Kuki udukingirizo two kwibohora two mu byuma byose ari two twa mbere mu kuvura amenyo mu buryo bugezweho?

Udukingirizo twishyiramobarimo guhindura uburyo bwo kuvura amenyo bugezweho, aho ubwoko bwa "all metal" ari bwo bwiza cyane mu kuvura neza. Igishushanyo mbonera cyabo gishya cyongera cyane umuvuduko w'ubuvuzi, ihumure ry'abarwayi, ndetse n'umusaruro rusange w'ubuvuzi. Abarwayi bakoresha ibiudupfunyika tw'icyuma two gushushanya indorerwamouburambe bw'ikigereranyoKugabanuka kw'amezi 6.33mu gihe cyo kuvurwa. Ubushakashatsi bwemeza buri gihe koudukingirizo twishyiramo kugabanya igihe cyo kuvurwa muri rusange ku mezi menshiIzi brackets zitanga imikorere myiza cyane, no gusobanukirwa itandukaniro riri hagatiudukingirizo twigenga tudakora cyangwa tudakorabishobora kurushaho kugaragaza ibyiza byabyo. Rero,Kuki udukingirizo tw'icyuma twishyira hamwe tugabanya igihe cyo gufata intebeImiterere yazo ikunze gukuraho ikibazo cyo gukenera ligature, bityo zigahindura neza. Byongeye kandi, ikoreshwa ryaudupfunyika twa MIM two kuvura amenyo twiza cyanebitanga ireme n'imikorere ihamye. Amaherezo,Ni izihe nyungu nyamukuru zo kwishyira mu mwanya w'amabati mu kuvura amenyoZirimo kuvurwa byihuse, isuku nziza, no koroshya ihumure ry'abarwayi.

Ibintu by'ingenzi byakunzwe

• Ibyuma byoseudukingirizo twishyiramoBifasha amenyo kugenda vuba. Bigabanya gukururana, bityo kuvura bigatwara igihe gito.
• Izi ngingo zituma amenyo yoroherwa no gusukurwa. Zinoroshya kandi gukomeza kugira isuku y'amenyo.
• Abaganga b'amenyo bashobora kugenzura neza izunguruka ry'amenyo. Ibi bibafasha kubona ibisubizo byiza ku barwayi.

Ubushobozi budasanzwe bw'udukingirizo two kwibohora two mu byuma byose

Kugabanya guhindagurika kw'amenyo kugira ngo amenyo agende vuba

Ibyuma byoseudukingirizo twishyiramoyongera cyane uburyo bwo kuvura amenyo binyuze mu kugabanya gukururana. Iyi miterere ituma amenyo agenda neza kandi neza. Sisitemu zo kwihambiraho (SLB) zirimouburyo bwihariye bw'imbere. Izi nzira zikuraho cyangwa zigabanya cyane gukenera imigozi yo hanze. Iyi miterere igira uruhare mu kugenzura neza imigozi yo mu gihe cyo kunyeganyega kw'amenyo. Ituma habaho imikorere myiza n'umusaruro mwiza mu kuvura. Urugero, uduce twa Damon Q na Q2 tw'ibyuma byose dufite uburyo bwo kwihuza. Ubu buryo bufata insinga y'umugongo idasaba imigozi y'inyongera cyangwa imigozi y'icyuma. Iyi miterere ihuriweho igabanya imigozi yo kunyeganyega, yorohereza inyeganyega ry'amenyo ryigenga kandi rikoroha. Izi ntambwe zubakiye ku buryo bwa kera n'ibitekerezo by'ubuvuzi kugira ngo byongere imikorere.

