Urwego rwohejuru rwa ortodontike Bracket Abakora: Ibipimo ngenderwaho & Ikizamini

Imyitozo ya orotodogisi igira uruhare runini mu kuvura amenyo, bigatuma ubuziranenge n'umutekano byambere. Uruganda rwo mu rwego rwohejuru rwimyitozo ngororamubiri yubahiriza ibipimo bifatika kandi bigerageza protocole kugirango ibicuruzwa byabo byuzuze ibisabwa kwa muganga. Uburyo bukomeye bwo kwipimisha, nkisesengura ryibarurishamibare ukoresheje SPSS nubushake-bwo-gusuzuma-isuzuma, byongera ubwizerwe bwibicuruzwa. Izi ngamba ntabwo zitezimbere umutekano wumurwayi gusa ahubwo inatanga imikorere ihamye, amaherezo iganisha kumusubizo mwiza. Mugushira imbere kubahiriza no guhanga udushya, ababikora batanga umusanzu mugutezimbere ubuvuzi bwimikorere.

Ibyingenzi

• Imyitozo myiza ya ortodontique ifasha kuvura amenyo no kurinda abarwayi umutekano. Tora utwugarizo twakozwe namasosiyete akurikiza amategeko akomeye.
• Utwugarizo, nka ceramic cyangwa ibyuma, bifite ibyiza bitandukanye. Hitamo ukurikije ibyo ukeneye, amafaranga, nuburyo basa.
• Igeragezwa rikomeye ryemeza neza ko imirongo imara gukoreshwa buri munsi. Shakisha abakora ibizamini byimbaraga numutekano hamwe numubiri.
• Gukurikiza amategeko, nka ANSI / ADA, byemeza umutekano nicyizere. Koresha abakora ibyemezo kugirango ubone ibikenewe.
• Kugira amenyo asukuye bifasha imitwe ya ceramic kumara igihe kirekire. Irinde ibiryo n'ibinyobwa bishobora kubanduza.

Gusobanukirwa Imyandikire ya orotodogisi

Imyandikire ya orotodogisi ni iki?

Uruhare rwabo mu guhuza amenyo no kuzamura ubuzima bwo mu kanwa.

Imyitozo ya orotodogisi ikora nkibintu byingenzi mu kuvura amenyo agamije gukosora amenyo adahuye no kuzamura ubuzima bwo mu kanwa. Ibi bikoresho bito, bifatanye hejuru y amenyo, bikora nk'imigozi y'insinga za ortodontique. Mugukoresha igitutu gihoraho, bayobora amenyo mumwanya bifuza mugihe. Ubu buryo ntabwo bwongera ubwiza bwubwiza bwumurwayi wumurwayi ahubwo binakemura ibibazo byakazi nko guhuza kurumwa no kutagira urwasaya. Amenyo ahujwe neza agira uruhare mu kugira isuku yo mu kanwa kugabanya ibyago byo kurwara no kurwara amenyo, kuko byoroshye kuyasukura.

• Imyandikire ya orotodogisi yagiye ihinduka cyane kuva ibishushanyo mbonera byatangijwe na Edward Hartley Angle.
• Iterambere rigezweho, harimokwishyirirahona ceramic brackets, tanga inyungu zakazi hamwe nuburanga.
• Tekinoroji nka 3D yerekana amashusho hamwe nibisobanuro bya digitale byarushijeho kunoza neza no guhumurizwa kwa ortodontique.

Ubwoko bwimyenda ikoreshwa muri ortodontike.

Imyandikire ya ortodontike ije muburyo butandukanye, buri cyashizweho kugirango gikemure abarwayi bakeneye. Muri byo harimo:

Guhitamo bracket biterwa nibintu nkimyaka yumurwayi, intego zo kuvura, na bije. Kurugero, imitwe ya ceramic irazwi mubantu bakuru bashaka amahitamo yubwenge, mugihe imirongo yicyuma ikomeza guhitamo kwizerwa kuramba no gukora neza.

Impamvu Ubwiza Bwingenzi

Ingaruka zubuziranenge bwibintu kubitsinzi.

