Dislocation amazinyo: izinhlobo, ukwelashwa, izithombe

Cishe wonke umuntu okungenani kanye ukuphila kwakhe ihhovisi yamazinyo nesineke. Ngokuvamile, siya kudokotela uma caries ifinyelela ukuthuthukiswa eqala ubuhlungu, okuyinto ngeke nakancane sihambisane nakho. Vakashela udokotela wamazinyo, futhi uma kudingekile, ubambelele amazinyo noma ukunakekelwa yezimonyo ngomlomo. Kodwa zikhona izikhathi lapho iziguli lomshado ngoba kube dislocation amazinyo. Hlobo luni zokugula, ngoba noma ngabe yisiphi isizathu, kukhona, futhi kungakhathaliseki ukuthi ungakwazi ukuphatha? Nazi le mibuzo sizozama ukuphendula.

Kuyini namazinyo dislocated

Uma izinyo is baphambukisa-eksisi yayo ehlobene indawo nezinye amazinyo, kungenzeka ukukhuluma zokugula ezinjalo. Phakathi dislocation kubangela ukulimala nemisipha, okuholela shift of izinyo.

Ezimweni eziningi kukhona dislocated samazinyo lo ongenhla, ngezinye izikhathi kungaba phansi.

Ukunisa izici of dislocation

Njengoba izinto eziningi ingaba njengesihluthulelo izimbangela ukulimala ezinjalo. Ukwenyela kanye waphuka kwamazinyo kokubili ngabantwana nangabantu abadala singenzeka ngenxa yezizathu ezilandelayo:

1. Bounce. Akubalulekile ukuthi othile awunika emhlathini, kungenzeka ukuthola yokulimala ezifana emva ewa ibhayisikili ngesikhathi ukuphahlazeka noma iyiphi ingozi. Ngokuvamile uhlushwa onjalo ukulimala abadlali professional ezifana hockey. Iningi ngokuvamile abathintekayo kukhona amazinyo angaphambili.
2. Uma amazinyo musa ihluke ngamandla abo ngenxa pathologies ezithile, njenge periodontitis, ke ngephutha into eqinile izinyo ngesikhathi mastication kungaholela ekuphazamisekeni.
3. Kwangathi uhlangabezana bamazinyo akufanele ngokomsebenzi engiwenzayo ngubani overdo ngesikhatsi ukwelashwa kanye namathuluzi sokucasuka namazinyo dislocated.
4. Izejwayezi ezimbi ingabagulisa isifo, isibonelo, uma njengoba ngikwazi ukuqala ibhodlela ukusebenzisa amazinyo abo siqu noma kuqhuma walnuts.

izinhlobonhlobo dislocations

ukuhlukumezeka okunjalo kungaba izinhlobo eziningana:

1. A dislocation olungaphelele izinyo. Libhekene ukuhlukumeza ubuqotho ukuhlukumezeka periodontal ukuze uginindela. Nale ukulimala namanje ithuba izinyo emuva endaweni. Akazange iwe emgodini, umane kuphambuka axis awo.
2. Qedela dislocation we izinyo. Kwenzeka kaningi ongenhla lapho esikhipha izinyo cishe falling aphume alveoli. Lapho ebuyile ngaphandle ukuhlukumezeka ingaba ngisho ukwa emhlathini noma izinyo.
3. dislocation enomthelela we izinyo. dislocation okunjalo kubhekwa ayingozi kakhulu, njengoba kukhona umonakalo izicubu amaningi. Ngenxa yalokho, okunomthelela butho elikhulu sivela ekujuleni isokhethi izinyo. Sizoba ukuba basebenze kanzima ukuze bathole smile enhle.

