Gukoresha imiyoboro ya Buccal mu buvuzi bwa none bw'amagufwa

Intangiriro

Imiyoboro ya Buccal yabaye ubundi buryo bufatika bwo gusimbura imigozi gakondo, ifasha amakipe y’abakora imihango kugabanya igihe cyo kwicara, koroshya imikoranire, no kunoza uburyo umurwayi amererwa neza mu gihe cyo gushyira ibikoresho. Uruhare rwabyo rurenze ibyorohereza: imiterere y’igishushanyo, imbaraga z’imiyoboro, kugenzura insinga, no guhitamo imiyoboro byose bigira ingaruka ku mikorere myiza yo kuvura no kwizerwa mu buvuzi. Iyi nkuru isobanura uburyo imiyoboro ya Buccal ihura n’imikorere igezweho ya orthodontic, aho itanga ibyiza bisobanutse, n’ibintu by’ingenzi mu kuyihitamo no kuyishyiramo. Amaherezo, abasomyi bazaba basobanukiwe neza agaciro kayo mu buvuzi, ikoreshwa rusange, n’ibindi bifitanye isano n’ikoreshwa rya buri munsi mu mikorere ya none.

Impamvu imiyoboro ya Buccal ifite akamaro mu buvuzi bwa none bw'amagufwa

Impinduka kuva ku gufunga imigozi gakondo kugeza ku gufunga imigozi ihuza imigozi ihuza imigozi ni kimwe mu bintu by'ingenzi mu kunoza imikorere y'imigozi igezweho. Mu mateka, gucunga amenyo y'inyuma byasabaga gukoresha imigozi y'icyuma kidashonga, igikorwa cyasabaga gushyiraho imigozi itandukanya imigozi no gusura abarwayi benshi. Muri iki gihe, hashyizweho uburyo bwo kuvura amenyo bugezweho.imigozi y'umugozi ifatana mu buryo butaziguyeyemerera abaganga gufata umugozi w’insinga ku buso bw’umugongo w’umugongo, bikoroshya icyiciro cya mbere cyo gufatana.

Iri hinduka riterwa n’impinduka zifatika mu mikorere y’ubuvuzi no kumererwa neza kw’umurwayi. Guhuza amenyo mu buryo butaziguye bikuraho gukenera gahunda yo gutandukana, bigabanya neza igihe cyo gushyiraho igikoresho cya mbere ho iminota 15 kugeza kuri 20 kuri buri murwayi. Byongeye kandi, imiterere igezweho igabanya ibyago byo kwicara mu nda bijyana no kwicara mu mwanya wo hasi mu gituza, bitanga umuti urimo isuku kandi urinda ubusugire bwa papilla hagati y’amenyo mu gihe ukomeza kugenzura amenyo bikenewe kugira ngo amenyo agende neza.

Ingaruka ku gihe cy'intebe no ku mikorere myiza y'intebe

Inyungu yihuse cyane yo gufatanya imigozi mu buryo butaziguye ni ukugabanya cyane igihe cy’intebe. Mu kurenga igihe cyo gutandukanya no gushyiramo imigozi mu igerageza, abahanga mu by’ubuvuzi bashobora gufatanya umugozi wose, harimo n’imigozi, mu buryo bumwe buhoraho. Amakuru y’ubuvuzi agaragaza ko gukoresha imigozi mu buryo bwikora cyangwa idasobanutse neza bishobora kugabanya igihe cyo gufatanya imigozi kugeza kuri 30%, bigatuma umurwayi ashobora gukoresha umugozi mwinshi ariko nta kubangamira uburyo ibikoresho bitangwa.

