Dentist-implantologist

Kune akati wandei subspecialties mumunda wemazino, imwe yacho implantology. Mune mazino emazuva ano, chiremba wemazino-implantologist ndeimwe yevanonyanya kutsvakwa nyanzvi, sezvo prosthetics yemazino nekurasikirwa kwavo zvachose haishande zvakakwana. Chiremba wemazino anodyara achabatsira kudzoreredza kuperera kwemeno uye mazino, ayo anogara kwenguva yakareba uye asingade chero matanho ekurapa.

Hunhu hwehunyanzvi

Dental implantology ine nhoroondo yemazana emakore, asi mazwi emazuva ano akamuka makore 100 chete apfuura. Kudyara uye kudyara kunoreva chinhu chitorwa kumuviri wemunhu, icho chinounzwa uchishandisa nzira dzekurapa kuitira kuti iite mabasa eiyo nhengo (mumazino - zino) iyo inotarisirwa kutsiva. Hunyanzvi hwechiremba wemazino-implantologist hwakamuka chete pakati pezana ramakore rechi20, apo mazino anobviswa uye akagadziriswa akatanga kudziviswa zvakanyanya munzvimbo yekurapa, achiatsiva neazvino anodyara.

Kuti udzidzire kudyara mazino, chiremba wemazino anofanira, kunze kwedzidzo yepamusoro yezvekurapa yezita remazino, aite hunyanzvi hwekudzidzira mundima ye "Dental Surgery", pamwe nekutora makosi akakosha ekudyara mazino. Kana uchibatanidza basa reimplantologist nehunyanzvi hweothopedic dentist (iyo yakajairika mukurapa kwemazuva ano), chiremba anofanirwawo kugamuchira hunyanzvi hwachiremba wemazino.

Nokudaro, nzvimbo yepesvedzero yechiremba wemazino-implantologist inosanganisira ruzivo uye unyanzvi hwekushanda nehuwandu hwemazino pathologies, maxillofacial surgical area, orthopedic work. Chiremba wemazino-implantologist anofanira kuva neunyanzvi hwekusarudza uye kutungamira chinodiwa kutindivadza, kukwanisa kuita kuvhiyiwa incisions munzvimbo shaya, suture ronda pevhu, kuita oparesheni pamusoro nyoro uye pfupa tishu.

Zvirwere uye zviratidzo

Munguva ichangopfuura, rubatsiro rwevanodyara mazino rwakashandiswa chete mumamiriro ezvinhu akaipisisa, neine adentia yakakwana, kureva, pasina zvachose mazino emazino, kana kana prosthetics isingabviri nokuda kwezvikonzero zvakasiyana-siyana. Zvisinei, nhasi kudyara inzira yakajairika yekutsiva mazino, inokubvumira kuti uwane zino rakazara kana kunyange dentition yose, iyo mune ramangwana kwemakumi emakore haizokonzeri matambudziko kune muridzi wayo.

Vanotendeukira kuna chiremba wemazino-implantologist kuitira kuti vadzorere mazino akarasika mune chero chikamu chemumuromo mhango.

Nekubatsirwa kwemhando yepamusoro-implants, zvakave zvichigoneka kuchengetedza ese kutsenga nemeno epamberi, uye izvi zvinogona kuitwa mune imwe chete kesi yemazino akashaikwa, uye kana paine hurema mune dentition nekusavapo kwemazino akati wandei kamwechete. Naizvozvo, nzira dzemazuva ano dzekudyara dzinowanzova yakanakisa imwe nzira yekubvisa, yakagadziriswa uye bhiriji prosthetics yemarudzi ese emazino.

Sezvo mutemo, murwere anowana kusangana nachiremba wemazino-implantologist kubva kune dzimwe nyanzvi - vanachiremba vemazino kana vanachiremba vemazino. Mazuva ano, kuiswa kwemazino kunoshandiswa kune, kazhinji, pakukumbira kwevarwere mukushayikwa kwehutano hunopesana, uye kana pane zviratidzo zvekuisa mazino, kureva, pasina mukana wekuisa zvivakwa zveprosthetic. Kuiswa kwemazino inzira yakanyatsotsanangurwa yekurapa inoda kuongororwa kwakakwana kwevarwere uye kugadzirira kwavo maitiro aya.