Dislocation kungabhekwa njengokuvikela nokuzilimaza, futhi kungase kuhambisane ukwa umqhele noma impande, futhi ezimweni ezimbi kakhulu kutholakala ukuthi uphethwe i-ephuke umhlathi. Banikezwe uhlobo ukulimala, udokotela uzothatha isinyathelo bese ukhetha amacebo yokwelashwa.

symptomatology Ukwenyela

ukulimala abahlukahlukene kuhluka uqobo futhi zako. izimpawu i dislocation ongaphelele izinyo ngokuvamile ubonisa okulandelayo:

• Kukhona ubuhlungu obuhlabayo, okungase kube yashubisa ngesikhathi sakusihlwa.
• Uma ubheka izinyo, umqhele ine indawo atypical, wenqaba uhlangothi kuya kolunye. Lapho uzama akumshintshi ukunyakaza izinyo impande siyenzeka.
• Ayikwazi ukuvala emihlathini yakhe kahle futhi uvale umlomo, kukhona ubuhlungu oyingozi.
• At the site yokulimala ungabona nemihuzuko esikhumbeni. Kuleli uphawu Abazali bangazisiza esolwa dislocation ubisi izinyo ezinganeni. Uma ingane kuwa, kubalulekile ukuba sihlole ngokucophelela ngalo ingaphakathi ngomlomo, ikakhulukazi lapho sikhuluma kwegazi.
• Elinye izinyo kuba mobile kakhulu. Ezinye izozama ongazihlwitha, kodwa-ke akufanele kwenziwe.
• Kukhona ukuvuvukala kwezindebe, izinsini, uma uthinte it, ubuhlungu obuphatheka ngesandla.
• Uma uthatha isithombe, ungabona kokunciphisa impande izinyo lilimele.

Uma enyelisa igcwele, izimpawu zimi kanje:

• dislocation Lezo izinyo (isithombe kungaba ubufakazi ukuthi) ephelezelwa ngopha alveoli, lapho esikhipha izinyo kwaba.
• Ubuhlungu endaweni yokulimala.
• Ivela ukungakwazi ukukhuluma kahle.
• Ukuguqulwa izinsini, ngakho-ke kuba khona ukuvuvukala ebonakalayo, hematoma.

Uma kukhona dislocation we izinyo nomthelela, lezi zimpawu ezilandelayo:

• ubuhlungu obukhulu endaweni umonakalo.
• Kukhona ukopha imbobo encane ezilimele izinyo.
• Sibekezele nzima clench amazinyo akho.
• Ngaphandle amadivayisi kungabonwa ngokucacile ukuthi ukuphakama izinyo yehlile ngosayizi.
• Mobility engekho ngokuphelele, ngoba umhlathi ngokuqinile elungisa izinyo. Lapho uzama kumnyakazise, ubuhlungu akuyona wazizwa.
• Izinsini babe evuvukele.

Lokhu dislocation kuyinto yingozi ikakhulukazi izingane ubisi amazinyo, kusukela, engena shí emhlathini, umqhele kungaba ona nakhululwa ezifundisweni zokucathula namazinyo unomphela. Babe zikhula ezilimele noma zingase zingaveli.

Ngengozi dislocation kwamazinyo izingane

Izingane mobile kakhulu, ngakho lezi ukulimala ngabo - akukhona okungavamile ukuba likhithike. Futhi uma ucabangela ukuthi lokhu kungenzeka ekuqaleni kuka ebuntwaneni lapho kusekhona ubisi amazinyo, noma ngisho akudingeki bazibuze.

Uma ukulimala ezinjalo zenzeka, abazali abaningi bakholelwa ukuthi kubalulekile ngokushesha ukubeka izinyo endaweni. Kodwa odokotela bamazinyo abanolwazi musa njalo uyavumelana nala, ikakhulukazi uma izinyo ingane futhi dislocation kungaphazamisi futhi akusho ukulimaza umntwana.

Omama kanye obaba adinga ukwazi leyo isici okufana a is hhayi Kunconywa ukuba wena ngokwakho. Ungenza izinto zibe zimbi nakakhulu futhi abangele ezinzima ubuhlungu ingane. Uma kuziwa ingane ngezinyo, kulapho ngakho, ngoba izinsini kakade ekuqaleni namazinyo unomphela, okungase kubangele umonakalo ongalungiseki.

