Semwana mudiki, kuva nezino riri kufamba zvakajairika: zino recheche rinofanira kuwira kunze kuti rekupedzisira rikure uye rinotora nzvimbo yaro. Muvanhu vakuru, kune rimwe divi, zino rakasununguka chiratidzo chekunyevera icho chisingafanirwe kutorwa zvishoma.

Kana uchikwesha kana kudzvanywa nemunwe, zino harichagadzikane.

Kana rikabuda, zino rinoonekwa rakareba uye mudzi waro unogona kuoneka pamusoro pechingamu chadzokeresa. Hazvishamise kuona kubuda ropa kana uchikwesha mazino. Mune advanced periodontitis, homwe dzakatapukirwa dzinogona kuumba pakati pegum tishu uye nechepamusoro pezino mudzi.

Periodontal chirwere

Pasina kukwesha mazino nguva dzose, mabhakitiriya anobva mumarara ezvekudya anoburitsa muchetura unogadzira mazino, ayo anozoguma aumba tartar. Iyi tartar, kana ikasabviswa nguva dzose, ine njodzi yekurwisa chingamu uye ichikonzera gingivitis. Iyo chingamu inobva yazvimba, kutsvuka kwakasviba uye kubuda ropa kana padiki padiki pekusangana. Kuruboshwe kusarapwa, gingivitis inogona kufambira mberi kune periodontitis. Iko kuzvimba kwe periodontium, ndiko kuti, anotsigira matukisi ezino akaumbwa nealveolar bone, chingamu, iyo cementum uye alveolar-dental ligament. Periodontitis inogona kukanganisa zino rimwe chete kana akati wandei, kana kunyangwe dentition yese. Kana ikasarapwa nenguva, mazino anotanga kufamba zvishoma nezvishoma uye kune kudzikira kwegiingival: zino rinonzi "sununguka". Kusununguka uku kunogona kukonzera kurasikirwa kwemazino.

Zvinhu zvinoverengeka zvinogona kubatsira pakuonekwa kwe periodontitis: mamwe majini, kusvuta, hutachiona, kudya kwakashata, doro, kutora mimwe mishonga, nhumbu, kupfeka chishandiso chemazino, nezvimwewo. chirwere cheshuga.

Bruxism

Ichi chirwere, chinokanganisa gumi kusvika gumi neshanu muzana yevagari vemuFrance, chinozviratidza pamwe nekugeda-geda kwemazino epasi kurwisa iwo ari kumusoro kana munhu asingatsenga, kana nekumomesa shaya, kunyanya husiku. Bruxism inogona kukonzera kupfeka, kusunungura kana kutsemuka kwemeno, pamwe nekurasikirwa kwemazino tishu (enamel, dentin uye pulp).

Kushungurudzika kune zino

Kutevera kuvhunduka kana kudonha pazino, inogona kunge yakachinja kana kuita nhare. Isu tinosiyanisa:

• kutadza kuzadza kana kusabuditsa pasi: zino ratama pasoketi (pfupa mhango) uye rinofamba;
• kutsemuka kwemudzi: mudzi wezino wasvika;
• alveolodental kutsemuka: rinotsigira pfupa rezino rinokanganiswa, zvichikonzera kufamba kwebhokisi remazino akati wandei.

X-ray yemazino inofanirwa kuongororwa.

Kurapa kweOrthodontic

Kurapa kweOrthodontic ine simba rakanyanya uye nekukurumidza kunonoka pazino kunogona kushayisa simba mudzi.

Kurasikirwa nezino

Pasina kurapwa kwakakodzera kana rutsigiro, zino rakasununguka kana rakasununguka riri panjodzi yekudonha. Pamusoro pekukuvara kwekuzora, zino risina kuiswazve rinogona kutungamira kumatambudziko akasiyana siyana. Zino rimwe chete rakashaikwa rakakwana kukonzera kutama kana kusakara kusakara kwemamwe mazino, matambudziko echingamu, kusagadzikana kwekugaya nekuda kwekusakwana kwekutsenga, asiwo njodzi yekudonha. Muvanhu vakura, kurasikirwa kwezino pasina chinotsiva kana chakaipa-chisina kukwana kunosimudzira kusagadzikana, nekuti mubatanidzwa wesaya unobatsira kuchengetedza mwero.