Ubushobozi bwo guhuza ibintu burushaho kwiyongera bitewe no guhuza sisitemu zo gufunga zamaze gupfukwa n'imiterere y'ibanze yihariye. Iyo ishingiro ryo guhuza rigaragaza neza imiyoboro y'imitsi y'umukara, ibyago byo kunyerera mu gihe cyo gushonga biragabanuka. Ubu buryo butuma imbaraga n'ingufu byagenwe bigaragazwa neza, bigagabanya gukenera gusimbuza insinga mu gihe cyo kurangiza ubuvuzi.

Uburyo bwiza bwo gukora imyitozo ku buryo bworoshye bwo guhuza no guhinduranya ibikoresho

Guhitamo uburyo bukwiye bwo gufatanya biterwa cyane n'ibyo abaganga basaba mu buvuzi. Amavuriro menshi yibanda ku gukoresha uburyo bworoshye bwo mu cyiciro cya mbere bwo gufunga ibyuma, akenshi akoresha uburyo bwo gufunga ibyuma bukoresha umuyoboro umwe kugira ngo yongere imikorere myiza kandi agabanye amafaranga akoreshwa mu bubiko. Ubu buryo busanzwe butanga ihumure ryiza ku murwayi kandi busaba ko habaho uburyo buke bwo gukora iyo bwamaze gufunga.

Ku rundi ruhande, uburyo bukunze kuvura ibibazo bikomeye byo gukuramo amenyo, uburyo bwo kubaga amenyo, cyangwa uburyo bwo kuvura amenyo avanze bugira akamaro mu buryo bwo guhindura amenyo. Imiterere y’amashusho ahindurwamo amenyo ifite umupfundikizo ushobora gukuraho uhindura umwanya ufunze mo agace gafunguye, bigafasha insinga zikomeye z’urukiramende cyangwa guhuza ibikoresho by’inyongera nk’ingofero zo mu mutwe. Gusobanukirwa ubushobozi bwo gukora bw’ibintu bitandukanyeImiyoboro ya Buccalyemerera abaganga b'amenyo guhuza urunigi rwabo rw'ibicuruzwa n'uburyo bwabo bwo kuvura bukoreshwa cyane.

Uburyo bwo gusuzuma ibipimo bya Buccal Tube

Gusuzuma imiterere ya tekiniki y'ibice by'umukara ni ingenzi cyane kugira ngo hamenyekane ibisubizo by'ubuvuzi biteganyijwe. Ingano y'umubiri, imiterere y'ibikoresho, n'ubuhanga bw'ibanze bigena neza uburyo igikoresho kizahangana n'imbaraga zikomeye zo gufunga ibice by'inyuma. Abaganga b'amenyo bagomba gusuzuma ingano y'impapuro—ubusanzwe yaba santimetero 0.018 cyangwa santimetero 0.022—kandi bakareba neza ko ubushobozi bwo gukora budahungabanya imiterere ya biomekanike yagenwe.

Ubuhanga mu gukora ibintu ntabwo bushobora kuganirwaho. Uburyo bwo kwihanganira ibyuma bigomba kuguma muri santimetero ± 0.001. Kurenga iki gipimo ntarengwa bitera imbaraga nyinshi zo gukoresha insinga, bishobora gutuma habaho gutakaza ubushobozi bwo kugenzura amashanyarazi no gusubira inyuma mu buryo butunguranye. Kubera iyo mpamvu, guhitamo ibikoresho bifite amahame akomeye yo kugenzura ubuziranenge ni ingenzi kugira ngo bigabanye impinduka hagati mu gihe cyo gukora.

Igishushanyo mbonera cy'ibanze, uburyo gikwiranye, n'uburyo bwo kubika ibintu

Igishushanyo mbonera cy'ibanze ni bwo buryo bw'ibanze bwo kwirinda kwangirika kw'imigozi. Imigozi igezweho ikoresha uburyo bugezweho bwo kubika, akenshi ikaba ari mesh pad ya gauge 80 cyangwa ubuso bufatana na laser. Mesh ya gauge 80 itanga ubuso bwiza bwo kwinjiramo kole, ihora itanga imbaraga hagati ya 10 na 15 MPa. Ubu bwoko bukomeye bihagije kugira ngo bushobore kwihanganira imbaraga zo gukaranga ariko buguma mu rwego rwo kwirinda kuvunika kwa enamel mu gihe cyo gukuraho imigozi.

