore kushandisa, kana kuti chiremba anoda kunzwa kwakasimba kwemuchina. Sarudza chivharo chisina simba kana chivharo chacho chichinyanya kutsvedza, kuisa waya zviri nyore, uye kufamba kwakapfava panguva yekurongeka kana kuvhara nzvimbo. Zvese zvinogona kukodzera kana zvichienzaniswa nehurongwa hwekurapa.

Sarudza inoshanda kana chipatara ichikoshesa kudzora kwakananga muzvikamu zvakasarudzwa uye ichigamuchira waya inopindirana zvishoma. Sarudza isingashande kana chipatara ichida matanho ari nyore ekubatanidza uye mafambiro ebasa angave ari nyore kune maaphoyintimenti akawanda. Sarudzo yakanakisa inowanzo kuve iyo inokodzera protocol ye archwire yatoshandiswa mukiriniki.

Dhairekitori reVatengesi: Sarudzo dzeKutenga Zvine Chinangwa

Kune makiriniki nevanotengesa, nzira inonyanya kushanda yekuwana mishonga ndeyekuenzanisa mapotifolio ese e orthodontic pane zvigadzirwa chimwe chete. Mutengesi ane mabrackets, buccal tubes, archwares, elastics, uye maturusi anogona kuderedza matambudziko ekubatana uye kuita kuti zvive nyore kuzadzisa chigadzirwa. Denrotary ndeimwe yemakambani anogadzira mishonga yakazara, nepo vamwe vatengesi vanozivikanwa muindasitiri iyi vanosanganisira 3M Oral Care, Ormco, uye American Orthodontics.

Pakuenzanisa vatengesi, vatengi vanofanira kuisa pamberi mitemo yakanyorwa, zviyero zvinoenderana zvenzvimbo, mishonga iripo, uye kurongeka kwenzvimbo kwakavimbika. Vanofanirawo kusimbisa kana mutengesi achitsigira cheni yese yekurapa, nekuti mashandiro emabhureki anoenderana nedzimwe sisitimu yemidziyo. Ndiyo nzira yakavimbika yekuderedza njodzi yekutenga.

Mibvunzo Inowanzo bvunzwa

1. Mabhureki anozvisunga ega anogara achikurumidza kupfuura mabhureki ekare here?
Kwete. Ongororo hadzina kuwana kudzikiswa kwakasimba kwenguva yese yekurapwa muzviitiko zvese. Mamwe maaphoyintimenti anogona kukurumidza nekuti kusungirirwa kuri nyore, asi nguva yese inoenderana zvakanyanya nekuoma kwenzvimbo dzakakuvara, biomechanics, uye kutevedzera zvinodiwa nemurwere pane kungotarisa mhando yebracket chete.

2. Mabhureki anozvisunga asingakuvadzi zvakanyanya here pane ari kushanda?
Hazvisi hazvo nguva dzose. Kunzwisisa marwadzo kunosiyana zvichienderana newaya yesimbi, simba, uye danho rekurapa. Humbowo huripo hahuratidzi mukana wekuti murwere anzwe zviri nani pane mumwe. Vanachiremba vanofanira kufunga nezvekunzwa kwemurwere, kusarudza waya, uye kukweshana kunotarisirwa pane kungofungidzira kurwadziwa kwakaderera.

3. Ndeipi dhizaini iri nani pakuvhara nzvimbo?
Magadzirirwo asingachinji anowanzo kufarirwa kana kutsvedza kwepasi kwakakosha, nepo magadzirirwo anoshanda anogona kufarirwa kana waya yakawanda ichidikanwa. Zvisinei, sarudzo yakanakisa inoenderana nemaitiro ekubvisa, hurongwa hwekumisikidza, uye mashandiro anodiwa nachiremba. Hapana mhinduro imwe chete kune yega yega nyaya.

4. Mabhureki anozvisunga ari nyore here kuchengetedza akachena?
Dzimwe nguva zvinogona kuva nyore kubata nazvo nekuti zvinobvisa ma "elastic ligatures", asi hutsanana hunoramba huchienderana nemaitiro emurwere. Humbowo hwekuongorora kwakarongeka hahuratidzi mukana wakajeka wekuti periodontal inobatsira varwere vese. Kukwesha mazino zvakanaka uye kugara uchitevera murwere nguva dzose zvinoramba zvichikosha.

5. Chii chinofanira kuongororwa nekiriniki isati yatenga mabhureki aya?
Makiriniki anofanira kuona saizi yenzvimbo, mushonga wechiremba, zvinhu, kurongedza, uye magwaro ekutevedzera mitemo. Zvakakoshawo kusimbisa kuti zvinoenderana newaya dzesimbi, machubhu emugungwa, uye ma elastic. Mitemo yakaita seISO 27020 neANSI/ADA 100-2020 inopa hwaro hunobatsira hwekuenzanisa hunyanzvi.