Imiyoboro y'imbaraga za orthodontic vs Elastomeric Ligatures: Itandukaniro ni irihe?

Intangiriro

Nubwo byombi ari ibice bikoreshwa mu gupfuka amenyo, iminyururu y'amashanyarazi n'imigozi ya elastomeric byagenewe imirimo itandukanye kandi bigatanga ingaruka zitandukanye zo kuvura. Kimwe kigira uruhare ruhoraho rushobora gufasha gufunga ahantu no gukoresha imbaraga nyinshi ku menyo menshi, mu gihe ikindi gifata insinga ku magufwa ku magufwa atandukanye hamwe n'uburyo bwo kuyagenzura. Gusobanukirwa iryo tandukaniro bifasha gusobanukirwa impamvu abaganga b'amenyo bahitamo kimwe kuruta ikindi mu byiciro bitandukanye byo kuvura. Iyi nkuru isobanura uburyo buri gikoresho giteye, uko gikora mu buvuzi, n'icyo iryo tandukaniro risobanura ku ihindagurika ry'amenyo, kugorana, igihe cyo kubonana n'amenyo, no ku buryo bunoze bwo kuyavura muri rusange.

Impamvu imiyoboro y'amashanyarazi na ligature za elastomeric ari ingenzi

Guhitamo uburyo bwo gutega bigira ingaruka zitaziguye ku mikorere myiza y’aho inkingi z’amaraso zicarwa, uburyo bwo gufunga ahantu, ndetse n’igihe cyose cyo kuvura (ubusanzwe kimara amezi 18 kugeza kuri 24) mu buvuzi bw’amenyo bugezweho. Nubwo imiyoboro yombi y’imbaraga z’amenyo n’imiyoboro ya elastomeric bifite intego y’ibanze yo gufata inkingi z’amaraso ku mwanya w’umuvuduko, imiterere yazo itandukanye igena inshingano zitandukanye cyane z’ibinyabuzima. Gusobanukirwa izi tandukaniro ni ingenzi mu kunoza umusaruro w’ubuvuzi no gucunga neza ububiko bw’amenyo mu buvuzi bw’amenyo bukoresha ubwinshi bwinshi.

Abayobozi b'amavuriro n'abashinzwe amasoko bagomba gusuzuma imiterere yihariye y'ibi bicuruzwa ugereranije n'ikiguzi cyabyo cy'ibikoresho. Guhitamo neza hagati yaiminyururu ikomeza gukoreshwakandi ligature y'amenyo ku giti cye ituma amenyo agenda neza uko byagenwe, birinda gutinda kuvurwa bitari ngombwa cyangwa ngo habeho gahunda zihutirwa kenshi.

Ingaruka z'ubuvuzi n'imikorere

Guhitamo hagati y’iminyururu ikomeza n’iminyururu ifata ku giti cyayo bigira ingaruka zifatika haba ku mikorere y’ubuvuzi ndetse no ku mikorere y’imikorere. Mu rwego rw’ubuvuzi, guhitamo umuti ukwiye wa elastomeric bituma amenyo agenda neza mu gihe cy’ibyumweru 4 kugeza kuri 6. Gukoresha nabi—nk’ugukoresha umunyururu utanga ingufu mu gihe bikenewe ko umunyururu ufata ku giti cyayo—bishobora gutera uburyaryate budakenewe (akenshi byongera imbaraga zo guhangana na garama 50 kugeza 100), bishobora kugabanya umuvuduko w’impinduka no kugorora amenyo mu byumweru byinshi.

Mu buryo bw'imikorere, gushyiraho uburyo bwo gukoresha ibi bikoresho bishobora kugabanya igihe cyo kwicara ku kigero cya 10% kugeza kuri 15% (hafi iminota 3 kugeza kuri 5 kuri buri minota 30 yo gusura abaganga b'amenyo n'abaganga b'amenyo bafite amabwiriza asobanutse neza yerekeye igihe cyo gushyiramo ibikoresho byihariye.Iminyururu y'amashanyarazi yo mu bwoko bwa Orthodontique, ihindagurika ry’ibicuruzwa rirushaho kuba ryiza, bigabanya imyanda kandi bikarinda ibura ry’ibikoresho by’ingenzi.