Uko ishyirwa mu mwanya waryo bigenwa kimwe n'imiterere y'umubiri w'ishingiro. Imiterere myiza ifite umurongo urimo intera ufata umwanya ukora nk'ubuyobozi bufatika bwo gushyiramo, ugafunga agakoresho ku gice cya mesiobuccal cy'umunwa wa mbere cyangwa uwa kabiri. Uku guhuza kw'umubiri kugabanya ubunini bw'urwego rw'ubufatane, ibyo bigatuma polymerization igabanuka kandi bikongera ubusugire bw'umugozi muri rusange.

Gucuruza imiyoboro imwe, ibiri, n'iy'amashanyarazi ihindagurika

Guhitamo hagati y’imiterere imwe, ibiri, n’ihinduka bisaba kuringaniza uburebure bw’imiterere ugereranije n’uburyo mekanike ikora. Imiterere imwe itanga imiterere yo hasi cyane, bigabanya ingaruka mbi z’inyuma, ariko bigabanye ikoreshwa ry’imashini zifasha. Imiterere ibiri itanga umwanya w’insinga z’inyongera cyangwa amasoko yo kuzamuka, ni ngombwa kugira ngo habeho guhindagurika kw’imirongo.

Imiterere y’imashini zihindura imiterere itanga ubushobozi bwo koroshya ibintu, bigatuma umuganga ashobora kunyura mu nsinga iremereye ntayinyure mu mwobo ufunze. Ariko, uburyo bwo gupfuka amenyo bushobora gutuma umuntu ananirwa iyo ashyizwe mu mazi menshi anyura mu yandi.

Ubwiza bw'ibikoresho, kwihanganira ibintu, n'ingaruka zo kwangirika kw'impapuro z'agaciro

Ubwiza bw'ibikoresho bugira ingaruka zikomeye ku kutumvikana kw'ibikoresho ndetse no ku kuramba kw'ibikoresho bifatanye. Icyuma kitagira umugese cyo mu rwego rwo hejuru (nk'ubugari bwa 17-4 PH) kimaze igihe kinini ari cyo gipimo cy'inganda bitewe n'imbaraga zacyo nyinshi no kudahinduka. Ariko, ikoranabuhanga rya Metal Injection Molding (MIM) ryahinduye inganda binyuze mu kwemerera imiterere yoroshye n'ingano y'aho ibintu bihurira neza cyane.

Ikoranabuhanga rya MIM rishobora kugabanya igipimo cyo kwangirika kugeza kuri 25% ugereranije n'uburyo busanzwe bwo gucukura, bikorohereza uburyo bwo kugenda neza mu gihe cyo gufunga ikirere. Byongeye kandi, ubuziranenge bw'ibice bya MIM bigabanya ibyago byo kwangirika kw'insinga zikomeye z'icyuma kitagira umugozi, bityo bikagabanya ibyago byose byo kwangirika kw'ibikoresho ndetse no gukenera gahunda zo gusimbuza byihutirwa.

Ikiguzi, Isoko, n'Igenamigambi ry'Ibicuruzwa

Gucunga neza ububiko bw'ibikoresho no gushaka uburyo bwo gukusanya imiyoboro y'amenyo ni ingenzi mu gukora ubuvuzi bwunguka bw'amenyo. Kubera ko imiyoboro y'amenyo ikomeza kuba myinshi mu buryo bworoshye, imiyoboro ikoreshwa hano isaba ubuhanga buhanitse, bigatuma iba imwe mu miyoboro ihenze cyane mu ivuriro. Ugereranyije, imiyoboro y'amenyo ishobora kugira 10% kugeza kuri 15% by'ingengo y'imari yose y'imiyoboro y'amenyo y'amenyo.

