Ungadzivirira Sei Kukundikana kweBracket Bond Munguva Yekurapwa kweOrthodontic?

Nhanganyaya

Kukundikana kwezvisungo zvebhuraketi kunopfuura kukanganisa kudiki mukutarisira mazino: kunogona kunonoka kufamba kwezino, kuwedzera kushanya kwekukurumidza, uye kuwedzera nguva inodzivisika yekurapwa. Kudzivirira izvi kunoda kutarisisa nzira dzekurapa uye sisitimu yekunamira inoshandiswa padanho rega rega, kubva pakugadzira enamel uye kudzora hunyoro kusvika pakuisa mabhuraketi uye kupora. Chinyorwa chino chinotsanangura zvikonzero zvikuru zvekukundikana kwezvisungo, mwero wekuenzanisa unoratidza dambudziko, uye matanho anoshanda anovandudza kuchengetedza zvisungo mukuita kwezuva nezuva. Pakupedzisira, vaverengi vachave nehurongwa hwakajeka hwekuderedza kukundikana, kuchengetedza kushanda zvakanaka kwekurapa, uye kuvandudza mhedzisiro yemurwere.

Chii Chinonzi Kukundikana kweBracket Bond uye Nei Zvichikosha?

Kunamatira kwakavimbika kwebhuraketi ndiko kwakakosha pakubudirira uye kushanda zvakanaka kwekurapa mazino kwemazuva ano. Kana bhuraketi rikabva pamusoro pezino nguva isati yakwana, zvinokanganisa simba re biomechanical rinodiwa pakufamba kwezino, zvichikonzera mhedzisiro yekiriniki uye nguva yekurapwa yakareba.

Munzvimbo yekiriniki inotungamirwa zvakanaka, chiyero chinogamuchirwa pasi rose chehuwandu hwekukundikana kwebhondi remabhureki chinowanzova pakati pe5% ne10%. Kupfuura chiyero ichi kunoratidza chikanganiso mukusarudza zvinhu, nzira dzekiriniki, kana manejimendi ekutevera mitemo yemurwere. Kunzwisisa mashandiro ekukundikana uku ndiyo nhanho yekutanga yekuisa maitiro ekugadzirisa.

Sei kutadza kushanda zvakanaka kwezvisungo zvemabracket kuchiwedzera nguva yechigaro

Mhedzisiro yekukurumidza yekukundikana kwekubatanidza bracket bond kuwedzera kukuru kwenguva yechigaro isina kurongwa. Kutsiva bracket imwe chete kunoda kubvisa zvakasara zvecomposite, kupombazve, kuparadzanisa, kutema, kupuruzira, uye kuisazve bracket itsva. Kutevedzana uku kunowanzo tora maminetsi gumi kusvika gumi nemashanu enguva yekurapa.

Kunze kwekukanganiswa kwekusangana kwemurwere ipapo ipapo, kutadza kushanda zvakanaka kwemushonga wekudzivirira chirwere kunowedzera kusvika pakureba kwenguva yekurapwa. Zvidzidzo zvekiriniki zvinoratidza kuti kutadza kushanda zvakanaka kwemushonga wekudzivirira chirwere kunogona kuwedzera nguva yekurapwa kwemurwere nemwedzi 1 kusvika ku2. Izvi hazvingoderedzi purofiti yemushonga chete nekuwedzera mari inoshandiswa pamurwere asi zvinokanganisawo kugutsikana kwemurwere uye kutevedzera mitemo.

Maitiro ekutsanangura zvakajeka kutadza kwechisungo chebracket

Kukundikana kwekubatanidza mapfupa mubhuraketi kunotsanangurwa nehunyanzvi sekubviswa kwebhuraketi remabvi kubva pamusoro pewaenamel risati rasvika danho rekubviswa kwemapfupa mubhuraketi. Kuti vaone chikonzero chikuru, vanachiremba vanofanira kuisa kutadza kwacho muzvikamu zvichienderana neAdhesive Remnant Index (ARI), iyo inoratidza kwakabvaruka.