Ubwiza bwibikoresho bikoreshwa mu mvugo ya ortodontike bigira ingaruka ku buryo bwo kuvura. Imirongo yo mu rwego rwohejuru itanga imikorere ihamye mugukomeza uburinganire bwimiterere munsi yimbaraga zashyizwe mugihe cyo guhindura imitekerereze. Ibikoresho nkibyuma bidafite ingese na titanium bikoreshwa cyane kubera imbaraga zabo no kurwanya ruswa. Utubumbe twa Ceramic, nubwo dushimishije muburyo bwiza, bisaba ubuhanga buhanitse bwo gukora kugirango buringanize igihe kirekire hamwe nubwiza bugaragara.

Igishushanyo mbonera cya ortodontique gikubiyemo ibintu byinshi nka U-shingiro U na alpha-beta inguni kugirango ihindure neza kandi ihuze. Udushya twerekana akamaro k'ubuziranenge bwibintu mugushikira ibisubizo byiza.

Ingaruka zijyanye nibisobanuro bitujuje ubuziranenge.

Utwugarizo twujuje ubuziranenge dutera ingaruka zikomeye kubarwayi ndetse naba ortodontiste. Ibikoresho bitujuje ubuziranenge birashobora kwangirika cyangwa kuvunika mukibazo, biganisha ku gutinda kwivuza nibiciro byinyongera. Rimwe na rimwe, birashobora gutera ingaruka mbi, nka allergie cyangwa kurakara ingirangingo. Ibi bibazo ntabwo bihungabanya umutekano w’abarwayi gusa ahubwo binatesha agaciro kwizerwa ryabakora imitekerereze ya ortodontique. Kugenzura iyubahirizwa ry’inganda bigabanya izo ngaruka kandi bigatera ikizere abahanga mu kuvura amenyo.

Ibipimo ngenderwaho mubikorwa bya ortodontike

Ibipimo ngenderwaho by'inganda

Incamake ya ANSI / ADA Igipimo No 100

Uruganda rukora imitwe ya ortodontike barubahirizaANSI / ADA Igipimo No 100kwemeza ibicuruzwa byabo byujuje ubuziranenge bukomeye. Ibipimo ngenderwaho byerekana ibisabwa kuri orthodontic bracket na tubes, harimo ibipimo bikora, gusohora ion ya chimique, hamwe nibipfunyika. Itanga kandi uburyo burambuye bwo gupima gusuzuma imikorere yibicuruzwa. Mugukurikiza iyi ngingo ngenderwaho, abayikora bemeza ko imitwe yabo ifite umutekano, iramba, kandi ikora neza mugukoresha amavuriro.

ISO 27020: 2019 n'akamaro kayo

ISO 27020: 2019, yemejwe nka ANSI / ADA Igipimo No 100, ni umurongo ngenderwaho wemewe ku isi yose ku myandikire ya ortodontique. Ishimangira ibinyabuzima, kurwanya ruswa, n'imbaraga za mashini. Kubahiriza ibipimo ngenderwaho byemeza ko utwugarizo dukora neza mugihe kitoroshye cyibidukikije. Inganda zujuje ISO 27020: 2019 zigaragaza ubushake bwo gukora ibicuruzwa byiza bya ortodontique.

Ibyangombwa Byibanze

Biocompatibilité kumutekano wumurwayi

Biocompatibilité nikintu gikomeye gisabwa kuri orthodontique. Ibikoresho ntibigomba gutera ingaruka mbi cyangwa kwangiza ingirangingo. Imitwe ya Titanium, nkurugero, yerekana biocompatibilité nziza hamwe no guterana hasi, byongera imikorere yinyo. Ifumbire ya silver platine nayo itanga imiti ya antibacterial, igabanya ibyago byo gukura kwa biofilm kubarwayi bafite ubuzima bubi bwo mu kanwa.