Kugereranya ikiguzi cy’ibi bice mbere y’igihe n’icyizere cyabyo mu buvuzi bisaba uburyo buhamye bwo kugura. Imyitozo igomba kureba kure y’igiciro cy’igice no gusuzuma ikiguzi cyose cy’umutungo, harimo ibikoresho byo gutwara, icyizere cy’umutanga, n’ingaruka z’amafaranga z’ibice bifite inenge cyangwa byoroshye gukuramo umugozi.

Ibikoresho by'ingenzi bitanga ikiguzi

Ibintu by'ingenzi bitwara amafaranga yo gufunga imigozi birimo inzira yo gukora, imiterere y'ibikoresho, n'imiterere yihariye. Imiterere y'icyuma gikozwe mu byuma bitagira umugese igaragaza igice cyo hasi cy'ikiguzi, akenshi kiri hagati ya $2.50 na $5.00 kuri buri gikoresho. Mu buryo bunyuranye, imigozi ya MIM ikozwe neza, cyane cyane iyo ifite uburyo bwo kwibohora cyangwa imigozi yihariye, ishobora kuva kuri $10.00 kugeza $15.00 kuri buri gikoresho.

Kugura ibikoresho byinshi no gukora amasezerano y’igihe kirekire bishobora kugabanya ibyo biciro, ariko abaganga bagomba no gushyira mu gaciro ibiciro byihishe by’ibikoresho bihendutse. Ifatabuguzi rizigama $3.00 mu gihe cyo kugura ariko rikagira igipimo cyo hejuru cyo gutandukanya ibikoresho by’ibanze amaherezo bizatwara amafaranga menshi cyane mu gihe cyo gupfusha ubusa intebe n’ibikoresho byometseho.

Uburyo bwo gusuzuma uburyo umutanga serivisi ahagaze n'uburyo ashyigikirwa

Isuzumauburinganire bw'umutangani ingenzi cyane nko gusuzuma ibicuruzwa ubwabyo. Urusobe rw'ibicuruzwa rwizewe rubuzaibibazo by'ubuvuzibifitanye isano n'imiti ikoreshwa mu gutumiza ibicuruzwa mu buryo bwa “backordered prescriptions”. Mu gusuzuma umucuruzi, ibimenyetso by'ingenzi by'imikorere bigomba kuba birimo Ingano y'Ingengo y'Imari (MOQ) ijyanye n'amafaranga yinjira mu kigo, igihe cyo kwishyura mu minsi 14, n'igipimo cy'inenge kiri munsi ya 0.5%.

Abaganga bagomba kandi gupima urwego rw'ubufasha bwa tekiniki na politiki yo kugaruza ibicuruzwa bitangwa n'umucuruzi. Gushyiraho umurongo utaziguye w'itumanaho kugira ngo haboneke ibibazo bijyanye n'ibyoImiyoboro ya Buccaligenzura ko ibibazo byose by’inganda bikemurwa vuba, birinda ko itsinda ribi rigira ingaruka ku barwayi benshi.

Intambwe zo gushyira mu bikorwa ububiko bw'ibikoresho mu buryo busanzwe

Gushyira mu bikorwaamabwiriza agenga ububiko bw'ibikoresho asanzweni bwo buryo bwiza cyane bwo kugenzura ibiciro no kugabanya imyanda. Mu gukoresha uburyo bwa Kanban cyangwa uburyo bwo kubika ibicuruzwa mu bubiko bubiri, imikorere ishobora kwikorera uburyo bwo kongera gutumiza no gukumira ubwinshi bw'imiti ikoreshwa gake. Gushyira mu bikorwa amabwiriza bikubiyemo gusuzuma neza filozofiya y'ubuvuzi bw'ikigo no guhuza umubare w'imiti itandukanye.