Kukundikana kunogona kuitika pachinhu chinonamira enamel (zvichiratidza kusacheneswa zvakanaka kana kusvibiswa kwehunyoro), mukati mechinhu chinonamira pachacho (kukundikana kubatana, zvichiratidza kuti zvinhu hazvina kukwana kana kuti zvapera), kana pachinhu chinonamira bracket (zvichiratidza kuti mesh haina kupinda zvakanaka kana kusvibiswa kwebase). Kuti zvishande zvakanaka, simba re shear bond (SBS) rinofanira kunge riri mukati menguva yakatarwa yekurapa: 6 kusvika 8 Megapascals (MPa) inowanzo dikanwa kuti ikwanise kutsungirira masimba ekucheka uye e orthodontic, nepo kupfuura 14 MPa kuchiwedzera zvakanyanya njodzi yekutyoka enamel panguva yekubviswa kwebonding kwakarongwa.

Chii Chinokonzera Kukundikana kweBracket Bond Munguva yeKurapwa kweOrthodontic

Kupatsanurwa kwemabhuraketi hakuwanzoitika nekuda kwekukanganisa kumwe chete; kazhinji inyaya ine zvinhu zvakawanda zvinosanganisira kuitiswa kwekiriniki, sainzi yezvinhu, uye zvinhu zvinochinja-chinja zvevarwere. Kuziva chikonzero chaicho kunoda kuongororwa kwakarongeka kwenzvimbo yekubatana uye masimba emuviri anoshandiswa pabhuraketi.

Nekuparadzanisa zvinhu zvakaita sekudzora hunyoro, magadzirirwo eglue, uye kupindira kwe occlusal, vashandi vanogona kuona kuti nzira yavo yekubatanidza iri kuparara papi.

Maitiro emamiriro enamel uye hunyoro zvinokanganisa sei simba rekubatana

Mamiriro e enamel uye kuvapo kwehunyoro ndizvo zvinonyanya kukonzera hupenyu hwe bond. Kusvibiswa kwemate, ropa, kana crevicular fluid panguva ye bond ndiyo inonyanya kukonzera kukundikana, zvichigona kuderedza simba re bond ne30% kusvika 50%. Kunyangwe hunyoro hwemhepo hunobva mukufema kwemurwere hunogona kukanganisa micro-mechanical retention inokonzereswa ne etchant.

Kugadzirwa kweenamel kunoratidzawo kubudirira. Nzira yakajairika inoda masekondi gumi nemashanu kusvika makumi matatu ekucheka ne37% phosphoric acid kuti pave ne microporosity yakakwana. Zvisinei, mamiriro e enamel asingawanzoitiki, akadai se fluorosis, hypomineralization, kana kuvapo kwemazino anodonha, ane ma prismless enamel layers akachinjwa anoramba kutema kwakajairika, zvichiita kuti nguva yakareba yekucheka kana microabrasion isvike pakasimba re 6 MPa bond.

Kugadzirwa kwebracket uye kusarudza namatidziro zvinokanganisa sei kutadza

Hunhu hwechigadziko chebracket hune basa guru mukuchengetedza michina. Mabhesi ane foil-mesh, kunyanya ayo anoshandisa mesh ine 80-gauge, anopa nzvimbo yakakwana yekunamatira. Kana mesh yacho yakanyanya kunaka, zvinhu zvinosanganisa viscous hazvigone kupinda; kana zvakanyanya kuomarara, glue yacho inoderera.

Kusarudza mhando yepamusorobracket namira orthodonticsinoita kuti resin yakagadzirwa ive nehuremu hwakakwana kuti ipinde mubracket base uku ichiramba kudonha isati yagadzirwa. Zvinonamira zvine huwandu hwakawanda hwekuzadza zvinogona kupa simba rekudzvanya asi hazvina simba rekuyerera rinodiwa kuti zvinyorovese mesh yebracket, zvichikonzera kutadza kushanda kweinterface yebracket-nadhesive.

Maitiro ekutsungirira uye masimba ekudzivirira anobatsira sei

Kunyangwe paine zvinhu zvakakwana zvekuzviparadzanisa uye zvinhu zvakanaka, simba rekunze rinogona kukurira chisungo chacho. Simba rekurumwa netsono riri muzvikamu zvekumashure rinogona kudarika 200 kusvika 500 Newtons. Kana varwere vakasateerera mitemo yekudya vodya chikafu chakaoma, chakapwanyika, kana chinonamira, kuchekwa nekumanikidzwa kunokonzereswa kunopwanya rukoko rwekunamira.

Kukanganiswa kwemazino kunobatsirawo zvikuru pakukundikana kwekutanga. Kana paine kuruma kwakanyanya kana kuzara zvakanyanya, mazino anopikisa anogona kurova mabhureki matsva panguva yekufamba kwebasa. Kana bhureki rikasangana nekukuvadzwa kusingaperi kwemazino kupfuura 8 MPa threshold yeglue, kubviswa kwemazino hakudzivisiki kunze kwekunge ma turbos kana mapureti ekuruma akaiswa kuti avhare mazino.