Kurwanya ruswa no kuramba

Imyitozo ya orotodogisi igomba kwihanganira ingaruka zibora zamacandwe, ibiryo bya fluor, na dentifrices ya acide. Titanium hamwe nicyuma kitagira umuyonga cyiza cyane mukurwanya ruswa, kugumana ubusugire bwimiterere mugihe. Uku kuramba kwemeza imikorere ihamye mugihe cyo kuvura, bigabanya ingaruka zo kunanirwa.

Ibikoresho Rusange Byakoreshejwe

Ibyuma bitagira umwanda, titanium, na ceramic

Uruganda rwa orotodontike rusanzwe rukoresha ibyuma bitagira umwanda, titanium, na ceramic kubera imiterere yihariye. Ibyuma bitagira umwanda bitanga ubushobozi kandi biramba, mugihe titanium itanga biocompatibilité isumba izindi. Ku rundi ruhande, imitwe ya Ceramic, ihabwa agaciro kubera ubwiza bwabo.

Ibyiza n'ibibi bya buri kintu

Buri bikoresho bitanga inyungu zitandukanye, zemerera ortodontiste guhitamo uburyo bwiza bushingiye kubyo abarwayi bakeneye hamwe nintego zo kuvura.

Uburyo bwo Kwipimisha Byakoreshejwe na Ortodontic Bracket Manufacturers

Ikizamini Kuramba

Kwipimisha umunaniro numunaniro imbaraga zumukanishi.

Imyitozo ya ortodontike yihanganira imbaraga zikomeye mugihe cyo kuvura. Ababikora bakora ibizamini numunaniro kugirango basuzume imbaraga zabo. Ibi bizamini bigereranya imbaraga zisubiramo imirongo yuburambe kuva guhekenya no guhindura imitekerereze. Mugukoresha urwego rwimyitwarire igenzurwa, abayikora basuzuma ubushobozi bwimitwe yo gukomeza ubusugire bwimiterere mugihe. Ibi byemeza ko utwugarizo dushobora kwihanganira ibyifuzo byo gukoresha burimunsi bitavunitse cyangwa ngo bihindurwe.

Kwemeza kuramba, ababikora bakurikiza protocole ikomeye. Kurugero, kugenzura ibigeragezo byanditse ibintu bibi kuva murwego rwo guhuza kugeza kurwego rwo gutangira. Iyi nzira iremeza kubahiriza amahame yumutekano kandi ikanagaragaza intege nke zishobora kuba mumutwe. Kwemeza imyitwarire hamwe nuburyo bwo gucunga amakuru byongera ubwizerwe bwibi bizamini, byemeza ko ibisubizo bihuye namahame meza yubuvuzi bwiza.

Gusuzuma ukurwanya kwambara no kurira.

Kwipimisha no kurira bipima uburyo utwugarizo dukora mugihe kirekire uhura nubushyamirane nizindi mbaraga za mashini. Ibi birimo gusuzuma imikoranire hagati yinyuguti ninsinga za ortodontique, zishobora gutera buhoro buhoro ibintu. Uruganda rwohejuru rwimikorere ya orthodontique rukoresha ibikoresho bigezweho kugirango bigane ibi bihe, barebe ko ibicuruzwa byabo bikomeza gukora mugihe cyo kuvura. Imikorere ihamye igabanya ibyago byo gutinda kwivuza kandi byongera kunyurwa kwabarwayi.

Ikizamini cyibinyabuzima

Kugenzura niba ibikoresho bifite umutekano ku ngingo zo mu kanwa.

Igeragezwa rya biocompatibilité ryemeza ko ibikoresho bikoreshwa mumutwe wa ortodontique bitangiza inyama zo mu kanwa. Ababikora bapima cytotoxicity, isuzuma niba ibikoresho birekura ibintu byangiza. Iyi ntambwe ningirakamaro kumutekano wumurwayi, nkuko utwugarizo dukomeza guhura nuduce two mu kanwa igihe kinini. Titanium hamwe nibyuma bidafite ingese akenshi bitwara neza muri ibyo bizamini kubera ko byagaragaye ko bihuye nuduce twabantu.

Kwipimisha kubishobora kuba allergique.

