orthodontic ligation chipikiri 1.6 kuzviboorera & kubata

Iyo nzira yekubatanidza uye kugadzirisa pakati pediki annular shaya inokodzera:

1. Kutyoka kwemutsetse mumwe chete kwemuviri we mandible pasina kutamiswa kuri pachena.

2. The benign bundu remuviri we mandibular kana chin rakabviswa uye bhonzo rakabatanidzwa pakarepo.

3. Comprehensive aixiliary fixation of mandibular defects mushure mekukuvara kwepfuti nefupa rekubatanidza.

Kuderedzwa kwekutanga, kugadzirisa uye kushanda kwemotokari therapy ndiyo nheyo nhatu dzekugadzirisa kurapa kwekuputsika kwemakumbo. Jaw bone fracture treatment principle, vane kufanana kwavo uye kusiyana kwavo, shaya yepamusoro inoputsika, nokuti iyo misumbu yefupa repamusoro rinosungirirwa, kuwedzera kune bapiro remukati nekunze kwemhasuru, zvakawanda nokuda kwekutaura kweimwe mhasuru isina simba, chero bedzi iyo hukama hunogona kudzoka kune hukama husina simba, chero bedzi hukama hunogona kudzoka kune hukama husina simba. yakagadziriswa nzira dzekuputsika dzakagadziriswa mujinga rehenya.Uye mandible kuputsika nekuda kwesimba rakasimba remasticatory rinokwevera rinogona kukonzera kuparadzaniswa kwakajeka, nzira yekuputsika kweshaya yakagadziriswa inofanira kunge yakagadzikana, panguva imwechete inofunga nezvekubatana kwe temporomandibular kwekutanga kushanda kwekushanda, kushanda uye kusingarwadzi kunogona kukurudzira kugoverwa kweropa kwefupa uye ganda rakapfava, syntila, syntila, syntil, synthesis. kutakura uremu, kudzivirira tsandanyama kusashandisa atrophy, kuoma kwemajoini, nezvimwewo, saka, kurapwa kwemandibular fracture guidelines, inoshuvira kune matatu nheyo.

Kudzorera occlusion ndiyo chinangwa chekurapa. Jawbone fracture yakasiyana neyokureba kwechubhu kuputsika, iyo yakakosha kunyanya, ndiko kuti, kune mutsara we arch dentition pamuviri weshaya, uye kuumbwa kwehukama hwehukama hwepakati pakati pepamusoro nepamusoro mandibles, kutarisira masticatory function.Kuti kana hukama hwehuputi hwepamusoro nepamusoro pemazino hunogona kudzorerwa zviratidzo zvakakosha kune evalual mazino evalual. pachikamu chepfupa chinowanzoshandiswa sechitsigiro kana chigadziko chekudzikisa uye kugadzirisa kuburikidza ne ligating arch splints kana zvimwe zvipembenene zvemukati.Munyaya yekukuvara kusina pfuti, zvinokurudzirwa kuti mazino ari pamutsara wekuputsika anofanira kuchengetedzwa sezvinobvira.Kana mudzi wacho wakaputsika, zino rinonyanya kusununguka, iyo inoputika mumutsara wechitatu inoputika zvakare mandir. inofanira kubviswa.Nokuda kwekukuvadzwa kwepfuti yeshaya, kunyanya kukoshesa nzira yealveolar yemazino akasara, inofanira kudzorerwa uye kuchengetwa nenzira dzose dzinogoneka, korona inoputsika asi pane midzi yakasimba, kunyanya mushure mekuputsika kwechikamu chemudzi wakasimba, inogona kushandiswa pakugadzirisa midzi yemidzi, asiwo inobatsira sechipikiri chepositi kana kuvhara kugadziriswa kwezviputi.

Kusvika 50-70% yevanhu vanopona mutsaona dzemotokari vanotambura nekushungurudzika kwechiso. Munyika dzakawanda dzakabudirira, mhirizhonga kubva kune vamwe vanhu yakatsiva kudhumhana kwemotokari sechikonzero chikuru chekukuvadza maxillofacial; Kunyika dzichiri kusimukira tsaona dzemumigwagwa ndidzo dziri kunyanya kukonzera. Seatbelt uye airbag zvakashandiswa kuderedza chiitiko che maxillofacial trauma, asi kuputsika kweiyo mandible, iyo jawbone, haina kuderedzwa nematanho ekudzivirira aya. Kushandisa helmets yemudhudhudhu kunogona kuderedza maxillofacial trauma zvinobudirira.

Maxillofacial fractures anogoverwa mune yakajairika curve nezera, ine chiitiko chepamusoro chinoitika pakati pemakore makumi maviri ne40, uye vana vari pasi pemakore gumi nemaviri vanotambura chete 5-10% yeese maxillofacial fractures. Yakawanda maxillofacial trauma muvana inosanganisira maronda uye kukuvara kwematishu akapfava. Kune chikamu chakaderera che cortical bone kune cancellous bhonzo muzviso zvevana, sinus isina kunyatsogadzirwa inoita kuti mapfupa ave nesimba, uye mafuta pads anopa dziviriro kumapfupa echiso.

Musoro uye kukuvara kwehuropi zvinowanzobatanidzwa ne maxillofacial trauma, kunyanya iyo yechiso chepamusoro; kukuvara kwehuropi kunoitika mu15-48% yevanhu vane maxillofacial trauma. Kukuvara kuripo kunogona kukanganisa kurapwa kwekushungurudzika kwechiso; semuenzaniso vanogona kunge vari kubuda uye vanoda kurapwa vasati vakuvadzwa kumeso. Vanhu vane kukuvadzwa pamusoro pehupamhi hwemapfupa ehuro vanoonekwa sevari pangozi yakakura yekukuvara kwemutsipa wekervical (kukuvadzwa kwemusana mumutsipa) uye zvidziviriro zvakakosha zvinofanira kutorwa kudzivirira kufamba kwemusana, izvo zvinogona kukuvadza kukuvara kwemusana.