orthognathic 0,6 anatomique L.

Imirongo ihanamye, muri 1 mm yiyongera, kubitera itanga ubufasha bugaragara kubunama.

Guhindura umunwa na maxillofacial bivuga ubunini nubunini budasanzwe bwa maxilla iterwa niterambere ridasanzwe rya maxilla, umubano udasanzwe hagati ya maxilla yo hejuru no hepfo nubusabane bwayo nandi magufwa ya craniofacial, ndetse nubusabane budasanzwe hagati ya maxilla na amenyo, imikorere idasanzwe ya sisitemu yo mu kanwa na maxillary na morphologie yo mu maso idasanzwe. Intego yo kubaga orthognathique ni ugukosora amenyo adasimbuwe, guhindura amenyo y’amenyo adahuye n’umubano uri hagati y amenyo nu rwasaya, bikuraho kwivanga hagati y amenyo nu rwasaya, tegura amenyo, kandi ukureho impengamiro yo kwinyoza amenyo, kugirango ubashe gukora igikorwa cyo kwimura igice cyamagufwa yatemaguwe kumwanya wagenewe gukosorwa neza, kandi ugashyiraho umubano mwiza hagati y amenyo nu rwasaya.

Nko mu 1928, Fauchard yari yagerageje gukosora iryinyo rimwe akoresheje amenyo, ariko kubaga amenyo yamagufwa nubumuga bwo mu rwasaya byakozwe na Hullihen mu 1848 kandi byatangajwe bwa mbere mu 1849. Kuva icyo gihe, nubwo intiti nyinshi zashyizeho ingufu gushakisha no kunoza, ingaruka zo kuvura ntabwo ari nziza kubera tekinoroji n’urwego ruto rw’ubuvuzi muri kiriya gihe, ku buryo mu myaka 100 yakurikiyeho, kuvura ubumuga bw’amenyo na maxillofacial bigenda bitera imbere buhoro buhoro. Kugeza mu mpera za 1950, hamwe n’iterambere. anesthesiologiya, kubaga shingiro, gukoresha anatomiya nibikoresho byihariye byo kubaga, gukosora kubaga amenyo na maxillofacial deformations byateye imbere byihuse.

Mu 1957, Trauner na Obwegeser batangaje ku nshuro yabo ya mbere ko sagittal yatandukanije ramus osteotomy ikoresheje uburyo bw'imbere yatejwe imbere na Dal Pony (1961), ibyo bikaba bigaragaza icyiciro gishya cyo kuvura indwara z’ubumuga bwa maxillofacial. Kuva mu myaka ya za 1970, kubera Inzogera. nimbaraga zintiti nyinshi, mumasaya ya sisitemu yo gutanga amaraso ya jasse na tissue ya anatomiya ikoreshwa, no kugabanya amaraso yamagufwa nyuma yimpinduka zikomeye ziterambere, byongeye gushiraho ishingiro ryibinyabuzima bigezweho ni kubaga urwasaya, kugirango buri menyo igerweho . igihe gishya cyo guhuza imikorere na morphologie.

Kuberako ubuvuzi bwo kubaga abarwayi bafite ubumuga bw amenyo na maxillofacial bugomba gushingira kumiterere nibisabwa kugirango bavurwe, uruganda rw amenyo namagufwa rugomba gucibwa hanyuma rukimurwa kugirango rwubake umubano wibice bitatu byimikorere nibikorwa byamenyo asanzwe y amenyo na maxillofacial, no kubona ingaruka zo kwisiga zishimishije za maxillofacial.Niyo mpamvu, gahunda yo kuvura, iryinyo? Guhindura umubano, aho amagufwa aherereye, icyerekezo nintera yimigufa yamagufwa, no guhitamo gahunda yo kubaga bigomba kuba byose byasuzumwe neza kandi byateguwe mbere yimikorere, kandi ingaruka ziteganijwe zo kuvura gahunda zatoranijwe zigomba guhanurwa mbere.

Kubaga orthognathique bikoreshwa mugukemura ibibazo bidasanzwe cyangwa imikorere ya morfologiya yo mumaso iterwa nubunini budasanzwe nuburyo imiterere ya maxilla iterwa niterambere rya maxilla, ndetse nubusabane budasanzwe hagati yubunini nuburyo imiterere ya maxilla nandi magufwa yo mumaso. Kubagwa birashobora gusabwa kunoza imiterere yisura, harimo hejuru ya alveolar yo hejuru yimbere (buckteeth), hepfo ya alveolar imbere (hejuru cyane), gufungura urwasaya runini imbere, no gutandukana cyane.