Kungcono ukubona onguchwepheshe bese ukuxazulula ngosizo yayo, indlela yokusiza ingane.

Usizo lokuqala ngemva dislocation we izinyo

Phezu kokuthola ukulimala enjalo (kungakhathaliseki ukuthi ingane noma umuntu omdala), udinga ngokushesha ngangokunokwenzeka ukuba ngusihlalo wamazinyo, kodwa izinyathelo zokuqala abaluleke kakhulu:

• Uma kungenzeka, ukuqeda ukopha.
• Akuvunyelwe ukusebenzisa ingcindezi kusayithi ukulimala noma ngqo izinyo. Asikho isidingo ngumnikazi ukuzama ukubeka izinyo endaweni yayo.
• Ngu esihlathini kusukela izinyo abalimala ukwenza into ebandayo.
• Uma dislocation egcwele, bese wenza Tampon, kodwa hhayi ukotini.
• Lapho usebenzisa ngebhandeshi ingcindezi ke akufanele ibekwe imizuzu engaphezu kwengu-15.

Abanye bakholelwa ukuthi uma kwakukhona ukuhlukumezeka enjalo, kufanele ususe izinyo. Kodwa onguchwepheshe oqeqeshiwe Ezokungcebeleka kuze kube sezingeni lokuba akuvamile, kuphela uma kunezinkomba zokuthi sina, okuzoxoxwa ngezansi.

Ezamazinyo dislocation

Uma sisheshe dislocation we ngezinyo, ukuphathwa kuzoncika ezihlukahlukene ukulimala, ubudala lesiguli, kanye uma kuziwa ingane, izinga lomonakalo kanye kumiswa namazinyo unomphela ezinsinini. Ukuze professional kwasekuqaleni kuyindaba ngokugcina izinyo, kodwa lokhu kuzoncika ezintweni eziningi, futhi kuhlanganisa eziningi izinyathelo saziso:

1. Izinyo Buyela indawo yokuqala. Kuze kube yimanje, izindlela ezahlukene, kuncike dislocation ingasetshenziswa.
2. Uma kukhona dislocation we izinyo nomthelela, le ndlela yokwelapha ihilela ukubuyiselwa kokuqala ke indawo yayo yasekuqaleni, uma kungenzeka. Uma ukulimala onjalo ingane ngezinyo, kulapho ngokuvamile, uma ingane eminyakeni engaphezu kuka-2, isuswe.
3. A dislocation olungaphelele izinyo kulula ukubuyela esihlalweni sakhe. Ukuze wenze lokhu, sebenzisa ezihlukahlukene imiklamo, bese isilungisiwe.

Ukususa dislocation akuphelele

akuphelele ukwelashwa dislocation izinyo kuyehla kube le nqubo elandelayo:

1. Beka kabusha izinyo, okungukuthi, ukubuyela endaweni yawo.
2. Zibophezele ukuvimbela ukufuduka.
3. inhlanzeko ukuhambisana.

Uma izinyo isethwe endaweni yalo efanele, ke kumele lulungiswe. Ukuze wenze lokhu, sebenzisa ngamathuluzi ahlukahlukene:

• namazinyo esibophezelayo mncane zethusi ezithambile kanye ne-aluminium wire. Lokhu zokukhwabanisa kungenzeka uma isisulu kokulunywa lesifanele kanye namazinyo eduze esitebeleni. Le ndlela has nezihibe: yinkimbinkimbi inqubo kanye nokuntuleka nenkanuko edlulele eqinile.
• Ukunqwabelanisa ibhasi wire. Kubalulekile futhi ukuba esitebeleni dentition unomphela namazinyo eduze.
• Ukusetshenziswa kappa-ibhasi, it is eyenziwe ngepulasitiki.
• Ungasebenzisa ezinyweni-nadesnevye amathayi, uma kungekhona eziningana okunokwethenjelwa namazinyo abutment.
• Kwezinye izimo, odokotela bamazinyo abaphendukela izinto esiyinhlanganisela zokuthola nemengamo wire noma amathayi.