Pakati pematambudziko makuru ekuiswa kwemazino, ayo ekupedzisira anokwanisa kugadzirisa zvizere, tinogona kusiyanisa zvinotevera matambudziko, zviratidzo uye zvirwere zve dentition:

• kusavapo kwechikwata chemazino chero kupi zvako mushaya;
• kusavapo kwemazino akawanda (mapoka) mune chero chikamu cheshaya;
• kusavapo kwemazino ari padyo neaya anoda kugadzirwa prosthetized, ndiko kuti, muchiitiko apo bhiriji chimiro hachina chinhu chekubatanidza nekuda kwekushaikwa kwemazino akakodzera anotsigira munharaunda;
• kusavapo kweboka remazino muzvikamu zvakasiyana zveshaya imwe uye pamisungo yakasiyana (yakaoma defect defect);
• adentia yakakwana, ndiko kuti, kudiwa kwekutsiva dentition yakakwana;
• Physiological maficha emuviri asingatenderi kupfeka mazino anobviswa, semuenzaniso, gag reflex paunenge uchiisa mazino emazino kana allergic reaction kune izvo zvinogadzirwa mazino;
• physiological atrophy yemapfupa emapfupa ejaya rezasi, iyo isingakubvumiri kuti uchengetedze zvakachengeteka uye upfeke prosthesis inobviswa;
• kusada kwemurwere kupfeka mazino emazino anobvisika.

Zvakakosha kuyeuka kuti kunyange pamberi pezvinetso izvi, implantologist haigoni kugara ichiomerera pakudyara, sezvo kuiswa kune zvipingamupinyi zvakakomba zvekushandiswa.

Pakati pezvinopesana zvakadaro, chirwere cheshuga mellitus, zvakasiyana-siyana zvechirwere chetachiona, zvirwere zvebroncho-pulmonary uye zvemwoyo mumatanho akaoma uye anopera, oncological pathologies inosiyaniswa. Kune zvakare contraindication kune yemuno mhando yekuisirwa - aya akawanda caries, zvirwere zvemucous membrane mumuromo wemurwere uye zvimwe zviratidzo izvo murwere anogona kugadzirisa mune imwe nguva uye kutendeukira kuna anodyara mazino zvakare kuti aisirwe.

Kugamuchira uye nzira dzebasa remazino-implantologist

Chiremba wemazino-implantologist munguva yekudzidzira kwake anofanira kuita maitiro akawanda anosungirwa, pakupedzisira anotungamirira pakuiswa kwezvipimo zvinodiwa mumuromo wemurwere.

Matanho akadaro panguva yekuongororwa kwechiremba anosanganisira:

• kuongorora mazino ekutanga;
• kubvunzana nedzimwe nyanzvi dzakakodzera;
• kugadzwa kwekuongororwa kwakasiyana-siyana kwerabhoritari yemurwere;
• nzira dzekuongorora dzekuongorora mhango yemuromo;
• basa rega rega pakusarudza chimiro uye saizi yezvidyarwa;
• kugadzirwa kwemhando chaiyo yekuisa uye kuiswa kwayo mumuromo wemuromo uye bone tissue yemurwere;
• dental prosthetics.

Kusvikira panguva iyo chiremba anotanga kuita oparesheni yakananga, murwere achafanira kumushanyira kakawanda. Munguva yekugadzirira, chiremba wemazino akanaka anodyara achaunganidza ruzivo rwese rwaanoda kuti awedzere basa pamusoro pemurwere uye nhoroondo yezvehutano hwake, anyore bvunzo dzinodiwa kuti aone zvinopesana uye kukwanisa kufanotaura mhedzisiro yekuisirwa nenzira kwayo.

Paunenge uchiongorora muromo wemurwere, chiremba wemazino anodyarwa anoda mhedzisiro yezvidzidzo zvakaitwa, sekuverengera kweropa rakazara, kuongororwa ropa kwehepatitis, shuga, hutachiona hweHIV, panoramic x-ray kana computed tomography yeimwe kana maviri shaya. murwere.

Muhupo hwezvirwere zvemwoyo, chiremba wemazino achada migumisiro ye electrocardiogram yemurwere, kana zvinodhaka zvinodhaka, zvichave zvakafanira kupfuudza kuongororwa kwechirwere chekunzwa kune zvikamu zvemishonga yeanesthetic. Kana paine matambudziko nemeno akasara kana matinji, murwere anoita hutsanana hwepamuromo kudzivirira hutachiona kupinda muronda rakavhurika panguva yekuiswa.