Ubushakashatsi bwakoze ubushakashatsi ku miterere y’izi mpandeshatu. Ubushakashatsi bumwe bwagaragaje ko nta tandukaniro ry’imibare ryagaragaye mu bijyanye no gukururana hagati y’impandeshatu za SL3 zigenga n’impandeshatu zisanzwe z’icyuma zifatanye na module za elastomeric. Ariko, impandeshatu za Smartclip SL3 zifite insinga ya SS (Stainless Steel) zagaragaje ko zigabanya cyane ubushobozi bwo gukururana (statistically resistance).2.550 ± 0.343 N) ugereranije na Clarity Advanced Brackets zifite insinga za TMA (P = 0.003 na P = 0.006) na Radiance brackets zifite SS (P = 0.002 na 0.005) na TMA archwires (P < 0.001). Ubundi bushakashatsi bwagaragaje ko Damon 2 self-ligating brackets zatanze strain nkeya ugereranyije n'ubundi buryo bwo kwihambira. Speed-ligating self-ligating brackets nazo zatanze strain nkeya ugereranyije na module zisanzwe za silver zidafite irangi, zisanzwe, n'ifeza zisanzwe. Damon 2 brackets yagaragaje by'umwiharikonta gukururana kw'imigozi kw'amajwi kwanditsweUku kugabanuka kw'amatako bituma amenyo agabanuka uko agenda agana mu myanya yayo ikwiye.

Gahunda zo kuvura ziteganyijwe kandi zinoze

Udukingirizo twigenga tw’icyuma cyose dufasha mu gahunda zo kuvura zitezwe kandi zinoze binyuze mu buryo butandukanye. Nubwo hari ubushakashatsi bugaragaza ko nta tandukaniro rigaragara mu gihe cyo kuvurwa n’amenyo hashingiwe ku bwoko bw’udukingirizo, udukingirizo twigenga (SLBs) dutanga inyungu zigaragara mu mikorere myiza y’imikorere. SLBs zishobora kunoza uburyo bwo kuvura hakiri kare, nubwo ingaruka zazo muri rusange ku gihe cyose cyo kuvurwa ari nkeya. Igereranya hagati ya SLBs n’udukingirizo dusanzwe (CBs) ryagaragaje itandukaniro rito mu gihe cyo kuvurwa (Amezi 19.19 kuri SLBs ugereranyije n'amezi 21.25 kuri CBs). Nta tandukaniro rigaragara ryabonetse hagati ya SLB na CBs mu muvuduko wo gukuraho imbwa cyangwa imikorere myiza yo gukuraho imbwa no kubungabunga aho zihagarara.

Ariko, udukingirizo twigenga tworohereza impinduka zihuse z'insinga z'umugongo bitewe n'imiterere yazo ishingiye ku gukata. Ibi bigira uruhare mu kunoza imikorere y'ubuvuzi no kugabanya igihe cyo ku ruhande rw'intebe. Sisitemu ya Damon2, SLB, yagabanyije cyane igihe mpuzandengo cyo gushyira insinga mu gitereko gifatanye neza kugeza ku masegonda 46, ugereranije n'amasegonda 98 ku dukingirizo twa Orthos (dusanzwe). Gushyira no kongera gushyira hamwe na sisitemu ya Damon SLB byagaragaje ko byagabanyije igihe ariko mu buryo buciriritse, bigabanya impuzandengo y'amasegonda 24 kuri buri gakoresho ko gukuraho no gusimbuza insinga z'umugongo. SLB zikuraho gukenera umufasha w'intebe mu gihe cyo gushyiramo insinga, byoroshya igikorwa cyo kudasaba gukoresha insinga za elastomeric cyangwa insinga. Ku bijyanye no gucurika ibintu mu buryo buri hagati (index irregularity <5), itsinda ryigenga ryagezeho.Gukosora byihuta inshuro 2.7Iri tandukaniro ryari rito cyane ku buryo abantu benshi bahuriraga mu buryo butunguranye (irregularity index >5). Udukingirizo tw'icyuma kidafunze twatanze imbaraga nke cyane zo gukururana zihoraho n'izidafunze ugereranije n'udukingirizo dusanzwe tw'icyuma kidafunze.

