ipleyiti ye-orthognathic ye-0.6 ye-anatomical L

Imigca edibeneyo, kwi-1 mm increments, kwii-implants zibonelela ngoncedo olubonakalayo lokugoba ipleyiti.

I-Oral and maxillofacial deformity ibhekisela kubukhulu obungaqhelekanga kunye nokumila kwe-maxilla okubangelwa ukuphuhliswa okungaqhelekanga kwe-maxilla, ubudlelwane obungaqhelekanga phakathi kwe-maxilla ephezulu kunye nezantsi kunye nobudlelwane bayo namanye amathambo e-craniofacial, kunye nobudlelwane obungaqhelekanga phakathi kwe-maxilla kunye namazinyo, umsebenzi ongaqhelekanga we-maxillary system kunye ne-maxillaral system kunye ne-maxillaral system kunye ne-amorphology ye-oral. Utyando lwe-orthognathic kukulungisa amazinyo alahlekileyo, ukulungelelanisa i-arch yamazinyo ehlukeneyo kunye nobudlelwane phakathi kwamazinyo kunye nemihlathi, ukuphelisa ukuphazamiseka phakathi kwamazinyo kunye nemihlathi, ukulungelelanisa ukukhutshwa kwamazinyo, kunye nokuphelisa ukuthambekela kwembuyekezo yamazinyo, ukwenzela ukuba utyando luhambise icandelo lethambo eliqingqiweyo kwindawo yolungiso eyiliweyo kakuhle, kunye nokuseka ubudlelwane obuhle phakathi kwamazinyo nemihlathi.

Kwangoko ngo-1928, uFauchard wazama ukulungisa ukuchithwa kwezinyo elinye nge-clamp yamazinyo, kodwa unyango lotyando lwezinyo kunye nokukhubazeka komhlathi lwaphuhliswa nguHullihen ngo-1848 kwaye lwaqala ingxelo ngo-1849. ukukhubazeka kwamazinyo kunye ne-maxillofacial kuqhubeka ngokucothayo.Kuze kube sekupheleni kweminyaka yee-1950, kunye nokuphuhliswa kwe-anesthesiology, utyando olusisiseko, i-anatomy esetyenzisiweyo kunye nezixhobo ezikhethekileyo zotyando, ukulungiswa kotyando lokukhubazeka kwamazinyo kunye ne-maxillofacial kuye kwaphuhliswa ngokukhawuleza.

Kwi-1957, i-Trauner kunye no-Obwegeser babika okokuqala ukuba i-sagittal yahlula i-ramus osteotomy isebenzisa indlela ye-intraoral yaphuculwa nguDal Pony (1961), ephawula inqanaba elitsha lonyango lonyango lwe-maxillofacial deformities.Ukusukela kwiminyaka yee-1970, ngenxa yeBell, inkqubo ye-jaw kunye nemigudu yokubonelela ngegazi lemihlathi, i-anatomy system kunye nemigudu ye-anatomy yomhlathi wegazi. kunye nokusika ithambo igazi emva kotshintsho oluguquguqukayo lwempumelelo, ngakumbi wabeka isiseko sebhayoloji yanamhlanje uqhaqho emihlathini, ukuze kuphunyezwe izinyo ngalinye - incangathi periosteal bone ithambo transplantation of composite tissue pedicle translocation, inikeza isiseko zenzululwazi kunye nesiqinisekiso sokuphumelela.Ukongezelela, ukusekwa komgaqo wotyando-orthodontic unyango oludityanisiweyo lwenza unyango lwe-dental kunye ne-deformal entsha ibe yinkqubo entsha yonyango kunye ne-maxifa yonyango entsha. yokudibanisa umsebenzi kunye ne-morphology.

Ngenxa yokuba unyango lotyando lwezigulane ezinokukhubazeka kwamazinyo kunye ne-maxillofacial kufuneka lusekelwe kwi-deformity kunye neemfuno zonyango, i-complex yamazinyo kunye nethambo kufuneka zisikwe zivuleke kwaye zihanjiswe ukuze kwakhiwe kwakhona ubudlelwane besithuba sesithathu-ntathu kunye nomsebenzi wesakhiwo esiqhelekileyo samazinyo kunye ne-maxillofacial structure, kunye nokufumana isiphumo esanelisayo se-cosmetic yokulungiswa kwethambo le-maxillofacial, ngoko ke, isicwangciso sonyango, ukunqunyulwa, ulwalathiso kunye nomgama wokuhamba kwamathambo, kunye nokukhethwa kwesicwangciso sotyando kufuneka zonke ziqwalaselwe ngokuchanekileyo kwaye zenzelwe phambi kokusebenza, kwaye umphumo olindelekileyo wonyango wesicwangciso esikhethiweyo kufuneka uqikelelwe kwangaphambili.

Utyando lwe-Orthognathic lusetyenziselwa ukusombulula ukungahambi kakuhle komsebenzi okanye ukungahambi kakuhle kwe-facial morphology ebangelwa ubungakanani obungaqhelekanga kunye nokuma kwe-maxilla okubangelwa ukuphuhliswa kwe-maxilla, kunye nobudlelwane obungaqhelekanga phakathi kobukhulu kunye nokuma kwe-maxilla kunye namanye amathambo obuso.Utyando lunokufuneka ukuba kuphuculwe iimpawu zobuso, kubandakanywa ne-altare ephantsi ye-altare ye-altare, kubandakanywa ne-altare ephantsi ephantsi ukugqabhuka kwemihlathi engaphambili, ukuvuleka kwemihlathi emikhulu, kunye nokutenxa kakhulu kwamathambo.