Chiremba wemazino-implantologist anofanira kuzivisa murwere nezve nzira dziripo dzekuisa mazino, mhando dzekudyara dzinofanira kuiswa, nguva yekupora maronda uye kuwedzera prosthetics. Mushure mechibvumirano chekupedzisira nemurwere pane yakasarudzwa nzira yekusimwa, chiremba anoenderera mberi kuronga oparesheni.

Munguva yekuvhiya yebasa remazino-implantologist, nzira mbiri dzekuita oparesheni dzinogona kushandiswa - mbiri-nhanho yekuisa uye imwe-nhanho. Chisarudzo chekushandisa imwe yemhando idzi dzemaitiro chinoitwa chete nachiremba, maererano nemufananidzo wechirwere chechirwere chaanogona kuona mumurwere.

Kupindira kwekuvhiya nemhando ipi neipi yekuisa inoitwa pasi peanesthesia yemunharaunda, iyo inovimbisa kusarwadziswa kwakakwana kwemaitiro emurwere. Nyanzvi yeprosthetics zino rimwe chete rinotora anenge maminitsi makumi matatu paavhareji. Mushure mekudyarwa, x-ray yekutonga yenzvimbo yekusimwa inotorwa, mushure mezvo murwere anogona kusiya kugadzwa kwemazino.

Mushure mezvo, murwere anofanira kushanyira chiremba wemazino anodyara uyo akaita kuiswa kuitira kuti abvise sutures uye zvakare kutora x-ray yenzvimbo yakakanganiswa nekurapa, pamwe nemwedzi mishoma mushure mekusimwa, kuitira kuti aise titanium screw - gum shaper inopa contours korona yeramangwana. Uye, pakupedzisira, pakushanya kwechitatu, pachinzvimbo chemuumbi, abutment inoiswa mune chingamu, iyo inoshanda serutsigiro rwesimbi-ceramic korona mune ramangwana.

Mwedzi 3-6 mushure mekusimwa, murwere anopihwa prosthetics yezino rakaiswa. Iyi nhanho, iyo inogona kutora mwedzi 1 paavhareji, inosanganisira kutora fungidziro yeshaya dzemurwere, kugadzirwa kwerabhoritari yechimiro chemapfupa emhando yakatenderwa, kurongedza prosthesis nekuiisa mumuromo wemuromo, uye kugadzirisa kwekupedzisira kwe chimiro mumuromo wemuromo.

Hupenyu hwesevhisi yemazino anodyarwa zvakanyanya zvinoenderana nekuti nekuchenjerera sei murwere pachake acharamba achitarisa mamiriro emumuromo mhango. Uye, zvechokwadi, zvakakosha kushanyira chiremba wemazino nguva dzose kuitira kuti chiremba anogona kuzvimiririra kutarisa kuchinja kwese kunoitika mumurwere panguva yekupfeka chimiro.

Zvinokurudzirwa nevarwere

Kana mazino abviswa, shanduko dzisingachinjiki dzinoitika mumuromo wemunhu. Kana chero mazino emazino akabviswa uye asina kudzorerwa, ipapo kutyora kwekuvhara kweshaya kunotanga, izvo zvinowanzotungamirira ku periodontal chirwere mune ramangwana. Panewo kubviswa kwemazino mukati meshaya - mamwe mazino anoenda mberi (mazino pamberi pechikwata chakabviswa), uye vamwe vanotanga kuedza kutora nzvimbo yezino rakabviswa. Nokudaro, pane kukanganisa kwehutano hwezino mumuromo wemunhu. Izvi zvinogona kutungamira kuti zvimedu zvekudya zvigare zvakanamira pakati pemeno, kukura kwecaries kana gingivitis.

Zvakare, kurerekera kwezvikamu zvekutsenga zvemumuromo mhango kunotungamirira kune kuwandisa kwematishu akakomberedza mazino asara, pamwe nekudzikira kwekurumwa kureba uye kutamiswa kweakasara mazino emazino mberi nerushaya. Izvi zvakazara nenyaya yekuti mazino epamberi anogona kutanga kupatsanurwa muchimiro chakafanana nefani, kusunungura. Zvose izvi, imwe nzira kana imwe, zvinomutsa kufa nokukurumidza kwepfupa remazino. Ndicho chikonzero, kana uchibvisa mazino, iwe unofanirwa kunyatso taura nachiremba wemazino akanaka wekudyara kuitira nguva yekudzoreredza zvese zvinodiwa zvemukati wemuromo uye kuchengetedza chaiyo kutsenga basa remazino ese.