Ubwiza buruta ubw'udukingirizo gakondo

Udukingirizo twigenga tw’icyuma cyose dutanga inyungu nyinshi zanditseho ugereranije na sisitemu zisanzwe z’udukingirizo mu bijyanye n’uburyo bwo kuvura. Udukingirizo twigenga twemerera insinga kugenda neza bitewe n’uburyo bwihariye bwo gukata cyangwa urugi. Udukingirizo dusanzwe, mu buryo bunyuranye, dukoresha imigozi irabagirana. Iyi miterere igabanya ubukana hagati y’insinga n’udukingirizo, bigatuma inzira yo kuvura irushaho kuba nziza. Gutembera neza kw’insinga bishobora gutuma amenyo yihuta kandi bikaba byashobokakugabanya igihe cyo kuvurwa muri rusange, rimwe na rimwe ho amezi makeUburyo bwo kunyerera bugabanya gukururana no gukandagira amenyo. Ibi bituma amenyo arushaho kumererwa nabi ugereranyije n'uburyo amenyo afatwa neza mu buryo busanzwe. Uku guhuza uburyo amenyo afatwa nabi, imikorere yayo irushaho kuba myiza, no gutuma umurwayi amererwa neza, bigaragaza ko amenyo akoreshwa mu byuma byose arushaho kuba meza mu kuvura amenyo.

Ubunararibonye bw'umurwayi burushijeho kwiyongera no kuramba akoresheje udukingirizo twigenga

Ihumure ryinshi ry'umurwayi n'isuku yo mu kanwa

Udupfunyika two kwibohora tw’icyuma twongera cyane ubunararibonye bw’umurwayi binyuze mu gushyira imbere ihumure no koroshya isuku yo mu kanwa. Abarwayi bakunze gutanga raporo ku ndwaraku rugero rwo hejuru rw'ingorane zo gukoresha ibikoresho bisanzwe, cyane cyane mu gihe cyo kubanza guhuza. Ibi bitandukanye n'abakoresha ibikoresho byigenga, bababara gake. Kugabanuka k'uburibwe mu buryo bwigenga bigabanya gukanda kw'imitsi y'amenyo, bigatera kugabanuka k'ububabare.

Gukomeza kugira isuku yo mu kanwa hakoreshejwe imigozi gakondo bitera imbogamizi. Imigozi ifata ibiryo n'amabati, bigatuma isuku igorana. Imigozi ikoreshwa mu byuma byose ifata imigozi ubwayo.kurandura izi myenda ya rubber, bigabanya cyane ukwiyongera kwa plaque na bagiteriIyi miterere ituma koza no gukaraba amenyo byoroha cyane ku barwayi. Bityo, bigabanya ibyago byo kurwara ishinya no kurwara indwara mu gihe cyose cyo kuvurwa no gukaraba amenyo.kutagira ligature bikuraho ubuso butaringaniye aho imyanda ishobora kwirundanya, koroshya gahunda zo gusukura no kugabanya ibyago byo kwirema kw'ibinure n'ibibazo by'ubuzima bw'amenyo bijyana nabyo.

Gahunda nke n'igihe gito cy'intebe

Imiterere y'udupfunyika two kwibohora tw'icyuma gusa nayo ifasha abarwayi n'abaganga b'amenyo, cyane cyane binyuze mu kubonana n'abaganga bake no kumara igihe gito mu ntebe. Uburyo bwiza bw'ubu buryo bukunze kugabanya umubare w'abagomba gusura.

Nkuko bigaragara mu mbonerahamwe, ubushakashatsi bwerekana ko umubare w’abahabwaga gahunda wagabanutse cyane. Urugero, abarwayi bakoreshaga udukingirizo twa Insignia twasabaga kujyayo inshuro 7 ugereranije n’uburyo busanzwe. Mu buryo nk’ubwo, udukingirizo twa InOvation twatumye habaho gahunda 6 nke. Uku kugabanuka kw’abahabwaga gahunda bizigama umwanya n’ingendo, ndetse binanoza gahunda y’umuganga w’amenyo n’imikorere myiza y’imyitozo. Uburyo bworoshye bwo guhindura gahunda, budasaba guhindura imigozi irabagirana, bunafasha mu gutuma habaho gahunda ngufi ku ntebe ku muntu ku giti cye.

