Ni gute wakwirinda ko Bracket Bond inanirwa mu gihe cyo kuvura orthodontics?

Intangiriro

Kunanirwa kw'imigozi y'amenyo ni ikintu kirenze guhagarara gato mu kwita ku menyo: bishobora gutinza ihindagurika ry'amenyo, kongera ingendo zihutirwa, no kongera igihe cyo kuyavura. Kuyirinda bisaba kwita ku buryo bwo kuvura ndetse n'uburyo bwo gufata amenyo bukoreshwa kuri buri ntambwe, kuva ku gutegura amenyo no kugenzura ubushuhe kugeza ku gushyira amashami no kuyavura. Iyi nkuru isobanura impamvu nyamukuru zitera kunanirwa kw'imigozi, igipimo cy'ibipimo bigaragaza ikibazo, hamwe n'ingamba zifatika zo kunoza uburyo amenyo agumana mu myitozo ya buri munsi. Mu mpera, abasomyi bazaba bafite uburyo busobanutse bwo kugabanya kunanirwa, kurinda imikorere myiza y'ubuvuzi, no kunoza umusaruro w'abarwayi.

Kunanirwa kwa Bracket Bond ni iki kandi kuki ari ingenzi?

Gufata neza amenyo mu buryo bwizewe ni ingenzi mu gutuma ubuvuzi bugezweho bwo kuvura amenyo bugenda neza kandi bugatera imbere. Iyo amenyo acitse ku rundi ruhande mbere y’igihe, bibangamira imbaraga za biomechanical zikenewe kugira ngo amenyo agende neza, bigatuma ingaruka z’ubuvuzi zigabanuka ndetse n’igihe cyo kuyavura kigabanuka.

Mu rwego rw'ubuvuzi rucungwa neza, igipimo cyemewe na bose cy'uko umubare w'abafata imiti mu buryo busanzwe uri hagati ya 5% na 10%. Kurenga iki gipimo bigaragaza inenge mu guhitamo ibikoresho, uburyo bwo kuvura, cyangwa imicungire y'abarwayi. Gusobanukirwa imiterere y'iki kibazo ni intambwe ya mbere yo gushyira mu bikorwa amabwiriza yo gukosora.

Impamvu gucika intege kw'imigozi yo mu gitereko byongera igihe cyo kwicara ku ntebe

Ingaruka zihuse zo kwangirika kw'imigozi y'amasashe ni ukwiyongera gukomeye kw'igihe cy'intebe kitagenwe. Gusimbuza agasashe kamwe bisaba gukuraho ibisigazwa by'amasashe, kongera gukaraba, gutandukanya, gukata, gukata, no kongera gushyira agasashe gashya mu mwanya wabyo. Ubusanzwe uru rukurikirane rumara iminota 10 kugeza kuri 15 y'igihe cyo kwa muganga.

Uretse guhagarara kw'inama ako kanya, ibibazo by'imibanire bitakemutse bihita bivamo igihe kirekire cyo kuvurwa. Ubushakashatsi bwa muganga bwerekana ko buri gutsindwa kw'imibanire y'abakiriya bishobora kongera igihe cy'ubuvuzi rusange bw'umurwayi mu gihe cy'ukwezi 1 kugeza kuri 2. Ibi ntibigabanya gusa inyungu mu myitozo binyuze mu kongera ikiguzi cy'inyongera ku murwayi, ahubwo binagira ingaruka mbi ku kunyurwa no kubahiriza amategeko y'umurwayi.

Uburyo bwo gusobanura neza ikibazo cy'imigozi y'urukiramende

Kunanirwa kw'imigozi y'amasashe bisobanurwa mu buryo bwa tekiniki nk'ikurwa ry'agasanduku k'amasashe gakozwe mu mashashe gaturutse ku buso bwa enamel mbere y'uko hategurwa icyiciro cyo gukuraho imigozi. Kugira ngo bamenye impamvu nyamukuru, abaganga bagomba gushyira ikibazo mu byiciro bashingiye ku gipimo cy'aho imvune yabereye (ARI), kigaragaza aho imvune yabereye.