Ndezvipi Zvinonamatira uye Maprotocol eBonding Anoderedza Kukundikana kweBracket Bond

Kusarudza sisitimu yekunamatira yakakodzera chisarudzo chakakosha chinoratidza mashandiro ekiriniki uye kuvimbika kwezvisungo. Musika unopa mhando dzakasiyana dzemakemikari, imwe neimwe yakagadzirwa kugadzirisa matambudziko chaiwo ekiriniki akadai sekudzora hunyoro, nguva yekushanda, uye kuchengetedzwa kwe enamel.

Kushanduka kwebracket namira orthodonticsYakaisa kukosha pakutsvaga kuenzana kwakakwana pakati pekuchengetedzwa kwakasimba kwemushonga mukati mekurapwa uye kubviswa kwebonde kwakachengeteka uye kunogoneka pakupera kwekurapwa.

Kuenzanisa kwakaitwa sarudzo dzekurapa nechiedza, kuzvirapa wega, kurapa kaviri, uye girazi ionomer

Maresini akagadzirwa nechiedza anoramba ari iwo akajairika muindasitiri, achipa nguva yakareba yekushanda inobvumira kuiswa kwemabracket kwakanyatsojeka usati waona chiedza kwemasekonzi gumi kusvika makumi maviri. Izvi zvinowanzopa simba rakasimba rekubatanidza re8 kusvika ku10 MPa. Maglue anozvigadzirisa anoshandisa reaction yemakemikari maviri uye anonyanya kuchengeterwa zvisungo zvekubatanidza panzvimbo dzisingaonekwe apo chiedza hachigone kupinda, senge mabhendi emolar kana korona dzesimbi.

Masimende egirazi anogadziriswa neresin (RMGI) anopa mukana wakakura munzvimbo dzine hunyoro hwakanyanya. Nekuti anopfava mumvura, anoshanda zviri nani pane macomposites ari muminda yakaparadzana zvishoma, senge mamolars maviri akaputika zvishoma. Zvisinei, kushivirira hunyoro uku kunouya nemutengo mudiki pakuchengetedza kwese, nemaRMGI anowanzo buritsa SBS yakaderera ye5 kusvika 7 MPa.

Nguva yekugadzirisa matanho ekucheka, kutema, uye kupukuta

Kubatanidza kwechinyakare kunoda matanho matatu akasiyana: kutema neacid, kuisa hydrophilic primer, uye kuisa adhesive paste. Kunyange zvazvo izvi zvichipa simba guru rekubatanidza, zvinokurumidza kusvibiswa nemate pakati pematanho. Kugadzirisa nzira iyi nekushandisa Self-Etching Primers (SEPs) kunobatanidza etching ne priming phases, zvichideredza zvakanyanya kusvibiswa kwehunyoro.

Pakushandisa maSEP, vanachiremba vanofanira kuona kuti chiedza chinobuda chakakwana, sezvo makemikari anoshandiswa achishanda zvakanyanya pakupinda kwe photon yakadzika. Simba rechiedza chinobuda rakaderera re 1,000 mW/cm² rinodiwa zvakanyanya. Kana simba rechiedza rikaderera, nguva yekubvisa inofanira kuwedzerwa kubva pamasekonzi gumi kusvika kumasekonzi makumi maviri kudzivirira kutadza kushanda zvakanaka mukati me resin isina polymer.

Ndezvipi zvinhu zvinofanira kuiswa patafura yekufananidza ine namira

Kuti vasarudze zvinhu zvakaenzana mukati mechipatara, vanachiremba vanofanira kuongorora manamatiro zvichibva pamatanho ekushanda anogona kuverengwa. Kuenzanisa kwakarongeka kunoita kuti zvinhu zvasarudzwa zvienderane nezvinodiwa nemurwere uye kumhanya kwekushanda kwechiremba.

Maitiro Anogona Sei Kudzivirira Kukundikana kweBracket Bond

Kudzivirira kutadza kushanda kwezvisungo zvemabracket kunoda kuchinja kubva pakudzidza zvinhu zvepfungwa kuenda kumabasa ekurapa akaomarara uye anodzokororwa. Kusiyana kwemaitiro ekubatsira mazino kana machengeterwo anoitwa zvinhu kunogona kukonzera kusasimba kwakavanzika muchikamu chezvisungo.