Ingero z'ingenzi zikoreshwa mu kuvura amenyo

Ubuvuzi bw'amenyo bugabanyijemo ibice bitandukanye, buri kimwe gisaba ingamba zihariye zo kwihambira. Mu gihe cyo kugorora no gushyira ku murongo, aho imbaraga zoroheje kandi zihoraho zisabwa kugira ngo hakosorwe imitsi ikabije,ligatures za elastomeric ku giti cyazoni byo bisanzwe. Bifata insinga z’icyuma za nickel-titanium (NiTi) zoroshye cyane (ubusanzwe zifite umurambararo wa santimetero 0.012 kugeza kuri santimetero 0.016) mu mwanya w’aho zishyirwa mu gitereko mu gihe bitanga urwego rukenewe rw’uburyo bwo kugenda.

Ku rundi ruhande, icyiciro cyo gufunga umwanya gishingiye cyane ku gutanga imbaraga z'iminyururu y'amashanyarazi. Iyo abaganga b'amenyo bakeneye guhuza imyanya nyuma yo gukuramo (akenshi bagacunga icyuho cya 5mm kugeza kuri 7mm) cyangwa bagafunga diastema rusange, iminyururu itanga imbaraga zikenewe mu menyo menshi kugira ngo igere ku gipimo mpuzandengo cyo gufunga umwanya cya 0.5mm kugeza kuri 1.0mm ku kwezi. Imiterere ihoraho ya elastomer ikora nk'uburyo bw'imbaraga bikora aho kuba uburyo bwo kubika gusa, bigatuma iba ingenzi mu cyiciro cyo hagati n'icya nyuma cyo kuvura.

Icyo iminyururu y'amashanyarazi na ligature ya elastomeric ari cyo

Imiyoboro y'amashanyarazi n'imigozi yombi biri mu muryango umwe wa elastomer zishingiye kuri polyurethane, nyamara imiterere yazo yubatswe kugira ngo ikore imirimo itandukanye ya biomechanical. Imikorere yazo ikubiyemo gushushanya cyangwa gusohora ibintu mu buryo buhoraho kugira ngo hakorwe ibintu bishobora gukomeza guhangayika mu gace k'umunwa gafite ubushyuhe bwinshi kandi gakungahaye ku bushyuhe (ubusanzwe hari ubushyuhe bwa 37°C n'ubushuhe bwa hafi 100%).

Gusobanukirwa imiterere y’ibi bikoresho bituma abaganga bashobora guhanura uko bizagenda mu gihe cy’impinduka. Imiterere y’imiterere ya elastomer ntabwo igena gusa uburyo ikoreshwa ahubwo inagena ingano y’imbaraga izakora mu gihe cyo kuyikoresha.

Igishushanyo n'ikoreshwa risanzwe

Uduce twa Elastomeric dukorwa nk'impeta za O-rings imwe, zidafite aho zihuriye. Ubusanzwe dufite umurambararo w'inyuma uri hagati ya santimetero 0.110 na 0.120, umurambararo w'imbere uri hagati ya santimetero 0.040 na 0.050, n'ubugari bwa santimetero 0.030 na 0.035. Imikoreshereze yabyo y'ibanze ni ugufata amababa ane y'agace gasanzwe k'impande ebyiri, ugafata insinga y'umugongo neza. Muri rusange zitangwa ku nkoni cyangwa inkoni zikozwe mu buryo bwabugenewe, zifata modules 10 kugeza 24 buri imwe, ibyo bikaba byoroshya ikoreshwa ryihuse hakoreshejwe hemostat cyangwa director wihariye w'impande.