Ingufu n'Ubwirinzi by'Ibyuma Byose

Udupfunyika twigenga tw'ibyuma byose tuzwiho gukomera no kwizerwa cyane, bikomoka ku bikoresho bigezweho byakoreshejwe mu bwubatsi bwabyo. Abakora bahitamo neza ibyuma byihariye kugira ngo barebe ko biramba,guhuza ubuzima, n'imikorere myizamu gihe cyose cyo kuvurwa.

Ibyuma bisanzwe bikoreshwa birimo:

• Icyuma kidasesagura (urugero: 304L, 316L, 17-4 PH): Iki gikoresho gitanga imbaraga nyinshi, ubushobozi bwo kudahinduka, kandi kirwanya ingese neza, cyane cyane hamwe na 316L. Ubwoko bwa PH butanga imbaraga nyinshi. Ariko, ubwoko bwa austenitic bushobora kurekura ioni za nikeli, kandi ubwoko bwa PH bugoranye gukoreshwa.
• Aloyi za Cobalt-Chromium: Izi alloys zizwiho kuba zifite ubushobozi bwo guhuza neza ibintu, kugabanya ingano ya nikeli, no kwangirika cyane no kudashonga. Zikwiriye abarwayi barwaye nikeli, nubwo zihenze cyane kandi zigaragaza ubukana bwinshi kurusha titaniyumu ku nsinga zimwe na zimwe.
• Aloyi za Titanium na Titanium (urugero, Ti-6Al-4V, Grade 2/4 CP): Titanium itanga ubushobozi bwo guhuza neza n'ibinyabuzima, kurwanya ingese neza, ndetse n'ubushobozi buke bwo kugira allergie. Alfa-beta alloys ziramba cyane, naho CP titanium ikagira ishingiro ryizewe ryo gufatanya. Imbogamizi zirimo ubukana buke kuri CP yo mu cyiciro cya 2 ndetse n'irekurwa rya vanadium ion rishobora kuva kuri Ti-6Al-4V.
• Aloyi z'agaciro gakomeye zikozwe mu byuma (urugero: Icyuma gikozwe mu zahabu): Ibi bitanga agaciro gakomeye k'ubwiza n'ubuso budafite imiterere y'ibinyabuzima, bukoreshwa mu buryo busanzwe mu ndimi. Ingorane zabyo nyamukuru zirimo ibiciro biri hejuru cyane n'inyungu nke za mekanike ugereranije n'ibyuma bigezweho bitarangirika.

Ibi bikoresho bikomeye byemeza ko udupfunyika twihanganira imbaraga zo guhekenya no guhindura imiterere y’amenyo nta gucika cyangwa ngo bivunike. Iyi mbaraga isanzwe igira uruhare mu gutanga umusaruro uhoraho wo kuvurwa kandi ikagabanya gukenera gusanwa byihutirwa, bikongera ubunararibonye bw’umurwayi n’imikorere myiza muri rusange y’imikorere y’amenyo.

Uburyo bwo kugenzura no gusuzuma neza ubuvuzi ku baganga b'amenyo

Abaganga b'amenyo babona uburyo bwo kuvura neza no kugenzura neza indwara bakoresheje uburyo bwo kwihuza bw'ibyuma gusa. Ubu buryo bugezweho butanga uburyo bwiza bwo kuvura, butuma habaho ibisubizo byiza kandi biteguye neza. Imiterere y'ubu buryo iha abakora ubuvuzi ubushobozi bwo gucunga uburwayi bukomeye bafite icyizere kinini no kugera ku musaruro mwiza ku barwayi babo.