Ngemva nenkanuko edlulele, umklamo onjalo ngokuvamile itholakala ngalo ingaphakathi ngomlomo isikhathi esingangenyanga. Udokotela sizochaza ukuthi kule nkathi kubalulekile inhlanzeko yomlomo ukuvimbela inqubo ukutheleleka.

Ukwelashwa dislocation ephelele

Uma ukulimala sekubangele dislocation ephelele ngezinyo, ke kuyodingeka ukuphathwa ezilandelayo:

1. Ukususa uginindela canal ukugcwaliswa.
2. izinyo replantation.
3. Nenkanuko edlulele.
4. Kuhlonishwe engashiyi ukudla.

Phakathi, udokotela uhlola ngokucophelela emgodini izinyo futhi ihlola ubuqotho bayo. Replantation kungenzeka noma cha kuxhomeke ezicini eziningana:

• yobudala lesiguli.
• nesimo izinyo.
• izinyo okwesikhashana noma unomphela.
• Impande yalo eyakheke kahle noma cha.

Emva ukugcwalisa iziteshi uqale izinyo replantation. Kungaba-esiteji esisodwa, lapho esikhipha izinyo ngokushesha wafaka endaweni futhi splinted ke. Kodwa ngezinye izikhathi imisiwe replantation ke izinyo ibekwa isixazululo ekhethekile, bese uthumela ku esiqandisini. Ngemva kwezinsuku ezimbalwa uqhubekele ukubuya kwakhe endaweni.

inqubo replantation siqukethe izinyathelo ezilandelayo:

1. izinyo nokulungiselela.
2. Icubungula imithombo.
3. Replantation we izinyo kanye nenkanuko edlulele yayo.
4. Ukwelashwa ngemva kokuhlinzwa.

Uma inqubo yenziwa replantation ngezinyo, cishe 1.5-2 izinyanga engraftment kungenzeka ngaphansi zimo ezimbalwa:

1. Engraftment uhlobo ukungezwani eyinhloko. Lolu hlobo sisihle kakhulu ngenxa yezinyo laso kanye nesineke, kodwa kuzoya ukusebenza kwezicubu periodontal.
2. Engraftment lohlobo ithambo Fusion. Lokhu kungenzeka uma kwakukhona ukubhujiswa kwezicubu periodontal Yiqiniso, lena akuyona yalokho evumayo.
3. uye uhlobo okuxubile sokuphulukiswa kungabonakala nasemkhakheni ithambo periodontal-fibrous.

Ngokuvamile, uma replantation izinyo emva ukulimala kwenziwa cishe ngokushesha ke impande kancane wadalula ekubhujisweni, izinyo nayo bangagcinwa isikhathi eside. Kodwa uma kuthatha isikhathi eside kusukela kokuthola dislocation, ngokuvamile igcina replantation resorption kancane kancane impande nokubhujiswa kwayo okugcwele.

Phatha dislocated izinyo nomthelela

Khona-ke ukubhekana nomthelela nzima impela uma dislocation olungaphelele izinyo unomphela, isimiso, kulula ukuba banakekele. Abanye ochwepheshe uncamela ulinde isikhashana, enethemba lokuthi kuzokwenzeka izinyo nokuguqulwa ayibuyisele endaweni yayo. Kodwa lokhu, uma kungenzeka, kuphela uma ingane amazinyo uma isandiso kungenxa kumiswa impande.

Esemncane, uma kukhona zokushisela angajulile elingamakhilomitha, nokuzitusa zingenza, inqobo nje akusiyo phezu kumiswa impande futhi has endaweni lwegciwane. Izimpawu zokuqala zalesi simo kungabonakala nasemkhakheni hhayi emva amasonto ngaphambi kwe-2-6 ukulimala.

Uma kukhona izimpawu ukuvuvukala, kubalulekile ukuba trepan izinyo futhi asuse uginindela.

Uma dislocation nomthelela umqhele cishe zifakwa ngokuphelele izinyo ku ushingamu, self-lokuphakamisa akunakwenzeka, kanye khona ukuvuvukala foci ukutheleleka emisipheni periapical.