Ku rundi ruhande, iminyururu y'amashanyarazi igizwe n'umurongo uhoraho w'iminyururu ya elastomeric ifatanye. Akenshi itangwa mu gice cy'amazi gifite metero 15. Igishushanyo cyemerera umuganga gukata uburebure nyabwo busabwa kugira ngo bugere ku menyo menshi. Mu kurambura umunyururu kuva ku gice kimwe ujya ku kindi, elastome ibika ingufu zishobora gukoreshwa, zigasohoka buhoro buhoro kugira ngo zikure amenyo.

Ibiranga ibikoresho n'imbaraga

Ibikoresho by'ibanze by'ibi bicuruzwa byombi akenshi nipolyurethane yo mu rwego rwo hejuru rw'ubuvuzi ya thermoplastic, yatoranijwe kubera uburimbane bwayo buhanitse, ubushobozi bwayo bwo kudacika, n'ubukana bwayo busanzwe bwa Shore A buri hagati ya 80 na 90. Ariko, imiterere y'imbaraga ishingira cyane ku miterere y'ibikoresho n'imiterere yihariye y'ibicuruzwa. Amakuru yerekeye imiterere y'ibikoresho akenshi aboneka usuzumye inyandiko ziturutse ku bakoraLigature za Elastomeric.

Ikintu cy'ingenzi kiranga elastomer iyo ari yo yose yo mu bwoko bwa orthodontic ni uko imbaraga zayo zangiritse. Iyo irambuye, imigozi ya polyurethane itangira kuruhuka. Bitewe n'ubunini n'uburyo ibikoresho biyifata, umuyoboro w'amashanyarazi usanzwe ushobora gutanga imbaraga za garama 300 kugeza kuri 400 iyo irambuye kugeza ku burebure bubiri bw'uburebure bwayo bwo kuruhuka. Imigozi imwe imwe ifite imbaraga nke cyane zo kwicaraho, akenshi hagati ya garama 100 na 200, ibi bikaba bihagije kugira ngo insinga ifate nta kuyihambira burundu.

Itandukaniro ry'ingenzi muri make

Itandukaniro rigaragara cyane riri mu ntera iri hagati y’uduce tw’imashini. Uduce tw’imashini nta ntera igira, kuko idafatanye. Iminyururu y’amashanyarazi ikorwa mu byiciro bitatu bisanzwe by’uduce tw’imashini: ifunze (nta mwanya uri hagati y’impeta, hafi 2.8mm uvuye hagati ujya hagati), ngufi (agace gato gahuza, hafi 3.5mm), n’uburebure (agace karekare gahuza, hafi 4.0mm).

Abaganga bahitamo intera ishingiye ku ntera iri hagati y’udukingirizo n’ingano y’imbaraga zifuzwa. Umunyururu ufunze ku dukingirizo tunini urakura cyane, ugatanga imbaraga nyinshi, mu gihe umunyururu muremure ku menyo amwe uzatanga imbaraga zoroshye kandi zihoraho. Imitwe imwe imwe, idafite aho ihurira hagati y’udukingirizo, nta mbaraga ikoresha hagati y’udukingirizo.

Uburyo imiyoboro y'amashanyarazi na ligature za elastomeric bigereranya

Gusuzuma imikorere y'ubu buryo bubiri bwo kwihambira bisaba isesengura ry'igabanuka ry'imbaraga uko igihe kigenda, imiterere y'imikorere mu ivuriro, n'ubukungu bw'amasoko. Kubera ko gahunda zo kuvura amenyo akenshi ziba hagati y'ibyumweru 4 na 8, ibikoresho byatoranijwe bigomba gukora neza mu gihe cyose nta gusaba gusimburwa imburagihe.