Kunanirwa bishobora kubaho ku gice cy’ubukorikori cya enamel (bigaragaza ko kitarimo gushonga neza cyangwa kononekara neza), mu gice cy’ubukorikori ubwacyo (kunanirwa guhurirana, bigaragaza ko ibikoresho bitarakomera neza cyangwa byarangiye), cyangwa ku gice cy’ubukorikori cya bracket-adhesive (bigaragaza ko nta mesh yinjira neza cyangwa kononekara ku gice cy’ibanze). Kugira ngo imikorere myiza ikore neza, imbaraga zo gukata (SBS) zigomba kuba ziri mu cyiciro cyihariye cyo kuvura: Megapascal 6 kugeza kuri 8 (MPa) muri rusange zirakenewe kugira ngo zihangane n’imbaraga zo gukaranga no gukaranga, mu gihe kurenza MPa 14 byongera cyane ibyago byo kuvunika kwa enamel mu gihe cyo gukata ku gihe cyagenwe.

Ni iki gitera bracket bond kunanirwa mu gihe cyo kuvurwa orthodontics

Gutandukanya ibice by'imbere akenshi ntibikunze guterwa n'ikosa rimwe; ubusanzwe ni ikibazo cy'ibintu byinshi kijyanye no gukora ubuvuzi, ubumenyi bw'ibintu, n'ibintu bihinduka ku barwayi. Kumenya impamvu runaka bisaba isuzuma ryimbitse ry'ibidukikije bihuza n'imbaraga zikoreshwa ku gice cy'imbere.

Mu gutandukanya ibintu bitandukanye nko kugenzura ubushuhe, uburyo bwo gufatana, no kwivanga kw'ibintu mu buryo bworoshye, ababikora bashobora kumenya neza aho uburyo bwo guhuza ibintu burimo kwangirika.

Uburyo imiterere y'amazi n'ubushuhe bigira ingaruka ku mbaraga z'imibanire

Imiterere y'ibumba n'ubushuhe ni byo bintu by'ingenzi bigena igihe kirekire cy'ibumba. Kwanduza amacandwe, amaraso, cyangwa amazi yo mu mitsi mu gihe cyo guhuza ni byo bintu bikomeye bituma habaho kwangirika, bishobora kugabanya imbaraga zo guhuza ku kigero cya 30% kugeza kuri 50%. Ndetse n'ubushuhe bwo mu kirere buturuka ku guhumeka kw'umurwayi bushobora kwangiza uburyo icyuma gifatana n'ibumba kidakora neza.

Gutegura enamel nabyo bisaba intsinzi. Uburyo busanzwe bwo gushushanya busaba amasegonda 15 kugeza kuri 30 hamwe na aside phosphoric 37% kugira ngo habeho mikorobe ihagije. Ariko, imiterere idasanzwe ya enamel, nka fluorosis, hypomineralization, cyangwa kuba hari amenyo apfa, birimo ibice bya enamel bidafite prismless birwanya gushushanya bisanzwe, bigasaba igihe kirekire cyo gushushanya cyangwa microabrasion kugira ngo hagerwe ku mbaraga z’ibanze za 6 MPa.

Uburyo igishushanyo mbonera cy'udukingirizo n'uburyo bwo guhitamo kole bigira ingaruka ku gutsindwa

Imiterere y'imiterere y'inkingi y'urukuta igira uruhare runini mu kubika ibyuma. Inkingi za foil-mesh, cyane cyane izikoresha mesh ya gauge ya 80, zitanga ubuso bwiza bwo guhuza kole. Iyo mesh ari nto cyane, ibigize ibyuma bito ntibishobora kwinjira; iyo bikomeye cyane, uburemere bwa kole buragabanuka.

