Orthodontic ligation ƙusa 1.6 hakowa kai & tapping

Hanyar ligation da gyarawa tsakanin ƙananan jaws annular ya dace da:

1. Karaya guda ɗaya na madaidaiciyar jiki na mandible ba tare da ƙaura bayyananne ba.

2. An cire ciwace-ciwacen cizon sauro na mandibular jiki ko chin da aka dasa kashi nan da nan.

3. Cikakken ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun mandibular bayan rauni na bindiga ta hanyar grafting kashi.

Ragewar farko, gyarawa da aikin motsa jiki na motsa jiki sune ka'idoji guda uku don ingantaccen maganin raunin hannu.Jaw kashi karaya jiyya ka'idar, suna da kamanceceniya da bambance-bambancen, babba muƙamuƙi karaya, saboda ta tsokoki na kashi surface abin da aka makala, ban da reshe na ciki da kuma waje tsoka, more ga magana na wasu rauni tsoka, idan dai da hakora iya komawa ga karaya sa'an nan da gyarawa hanyoyin da aka gyarawa dangantakar, da fracture sake zažužžukan da al'ada dangantaka da aka gyara. a cikin gindin skull.Kuma mandible karaya saboda karfi masticatory tsokoki ja iya haifar da bayyananne dislocation, da Hanyar kafaffen muƙamuƙi karaya dole ne mafi barga, a lokaci guda la'akari da temporomandibular hadin gwiwa na farkon aikin motsa jiki, aiki da kuma m aiki na iya inganta samar da jini na kashi da taushi nama, synovial ruwa inganta articular guringuntsi partial abinci mai gina jiki, hade da hadin gwiwa partial abinci mai gina jiki, a hade tare da hadin gwiwa partialbeause, a hade tare da naman alade naman gwari. taurin kai, da sauransu, sabili da haka, maganin jagororin karaya na mandibular, yana fatan ka'idodin uku.

Maido da rufewa shine makasudin jiyya. Karyar jawbone ya bambanta da raguwar bututu mai tsayi, mahimmancinsa na musamman, wato, akwai jere na haƙoran haƙora a jikin muƙamuƙi, da samuwar alaƙar occlusal ta al'ada tsakanin manya da ƙananan mandibles, sarrafa aikin masticatory.Ko za a iya dawo da alaƙar occlusal na babba da ƙananan haƙora yana ɗaya daga cikin mahimman abubuwan jiyya na haƙoran haƙora sau da yawa. An yi amfani da shi azaman tallafi ko tushen tushe don raguwa da gyare-gyare ta hanyar ligating arch splints ko wasu splints intraoral.A cikin yanayin raunin da ba a kashe wuta ba, an bada shawarar cewa hakora a cikin layin da aka karya ya kamata a kiyaye su har zuwa yadda zai yiwu.Idan tushen ya karye, hakori yana da sako-sako sosai, layin fashe yana da tasiri ta hanyar mandibular na uku na haƙori, ya kamata a cire maƙarƙashiya mafi girma. don kula da tsarin alveolar na sauran hakora, ya kamata a sake dawo da shi kuma a kiyaye shi ta kowane hanya mai yiwuwa, kambi ya karye amma akwai tushe mai karfi, musamman ma bayan ɓangaren ɓarna na tushen mai ƙarfi, ana iya amfani da shi don maganin tushen tushen, amma kuma yana da kyau a matsayin ƙusa na post ko rufe gyaran kafa.

Kashi 50-70% na mutanen da suka tsira daga hatsarin ababen hawa suna fama da rauni a fuska. A mafi yawan kasashen da suka ci gaba, tashin hankali daga wasu mutane ya maye gurbin hadarurrukan motoci a matsayin babban abin da ke haifar da rauni na maxillofacial; A game da kasashe masu tasowa, har yanzu hadurran ababen hawa ne ke haddasawa. An yi amfani da wurin zama da jakunkuna na iska don rage haɗarin maxillofacial rauni, amma karyewar mandible, wato kashin muƙamuƙi, ba a rage ta da waɗannan matakan kariya ba. Yin amfani da kwalkwali na babur na iya rage raunin maxillofacial yadda ya kamata.

An rarraba raunin maxillofacial a cikin daidaitaccen tsari na al'ada ta hanyar shekaru, tare da mafi girman abin da ya faru tsakanin shekaru 20 zuwa 40, kuma yara a karkashin 12 suna shan wahala kawai 5-10% na duk maxillofacial fractures. Yawancin raunin maxillofacial a cikin yara ya haɗa da lacerations da raunin nama mai laushi. Akwai ƙananan kashi na cortical kashi zuwa soke kashi a cikin yara fuskõkinsu, rashin ci gaba sinuses sa ƙasusuwa da ƙarfi, da kuma kitsen pads suna ba da kariya ga kasusuwan fuska.

Raunin kai da na kwakwalwa suna da alaƙa da raunin maxillofacial, musamman na fuskar sama; Raunin kwakwalwa yana faruwa a cikin 15-48% na mutanen da ke da rauni na maxillofacial. Raunin da ke tattare da juna zai iya rinjayar maganin raunin fuska; misali suna iya zama masu tasowa kuma suna buƙatar kulawa kafin raunin fuska. Mutanen da ke da rauni a sama da matakin ƙasusuwan ƙwanƙwasa ana la'akari da su a cikin babban haɗari ga raunin kashin baya na mahaifa (rauni na kashin baya a wuyansa) kuma dole ne a dauki matakan kariya na musamman don kauce wa motsi na kashin baya, wanda zai iya haifar da rauni na kashin baya.