Nubwo ibyo bicuruzwa byombi bifite imbogamizi za polyurethane mu kirere gitose, uburyo butandukanye bwo kubikoresha butuma izi mbogamizi zigaragara mu buryo butandukanye mu buvuzi. Igereranya ryimbitse rigaragaza itandukaniro riri hagati yo kugumana imbaraga, kubahiriza amategeko y’abarwayi, no gucunga imiyoboro y’ibikoresho.

Gukomeza imbaraga no gukora neza

Imiyoboro y'amashanyarazi n'imiyoboro ya elastomeric byombi bigaragaza kubora kw'imbaraga mu ntangiriro. Ubushakashatsi bwa muganga bugaragaza ko elastome za polyurethane zitakaza hagati ya 50% na 70% by'imbaraga zazo mu masaha 24 ya mbere uhereye igihe zikoreshejwe mu kanwa. Nyuma y'uku kugabanuka kw'imbaraga, imbaraga ziragabanuka, zigumana hafi 30% kugeza 40% (hafi garama 100 kugeza 150) z'imbaraga zazo mu byumweru 3 kugeza kuri 4 bisigaye.

Kubera ko iminyururu y'imbaraga ari yo ijyana amenyo mu buryo bufatika, uku kubora kw'imbaraga kugomba gucungwa neza. Iyo umunyururu warambuwe cyane mbere kugira ngo wishyure kubora, bishobora gutuma umugozi w'amenyo uhinduka hyalinization, bigahagarika ihindagurika ry'amenyo. Iminyururu imwe imwe, ikoreshwa cyane nk'ibikoresho byo kubungabunga amenyo bidakora, ntigira ingaruka nyinshi kuri uku kubora, mu gihe igumana imbaraga zihagije zo kugumana umugozi w'amenyo ufatanye neza n'umuyoboro w'amenyo.

Uburyo bwo guhangana n'ibibazo, kuramba, n'ibijyanye n'abarwayi

Uburyo umurwayi akoresha n'uburyo ahora akoresha bigira ingaruka zikomeye ku mirire ye n'isuku yo mu kanwa. Ibikoresho byombi bishobora kwanduzwa n'ikawa, icyayi, turmeric, n'itabi. Ariko, kubera ko imiyoboro y'amashanyarazi itwikira ubuso bunini kandi ikagera ahantu hatandukanye, ikunze gufata plaque n'ibisigazwa by'ibiryo ugereranyije n'imiyoboro itandukanye.

Kuramba nabyo ni ikibazo, aho igipimo cyo kwangirika kw'iryinyo gikunze kuba kiri hagati ya 2% na 3% ku kwezi kuri elastomer nziza. Iryinyo ryangiritse rigira ingaruka ku ryinyo rimwe gusa, wenda bigatuma insinga isohoka mu gice kimwe cy'inyuma. Ariko, urunigi rw'amashanyarazi rwacitse rubangamira burundu uburyo bwo gufunga umwanya mu gice cyose cy'inyuma, bikaba ngombwa ko umuntu ahita asurwa byihutirwa kugira ngo hirindwe ko yongera kurwara.

Ibipimo by'ikiguzi n'ibicuruzwa

Ukurikije uburyo bwo gutanga amasoko, imiterere y'ibiciro iratandukanye cyane. Mu gihe cy'ibyumweru 2 kugeza kuri 4, umuyoboro w'amashanyarazi wa metero 15 usanzwe ugura hagati y'amadolari 10 na 18, bitewe n'urwego rw'umukora n'ibikoresho. Umuyoboro umwe ushobora gufasha abarwayi benshi. Mu buryo bunyuranye, imiyoboro imwe ya elastomeric igurishwa mu mapaki y'ibihumbi 100 (akenshi inkoni 100 z'abantu 10), kuva kuri amadolari 5 kugeza amadolari 12 kuri buri paki.