Guhitamo ubwiza bwo hejuruorthodontics ifata neza mu gice cyo hejuru cy'urukutayemeza ko resin ivanze ifite ubukana bukwiye bwo kwinjira mu gice cy’ifatizo mu gihe irwanya gutemba mbere yo gushya. Ibikoresho bifunganye bifite ubunini bwinshi bishobora gutanga imbaraga nyinshi zo gukanda ariko ntibigire ubushobozi bwo gutemba bukenewe kugira ngo bitose umuyoboro w’ifatizo burundu, bigatuma habaho kunanirwa kwinjiza umurongo ufatana n’ifatizo.

Uburyo imyitwarire y'umurwayi n'imbaraga zo kwihisha bigira uruhare

Nubwo haba hari ahantu hatunganye kandi hakozwe neza, imbaraga zo hanze zishobora kurenga isano. Imbaraga zo gukanja mu bice by'inyuma zishobora kurenga byoroshye Newtons 200 kugeza 500. Iyo abarwayi birengagije amabwiriza yo kurya bakarya ibiryo bikomeye, bipfutse, cyangwa bifashe, gukata no gufunga bivamo bituma urwego rw'ubufatane rucika.

Guhagarika amenyo nabyo bigira uruhare runini mu gutuma amenyo ananirwa vuba. Mu gihe umuntu arumwe cyane cyangwa arunzwe cyane, amenyo ashobora kugonga amenyo mashya ashyizwe mu gihe cyo gukora. Iyo amenyo akomeretse cyane arenze urugero rwa 8 MPa rw'umugozi, gutandukana kwayo ntibishoboka keretse iyo amenyo ashyizwe mu mwanya wa turbo cyangwa plaque zo gukurura amenyo.

Ni izihe ngingo zifatana n'amabwiriza yo gufatana bigabanya kunanirwa kw'imigozi ya Bracket

Guhitamo uburyo bukwiye bwo gufata ibintu ni icyemezo cy'ingenzi gitegeka imikorere y'ubuvuzi ndetse n'uburyo bwo kwizerwa bw'imigozi. Isoko ritanga ubwoko butandukanye bw'imiti, buri imwe igamije gukemura ibibazo byihariye by'ubuvuzi nko kugenzura ubushuhe, igihe cyo gukora, no kurinda amenyo.

Iterambere ryaorthodontics ifata neza mu gice cyo hejuru cy'urukutayashyize imbere gushaka uburyo bwo kuringaniza neza hagati yo kugumana imbaraga mu buvuzi no kuvanaho indwara mu buryo bwizewe kandi butekanye mu gihe cyo kurangiza ubuvuzi.

Uburyo bwo kuvura urumuri, kwivura ubwawe, kwivura inshuro ebyiri, n'uburyo bwo gupima ionome y'ikirahure bigereranywa

Resine zikozwe mu buryo bw'urumuri ziracyari nk'ibipimo ngenderwaho mu nganda, zitanga igihe kirekire cyo gukora gitanga umwanya wo gushyira inkingi neza mbere yuko urumuri rw'amasegonda 10 kugeza kuri 20 rukomera. Izi akenshi zitanga imbaraga zikomeye zo gufatanya hagati ya MPa 8 na 10. Kole zikozwe mu buryo bw'umwimerere zishingira ku buryo bw'ibinyabutabire bubiri kandi ahanini zigenewe gufatanya ku buso butari bw'urumuri aho urumuri rudashobora kwinjira, nk'imigozi y'umukara cyangwa amakamba y'icyuma.

Sima ya ionomeri y’ibirahuri yahinduwe na resin (RMGI) itanga inyungu idasanzwe mu bidukikije byangiritse. Kubera ko ikunda amazi, ikora neza kurusha ibivanze mu mirima yakuwemo igice, nko mu miyoboro ya kabiri yacitsemo ibice. Ariko, ubu buryo bwo kwihanganira amazi buza ku giciro gito mu kubika amazi muri rusange, aho RMGI zikunze gutanga SBS iri hasi ya 5 kugeza kuri 7 MPa.

