Mavara Akanaka Anovandudza Sei Kuenderana Kwemitemo Muvarwere Vechidiki Vanorapa Orthodontic?

Nhanganyaya

Kurapwa kwevana vane mapfupa evana kunoenderana nemaitiro avo semakanika, uye kupfeka kwe elastic zuva nezuva ndiko kunowanzo kanganisa zvirongwa. Chimwe chinhu chinokurudzira zvinoshamisa iruvara: kupa vechidiki sarudzo ye elastic ine mavara kunogona kuita kuti kurapwa kunzwe sekwemunhu, kuchionekwa, uye kuri nyore kuzvipira. Chinyorwa chino chinotsanangura kuti sarudzo diki iyoyo inotsigira sei kutevedzera mitemo, nei ichienderana nepfungwa dzevechidiki, uye zvazvinoreva pakubudirira kwekurapwa, mhedzisiro yekugadzwa, uye kugutsikana kwemurwere. Chinoisawo zvinhu zvinoshanda izvo vanachiremba nevabereki vanofanira kufunga nezvazvo pavanenge vachishandisa elastic ine mavara kuti vakurudzire kushandira pamwe nguva dzose.

Mavara Akanaka Elastics Anogona Kuvandudza Kuenderana Kwevana Vechidiki Nekutevedzera Orthodontic

Kutevedzera mitemo yevana vari kuyaruka kuchiri chimwe chezvinhu zvisingafungidzike mukurapa mazino. Kunyange hazvo kufambira mberi kwemakemikari kwakagadzirisa magadzirirwo emabhureki uyearchwaya alloys, mhedzisiro yekiriniki ichiri kuvimba zvakanyanya nekushandira pamwe kwevarwere, kunyanya panyaya dzehutsanana hwemuromo uyekusakara kwakajairika kwe interarch elastics. Huwandu hwekusatevedzera mitemo yekurapa kwevana vane mapfupa emutsipa hunowanzova pakati pe30% kusvika 50%, kusakwana kwemaitiro kunogona kuwedzera nguva yekurapwa uye kukanganisa mhedzisiro yekupedzisira ye occlusion.

Kuti vaderedze izvi, vanachiremba vanoshandisa nzira dzekukurudzira maitiro emurwere kuti aite kuti kurapwa kuve nyore. Kubatanidzwa kwema "colorful elastomeric ligatures" uye "interarch elastics" kunoshanda senzira yekurapa isingadhuri uye ine simba guru. Nekushandura nzira yekurapa isingashande kuita chiitiko chinobatanidza, maitiro ekurapa anogona kushandisa pfungwa dzevechidiki kuti dzivandudze kutevedzera mitemo yekupfeka yakanyorwa.

Sei kusarudza zvinhu zvinoonekwa kuchikosha pakukurudzira vechidiki

Kuyaruka idanho rekukura rinoratidzwa nechido chakasimba chekuzvitonga uye kuratidza manzwiro ako. Kurapa kwemapfupa, uko kunowanzo rairwa nevabereki uye kunoitwa nevanachiremba, kunoderedza kuzvitonga uku. Kubvumira vechidiki kusarudza mavara e elastomeric ligatures dzavo (O-rings) kana interarch elastics kunodzoreredza mwero wekutonga. Zvidzidzo zvekurapa zvinoratidza kuti kupa sarudzo diki, dzakadzorwa munzvimbo yehutano kunogona kusimudzira mamakisi ekubatanidzwa kwevarwere kusvika ku40%.

Sarudzo iyi inoonekwa inoshandura mudziyo wekurapa kubva pakushandisa mushonga wekurapa kuita chishongedzo chinogadziriswa. Varwere vanowanzo gadzirisa mavara avo nezororo, mavara echikoro, kana runako rwavo. Hukama uhwu hwakanaka hunoderedza rusarura nekusagadzikana kunowanzobatanidzwa nemidziyo yakagadziriswa, zvichikurudzira mafungiro evarwere anoshanda pamwe chete panguva yekugadzirisa chigaro uye kurapwa kumba.

Kutevedzera mitemo kunokanganisa sei kushanda zvakanaka kwekurapwa

Kushanda zvakanaka kwekurapa mazino kunoenderana nekushandisa simba nguva dzose. Kune ma elastic e interarch, vanachiremba vanowanzo nyorera mazino maawa makumi maviri kusvika makumi maviri nemaviri pazuva kuti vafambise mazino zvakanaka. Kana chido chemazino chikadzikira uye murwere akadzikisa nguva yekupfeka kusvika maawa gumi nemaviri kana pasi, simba re biomechanical rinova nguva nenguva, zvichikonzera masero ekuzorora mu periodontal ligament pane kugadzirisa mapfupa.