Imyitwarire ya allergique kubikoresho byingirakamaro irashobora gutera ikibazo no kuvurwa kubangamira. Ababikora bakora ibizamini bya allergique kugirango bamenye ingaruka zishobora kubaho. Ibi bizamini birimo kwerekana ibikoresho kumiterere yiminwa no kugenzura ingaruka mbi. Mugushira imbere biocompatibilité, abayikora bareba neza ko imitwe yabo yujuje ubuziranenge bwumutekano muke, bikagabanya ibisubizo bya allergique.

Kwipimisha Kurwanya Ruswa

Kwigana umunwa kugirango ugerageze gutesha agaciro.

Ibidukikije byo mu kanwa byerekana amacandwe ku macandwe, uduce twibiryo, no guhindagurika kwa pH. Igeragezwa ryo kurwanya ruswa ryigana ibi bintu kugirango harebwe uburyo imitwe irwanya kwangirika. Ababikora bashira utwugarizo mubisubizo bigana amacandwe nibidukikije bya acide, bakareba imikorere yabo mugihe. Iyi nzira iremeza ko utwugarizo tugumana ubusugire bwimiterere kandi nturekure ion zangiza mumunwa.

Akamaro ko gukomeza ubusugire bwimiterere.

Ruswa irashobora guca intege imirongo, biganisha ku kuvunika cyangwa kunanirwa kuvura. Mugupima kurwanya ruswa, abayikora bemeza ko ibicuruzwa byabo bikomeza kuramba kandi byizewe. Iki kizamini kandi gifasha ortodontiste gukomeza kwigirira ikizere mumikorere yinyuguti, bigira uruhare mubisubizo byubuvuzi.

Kwipimisha Ubwiza bwa Ceramic Brackets

Gusuzuma ibara rihamye mugihe

Utubumbe twa ceramic turazwi cyane kubwiza bwiza, ariko kugumana amabara yabo ni ngombwa kugirango banyuzwe. Ababikora bakora ibizamini bikomeye kugirango basuzume uburyo utwo dusimba tugumana igicucu cyumwimerere mugihe. Ibi bizamini akenshi bikubiyemo gushyiramo utwugarizo kumiterere yiminwa, nkubushyuhe butandukanye nubunini bwa pH, kugirango bigane ibidukikije mumunwa. Mugusesengura ibisubizo, ababikora bemeza ko ibicuruzwa byabo byujuje ubuziranenge bwo hejuru bwamabara.

Spectrophotometrie ifatwa nkibipimo bya zahabu yo gusuzuma impinduka zamabara mumutwe. Ubu buryo bupima itandukaniro ryibonekeje ryibara rishobora kutagaragara kumaso. Ariko, ifite aho igarukira, nkubushobozi buke bwo kubara kubitekerezo bifatika. Kugira ngo iki kibazo gikemuke, ababikora bashiraho ibipimo byerekana uburyo bwo kwemerwa no kwemerwa, bakemeza ko impinduka zose ziguma mu mbibi zemewe.

Kurwanya kwanduza ibiryo n'ibinyobwa

Kwanduza ni impungenge zisanzwe kubarwayi bakoresheje imirongo ya ceramic. Ibiribwa n'ibinyobwa nka kawa, icyayi, na vino itukura birashobora gutera ibara mugihe. Kugira ngo iki kibazo gikemuke, abahinguzi bapima imitwe yabo kugirango barwanye kwanduzwa no kubashiramo ibintu byangiza ibintu mugihe cyagenwe. Ibi bizamini bigereranya ibintu byabayeho kwisi, bituma ababikora basuzuma uburyo ibicuruzwa byabo bihanganira guhura nibintu bisanzwe.

Utubuto twiza cyane twa ceramic twinshi twerekana ibintu byateye imbere cyangwa kuvura hejuru byongera imbaraga zo kurwanya irangi. Ibi bishya bifasha kugumya gushimangira ubwiza bwimyitozo mugihe cyo kuvura. Mugushira imbere kurwanya ikizinga, abayikora bareba neza ko abarwayi bashobora kwishimira ibyiza byububiko bwubutaka butabangamiye isura.