Njodzi dzese dze periodontitis

Kusarapwa, periodontitis inogona kuve nemhedzisiro pane hutano huzhinji:

• njodzi yekutapukirwa: panguva yechirwere chemazino, utachiona hunogona kupararira muropa uye hunosvika kune dzakasiyana nhengo (moyo, itsvo, majoini, nezvimwewo);
• njodzi yekuwedzera chirwere cheshuga;
• njodzi yakawedzera yehutano hwemwoyo;
• njodzi yekutakura nguva isati yakwana muvakadzi vane nhumbu.

Kurapa kwe periodontitis

Kurapa kunoenderana nekuti kufutisa kuri kumberi sei. Mushure mekurapa utachiona hwakanangana nekuchenesa mukanwa, kuchenesa kwakakwana kwemazino, midzi yawo uye maramu kunoitwa kuitira kubvisa zvachose mabhakitiriya netartar pameno uye munzvimbo dzekupindirana. Mukuvapo kwemahombekombe epanguvaonti, kuongororwa kwehomwe kuchaitwa. Isu tinotaura nezve midzi kuronga. Mishonga inorwisa mabhakitiriya inogona kupihwa.

Kana chirwere chenguva yepamusoro chichifambira mberi, kurapwa kune nguva yekuvhiya kunogona kudikanwa ne, zvichienderana nemamiriro ezvinhu, kuzadzikiswa kwesanapizing mbama, kuzadza kwemapfupa kana kumutsiridzwa kwetishu.

Kurapa kwebruxism

Chaizvoizvo kutaura, hapana kurapwa kwe bruxism. Zvisinei, njodzi yekupfeka mazino inogona kudzivirirwa, semuenzaniso nekupfeka orthoses (splints) husiku.

Maitiro ekuzvibata kushushikana inokurudzirwa zvakare, sezvo iri imwe yezvinhu zvinozivikanwa zvebruxism.

Zino rinofamba mushure mekutambudzika

Mushure mekuvhunduka, zvinokurudzirwa kuti usabata zino uye kubvunza chiremba wezino pasina kunonoka. Tsigiro inoenderana nemamiriro ezvinhu:

• muchiitiko chekukanganisa kusakwana, zino rinomiswazve uye rekuchengetedza panzvimbo, nekubatana nemazino ari padyo. Kana zvichidikanwa, orthodontic traction ichaiswa munzvimbo kuitira kunyatsoisa zino;
• muchiitiko chekutsemuka kwemidzi, manejimendi anoenderana nenzvimbo yemutsetse wekutsemuka, uchiziva kuti iyo yakadzika midzi kutyora, kunyanya kuchengetedza kwezino kunokanganiswa. Zvekutsemuka kweanosvika maviri-matatu, kuyedza kuponesa zino kunogona kuitwa uchishandisa endodontic kurapwa nehydroxyapatite kuporesa kutsemuka:
• mune chiitiko cheAlveolodental fracture: kuderedzwa uye kudzora kwenhare yemazino unit inoitwa.

Muzviitiko zvese, kungwarira uye kwenguva refu kuongororwa kwezino kunokosha. Shanduko muvara kunyanya inoratidza kudzikisira zino.

Tsiva zino

Kana iro zino rakazodonha kunze, pane nzira dzinoverengeka dzekuritsiva.

• bhiriji remazino rinoita kuti zvikwanise kutsiva rimwe kana anopfuura mazino asipo. Inobatanidza zino rimwe kune rimwe zino uye nokudaro inozadza nzvimbo yakasiyiwa isina chinhu pakati pezviviri;
• kuiswa kwemazino chinhu chakagadzirwa titanium mudzi wakaisirwa mupfupa. Inogona kugadzirisa korona, zambuko kana bvisika reprosthesis. Kana pfupa risina kurema zvakakwana kuti riise iyo sikuruu, kubatanidzwa kwepfupa kunokosha;
• chishandiso chinobviswa kana mazino akati wandei akashayikwa, kana pasina meno ekubvisa ekuisa zambuko kana kana iyo yekumisikidza isingakwanise kana inodhura.

dziviriro

Hutsanana hwemazino ndiyo yakakosha axis yekudzivirira. Heino mitemo mikuru:

• kugara uchikwesha mazino, kaviri pazuva, kwemaminetsi maviri, kuti ubvise mabwe emazino;
• kupururudza zuva nezuva husiku hwoga hwoga kuti ubvise chidimbu chinosara pakati pemazino uye chisingakwanise kubviswa nekugeza mazino;
• kushanya kwegore negore kuna chiremba wemazino kunoongororwa mazino uye kuwedzera.

Zvinokurudzirwa zvakare kurega kuputa.