Nubwo ikiguzi cya buri murwayi ku bikoresho byombi kiri hasi cyane (akenshi kiri munsi ya $0.50 kuri buri arch), amavuriro menshi agomba gusuzuma ikiguzi rusange, kuko elastomer ishobora kuba 5% kugeza kuri 8% by'amafaranga yose akoreshwa. Gushyira hamwe ibikoresho ku birango bike byizewe n'amabara bishobora kugabanya cyane amafaranga akoreshwa no koroshya uburyo bwo gutanga ibicuruzwa.

Ibyo abaguzi n'abaganga bagomba gusuzuma

Abashinzwe amasoko n'abayobozi b'ibitaro bagomba kuringaniza imikorere y'ibicuruzwa n'iyubahirizwa ry'amategeko agenga ububiko bw'ibikoresho ndetse n'iyubahirizwa ry'amategeko agenga ububiko. Gushaka elastomer zo mu bwoko bwa orthodontic si ugushaka igiciro gito cyane gusa; bisaba gusuzuma neza imiterere y'ibicuruzwa, umutekano w'ibikoresho, n'ubwizigirwa bw'umucuruzi.

Gushyiraho uburyo busanzwe bwo kugura bituma abakozi bo kwa muganga bahora babona ibikoresho bikora neza. Ibi bisaba uburyo bwo gusuzuma ibicuruzwa bishya mbere yo kwiyemeza kugura ibicuruzwa byinshi mu bigo.

Ibisobanuro by'ibicuruzwa n'uburyo bipfunyikwamo

Mu gusuzuma ibipimo by'ibicuruzwa, abaguzi bagomba gusuzuma imiterere y'ibicuruzwa bya elastomer. Ku bijyanye n'ibice bitandukanye, uburebure bugomba gutuma biramba hejuru y'ibice bibiri binini bidacika, mu gihe bisubira ku murambararo muto kugira ngo habeho imyanya yuzuye y'insinga. Abaguzi bagomba kugenzura neza uburebure bw'imbere n'inyuma kugira ngo barebe ko buhuye n'uburyo bakoresha mu gufunga.

Ku bijyanye n'iminyururu y'amashanyarazi, kumenya neza intera iri hagati y'iminyururu (ifunze, ngufi, ndende) ni ingenzi cyane. Gutandukanya ahantu hamwe mu gice kimwe bituma habaho imbaraga zitaramenyekana, bigatuma gahunda yo kuvura igorana. Gupfunyika ni ingenzi cyane; iminyururu igomba gushyirwa mu byuma bitanga urumuri kugira ngo hirindwe kwangirika vuba (polyurethane ishobora kwangirika kugeza kuri 20% mu buryo bworoshye iyo ishyizwe ku rumuri rwa UV mu gihe kirenga amasaha 48), mu gihe iminyururu igomba gupfunyikwa mu mifuka ifunze kandi idahumbya.

Ubwiza, guhuza ibintu n'ibindi, no gukurikirana ibintu

Kugenzura ubuziranenge no guhuza imiterere y'umubiri ntibishobora kuganirwaho mu kugura imiti. Ibikoresho byose bya elastomeric bigomba kubahiriza amahame ya ISO 10993-1 na ISO 10993-5 (cytotoxicity) mu gusuzuma ibinyabuzima ku bikoresho by'ubuvuzi. Byongeye kandi, imiti idafite latex ubu ni yo ikoreshwa mu nganda kandi irakenewe cyane mu turere twinshi. Kubera ko abaturage basanzwe babarirwa hagati ya 1% na 6% bagaragaza ubushobozi bwo kwangirika kwa latex, gukoresha polyurethane idafite latex bikuraho ibyago byo kugira allergie ikomeye.