Urugero, ikigo gishobora gufata icyemezo cyo gushyiraho uburyo busanzwe bwo gukoresha imiti ya MBT cyangwa Roth, bityo kikagabanya SKU zisabwa ku giciro cya 30%. Kugabanya ingano y'ingufu zikoreshwa mu gupima no gukuraho uburyo bwo gupima imiterere y'ibikoresho bihoraho byoroshya akazi k'abaganga b'amenyo kandi bikagabanya amafaranga akoreshwa mu kabati k'ibikoresho.

Amabwiriza yo Gukoresha, Guhuza, no Kuyubahiriza mu Buvuzi

Intsinzi mu buvuzi bw'imitsi yo mu kibuno ishingiye cyane ku ishyirwa mu bikorwa ry’amabwiriza yo guhuza no kubahirizaamahame ngenderwahoIgice cy'inyuma cy'umunwa gitanga imiterere idasanzwe yo guhuza neza bitewe no kuba umuntu atagera ku buryo buhagije, amacandwe menshi atemba, ndetse n'imitsi ikomeye y'amasaya n'ururimi. Kubera iyo mpamvu, kugenzura ubushuhe no gutegura neza imiti ya enamel ni ingenzi cyane.

Mu mateka, igipimo cyo gukuraho imigozi ku mitsi y’umugongo cyari hagati ya 5% na 8%. Ariko, binyuze mu gushyira mu bikorwa uburyo bukomeye bwo kwitandukanya n’imitsi n’amabwiriza asanzwe yo gushyiramo, uburyo bwo gukora neza bushobora gutuma iki gipimo cyo gutsindwa kigabanuka kikagera munsi ya 3%. Iri gabanuka ntirihutisha gusa igihe cyo kuvurwa ahubwo rinagabanya cyane ikiguzi cy’inyongera gikoreshwa mu gusura abantu mu buryo bwihutirwa.

Ibisabwa mu mategeko, mu isuku, no mu nyandiko

Ibikoresho byo mu bwoko bwa orthodontique bishyirwa mu byiciro bya kabiri by’ibikoresho by’ubuvuzi na FDA kandi bigomba kubahiriza amahame mpuzamahanga akomeye, nka ISO 13485 n’amabwiriza agenga ibikoresho by’ubuvuzi by’i Burayi (MDR 2017/745). Aya mabwiriza yemeza ko alloys zikoreshwa zihuye n’ibinyabuzima kandi ko nta bintu by’uburozi bishobora kwinjira mu kanwa.

Byongeye kandi, imikorere igomba kubahiriza amabwiriza akomeye yo gukingira no kwanduzanya. Nubwo ibintu byinshi bifatanye mu buryo butaziguye bigurishwa nk'ibintu bikoreshwa rimwe, ibikoresho byose bikoreshwa mu gihe cyo kubishyiraho—nk'ibipimo byo gushyiramo imiterere n'udupira—bigomba kunyura mu nzira zo kwihutisha autoclaving. Kubika inyandiko nyazo mu nyandiko z'umurwayi nabyo ni ngombwa mu mategeko, bigatuma haboneka uburyo bwo gukurikirana vuba mu gihe habayeho kwimura uwakoze ibizamini.

Intambwe zo gushyira hamwe no gushyira mu mwanya wabyo kugira ngo bigabanye gukuramo ipfundo

Ishingiro ry’umugozi wizewe ni ugutegura enamel idafite fluoride. Iyi gahunda itangirana no kwirinda neza hakoreshejwe pumice idafite fluoride, hagakurikiraho kwitandukanya hakoreshejwe inguni zumutse no gusohora amazi menshi kugira ngo hagenzurwe imisemburo ya parotide. Enamel ishyirwamo aside fosforike 37% mu gihe cy’amasegonda 15 kugeza kuri 30, yogejwe neza, hanyuma yumishwa kugeza ibonye umweru urimo urubura.