Inama: Abarwayi barashobora kugabanya kwanduza kubungabunga isuku yo mu kanwa no kwirinda ibiryo n'ibinyobwa bizwi ko bitera ibara.

Akamaro ko kubahiriza ibipimo ngenderwaho

Guharanira umutekano w'abarwayi

Uburyo kubahiriza bigabanya ingaruka ziterwa ningaruka mbi.

Abakora imitwe ya orotodogisi bashyira imbere kubahiriza ibipimo bifatika kugirango bagabanye ingaruka ku barwayi. Utwugarizo twiza cyane twipimisha cyane kugirango turekure ibintu byangiza cyangwa ngo bitere uburakari kumubiri. Ibikoresho nka titanium nicyuma bidafite ingese bikoreshwa cyane kubera biocompatibilité byagaragaye. Mu gukurikiza umurongo ngenderwaho washyizweho, abayikora bagabanya amahirwe yo guterwa na allergique nizindi ngaruka mbi, bigatuma abarwayi bafite uburambe bwo kuvura abarwayi.

Icyitonderwa: Igeragezwa ryibinyabuzima rifite uruhare runini mukumenya ingaruka zishobora kubaho mbere yuko ibicuruzwa bigera ku isoko. Ubu buryo bugaragara burinda ubuzima bwumurwayi kandi bushimangira ikizere mubicuruzwa bya ortodontique.

Uruhare rwo kwipimisha mukumenya ingaruka zishobora kubaho.

Kwipimisha protocole bifasha abayikora kumenya no gukemura ingaruka zishobora guterwa mumutwe. Kurugero, ibizamini byo kurwanya ruswa bigereranya imiterere yiminwa kugirango harebwe uburyo ibikoresho bikora mugihe. Ibi bizamini byemeza ko imitwe ikomeza uburinganire bwimiterere kandi ntibitesha agaciro, bishobora gutera ibibazo. Mu kumenya intege nke hakiri kare, abayikora barashobora gutunganya ibicuruzwa byabo kugirango byuzuze amahame akomeye yumutekano, amaherezo bikazamura umusaruro w’abarwayi.

Kuzamura ibicuruzwa byizewe

Ukuntu ibizamini bikomeye byemeza imikorere ihamye.

Imikorere ihamye ningirakamaro muburyo bwiza bwo kuvura. Igeragezwa rikomeye ryemeza ko imitwe ishobora kwihanganira imbaraga za mashini zikoreshwa mugihe cyo guhindura no gukora ibikorwa bya buri munsi nko guhekenya. Ibizamini bya Stress n'umunaniro bisuzuma igihe kirekire, byemeza ubushobozi bwabo bwo gukomeza imikorere mugihe cyo kuvura. Imirongo yizewe itezimbere tekinike yo gushyira hamwe no kongera uburyo bwo kuvura, biganisha ku guhaza abarwayi neza.

Ingaruka zingirakamaro zizewe kubisubizo byubuvuzi.

Imirongo yizewe igira ingaruka itaziguye yo gutsinda. Icyitonderwa mugushira kumurongo hamwe nubunini busanzwe bwerekana uruhare muburyo bwiza bwo guhuza no gukosora. Ubushakashatsi bwerekana ko ubunini bwahantu butandukanye, nka 0.018-santimetero na 0.022-santimetero, bishobora kugira ingaruka kumiti no kumiterere. Utwugarizo twizewe tworohereza izi nzira, tunoza ibisubizo rusange kubarwayi.

Kubaka Icyizere hamwe ninzobere mu menyo

Kuki ortodontiste ikunda ababikora byemewe.

Inzobere mu kuvura amenyo zigenda zihitamo abakora imitekerereze ya ortodontike yemewe kubera ubwitange bwabo bwiza no guhanga udushya. Inganda zemewe zihuza no gushimangira ubuvuzi bushingiye ku barwayi batanga ibisubizo bigezweho byongera umusaruro. Iyi myumvire iragaragaza ikoreshwa rya tekinoroji igezweho mu mavuriro y’amenyo, agamije kunoza uburambe bw’abarwayi no kunyurwa.