Nekushandisa nzira dzakajairwa dzekushanda, mapoka ekurapa mazino anogona kubvisa zvikanganiso zvidiki zvinosanganiswa nekutadza kukuru, nokudaro zvichiita kuti mari yekufambisa igare yakagadzikana uye kurapwa kurambe kuri panguva yakatarwa.

Ndeipi nzira yekubatanidza nhanho nhanho inovandudza kugadzikana

Nzira yekubatanidza nhanho nhanho, isingakurukurwe ndiyo nzira yakasimba yekudzivirira kutadza. Izvi zvinotanga nekudzivirira mazino; mazino anofanira kukweshwa uchishandisa slurry isina kujeka. Kushandisa prophy pastes ine fluorides, mafuta ekuravira, kana glycerin kunogona kusiya zvasara zvisingaonekwe zvakanaka zvinoderedza simba rekubatanidza kusvika ku15%.

Mushure mekudzivirira, kupatsanura kwacho kunofanira kuitwa uchishandisa zvinodzora matama, zvinodzivirira rurimi, uye zvinokweva zvine simba guru. Chinoiswa mujira chinofanira kuiswa kwemasekonzi makumi matatu, chosukurudzwa zvakanaka kwemasekonzi gumi, uye choomeswa nemhepo isina mafuta, isina hunyoro isina hunyoro kusvika enamel yaita sechena. Iyo primer inofanira kuiswa muchikamu chakatetepa, chakafanana, ichiteverwa nenzvimbo yakasimba yebracket kuti ibudise flash, iyo inofanira kubviswa zvakanaka isati yapera.

Matimu anogona sei kugadzirisa kuchengetedzwa, zvinhu zviri mudura, uye mwenje wekugadzirisa

Kuora kwezvinhu kunokonzera kutadza kushanda kwezvisungo. Zvinonamira nemaprimer zvine makemikari anoshanduka-shanduka anoora kana akasangana nekupisa kana chiedza chekunze. Maitiro ekushandisa anofanira kutevedzeramitemo yakasimba yekuchengetedza zvinhu zviri mudura, inowanzoda kutonhora pakati pe2°C ne8°C. Zvisinei, chinhu chinotonhora chakabatana zvakanyanya uye chinogona kutadza kupinda mu bracket mesh; saka, zvinhu zvinofanirwa kuiswa patembiricha yemukamuri kweinenge awa imwe chete musangano wekubatanidza usati watanga.

Kugadziriswa kwemidziyo kwakakoshawo. Madiode ari mumwenje ye LED inodzikira nekufamba kwenguva, zvichiita kuti simba remagetsi ridzike zvisingaonekwe. Mapoka ekiriniki anofanira kuyedza magetsi emagetsi vhiki rega rega achishandisa dental radiometer kuti vaone kuti magetsi anoramba ari pamusoro pe1,000 mW/cm² threshold. Kana michina ikakundikana kana kuti zvinhu zvikapera, vashandi vanofanira kushandisa mutengesi.taura nesumasuo ekuchengetedza nekukurumidza zvinotsiva uye kudzivirira kushandisa zvinhu zvakakanganisika.

Ndezvipi zviyero zvinofanirwa kuteverwa kuti zviongorore mwero wekukundikana

Kuti vagadzirise hunhu hwebasa, maitiro ekurapa anofanirwa kutevedzera zviyero zvekukundikana pane kuvimba nekutarisa kwezviitiko. Kutevera mwero wekukundikana kunobvumira director wekiriniki kuona maitiro—akadai sekuti kukundikana kwacho kwakaparadzaniswa here kune chimwe chikamu, mubatsiri wekiriniki, kana boka reglue.

Nzira ine hutano inofanira kunanga kukundikana kwese kuri pasi pe5%. Kana ruzivo ruchiratidza kuti mamota epasi pechipiri ane kukundikana kwe12%, nzira iyi inogona kunanga zvakananga maitiro ekudzora hunyoro munzvimbo iyoyo.

Vanachiremba Vanofanira Kusarudza Sei Nzira Yakakodzera Yokunamatira

Kusarudza nzira chaiyo yekunamira hakusi kwekutsvaga guruu rakasimba kupfuura mamwe ese, asi pane kusarudza chinhu chakakodzera chinochengetedza ganda panguva yekurapwa nekubvisa zvakachengeteka mushure mekurapwa. Vanachiremba vanofanirwa kugadzirisa nzira yavo zvichienderana nezvinodiwa nemamiriro emuviri wega wega.