Ngemva ukulimala kabusha izinyo nomthelela kungaba kwenziwe cishe ngokushesha noma zingakapheli izinsuku 3. Trepanning imiqhele kanye ukuhlanzwa uginindela wenziwa emva izinyo ziqine efakwe kahle.

Uma umqhele ayijulile kwamanzi, kungenzeka ukusebenzisa nemishini orthodontic yalokho kwelulwa yayo. Lapho nomthelela ngokujulile namazinyo kudingekile iphendukele izindlela kuhlinzwa ukuthi yingaleso kungenzeka ukubeka umshini. Lokhu zokukhwabanisa kumele kwenziwe ngokushesha ngangokunokwenzeka ngemva ukulimala, kusukela izinsuku 5-6 eba ankylosis.

Ungaya enye indlela: ukususa izinyo nomthelela, bese benza replantation.

Kwezinye izimo, indlela kuphela - ukususa izinyo

Uma isiguli uya wamazinyo nge dislocation we ngezinyo, udokotela enquma ukususe khona lezi zinto ezilandelayo ungalokothi uphuze:

1. Ucwaningo luthole ukuvuvukala sina. Ukuxazulula lenkinga, sebenzisa izimila, uma kuziwa ingane, bayoba yesikhashana, futhi ukhethe constants abadala.
2. Ukulimala waphawula ngemva ithambo umonakalo ezinzima.
3. Uma kukhona dislocation umntwana izinyo. Kodwa kukhona ukungavumelani phakathi odokotela, abanye bakholelwa ukuthi ukuba silondoloze izinyo noma yini, kuyilapho abanye bayaqiniseka kwimininingwane kunesidingo.

Kunoma ikuphi, ukwenza isinqumo mayelana nokususwa izinyo ukuba udokotela emva luhlolo olunzulu isimo, ukucacisa degree obulukhuni ukulimala kanye isimo uhlelo kwamazinyo.

Kungenzeka yini ukuthi luvimbele kokuthola ukulimala ezifana

Yiqiniso, akunakwenzeka ukuba ukuthathelwa umshuwalense ngokwabo ngokuphelele kusukela dislocation we ngezinyo, ngoba umfana ukufakazela akanacala ulwa ayikwazi ukuqinisekisa ukuthi ngeke uthole igalelo esinamandla emhlathini. Kodwa ungathatha nezinye izinyathelo ukunciphisa ingozi yokulimala:

1. Qaphela indlela yokukhetha ukudla zidliwa.
2. Hamba esitolo uzithengele ngikwazi ukuqala ibhodlela, musa ukuhlola amandla abo ku amazinyo.
3. Crack nuts akusito amazinyo, ungasebenzisa amathuluzi ususondele.
4. Siqu Oral Ukuhlanzeka kodwa lutho olubi, kodwa ukungezwakali kwawo kuholela buthakathaka ithambo kumiswa. Plaque kuholela kuyadamba akusheshi futhi ukubhujiswa izinyo koqweqwe lwawo.
5. Yidla izithelo nemifino eminingi, awayona amazinyo nje ezinhle ehlanzekile-plaque, kodwa futhi ukuze babaqinise.

namazinyo amahle - akusiyo kuphela impilo, kodwa futhi ubuhle. Ezilimele noma eziyizigwegwe namazinyo kusenze namahloni ukumamatheka kwabo. Ukuze ugweme lokhu, kudingeka agcine inhlanzeko ngomlomo futhi unakekele kahle amazinyo abo. Uma uthi nhlá, kubonakala sengathi izinto banamandla kabasi wesabe lutho, kodwa kuvela, omunye ukuvulwa ibhodlela bangase bagcine ukuhluleka. Kubalulekile ukufundisa izingane kusukela zisencane ukuba zinakekele Zubkov zabo ke, njengoba abadala, ngeke ahlale isikhathi eside kumugqa ngisehhovisi likadokotela wamazinyo. Vikela amazinyo akho kusukela Ukwenyela, ake ukumamatheka zakho ziqhakaze!