Igihe cyo guhindura intambwe zo gukata, gukata no gusiga

Guhuza bisanzwe bisaba intambwe eshatu zitandukanye: gukata aside, gushyiramo primer ikunda amazi, no gushyiraho kole ikoze mu buryo bufatana. Nubwo ibi bitanga imbaraga nyinshi zo guhuza, birushaho kwanduza amacandwe hagati y’intambwe. Guhindura iyi gahunda hakoreshejwe Self-Etching Primers (SEPs) bihuza intera zo gukata n’izikoreshwa mu gukata, bigabanya cyane idirishya ryo kwanduza ubushuhe.

Mu gihe bakoresha SEPs, abaganga bagomba kwemeza ko urumuri rutanga urumuri ruhagije, kuko guhuza imiti bishingiye cyane ku kwinjira mu buryo bwimbitse bwa fotoni. Ubukana bw'urumuri ruto rutanga urumuri rwa 1.000 mW/cm² ni ngombwa cyane. Iyo ubukana bw'urumuri bugabanutse, igihe cyo gusohora kuri buri gice kigomba kongerwa kuva ku masegonda 10 kugeza ku masegonda 20 kugira ngo hirindwe ko urumuri rusa nabi mu gice cy'imbere cya resin kidakozweho polymer.

Ni ibihe bintu bigomba gushyirwa mu mbonerahamwe yo kugereranya ikoze mu buryo bwa kole

Kugira ngo abaganga bashyireho uburyo bwo guhitamo ibikoresho mu ivuriro, bagomba gusuzuma kole ishingiye ku bipimo by'imikorere bishobora gupimwa. Igereranya ryimbitse ryemeza ko ibikoresho byatoranijwe bihuye n'ibyo umurwayi akeneye ndetse n'umuvuduko w'imikorere y'umuganga.

Ni gute Imyitozo ishobora gukumira gutsindwa kw'imigozi ya Bracket

Gukumira ko amenyo yangiritse mu gice cy’amakuru bisaba kuva ku bushakashatsi bw’ibintu by’ingenzi (theory material study) ukajya ku bikorwa bikomeye kandi bishobora gusubirwamo. Impinduka mu buryo abafasha gutegura amenyo cyangwa uburyo ibikoresho bibikwamo zishobora gushyira intege nke zihishe mu buryo bwo guhuza amenyo.

Mu gushyira mu bikorwa uburyo busanzwe bwo gukora, abaganga b'amagufwa bashobora gukuraho amakosa make yiyongeramo intege nke, bityo bagatuma ibiciro by'inyongera bihagarara neza kandi bakavura ku gihe cyagenwe.

Ni iyihe gahunda yo guhuza intambwe ku yindi irushaho kunoza ubwumvikane

Uburyo bwo gufatanya amenyo intambwe ku yindi, budashobora kuganirwaho, ni bwo buryo bukomeye bwo kwirinda gutsindwa. Ibi bitangirana no kwirinda amenyo; amenyo agomba gusigwa hakoreshejwe slurry isanzwe ya pumice. Gukoresha paste zo gupima amenyo zirimo fluoride, amavuta yo gusigamo impumuro, cyangwa glycerin bishobora gusiga ibisigazwa bya mikorobe bigabanya imbaraga zo gufatanya amenyo kugeza kuri 15%.

Nyuma yo kwirinda, hagomba gushyirwaho uburyo bwo kwitandukanya burundu hakoreshejwe ibikoresho bikura amatama, ibirinda ururimi, no gukurura cyane. Igikoresho cyo gushushanya kigomba gushyirwaho neza mu gihe cy'amasegonda 30, kikanyuzwa neza mu gihe cy'amasegonda 10, hanyuma kikanikwa n'umwuka ufunze udafite amavuta, udafite ubushuhe kugeza igihe icyuma gipfundikiye kigaragara nk'umweru. Igikoresho cyo gushushanya kigomba gushyirwaho mu buryo bworoshye, bungana, hanyuma hagakurikiraho icyicaro gikomeye cy'agasanduku kugira ngo hasohoke urumuri, kigomba gukurwaho neza mbere yo gushya.