Gukoresha agakoresho gapima ubushuhe bishobora gutanga ubundi burinzi ku kwanduza gato k'amacandwe. Mu gihe cyo kuyashyiramo, gukoresha agakoresho kabigenewe gapima uburyo bwo kuyashyiramo neza—ubusanzwe gapima 4.0mm cyangwa 4.5mm uvuye ku mutwe wa mesiobuccal cusp, bitewe n'umuti watoranijwe. Igitutu gikomeye kigomba gushyirwaho kugira ngo hasohorwe kole irenze urugero, igomba gukurwaho neza ukoresheje agakoresho ko gupima ubushuhe mbere yo gukangura urumuri kugira ngo hirindwe ko plaque yiyongera ndetse no kubyimba kw'imyanya y'imbere mu nda.

Gukemura ibibazo bisanzwe n'ibindi bisimbura

Nubwo hari ingamba nziza, gucika intege kw'imigozi n'ingorane mu buvuzi bishobora kubaho. Gukemura ibi bibazo neza bisaba uburyo bwo gukemura ibibazo kugira ngo hamenyekane impamvu nyamukuru—byaba ari ukwandura kw'ubushuhe, kubangamirana kw'imiyoboro y'amazi, cyangwa se gufunga neza kw'imigozi.

Iyogusimbuza ni ngombwa, kole isigaye igomba gukurwaho witonze hakoreshejwe agakoresho ka tungsten carbide bur kugira ngo hirindwe ko yangirika mu mazi.

Ibisobanuro birambuye:

• Imiyoboro ya Buccal
• Imiyoboro ya Buccal
• Imiyoboro ya Buccal

Uburyo bwo Guhitamo Imiyoboro ya Buccal

Ibintu by'ingenzi byakunzwe

• Imyanzuro y'ingenzi n'impamvu nyamukuru ku miyoboro ya Buccal
• 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 nyungu nyamukuru y'imiyoboro ya buccal ihuza direct-bond ugereranyije n'imirongo ya molar?

Bareka gukoresha ibikoresho byo gutandukanya no gushyiramo imikandara, akenshi bagabanya iminota 15-20 mu gihe cyo kubonana n'umurwayi bwa mbere, mu gihe bongera ihumure n'isuku.

Nahitamo nte hagati y'imiyoboro imwe, ibiri, n'iy'imashini zihinduranya?

Koresha imiyoboro imwe ku madosiye asanzwe yo mu cyiciro cya mbere, imiyoboro ibiri iyo hari ibikoresho by'inyongera bikunze gukoreshwa, n'imiyoboro ihinduranya ikoreshwa mu gukuramo, kubaga, cyangwa gukora imikorere ivanze y'amenyo.

Ni iyihe ngano y'umwanya umuntu agomba guhitamo mu gupima imiyoboro y'amaguru?

Huza umuyoboro na sisitemu yawe yo gufunga: 0.018 ku buryo bworoshye bwo kurangiza cyangwa 0.022 ku buryo bwagutse bwo gushyira insinga no kugenzura insinga zikomeye zo mu mpandeshatu.

Ni ibihe bintu by'ibanze byongera ubwizigirwa bw'imiyoboro ya buccal tube?

Shaka ishingiro rifite ishusho y'imiterere y'umubiri rifite umuyoboro wa gauge 80 cyangwa uburyo bwo kubikamo ibice hakoreshejwe laser; ibi bifasha kwicara neza kandi bigashyigikira imbaraga zikomeye kandi zitekanye zo gufatanya.

Ni hehe amavuriro ashobora gusuzuma uburyo bwo gufata imiyoboro ya buccal tube muri DenRotary?

Amavuriro ashobora gusuzuma uburyo bwo gukoresha imiti yo mu bwoko bwa orthodontic kuri denrotary.com/products/ no kugereranya amakuru y’ikigo kuri denrotary.com/about-us/.