Izixhobo ze ukususwa amazinyo kunye iingcambu zawo

Ngokufuthi izinga intshabalalo izinyo bukhulu kangangokuba kufuneka senze ukhetho olunzima: ukugcina okanye ukucima ngayo. Nge utyelelo ngexesha wamazinyo ukunyangeka yokulimala bakholisa ukuphumelela ngokupheleleyo. Kodwa asingabo bonke ndwendwela ugqirha ngexesha. Ngamanye amaxesha izinyo kufuneka zisuswe, zize zithi usulelo alaqhenqetha ngakumbi. Kule izixhobo ugqirha uncedo zamazinyo ukuba izinyo. Ngomhla ukuchaneka ukhetho lwabo ngokufuthi kuxhomekeke ukusebenza inkqubo kunye nesiphumo yayo. Kweli nqaku siza kuqwalasela izixhobo ezisisiseko asetyenziswa kwi nezokukhupha amazinyo, oogqirha bamazinyo kunye neengcambu zabo.

Ubungqina obubonakalayo buxela ukuba utyando ukuze ukususwa amazinyo

Lizinyo - enye ezingemnandi. Ngenxa uvakalelo oluphezulu kunye nokungafuni zendalo ukunyamezela ekuthini ngexesha iinkqubo zamazinyo iminyaka emininzi uyalibazisa utyelelo wamazinyo. Kwaye nje ngalo mzuzu xa intlungu nodandatheko, kwaye kwee qabu yi analgesics, umntu umlinganiselo ugqiba "ezoyikekayo" tyelelo. Ngokuqhelekileyo, le meko ibonisa ukuba izinyo labethwa nzima ngokwaneleyo. Unyango kule meko idla lincitshiswe omnye kuphela: i utsalo.

Ngu ebonisa elililo kutyando ziquka:

• ithumba kunye nezinye izifo ezihlasela zosulele arhabaxa suppurative;
• epheleleyo okanye kwinxenye ngokutshatyalaliswa izinyo ngenxa yokubola kwamazinyo;
• isifo periodontal.

Kukho iimeko ezininzi ukuze ususe le uyofaka izinyo. Kuyo nayiphi na imeko, ugqirha iza kuzama ukugcina izinyo mhlawumbi ukubuyisela ngayo.

Ukulungiselela utyando

Nayiphi na ungenelelo ngotyando kufuneka yenziwe ngokungqinelana nemithetho ye aseptic kunye kubola. Izixhobo ze sokususwa zintsholongwane kwisisu lwamazinyo nolomlomo ilungisiwe ngokusebenzisa algorithm ilandelayo:

• zisuswe lingadlulanga amazinyo osecaleni uqweqwe amazinyo;
• anikele umguli ukuvelisa isisombululo kubola acoce (furatsilin, potassium permanganate);
• anesthetize esikule izinyo isuswe kusetyenziswa lidocaine, novocaine, trimecaine okanye ezinye iintlungu.

Xa sele iphumelele kukunqongophala okupheleleyo nobuzaza, ugqirha uyemka izinyo usebenzisa izixhobo ezithile.

izixhobo eqhelekileyo izinyo: iifoto, inkcazo

Kuba iinkqubo zamazinyo udale naphaya ezininzi ethile - izixhobo. Abo okuqala lasungulwa bamaXesha Aphakathi. Ngoxa ukususa ugqirha wamazinyo ifuneka ikakhulu forceps kunye bekwilift, kwiimeko ezinqabileyo - iziqhoboshelo.

Nezifinyiso - enye izixhobo ezininzi ezisetyenziswayo yi oogqirha amazinyo. Ziqulethe ezintathu: emphinini, izidlele kunye enqabeni yomkhosi. Ukutyhubela iminyaka, ubume babo zahlala zilolo hlobo zazilulo. Izidlele forceps ukuvumela ukufaka izizithsaba amazinyo, kwaye enqabeni lisebenza njengento kokuxhuma. Izibambo ezifunekayo ukuze kube lula ugqirha: ebambelele kubo, run isixhobo. Nangona forceps ulula kubume, kuba kukho inani elikhulu kwiintlobo. Kuxhomekeka ukuma kwabo kwasendaweni asetyenziswa; ngokuba ezisezantsi kwemihlathi yangasentla , baya zahluke kakhulu.

izixhobo zamazinyo ukuba izinyo ziquka kunye bekwilift. Ziqulethe ezintathu: emphinini, ukudibanisa kunye nokusebenza iindawo. Enkosi kubo, angasusa iingcambu okanye ngokwahlukana kwabo. Ukongeza, ukuba zisetyenziswa ukufumana okanye dystopic amazinyo negalelo elikhulu.