Kusatevedzera mitemo uku kunoreva zvakananga kusashanda zvakanaka kwechiremba. Nguva yekurapwa inogona kuwedzera nemwedzi mitatu kusvika mitanhatu nekuda kwekusakara kwe elastic, zvichida nguva yekuwedzera uye mari yekuwedzera yekurapa. Nekushandisa elastics dzine mavara kuti dzirambe dzichikurudzira murwere zvakanyanya, vanachiremba vanogona kuona kuti mhinduro yemuviri kumasimba anoshandiswa inoramba yakagadzikana, nokudaro vachichengetedza purogiramu yekurapa iri munzira kwayo.

Zvinhu Zvinokonzera Kushandiswa Kwemavara Ane Ruvara Uye Maitiro

Kushandiswa kwemavara elastomeric kunoda kunzwisisa sainzi yezvinhu zvinotonga zvigadzirwa zvepolyurethane uye maitiro ehunhu hwevechidiki. Zvigadzirwa zvelastomeric zvinowanikwa kwose kwose mu orthodontics, asi hunhu hwazvo hwemakanika hahuna kusimba. Kuora kwesimba kwe elastomeric ligatures uye cheni zvinowanzosvika 50% kusvika 70% mukati memaawa makumi maviri nemana ekutanga ekubatwa nemuromo.

Nekuti zvinhu izvi zvinoda kuchinjwa nguva nenguva—kazhinji mavhiki mana kusvika matanhatu ega ega ezvishandiso zve ligatures uye zuva nezuva zve interarch elastics—kuda kudzokororwa kwe elastomerics itsva kunoita kuti murwere arambe achibatanidzwa. Kunzwisisa musiyano uripo pakati pezvigadzirwa izvi nezvinhu zvinoita kuti zvishandiswe kwakakosha kuti pave nekushanda zvakanaka kwe biomechanical uye kutevedzera mitemo yemurwere.

Mavara erastiki akasiyana sei ne ligatures ne interarch elastiki

Kunyange zvazvo varwere vachiwanzoshandisa izwi rekuti "rabha" vachichinjana, vanachiremba vanofanira kusiyanisa pakati pe elastomeric ligatures ne interarch elastics pavanenge vachigadzira nzira yekutevedzera mitemo. Elastomeric ligatures (kana kuti O-rings) dzinoshandiswa nachiremba kuti asunge waya ye archwire mukati me bracket slot. Kusarudzwa kwemavara avo kunoita kuti runako ruwedzere uye kunoita kuti munhu afare panguva yekusangana, asi hazvidi kuti murwere apindire zuva nezuva.

Kusiyana neizvi, ma-interarch elastics mabhande anobviswa anoshandiswa kugadzirisa mavanga akadai seClass II kana Class III disrepancing. Izvi zvinoda kuti murwere anyatsotevedzera mitemo, sezvo murwere achifanira kuabvisa pakudya uye kuatsiva kakawanda pazuva nemabhandi matsva kuti arambe aine simba rakawanda (kazhinji kubva pa2.5 kusvika 6.0 ounces). Kupa ma-interarch elastics ane mavara kunoshanda sechiyeuchidzo chinoonekwa nguva dzose kumurwere kuti arambe achipfeka zuva nezuva.

Ndezvipi zvinhu zvepfungwa uye zvepachigaro zvinowedzera kukurudzira

Ruzivo rwepachigaro runoita basa guru mukusimbisa kutevedzera mitemo yemurwere. Kana vabatsiri vemazano emazino vakapedza maminitsi maviri kusvika matatu vachikurukura nezvemavara, zvinovaka hukama hwakakosha pakati pechikwata chekiriniki nemurwere ari kuyaruka. Kusimbiswa uku kunoita kuti murwere agamuchire mirairo yekiriniki ine chekuita nekucheneswa kwemuromo uye kupfeka kwakasununguka.