Nzira yakasimba, inokwana vanhu vose inogona kutungamira mukubvumirana, nepo nzira ine hurongwa, inotungamirirwa nezvinodiwa inoita kuti pave neruzivo rwakadzama pamusoro pezviratidzo zvakasiyana-siyana zvevarwere.

Ndezvipi zvinodiwa zvinofanirwa kutungamira kusarudzwa kweglue uye protocol

Zvinonyanya kukosha zvinotungamira pakusarudzwa kwenamira ndeyezvinhu zvinosungirirwa pabhuraketi, pamusoro pezino, uye nharaunda yemurwere. Semuenzaniso, mabhuraketi eceramic ane polycrystalline haana kuchinjika kwesimbi isina ngura. Kana akabatanidzwa nesimbi yakasimba zvakanyanya (inoburitsa >14 MPa), njodzi yekubvaruka kweenamel kana kupwanyika kwebhuraketi panguva yekubvaruka inowedzera zvakanyanya. Muzviitiko izvi, vanachiremba vanowanzo sarudza manamira akagadzirirwa zveceramics, ayo anotyoka zvinofanotaurwa panzvimbo inopindirana nebhuraketi.

Substrate yepamusoro inotongawo maitiro ekushandisa. Kubatana kune enamel yakachena kunobvumiramaresini akasanganiswa akajairika, asi kubatana nekorona dzeporcelain, kugadziriswa kwegoridhe, kana amalgam kunoda kugadziriswa kwepamusoro-soro—senge hydrofluoric acid etching kana silane coupling agents—uye kazhinji kunobatsira kubva kumaresini akazara, akacheneswa nemakemikari kuti ave nechokwadi chekuti agadzikana.

Maitiro ekuenzanisa kuvimbika kwechisungo, kuchengetedzeka kwe enamel, uye kushanda zvakanaka pakugadzwa

Pakupedzisira, chinangwa ndechekuwana simba rakakwana rechisungo che6

Kuverenga kwakawedzerwa:

• bracket namira orthodontics
• bracket namira orthodontics
• bracket namira orthodontics

Zvinhu Zvinokosha Zvaunofanira Kuziva

• Mhedzisiro yakakosha uye chikonzero che orthodontics yebracket adhesive
• Magadzirirwo, kutevedzera mitemo, uye kuongororwa kwenjodzi zvinofanirwa kuongororwa usati waita chibvumirano
• Matanho anotevera anoshanda uye mazano anogona kushandiswa nevaverengi ipapo ipapo

Mibvunzo Inowanzo bvunzwa

Chii chinonyanya kukonzera kuti mabhureki abude panguva yekurapwa?

Kusvibiswa nehunyoro ndicho chikonzero chikuru. Mate, ropa, kana mvura inoyerera pamuromo panguva yekuchekwa kana kusungwa zvinogona kuderedza simba rekubatana uye kutungamira mukurasikirwa nekukurumidza kwebhureki.

Vanachiremba vanogona sei kuderedza kutadza kushanda zvakanaka kwezvisungo zvemabracket mumabasa ezuva nezuva?

Shandisai zvakaparadzana, chenesai uye omesa enamel zvakanaka, bvisai ganda nemazvo, isai primer zvakaenzana, uye garai bracket pasina kusvibiswa musati manyatsopera.

Kusarudzwa kweglue kunokanganisa kuvimbika kwebond yebracket here?

Ehe. Namata inonamira zvakanaka inofanira kuyerera ichipinda mu bracket mesh, yonyatsosimba, uye yopa simba rakakwana pasina kuita kuti debond ipararire.

Ndeipi simba rekubatanidza shear iro rinowanzoonekwa serakachengeteka pamabhureki e orthodontic?

Chinangwa chinoshanda chingangoita 6 kusvika 8 MPa. Izvi zvinowanzo tsungirira simba rekurapa uku zvichideredza njodzi yekukuvara kwe enamel panguva yekubvisa bracket.

Makambani anogona kuwana kupi zvigadzirwa zve orthodontics zvinonamira pabracket?

Vashandi vanogona kuongorora sarudzo dzemabracket adhesive orthodontics kuburikidza nekarodha yezvigadzirwa zveDenRotary pa denrotary.com kuti vaenzanise zvinhu zvemaitiro ekubatanidza nguva dzose.