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.

Early kuderedzwa, kugadzirisa uye kushanda kwemotokari therapy ndiyo nheyo nhatu dzekugadzirisa kurapa kwegumbo. bapiro remukati nekunze tsandanyama, zvakawanda zvekutaura kweimwe tsandanyama isina simba, chero mazino achigona kudzokera kuhukama hwemazuva ese, mutongi wekuputsika chikamu chave chagadziriswazve, zvino sarudza nzira dzakagadziriswa dzekuputsika dzakagadziriswa mujinga redehenya. mandible fracture nekuda kwesimba rakasimba rekuita masticatory rinokwevera rinogona kukonzera kuparara kuri pachena, nzira yekugadzirisa shaya yakaputsika inofanira kunge yakagadzikana, panguva imwechete ichifunga nezvekubatana kwe temporomandibular kwekutanga kushanda kwekushanda, kushanda uye kusingarwadzi kushanda kunogona kukurudzira kugoverwa kweropa. pfupa uye zvinyoro zvinyoro, synovial fluid inosimudzira articular cartilage nutrition, yakabatanidzwa nechikamu chekutakura uremu, kudzivirira musuru kusashandisa atrophy, kuoma kwemajoini, nezvimwewo, saka, kurapwa kwemandibular fracture mirayiridzo, inoshuvira kune matatu nheyo.

Kudzorera occlusion ndiyo chinangwa chekurapa.Kutyoka kweJawbone kwakasiyana nekutyoka kwehubhu refu, kukosha kwayo kunokosha, ndiko kuti, pane mutsara wearch dentition pamuviri weshaya, uye kuumbwa kwehukama hwehukama pakati pepamusoro uye pasi mandibles, kutonga basa remasticatory. Kunyangwe hukama hwe occlusal hwemazino epamusoro uye ezasi hunogona kudzorerwa chimwe chezviratidzo zvakakosha zvekuongorora maitiro ekurapa kwejaya fracture.Mazino pachikamu chepfupa anowanzoshandiswa sechitsigiro kana anchor base yekuderedza uye kugadzirisa ne ligating arch. splints kana zvimwe zviputi zve intraoral.Panyaya yekukuvara kusina pfuti, zvinokurudzirwa kuti mazino ari pamutsara wekuputsika anofanira kuchengetedzwa zvakanyanya sezvinobvira.Kana mudzi wacho wakaputsika, zino rinonyanya kusununguka, mutsara wekuputsika unobatwa. kuburikidza nechitatu mandibular molar kana zino rakaiswa mukati, zino rinofanira kubviswa.Nokuda kwekukuvara kwepfuti yeshaya, zvakanyanya kukoshesa alveolar maitiro emazino akasara, inofanira kudzorerwa uye kuchengetwa nenzira dzose dzinogoneka, korona yakaputsika asi pane mudzi wakasimba, kunyanya mushure mechikamu chekuputsika chemudzi wakasimba, unogona 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.