orthognathic 0.6 anatomical L ndiro

Mitsetse yakamisikidzwa, mu1 mm increments, pazvimiti zvinopa rubatsiro rwekuona kwekupeta ndiro.

Oral uye maxillofacial deformity inoreva hukuru husina kujairika uye chimiro cheiyo maxilla inokonzerwa nekukura kusingaenzaniswi kweiyo maxilla, hukama husina kujairika pakati pekumusoro nezasi maxilla uye hukama hwayo nemamwe mapfupa ecraniofacial, pamwe nehukama husina kujairika pakati pemaxilla uye. mazino, basa risina kujairika remuromo uye maxillary system uye morphology yechiso chisina kujairika.Chinangwa chekuvhiya orthognathic ndechekugadzirisa mazino asina kumira zvakanaka, kugadzirisa discordant dental arch uye hukama pakati pemazino neshaya, kubvisa kupindira pakati pemazino neshaya, ronga dentition, uye kubvisa kudzoreredza kurerekera kwemazino, kuitira kuti kuvhiyiwa kugone kufambisa chikamu chebhonzo chakachekwa kuenda kunzvimbo yakagadziriswa kugadzirisa zvakanaka, uye kugadzira hukama hwakanaka pakati pemeno neshaya.

Kare muna 1928, Fauchard akanga aedza kururamisa kubviswa zino rimwe chete nechisungo chemazino, asi kurapwa kwokuvhiya kwebony mazino nokuremara kweshaya kwakagadzirwa naHullihen muna 1848 uye kwakatanga kushumwa muna 1849. kuongorora nekuvandudza, mhedzisiro yekurapa haina kunaka nekuda kweiyo tekinoroji shoma uye nhanho yekurapa panguva iyoyo, zvekuti mumakore anotevera zana, kurapwa kwemazino uye maxillofacial deformities kunofambira mberi zvishoma nezvishoma.Kusvikira pakupera kwema1950, nekuvandudzwa kwe anesthesiology, kuvhiyiwa kwekutanga, kuiswa anatomy uye midziyo yekuvhiya yakakosha, kugadzirisa kwekuvhiya kwemazino uye maxillofacial deformities kwakakura nekukurumidza.

Muna 1957, Trauner naObwegeser vakashuma kwekutanga kuti sagittal split ramus osteotomy vachishandisa nzira yemukati yakagadziridzwa naDal Pony (1961), vachicherechedza danho idzva rekuvhiya kwekuremara kwemaxillofacial.Kubvira kuma1970, nekuda kweBell. uye kuedza kwenyanzvi dzakawanda, mushaya yeshaya uye matishu ekupa ropa system yeakaiswa anatomy, uye kucheka mapfupa eropa mushure mekuchinja kwekuchinja kwekubudirira, zvakawedzera kuisa hwaro hwehupenyu hwemazuva ano kuvhiya shaya, kuitira kuti zino rimwe nerimwe ribudirire. - - sticky periosteal bone transplantation ye composite tissue pedicle translocation, inopa hwaro hwesainzi uye vimbiso yekubudirira.Mukuwedzera, kugadzwa kwenheyo yekuvhiya-orthodontic yakasanganiswa kurapwa kunoita kuti kurapwa kwekuvhiya kwemazino uye maxillofacial deformities kuve kwakakwana, uye inopinda zvechokwadi. nguva itsva yekubatanidza basa ne morphology.

Nekuda kwekuti kuvhiyiwa kwevarwere vane mazino uye maxillofacial deformity kunofanirwa kuenderana nekuremara uye zvinodiwa pakurapa, mazino nemapfupa akaomarara anofanirwa kutemwa akavhurika uye kufambiswa kuti agadzirise hukama hwepakati nepakati uye kushanda kweyakajairika mazino uye maxillofacial chimiro, uye kuwana zvinogutsa cosmetic effect ye maxillofacial.Saka, chirongwa chekurapa, zino?Kugadziriswa kwehukama, nzvimbo yepfupa incision, kutungamira uye chinhambwe chekufamba kwepfupa, uye kusarudzwa kwechirongwa chekuvhiya kunofanira kunge kuri kwose. kunyatsotariswa uye kugadzirirwa kusati kwaitwa, uye zvinotarisirwa kurapa kwechirongwa chakasarudzwa chinofanira kufanotaurwa zvisati zvaitika.

Kuvhiyiwa kweOrthognathic kunoshandiswa kugadzirisa kusakanganiswa kwemaitiro kana morphology yechiso inokonzerwa nehukuru husina kujairika uye chimiro chemaxilla chinokonzerwa nekuvandudzwa kwemaxilla, pamwe nehukama husina kunaka pakati pehukuru uye chimiro cheiyo maxilla nemamwe mapfupa echiso. Kuvhiya kunogona kudiwa kuti uvandudze zviso zvechiso, zvinosanganisira kusimba kwepamusoro alveolar anterior protrusion (buckteeth), kuzasi kwealveolar anterior protrusion (overbite), kuvhurwa kweshaya hombe, uye kutsauka kwakanyanya kwebhonzo.