Uyezve, nzira dzekutamba mitambo dzinogona kushandiswa. Maitiro anowanzo mhanya makwikwi emwaka kana mishandirapamwe yenhau dzemagariro evanhu apo varwere vanoratidza musanganiswa wavo wemavara akasiyana. Kusimbiswa uku kwevezera-kune-vezera kunoshandisa chido chevechidiki chekugamuchirwa munharaunda, zvichishandura kupfeka kwemachira ane mavara kuita maitiro anokomborerwa munharaunda pane basa rega.

Ndezvipi zvipingamupinyi uye zvinhu zvinosarudzwa zvine basa

Pasinei nemabhenefiti azvo pamaitiro, ma elastomerics ane mavara ane zvipingamupinyi zvakananga pakurapa. Kuumbwa kwezvinhu ndicho chinhu chikuru; nepo akawanda ma ligatures ane mavara emazuva ano anogadzirwa kubvapolyurethane isina latexKuti vadzivise allergy, ma non-latex interarch elastics anowanzo kurumidza kuora simba kupfuura mamwe ma natural latex. Vanachiremba vangangoda kunyora kuwedzera kwesimba rekutanga ne10% kusvika 15% kune mabhendi asina ruvara rwelatex kuti vatsive kukurumidza kuora uku.

Kusarudzwa kwekesi kunorevawo kuti ruvara runogona kugara kwenguva yakareba. Muzviitiko zvinoda kugadziriswa zvakanyanya kana kuti michina yekutsvedza isina kukweshana ndiyo inonyanya kukosha,mabhureki anozvisungakana kuti ma ligature esimbi isina ngura anogona kunge ari nani pane elastomeric ligatures. Muzviitiko zvakadaro, chiremba anofanira kuyera chishuwo chemaitiro e ligatures dzine mavara akasiyana-siyana zvichienderana nezvinodiwa ne mechanic padanho rekurapa.

Kuenzanisa Sarudzo Dzakasiyana-siyana uye Dzisina Kureruka

Pakugadzira hurongwa hwekurapa, vanachiremba vemazino vanofanira kuyera zvakanakira maitiro eelastics dzine mavara vachienzanisa nerunako uye hunhu hwekiriniki hwezvimwe zvinoshandiswa zvisina kusimba kana zvakajeka. Mabhureki erunako (ceramic kana sapphire) anowanzo batanidzwa nema ligatures elastomeric akajeka kana ane ruvara rwezino kuderedza kuonekwa kwemidziyo. Zvisinei, sarudzo idzi dzisina kusimba dzinopa matambudziko akasiyana maererano nekugadzikana kwezvinhu uye kugutsikana kwemurwere.

Maketani epurasitiki akajeka anogona kuchinja ruvara zvakanyanya. Tsvagiridzo inoratidza kuti mapurasitiki epurasitiki akajeka anogona kuratidza shanduko inooneka yeruvara (Delta E inodarika 3.0) mukati memazuva manomwe chete kana akasangana nemakromogens ezvekudya akadai sekofi, tii, mustard, kana turmeric. Kudzikira kwechitarisiko uku nekukurumidza kunogona kuderedza kugutsikana kwemurwere, zvichiita kuti kuenzanisa pakati pesarudzo dzine mavara nedzisina kusimba kuve chinhu chakakosha pakurapa.

Ndezvipi zvinhu zvinonyanya kuenzanisa kutevedzera zvinodiwa, chitarisiko, uye mavara

Kuongorora kutengeserana pakati pe elastomeric dzine mavara akasiyana-siyana nedzisina ruvara kunoda kuongorora mashandiro adzo muzvikamu zvakasiyana-siyana zvekurapa uye maitiro. Ma elastiki ane mavara anonyatsovhara kusvibiswa kwemavara ekudya, nepo sarudzo dzakajeka dzichiwedzera kuhuwedzera. Uyezve, zvinowedzera ruvara mu elastomeric dzine mavara hazvichinji zvakanyanya maitiro avo ekupa simba zvichienzaniswa neshanduro dzisina ruvara, zvichibvumira vanachiremba kuita sarudzo zvichibva parunako uye kutevedzera mitemo pane kugadzirisa zvinhu.

Kana sarudzo dzisina kwadzakarerekera dzingave sarudzo iri nani

Pasinei nemabhenefiti emaitiro ekusarudza mavara, ma elastic asina kusimba kana akajeka anoramba ari sarudzo yepamusoro kune vanhu vakasiyana-siyana uye mamiriro ezvinhu ekurapa. Varwere vakuru vane maekisesaizi, avo vanowanzo koshesa kusarudza kupfuura kutaura, vanosarudza zvakanyanya ma ligature akajeka akabatana nema ceramic brackets kana clear aligner therapy. Kune varwere ava, kusimudzirwa kwepfungwa kunobva pakusaonekwa kwemuchina uyu pane kugadziriswa kwawo.