Gukurikirana ibintu ni ikindi kintu cy'ingenzi. Inganda zizwiho ubuhanga zitanga inomero z'ibicuruzwa n'amatariki bizarangiriraho (bigaragaza igihe cyo kubibika kuva ku mezi 24 kugeza kuri 36) ku bipaki byose. Ibi bituma amavuriro akurikirana imikorere y'ibicuruzwa no gucunga uko byasubirwamo bibaye ngombwa. Amavuriro ashaka kugenzura ibyemezo by'abatanga ibicuruzwa n'uburyo bwo kugenzura ubuziranenge agomba kuyobora ibibazo binyuze mu nzira zemewe, nkokuvugana n'abatanga serivisibinyuze kuriIminyururu y'amashanyarazi yo mu bwoko bwa Orthodontiqueurubuga rwo gusaba inyandiko zijyanye no kubahiriza amategeko.

Intambwe zo kugerageza no gushyira mu bikorwa ibipimo ngenderwaho

Mbere yo gushyiraho uburyo bushya bwo gukoresha amashanyarazi cyangwa ligature mu ivuriro rifite imyanya myinshi, ni byiza cyane gukora igerageza ry’ubuvuzi riciriritse ry’iminsi 60 kugeza kuri 90.

Ibisobanuro birambuye:

• Iminyururu y'amashanyarazi yo mu bwoko bwa Orthodontique
• Iminyururu y'amashanyarazi yo mu bwoko bwa Orthodontique
• Ligature za Elastomeric

Uburyo bwo guhitamo hagati y'iminyururu y'amashanyarazi n'iminyururu ya Elastomeric

Ibintu by'ingenzi byakunzwe

• Imyanzuro y'ingenzi n'impamvu z'ingenzi ku miyoboro y'imbaraga za Orthodontic vs Elastomeric Ligatures
• 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 irihe tandukaniro rikomeye riri hagati y'iminyururu y'imbaraga ya orthodontic na ligatures za elastomeric?

Iminyururu y'amashanyarazi ni modules zifatanye zifunga ahantu hanyura amenyo menshi. Ligatures za elastomeric ni impeta za O-single zikoreshwa cyane cyane mu guhambira insinga ya archwire muri buri bracket mu gihe cyo kuringaniza no guhuza.

Ni ryari umuganga w'amenyo agomba gukoresha iminyururu y'amashanyarazi aho gukoresha imigozi?

Koresha imiyoboro y'amashanyarazi mu gihe cyo gufunga umwanya, nko nyuma yo gukuramo cyangwa kugabanya diastema. Koresha imiyoboro imwe imwe mu buryo bwo guhuza hakiri kare iyo hakenewe ko insinga zoroheje zikoreshwa kandi zigashyirwa mu buryo bugenzurwa.

Ese iminyururu y'amashanyarazi ikora imbaraga nyinshi kurusha ligature za elastomeric?

Yego. Iminyururu y'amashanyarazi irambitse ku dukingirizo twinshi, bityo itanga imbaraga zo gufunga zihoraho. Iminyururu ikunze gutanga imbaraga zo kugumana insinga zidakora kandi muri rusange ntitanga urwego rumwe rw'imbaraga zo gukura amenyo.

Ni gute amavuriro ashobora guhitamo ibikoresho bikwiye byo mu bwoko bwa elastic biva muri DenRotary?

Huza umusaruro n'icyiciro cyo kuwuvura: imigozi yo guhuza insinga zisanzwe, iminyururu y'amashanyarazi yo gufunga umwanya. Urutonde rw'ibicuruzwa bya DenRotary bifasha amavuriro gushyira ibikoresho mu buryo busanzwe no kugabanya ibura ry'ibikoresho.

Ese gukoresha uburyo butari bwo bwo guterura amenyo bishobora kugabanya ubuvuzi bw'amenyo?

Yego. Gukoresha umuyoboro w'amashanyarazi mu gihe bikenewe ko umugozi umwe umwe uhambirwa bishobora kongera ukutumvikana no kubangamira imiterere. Guhitamo umugozi ukwiye kuri buri gahunda bifasha mu kugumana ubuvuzi ku gihe cyagenwe.