Uburyo bwo Kwegereza Amenyo Bwiza no Guhuza Archwire

Udupfunyika two kwihuza tw’ibyuma byose dufasha cyane mu kugenzura amenyo, cyane cyane mu ndwara zikomeye zo kuvura amenyo. Ibi babigeraho binyuze mukugabanya ubukana hagati y'umugozi w'insinga n'agakingirizo. Uku gukururana guke kwemerera abaganga b'amenyo gukoresha imbaraga zoroshye, zijyanye neza n'imiterere y'umubiri w'umurwayi. Bityo, amenyo agenda neza kurushaho. Kuba nta mashini zikora neza bikuraho gukururana no kwangirika bijyana na byo. Ibi bigira uruhare mu gutuma amenyo arushaho gukururana no kugenzura neza aho aherereye. Ibi ni ingirakamaro cyane cyane mu gihe bisaba guhindura amenyo cyane cyangwa kuyazungurutsa.

Utu duce dukoreshaigishushanyo cyihariye gikuraho imitako gakondoAhubwo, bakoresha agakoresho gafunga cyangwa irembo rifite isoko kugira ngo bafashe insinga z'umurambararo.Imiterere idahindagurika irimo urugi rworoshye rworoshye rwo kuzunguruka. Uru rugi rufata insinga y'umurambararo nta ngufu ziyongeraho, bigabanya gukururana. Imiterere ikora ifite agakoresho ko gukanda. Aka gakoresho gashyira igitutu cyoroshye kandi gihoraho ku nsinga y'umurambararo, kakongera kugenzura no kuyobora amenyo. Ibi ni ingirakamaro cyane cyane mu byiciro byo kuvurwa nyuma kugira ngo habeho kunoza ubushishozi. Imiterere myinshi y'udukingirizo twigenga igerahoinkingi y'icyuma ikoreshwa mu gupfuka icyumaIyi sura y'icyuma igize igice cy'umwanya wo gupfunyikaho. Abaganga b'amenyo bashobora gufungura no gufunga iyi sura bakoresheje igikoresho cyangwa urutoki, bagafata neza insinga iri muri iyo pfunyika.

Ubuhanga bunoze kugira ngo ubone ibisubizo byiza

Itsindaubwubatsi bunozeby'ibyuma byose byihuza n'amabati bigira uruhare runini mu gutanga ibisubizo by'ubuvuzi biteganyijwe. Urugero,igishushanyo mbonera cy'uruzigaImiterere imwe n'imwe y'udupfunyika ituma imiterere y'udupfunyika ishyirwa neza. Ibi byoroshya inzira hakoreshejwe igishushanyo mbonera cy'utudomo kugira ngo imiterere y'umuvuduko w'urumuri irusheho kuba igoye. Ibi byoroshya uburyo bwo kuvura, bigabanya igihe cyo guhindura, bigabanya ububabare bw'umurwayi, kandi bigatanga umusaruro uhoraho. Uburyo bwo kwihambira bukuraho gukenera imigozi cyangwa imigozi irabagirana. Ibi bigabanya gukururana no kurakara. Amenyo agenda neza, yihutisha ubuvuzi, yongera ihumure ry'umurwayi, kandi bigabanya gukenera guhindurwa kenshi.

Abakora bakoresha ibikoresho binonosoye cyane, byujuje amahame ya ANSI/ADA No. 100 na ISO 27020:2019. Ibi bikoresho biramba kandi bitanga ibisubizo bihamye ku buvuzi nubwo byaba bikoreshejwe igihe kirekire. Uburyo bworoshye bwo gufunga butuma agapfunyika gafata neza ku rundi ruhande rw'amenyo. Ibi bikomeza kwita ku menyo kandi bikarinda kunyerera ku bw'impanuka. Byongeye kandi, igishushanyo mbonera cy'ubugari bwa mesh 80 gitanga urufatiro rukomeye. Ibi byongera isano iri hagati y'agapfunyika n'ubudodo, bigabanya ibyago byo gucika.