Uburyo amakipe ashobora gushyiraho uburyo bwo kugenzura ububiko, ububiko, n'uburyo bwo gupima urumuri

Kwangirika kw'ibintu ni ingenzi mu gutuma ibyuma bigwa nabi. Ibikoresho bikonjesha n'ibice binini birimo ibintu bihinduka bya shimi bibora iyo bihuye n'ubushyuhe cyangwa urumuri rwo mu kirere. Imyitozo igomba gushyirwa mu bikorwaamategeko akomeye yo kubika ibintu, ubusanzwe bisaba ubukonje buri hagati ya 2°C na 8°C. Ariko, imvange ikonje iba ifite ubushyuhe bwinshi kandi ishobora kunanirwa kwinjira mu muyoboro w'amasasu; bityo, ibikoresho bigomba kugezwa ku bushyuhe bw'icyumba byibuze isaha imwe mbere yo gufatanya.

Gusana ibikoresho ni ingenzi cyane. Diode zo mu matara akoresha LED zigenda zigabanuka uko igihe kigenda, bigatuma imbaraga zisohoka zigabanuka mu buryo butagaragara. Amatsinda y’abaganga agomba gupima amatara akoresha amenyo buri cyumweru akoresheje radiometer kugira ngo arebe ko umusaruro usigaye uri hejuru ya 1.000 mW/cm². Iyo ibikoresho byangiritse cyangwa ibikoresho birangiye, abaganga bagomba gukoresha umucuruzi.Twandikireinzira zo kurinda vuba izisimbura no kwirinda gukoresha stock yangiritse.

Ni ibihe bipimo bigomba gukurikiranwa kugira ngo harebwe igipimo cy'ibinaniranye

Kugira ngo habeho gucunga ubuziranenge, imikorere igomba gukurikirana ibipimo byihariye by’ibinaniranye aho kwishingikiriza ku bipimo by’ibyabaye. Gukurikirana ibipimo by’ibinaniranye bituma umuyobozi w’ubuvuzi amenya imiterere—nk’iyo kumenya niba ibinaniranye bishyirwa ku gice runaka, umufasha w’ubuvuzi runaka, cyangwa itsinda runaka ry’ibinini.

Uburyo bwiza bwo gukora imyitozo ngororamubiri bugomba kwibanda ku gipimo rusange cyo gutsindwa kiri munsi ya 5%. Niba amakuru agaragaza ko imiyoboro yo hasi y'amasegonda ifite igipimo cyo gutsindwa cya 12%, ubwo buryo bushobora kwibanda ku buryo bwihariye ku mikorere yo kugenzura ubushuhe muri ako gace.

Ni gute abaganga bagomba guhitamo ingamba zikwiye zo gufata ibintu bifatanye n'abandi

Guhitamo ingamba nziza zo gufata kole si ugushaka kole ikomeye ishoboka, ahubwo ni ukumenya ibikoresho byiza bihuza uburyo bwo kubika kole mu gihe cyo kuvurwa no kuyikuraho neza nyuma yaho. Abaganga bagomba guhindura uburyo bwabo bakurikije ibyo buri kibazo gisaba.

Uburyo buhamye kandi bujyanye n’uburyo bwose butuma habaho ubwumvikane buke, mu gihe uburyo bugamije ingamba, bushingiye ku bipimo ngenderwaho butuma habaho uburyo bwo guhanura abarwayi mu buryo butandukanye.

