orthognathic 0.6 anatomical L mbale

Mizere yokhazikika, mu ma increments 1 mm, pa zoyikapo zimapereka chithandizo chowoneka chopindika mbale.

Kupunduka kwapakamwa ndi maxillofacial kumatanthawuza kukula kwachilendo ndi mawonekedwe a maxilla omwe amayamba chifukwa cha kukula kwapang'onopang'ono kwa maxilla, ubale wachilendo pakati pa maxilla apamwamba ndi otsika komanso ubale wake ndi mafupa ena a craniofacial, komanso ubale wachilendo pakati pa maxilla ndi maxilla. mano, ntchito yachilendo ya m'kamwa ndi maxillary dongosolo ndi morphology yachilendo nkhope.Cholinga cha opaleshoni orthognathic ndi kukonza mano olakwika, kusintha discordant mano arch ndi mgwirizano pakati mano ndi nsagwada, kuthetsa kusokoneza mano ndi nsagwada, kukonza mano, ndi kuthetsa kubwezera kwa mano, kuti opareshoniyo isunthire gawo la fupa lodulidwa kupita kumalo okonzedwa bwino, ndikukhazikitsa ubale wabwino pakati pa mano ndi nsagwada.

Kale mu 1928, Fauchard anayesa kuwongolera kung’ambika kwa dzino limodzi ndi chotsekereza mano, koma chithandizo cha maopaleshoni opunduka mafupa ndi nsagwada chinapangidwa ndi Hullihen mu 1848 ndipo anasimbapo koyamba mu 1849. kufufuza ndi kuwongolera, zotsatira za chithandizo si zabwino chifukwa cha teknoloji yochepa ndi mlingo wachipatala panthawiyo, kotero kuti m'zaka zotsatira za 100, chithandizo cha matenda a mano ndi maxillofacial chikupita patsogolo pang'onopang'ono.Mpaka kumapeto kwa zaka za m'ma 1950, ndi chitukuko cha anesthesiology, opaleshoni yoyambira, anatomy yogwiritsidwa ntchito ndi zida zapadera zopangira opaleshoni, kukonza opaleshoni ya mano ndi maxillofacial deformities kwachitika mwachangu.

Mu 1957, Trauner ndi Obwegeser adanena kwa nthawi yoyamba kuti sagittal split ramus osteotomy pogwiritsa ntchito njira ya intraoral inakonzedwa bwino ndi Dal Pony (1961), ndikuwonetsa gawo latsopano la opaleshoni ya maxillofacial deformities. ndi khama la akatswiri ambiri, mu nsagwada ndi minofu magazi kotunga dongosolo la anatomy ntchito, ndi kudula fupa magazi pambuyo kusintha zazikulu ya yojambula, anaikanso kwachilengedwenso maziko amakono ndi nsagwada opaleshoni, pofuna kukwaniritsa aliyense dzino. - - zomata periosteal fupa transplantation wa gulu linalake minofu pedicle translocation, amapereka maziko asayansi ndi chitsimikizo cha kupambana.Kuonjezera apo, kukhazikitsidwa kwa mfundo ya opaleshoni-orthodontic mankhwala ophatikizana kumapangitsa kuti opaleshoni ya mano ndi maxillofacial deformities kukhala wangwiro, ndipo moona amalowa. nthawi yatsopano yophatikiza ntchito ndi morphology.

Chifukwa chithandizo cha opaleshoni ya odwala omwe ali ndi vuto la mano ndi maxillofacial ayenera kutengera kupunduka ndi zofunikira za chithandizo, malo opangira mano ndi mafupa ayenera kudulidwa ndikusunthidwa kuti amangenso mgwirizano wapakati pa atatu ndikugwira ntchito kwa mano ndi maxillofacial, ndi kupeza zotsatira zokhutiritsa zodzikongoletsera za maxillofacial.Chotero, ndondomeko ya chithandizo, dzino?Kusintha kwa chiyanjano, malo a fupa la fupa, mayendedwe ndi mtunda wa kayendedwe ka fupa, ndi kusankha kwa ndondomeko ya opaleshoni ziyenera kukhala zonse. kuganiziridwa molondola ndi kupangidwa opaleshoni isanayambe, ndipo zotsatira zochiritsira zomwe zimayembekezeredwa za ndondomeko yosankhidwa ziyenera kuneneratu zisanachitike.

Opaleshoni ya Orthognathic imagwiritsidwa ntchito pothana ndi zovuta zogwirira ntchito kapena zovuta za mawonekedwe a nkhope chifukwa cha kukula ndi mawonekedwe a maxilla omwe amayamba chifukwa cha kukula kwa maxilla, komanso kusagwirizana pakati pa kukula ndi mawonekedwe a maxilla ndi mafupa ena amaso. Maopaleshoni angafunikire kukonza mawonekedwe a nkhope, kuphatikiza kumtunda kwakukulu kwa alveolar anterior protrusion (buckteeth), kutsika kwa alveolar anterior protrusion (overbite), kutsegula kwa nsagwada zazikulu zakutsogolo, ndi kupatuka kwakukulu kwa mafupa.