Uruhare rwimpamyabumenyi mugushiraho ikizere.

Impamyabumenyi ikora nk'ikimenyetso cyo kwizerwa kubakora ortodontic bracket. Bagaragaza kubahiriza amahame yinganda nubwitange bwo gukora ibicuruzwa byizewe, byizewe. Abatanga ubuvuzi bakunze gukorana nababikora bemewe kugirango bahuze imiti ya ortodontike muri serivisi zabo. Ubu bufatanye bugaragaza akamaro k'impamyabumenyi mu kwizerana no kwita ku buvuzi bwiza.

Ibipimo ngenderwaho hamwe nigeragezwa rikomeye nizo nkingi zifatizo zizewe. Iyi myitozo irinda umutekano w’abarwayi, kuzamura ibicuruzwa biramba, no kunoza ibisubizo by’ubuvuzi. Mugushira imbere kubahiriza, abakora imitekerereze ya ortodontique batanga ibicuruzwa byujuje ibyifuzo byubuvuzi kandi bigatera ikizere mubashinzwe amenyo.

Imigendekere yamateka mubikorwa bifatika irashimangira akamaro ko guhitamo imirongo myiza.

• Utwugarizo twicyuma dukomeza guhitamo ikiguzi kandi cyiza kubantu benshi ba ortodontiste.
• Utubumbe twa Ceramic twita kubarwayi bashaka ibisubizo byiza.
• Kwishyiriraho ibice bitanga imikorere igezweho hamwe no kugabanya intebe kuruhande.

Abarwayi ninzobere bagomba gushyira imbere ababikora bubahiriza aya mahame. Ibi bitanga ibisubizo byiza, umutekano, no kunyurwa mugihe cyo kuvura imitekerereze.

Ibibazo

Niki gituma imitwe ya orthodontique ibangikanya?

Biocompatibilité yemeza koImyandikirentukagirire nabi umunwa cyangwa ngo utere allergique. Ababikora bakoresha ibikoresho nka titanium nicyuma kitagira umwanda, bigaragaye ko bifite umutekano mukumara igihe kinini mumubiri wumuntu. Kwipimisha biocompatibilité bikomeza kurinda umutekano w'abarwayi.

Nigute ababikora bagerageza kuramba kwimyitozo ngororamubiri?

Ababikora bakora ibizamini byumunaniro numunaniro kugirango basuzume imbaraga zubukorikori. Ibi bizamini bigereranya imbaraga zo guhekenya no guhindura imitekerereze, kwemeza ko imitwe igumana ubusugire bwimiterere yabyo mugihe cyo kuvura. Iyi nzira itanga imikorere yizewe ikoreshwa buri munsi.

Ni ukubera iki kurwanya ruswa ari ingenzi mu myandikire?

Kurwanya ruswa birinda imitwe kwangirika mubidukikije byo mu kanwa, birimo amacandwe, uduce duto twibiryo, hamwe nihindagurika rya pH. Ibikoresho nkibyuma bidafite ingese na titanium birwanya kwangirika, bikaramba kandi bikarinda ion kwangiza mumunwa.

Ni izihe nyungu zo gutobora ceramic?

Utubumbe twa Ceramictanga ibyiza byuburanga bitewe nuburyo bugaragara, buvanze namenyo karemano. Barwanya kwanduza iyo bikozwe neza kandi bipimwe. Utu dusanduku nibyiza kubarwayi bashaka ibisubizo byubwenge bitabujije imikorere.

Nigute ibyemezo bigira ingaruka kumyizerere ya orthodontique?

Impamyabumenyi, nko kubahiriza ISO 27020: 2019, yerekana ubushake bwakozwe nuwabikoze kubwiza n'umutekano. Inganda zemewe zubahiriza amahame akomeye yinganda, zemeza ko ibicuruzwa byabo byujuje ibyangombwa byubuvuzi. Ibi byubaka ikizere mubakora umwuga w'amenyo n'abarwayi.