Pamusoro pezvo, vamwe varwere vechidiki vanozvitarisira pasi uye vanosarudza nzira isina kunyanya kuoma. Kana paine ma ligature akajeka asi dambudziko rekudya richiramba riripo, vanachiremba vanogona kutsiva ma clear elastomerics nema ligature esirivha kana eutsi, kana kusarudza Teflon-coated.zvisungo zvesimbi isina nguraZvimwe zvinoshandiswa izvi zvinochengetedza chimiro chisinganyanyi kuonekwa ukuwo zvichiramba kusviba kweruvara kunokonzerwa nezvinhu zvinopenya zvepolyurethane.

Maitiro Ekuita Mashandiro Ekurapa Maziso Emaoko Anogona Kuita Nzira Yekusarudza Ruvara

Kubatanidza nzira yakakwana yekusarudza mavara mukurapa mazino kunoda zvinopfuura kungotenga mhando dzakasiyana dze elastomeric ligatures. Zvinoda nzira yakarongeka yekushanda, kutarisira zvinhu zviri muchitoro, uye kutaurirana nevarwere. Pasina nzira iri nyore, kusarudza mavara kunogona kukanganisa mashandiro echigaro, zvichiita kuti chiremba apedze nguva yakawanda mukurapa.

Kushandiswa zvakanaka kwemavara emhando 20 kusvika ku30 kunodhura zvishoma pamurwere mumwe nemumwe—kazhinji pasi pe$0.15 yekuisa ma ligatures mumuromo wese—asi zvinoda kudzora zvakanyanya kuti zvinhu zvishande zvakanaka. Zvigadzirwa zve polyurethane zvinonzwa zvakatipoteredza, uye kuchengetwa zvisina kunaka kunogona kukonzera kuora kwesimba nguva isati yakwana ma elastics asati aiswa mumuromo wemurwere.

Maitiro ekugadzira protocol yekusarudza mavara

Kuti vadzivise kusarudza mavara kuti asatore nguva inokosha yechigaro, makiriniki anofanirwa kubatanidza maitiro ekuita sarudzo pakutanga kwebasa revarwere. Makiriniki mazhinji ane huwandu hwakawanda anoshandisa maapplication edhijitari ekusarudza mavara pamapiritsi ari muimba yekumirira, zvichibvumira vechidiki kuona nekusarudza mavara avo vasati vagara pachigaro chemazino. Kuchinja uku kuri nyore kwekutonga kunogona kuchengetedza avhareji yemaminitsi matatu kusvika mashanu pamusangano wega wega wekugadzirisa.

Neimwe nzira, makiriniki anogona kushandisa "vhiri remavara" chairo padhesiki rekuvhiya kana rekunyorera. Panguva iyo mubatsiri wemazino anenge agadzirira kubvisa waya ye arch, murwere anenge atosarudza zvaanoda. Iyi nzira inovimbisa kuti mabhenefiti emaitiro ekusarudza mavara anowanikwa pasina kukanganisa kushanda zvakanaka kwekiriniki zuva nezuva.

Kutaurirana kunoshanda zvakanyanya nevechiri kuyaruka nevabereki

Kutaurirana kunobudirira kunoshandura kusarudzwa kwemachira erastiki ane mavara kubva pakungoda runako rwemuviri kuita chibvumirano chehunhu. Vanachiremba nevashandi vanofanira kuronga kupihwa kwemachira erastiki ane mavara akasiyana sehukama. Chinyorwa chakajairika chinosanganisira kuudza wechidiki kuti, "Ndiwe une basa rekusarudza mavara kuti kunyemwerera kwako kutaridzike zvakanaka, asi iwe une basa rekuwapfeka maawa makumi maviri nemaviri pazuva kuti kurapwa kushande."

Kubatanidza vabereki muhurukuro iyi kwakakosha zvakaenzana. Vabereki vanowanzo takura mutoro wezvemari wekurapwa kwenguva yakareba kunokonzerwa nekusatevedzera mitemo. Nekudzidzisa vabereki kuti ma elastic ane mavara anoshanda sei sezviratidzo zvekusakara—zvichivabvumira kuona zviri nyore kana mwana wavo akapfeka mabhandi avo erabha—tsika iyi inonyorera mubereki semutariri anoshanda muhurongwa hwekutevedzera mitemo.