Devices, wemka waya 'ngasendleleni "

Ukusebenzisa forceps okanye bekwilift ingakumbi ngenxa avareji wamazinyo. Kodwa kukho amaxesha xa ukusetyenziswa nezinye izixhobo kuyimfuneko. Phakathi kwabo, sebenzisa izixhobo ukususa amazinyo, ezifana:

• Excavator - eyenzelwe ukuphelisa ancedisana zamazinyo olumanzi ezimeleyo okanye inxalenye isithsaba (lendle). iikliniki Modern ukuyisebenzisa njengendlela ihlathi enye. Esi sisixhobo endlela-mbini, eziquka ngecephe encinane elintlangothi ziloliwe. Nangona lula loyilo, esebenza kakhulu.
• Zokutshweza, gouges neengxobonga - izixhobo kunye nembali elide kusetyenziswa utyando ukususa amazinyo ixesha elide. Nabo asebenza gouging ingcambu izinyo. Le ndlela kakhulu kubuhlungu, ngoko ke kunzima kusetyenziswa. Kodwa basike ngempumelelo kusetyenziswa ukutshabalalisa unxibelelwano mezhkornevyh, leyo lula kakhulu nenkqubo yokususwa kweengcambu.
• umatshini ukubhola - esetyenziswayo ukususa amazinyo multi-neengcambu.

Izixhobo ze ukususwa amazinyo ukuba sikwazi ukwenza umsebenzi ngempumelelo ngokusebenza, kungakhathaliseki ukuntsonkotha tyala. Ugqirha isebenzisa izixhobo ezifunekayo kwimeko ethile.

Nozenza izifinyiso for utsala amazinyo mandibular

Siphume, canines, imihlathi kwemihlathi ephezulu nesezantsi ezinye umahluko kubume. Ukufikelela kuzo Kwakhona ezahlukeneyo. Ngokunxulumene ngothotho lwezixhobo kokususa amazinyo bohlulwa babe ngamaqela amabini ukuze umhlathi ezisezantsi neziphezulu. Ukwenza inkqubo esetyenzisiweyo iplayasi ngomlomo. Pen nezidlele kubume zabo angled 90⁰ (okanye noko vala) ukuya kwelinye. Ekujikeni kuxhomekeke izinyo, nto leyo eyenzelwe ukususa isixhobo. Umzekelo, ukuba ndikhuphe siphume forceps efanelekileyo kunye engile obtuse phakathi nemihlathi kunye nomqheba we othambekele 90⁰. Oku kungenxa yokuba ubume babo yokwakheka. Kwaye ukususa imihlathi musa ukuza okungcono kunokuba baqotha i esinekona sasekunene.

Kuba nezokukhupha premolars kunye siphume kusetyenziswa Chippers kunye izidlele emxinwa, elirhangqiweyo kwi eziphelweni. isixhobo amazinyo yokususa amazinyo asezantsi emhlathini (imihlathi) luphawulwa izidlele ebanzi, emacaleni, okanye ameva ezikhethekileyo. Kuba iyimfuneko izinyo tight kufanelekile. Kuba nezokukhupha amazinyo ubulumko kusetyenziswa forceps nkqo kujikwa. ugqirha wakho usenokubhenela kubo ukuba isigulane ayikwazi ukuvula umlomo wakhe ebanzi ngokwaneleyo. A umahluko kwakhona baqotha kunye ziyahlangana kwaye yehlukana ezidleleni. I yangaphambili zisetyenziselwa ukususa izinyo ngeengcambu, kwaye eyesibini - kuphela lokuphelisa isithsaba.