Imikorere y’imyitozo yo kuvura amenyo ikozwe mu buryo bworoshye

Udukingirizo two kwibohora tw’icyuma tworoshye cyane imikorere y’imyitozo yo kuvura amenyo. Uburyo bwo kwibohora bw’umwihariko buzwiho kubabigabanya cyane igihe cyakoreshwaga mu gushyira mu magare. Binafasha mu guhuza amenyo vuba. Ikoranabuhanga rigezweho n'imiti yihariye binoroshya uburyo bwo kuvura amenyo binyuze mu kugabanya uburyo akoreshwa kandi bigafasha gushyiraho amenyo neza, bityo bigafasha mu kunoza uburyo akoreshwa. Uburyo bwose bwo kuvura amenyo bushingiye ku ikoranabuhanga bwibanda ku kongera imikorere myiza muri rusange. Iri koranabuhanga rigamije kugabanya stress iterwa n'ubuvuzi bwo kuvura amenyo.

Ibisubizo by'ikoranabuhanga byihariyekunoza uburyo bwo kuvura. Ikoranabuhanga ryihariye rigamije koroshya imikorere mu buvuzi bw'amenyo. Ibi bigira uruhare mu gutuma imyitozo rusange igenda neza. Igishushanyo cya bracket cyihariye gifite uburibwe buke kandi kidatuma umuntu ananirwa kwihambira. Ubushobozi bwo kwihanganira amenyo mu mwanya butuma amenyo aba magufi. Iki gishushanyo cyoroshya uburyo amenyo ashyirwa ku murongo vuba. Gufata neza amenyo mu mwanya w'amenyo bituma amenyo ashyirwa ku murongo mwiza kandi akagenzurwa neza mu buryo butatu. Umuti ukuraho insinga zigoramye kandi ukagabanya gukenera gusimbuza bracket. Bitanga ibisubizo biteganyijwe hamwe no kubonana n'umurwayi bike. Igihe cyose cyo kuvurwa gishobora kubayagabanutseho amezi arenga 4Gusura intebe ni bigufi, kandi igihe cyo kubonana n'abandi gishobora kuba kirekire bitewe n'uko nta mikandara y'icyuma irimo.Udupira twubatswemo dufata insinga, bigabanya gukenera gufunga amenyo n'intoki. Gucika intege bivuze ko ibice bike, bigatuma amenyo agenda neza kandi vuba. Guhindura amenyo byoroshye bivuze ko abarwayi badakenera kujya kwa muganga w'amenyo. Imiterere y'amenyo igabanuka ituma amenyo agenda neza, bigatuma habaho guhindurwa guke.

Udupfunyika two kwibohora tw’icyuma ni amahitamo meza ku baganga bagezweho b’amenyo bakora neza. Batanga umusaruro wihuse, woroshye kandi utanga umusaruro mwiza cyane. Kugabanya kwangirika, isuku nziza, kuramba cyane, no kugenzura neza ubuvuzi bituma ibi bisubizo bitagereranywa. Abaganga b’amenyo bagera ku musaruro mwiza w’abarwayi bakoresheje ubu buryo bugezweho.

Ibibazo Bikunze Kubazwa

Ni gute udupfunyika two kwibohora tw’icyuma cyose twihutisha uburyo bwo kuvura?

Bigabanya gukururana hagati y'insinga n'agakingirizo. Ibi bituma amenyo agenda neza kandi vuba mu mwanya wayo, akenshikugabanya igihe cyo kuvurwa muri rusange.

Ese abarwayi babona ko udukingirizo two kwibohora tw’icyuma gusa tworoshye?

Yego, abarwayi bakunze kubabara gake. Iyi miterere ikoresha imbaraga zoroshye kandi ikuraho imitsi yoroshye, ibi bigabanya umuvuduko ku menyo no ku nyama ziyikikije.

Ni irihe tandukaniro rikomeye riri hagati y’udukingirizo twigenga n’udukingirizo gakondo?

Udukingirizo twishyiramokoresha agakoresho cyangwa urugi byubatswemo kugira ngo ufate insinga y'umurambararo. Uduce dusanzwe dukenera imigozi ya elastic cyangwa imigozi y'insinga, ibyo bigatuma habaho gukururana cyane kandi bigasaba guhindurwa kenshi.