Kugadziriswa kwezvinhu zviri mudura uye kudzorwa kwemhando kunokanganisa sei kugara zvakanaka

Kuchengetedza mavara akasiyana-siyana e elastomeric kunoda kutarisisa kwakanyatsonaka kwezvinhu zviri mudura. Orthodontic elastomeric ine nguva yakatarwa, inowanzova pakati pemwedzi 18 kusvika 24, mushure mezvo cheni dze polyurethane dzinotanga kuungana zvisina kunaka, zvichikonzera kuputsika uye simba risingatarisirwi rekutumira. Maitiro ekushandisa anofanirwa kushandisa sisitimu yeFirst-In, First-Out (FIFO) inventory kuti ideredze kupera kwechinhu.

Uyezve,kudzora kunaka kunosvika pamamiriro ekuchengetera zvinhuZvigadzirwa zveElastomeric zvinonzwa zvakanyanya chiedza cheultraviolet (UV) uye kuchinja-chinja kwekupisa kwakanyanya. Zvinhu zvinofanirwa kuchengetwa mumagaba asina kujeka kana makabati akasviba, kure nezuva rakananga uye kupisa kwe autoclave, kuchengetedza kusimba kwechimiro uye kusimba kwema polymers.

Maitiro Ekuyera Kana Mavara Elastics Akakodzera Kupihwa

Kuti varatidze kuti vari kushanda nesimba pakugadzirisa zvinhu zvakawanda zvine mavara e elastomerics, ma orthodontics anofanirwa kuongorora purofiti yekudyara (ROI) kuburikidza nematanho chaiwo ekurapa uye ekushanda. Kunyange hazvo mutengo wekutanga we ligatures ne bands dzemavara uri mudiki, kukosha kwechokwadi kwemaitiro aya kunoyerwa nemhedzisiro yawo pakushanda zvakanaka kwekurapa uye kuchengetedza varwere.

Nekutevera zviratidzo zvekutevedzera mitemo nenzira yakarongeka,

Zvinhu Zvinokosha Zvaunofanira Kuziva

• Mhedzisiro yakakosha uye chikonzero chevarwere veOrthodontic
• Magadzirirwo, kutevedzera mitemo, uye kuongororwa kwenjodzi zvinofanirwa kuongororwa usati waita chibvumirano
• Matanho anotevera anoshanda uye mazano anogona kushandiswa nevaverengi ipapo ipapo

Mibvunzo Inowanzo bvunzwa

Maelastic ane mavara anobatsira sei vechidiki kupfeka mabhandi avo e orthodontic nguva dzose?

Zvinopa vechidiki pfungwa yekusarudza uye zvinoita kuti kurapwa kunzwike sekwakavanzika, izvo zvinogona kuwedzera maitiro ekupfeka zuva nezuva uye kuderedza maawa ekusashanda.

Ma elastiki ane mavara akafanana here nema ligature ties nema interarch elastiki?

Kwete. Matayi ane mavara anoiswa nachiremba wemazino pamabhuraketi, nepo machira epurasitiki emukati ari mabhande anobviswa anofanira kupfekwa nevechidiki sezvakarairwa zuva nezuva.

Vechidiki vanofanira kupfeka maelastics e interarch maawa mangani pazuva?

Vanachiremba vazhinji vemazino vanokurudzira maawa angangoita makumi maviri kusvika makumi maviri nemaviri pazuva, vachibvisa mazino avo chete panguva yekudya uye vachitsiva nemabhande matsva sezvakarayirwa.

Kusatevedzera mitemo zvakanaka kunogona kuita kuti kurapwa kutore nguva yakareba here?

Ehe. Kusashanda zvakanaka kunogona kukanganisa kufamba kwezino uye kunogona kuwedzera mwedzi yakati wandei yekurapwa, pamwe nekuwedzerwa nguva yekuenda kunorapwa.

Sei makiriniki ekurapa mazino achisarudza machira emhando yepamusoro kubva kuvagadziri vakaita seDenrotary?

Ma elastiki emhando yekurapa akavimbika anotsigira simba rakafanana, mhando yechigadzirwa, uye anopa chivimbo, zvichibatsira makiriniki kutarisira kurapwa zviri nyore.