Nezifinyiso ukuze nezokukhupha emhlathini ngamazinyo

Izixhobo ze ukususwa kwamazinyo kwemihlathi yangasentla kaninzi kuphela ukusetyenziswa forceps. ifomu yabo imilo iyohluka, kuxhomekeka kwindawo kunye nohlobo ngezinyo. Nozenza izifinyiso ngelixa lungohlulwa lube zezi ntlobo zilandelayo:

• Ingqiqo - isetyenziselwa siphume kunye canines. osemqoka zazo zithwala - nemihlathi kunye nomqheba we sele esqwini efanayo.
• 8 emise-premolars - ayimfuneko gesi yabo. Shchechki ezinjalo forceps zilahlwe xa kuthelekiswa emphinini kwi-engile obtuse.
• 8-imilo ukuba imihlathi yokuqala neyesibini - ayashiyana ekhohlo nasekunene babe spike ekhethekileyo ibekwe kwicala elingaphandle. Enkosi kuye, mhlawumbi ukuze amkele izinyo.
• Onencula (onencula) - zokususwa imihlathi yesithathu, ngokungafaniyo engaphambili, musani ukuba ameva. Izidlele isondezwa, hayi ivaliwe, zicwangciswe ngaxeshanye emphinini.
• izidlele ziye side phakathi apho element lenguqu, ebavumela ukuba yehlukana okanye ziyahlangana - onencula. Ibhalelwe izizithsaba amazinyo eziwayo.

Ngokutsho bamazinyo, ukususwa kwemihlathi ngamazinyo Kuthi inzima kakhulu ekuqhubeni zazo ezifanayo kwi emazantsi.

Surgery ukususa izinyo usebenzisa forceps

Masithi kukho isigqibo izinyo. Isigulane lilungiselwa ukususwa kwezixhobo zamazinyo, kakhulu. Ugqirha ukhetha forceps imilo efanelekileyo kunye nobukhulu, kwaye uqalisa ukwenza Lwakhula:

1. gingiva Exfoliated ukusuka izinyo ukuba idayi, kongezwe kulo forceps. Oku kuyenzeka ukuba esqwini izidlele ingqamana ezimanyeneyo izinyo.
2. Nozenza izifinyiso kutyhalwa awe phantsi gum de entanyeni izinyo, sivumele kakuhle ukulungisa kubo. Ukuba sithsaba ibhuqiwe, esi sixhobo selekhulile ukuya nzulu malunga 5 mm.
3. Emva kokuqinisekisa kuqondana nezamazembe ze izinyo nezidlele enze forceps nitrogen. Ukuze wenze oku, bamba isiphatho yonke iminwe esandleni ukuze bit isixhobo aze abe kwinkqubo enye.
4. Ngenxa ukujikeleza (kuba emigudwini) kunye pendulum (for multi-neengcambu) iintshukumo izinyo sprained, ngaleyo ndlela angagcina imicu periodontal.
5. Xa izinyo kunye inyama elijikelezileyo awucimeki, eshukumayo yayo ejikelezayo iyasuswa emithonjeni.

Emva kokwenza inkqubo komhlathi yesihlanu iya kale ziyakupheliswa. Izixhobo zokususa amazinyo wathumela nzala kunye nomonde emva ezinye zazo ezongezelelweyo - ekhaya. Ukusebenza amazinyo zamabanga zisebenza ngendlela efanayo, kuphela ngokuchane ngakumbi.

Bekwilift: injongo kunye neentlobo

izixhobo zamazinyo ukuba izinyo zibandakanya bekwilift. Kanye ukugoba, le enye yamacebo ixhaphakileyo. Enkosi kubo, ukuze asuse awonke okanye ezikhulayo kwicala ephosakeleyo kwamazinyo kunye neengcambu zabo. Ugqirha usebenzisa omnye iintlobo isixhobo:

• Ngqo - zonke iinxalenye zayo zifumaneka kwi-axis enye, ezinye iimodeli luphawulwa inkalo ukudibanisa kujikwa kancinane. Kwiimeko ezininzi isetyenziselwa emhlathini eliphezulu.
• Corner - emhlathini uyonqena 60⁰ kuthelekiswa emphinini. Ezinye iimodeli kukuvumela ukuba utshintshe ekujikeni. Esi sixhobo yahlulahlulwe bekwilift left- kwaye ekunene-lubangelwe. Yenzelwe ukusetyenziswa kwemihlathi asezantsi.
• Iqela bekwilift zokususa amazinyo ubulumko emhlathini ephantsi - emboxo, imifuziselo ezininzi zinikwa: Leklyuza (engile 90⁰, izidlele lalonyukile), uBarry Winter (yahlulwe, izidlele left- nasekunene emacaleni yonxantathu) Pot (engile 60⁰, elongate intonga).
• Ukuze Khupha iingcambu amasuntswana - a nemihlathi obhityileyo etsolo ufana imilo njengesilinda.

Zekheshi - isixhobo ubhetyebhetye ukuba kususwe nengcambu izinyo. Yena atraumatic, kodwa ufuna ugqirha wamazinyo izakhono ezithile kunye nobuchule.

Surgery ukususa iingcambu bezisele amazinyo

Indlela yokusebenzisa le ezinye uhlobo ikheshi kusekelwe kumgaqo lever. Ngamandla ukungenisa yinxalenye yesixhobo ukusebenza kulo mqolomba periodontal, ekukhuthazeni kangakanani usebenzisa iintshukumo rotary. Ekubeni ilifti waphula ancedisana periodontal yaye yanda slot. Xa isixhobo esaziswa kubunzulu malunga 0.5 cm, benza njengoko lempumelelo. Umkhosi isicelo luyasuka kuye ekupheleni kwayo yaye iziphumo ucazululo ingcambu izinyo.

Ukuba umsebenzi oluqhutywa izinyo multi-simile, omnye iingcambu yasuswa kunye forceps okanye ikheshi ngqo, apho kukho icala ikheshi kuqaliswa. Ngoko watyhala ingcambu yesibini. Ekupheleni kwale nkqubo input agubungele kakuhle "ibhola" ye igozi. Isigulane kucetyiswa ukuba ayigcine phakathi imizuzu eli-15, uze emva koko enze ngamanzi isisombululo kubola iyure yonke.

Lyuksatory

Kuba nomonde, kwaye rhoqo kugqirha kule uxinzelelo iba umsebenzi ukususa izinyo. Izixhobo ezisetyenziswa kule gesi, baye bangakwazi ukumelana namatyala ezinzima. Indlela ubuncinane traumatic ukususa amazinyo kukusebenzisa lyuksatorov olufuna bamazinyo ngaphezulu.

Isixhobo sele shiloobraznuyu uyilo, ngoko kwamandla ukungena kwindawo periodontal. inxenye Ukusebenza ngokucophelela yayisalawulwa imo yekona kancinane phantsi intshungama. Oku kukhokelela ukwahlulwa inyama periodontal nokwandisa umngxuma. Zidle kule ngingqi iyapheliswa. Tsala i forceps izinyo ngoku kuya kuba lula kakhulu. Kodwa ukuba izinyo na lunye, musa mfuneko ukusetyenziswa forceps kunye.

Ukususwa lomsele

Pulpitis - enye sifo zamazinyo ezingemnandi ukuba kwenzeka ngenxa kokwenzakala, isifo iintsini, okanye kwii-iintsholongwane. Ukuba sithi singanyangwa ngokukhawuleza asulelekileyo iingcambu kwaqhenqetha imijelo radicular apha esiqwini, ithambo zonakaliswe kwi emazantsi izinyo. Enye unyango ukuba esi sifo depulpation - Ukususwa luvo iingcambu, sithsaba sam izabelo. Emva koko usebenze ukugcwalisa imisele izinyo iingcambu kunye nesabelo kwesithsaba saso. Olu tyando inzima kwaye ifuna sisakhono ophezulu ingcali.

Izixhobo ze nezokukhupha amazinyo avumela ngokomgangatho iqalise le nkqubo, ukuya ijwabu trauma liphantsi. Ukhetho oluchanekileyo lwe-isixhobo othile ngokupheleleyo ukutshintsha indlela le nkqubo, kwakunye kwakhona kunye nezigulo kunokwenzeka emva koko.