Ni ibihe bipimo bigomba kuyobora guhitamo kole n'uburyo bwo gufatira

Ibipimo by'ingenzi biyobora guhitamo kole ni ibikoresho byo gupfunyika, ubuso bw'amenyo, n'ibidukikije by'umubiri by'umurwayi. Urugero, udupfunyika twa ceramic twa polycrystalline ntidushobora koroha nk'icyuma kitagira umugese. Iyo dufatanye n'icyuma gikomeye cyane (gitanga >14 MPa), ibyago byo gucika kw'inanamu cyangwa gucika kw'agapfunyika mu gihe cyo gukuraho agapfunyika biriyongera cyane. Muri ibi bihe, abaganga bakunze guhitamo kole zakorewe ibumba, zigacika ku buryo bugaragara ku gice cyo hagati cy'agapfunyika.

Igice cyo hejuru cy'ubutaka nacyo kigena protocole. Guhuza na enamel y'umwimerere bitumaresins zisanzwe zivanze, ariko guhuza n'amakamba ya porcelain, gusana zahabu, cyangwa amalgam bisaba imiterere yihariye y'ubuso—nk'ubukorikori bwa aside fluorique cyangwa silane coupling agents—kandi akenshi bigira akamaro ku maresine yuzuye kandi asukuye imiti kugira ngo akomeze kuba meza.

Uburyo bwo kuringaniza ubwizigame bw'imigozi, umutekano w'ama-enamel, n'imikorere myiza y'inama

Amaherezo, intego ni ukugira ngo habeho imbaraga nziza z'imibanire ya 6

Ibisobanuro birambuye:

• orthodontics ifata neza mu gice cyo hejuru cy'urukuta
• orthodontics ifata neza mu gice cyo hejuru cy'urukuta
• orthodontics ifata neza mu gice cyo hejuru cy'urukuta

Ibintu by'ingenzi byakunzwe

• Imyanzuro y'ingenzi n'impamvu z'ingenzi zo gukoresha orthodontics zifata neza
• Ibisobanuro, kubahiriza amategeko, n'igenzura ry'ingaruka bikwiye kwemezwa mbere yo kwiyemeza
• Intambwe zikurikiraho zifatika n'ibyo abasomyi bashobora gushyira mu bikorwa ako kanya

Ibibazo Bikunze Kubazwa

Ni iyihe mpamvu ikunze gutuma uduce duto dusohoka mu gihe cyo kuvurwa?

Ubwiyandarike bw'ubushuhe ni bwo butera imbere. Amacandwe, amaraso, cyangwa amazi yo mu mitsi mu gihe cyo gukata cyangwa gufatana bishobora kugabanya cyane imbaraga z'ifatana ry'ubushuhe kandi bigatera gutakaza umurongo hakiri kare.

Ni gute abaganga bashobora kugabanya ikibazo cyo kunanirwa kw'imigozi mu kazi ka buri munsi?

Koresha uburyo bwo kwitandukanya neza, sukura kandi wumishe neza, shyiramo neza, shyiramo primer neza, hanyuma wicaze agace kabigenewe nta kwanduza mbere yo gushya neza.

Ese guhitamo kole bigira ingaruka ku buryo bwo kwizerwa bw'imigozi y'urukuta?

Yego. Kole ikoze neza ku mavuta igomba gutembera mu muyoboro w’icyuma, igakira neza, kandi igatanga imbaraga zihagije nta guteza akaga ko gukuraho imigozi mu mazi.

Ni ubuhe bukonje bw'ipfundo bufatwa nk'ubutekanye muri rusange ku mabraketi yo gupfunyika?

Intego ifatika ni hagati ya MPa 6 na 8. Ibi akenshi bihangana n'imbaraga zo kuvurwa ariko bigabanya ibyago byo kwangirika kwa enamel mu gihe cyo gukuraho agace gashyirwamo icyuma.

Ni hehe ikigo gishobora kubona ibikoresho byo gushushanya ibyuma bifatanye n'imiti?

Abakora imyitozo bashobora gusuzuma amahitamo y’uburyo bwo gufatanya ibyuma hakoreshejwe bracket adhesive banyuze muri kataloge y’ibicuruzwa bya DenRotary kuri denrotary.com kugira ngo bagereranye ibikoresho byo gukoresha mu buryo busanzwe bwo gufatanya.