Orthognathic tom: cov tsos mob, yam ntxwv

Kom muab tso rau ntawm cov hniav tsis yog tsuas yog ib tug guarantee ntawm kev kho mob, tab sis kuj yog ib tug zoo nkauj luag ntxhi. Lub smoother koj cov hniav, qhov ntau aesthetically nws zoo nkaus li. Tab sis tam sim no yeej tsis tshua muaj heev mus nrhiav ib tug muaj tseeb tom. Qhia, cov niam txiv coj lawv cov me nyuam rau qhov teeb meem nesmykaniya hniav thiab lwm yam kev kho hniav tsis xws luag. Yuav ua li cas los mus txiav txim lub tseeb tom thiab tej deviations no, peb kawm tau los ntawm qhov tsab xov xwm.

Tom - dab tsi yog qhov no?

Raws li kev kho mob terminology, tom - yog qhov chaw ntawm cov kaus hniav, nruj nreem interlocking nrog txhua lwm yam. Tseem muaj xws li ib tug tshaj plaws raws li ib tug occlusion. Cov kws kho hniav feem ntau thov nws raws li ib tug los ntawm lub hom clamping hniav. Nws thiaj li tshwm sim hais tias tus hniav kab tej zaum yuav txawv. Muaj peb tseem ceeb ntawm kev tom:

• tas mus li;
• physiological;
• pathological.

Tej tsiaj yuav tsum tau txiav txim tsuas yog thaum cov hniav yog twb tag nrho tsim. Feem ntau, qhov no tshwm sim nruab nrab ntawm cov muaj hnub nyoog ntawm kaum ob mus rau kaum tsib lub xyoos.

Lub tswvyim ntawm "orthodontics"

Muaj coob tus neeg xav tsis thoob thaum lawv tau raws li nrog ib qho kev nthuav tswvyim li orthodontics nyob rau hauv kev kho hniav. Yuav ua li cas yog nws? Yog li ntawd hu ua kev kho mob cov kev taw qhia, uas yog tsim los kho congenital malocclusion. Yog hais tias los ntawm kev yug me nyuam cov hniav nyob deb ntawm txhua lwm yam, yog hais tias lawv loj hlob nkhaus, yog tias tus me nyuam muaj ib qho overbite, tag nrho cov teeb meem solved aesthetic orthodontics. Nws yog ib qho tseem ceeb yuav tsum tsis txhob tsis meej pem nrog orthodontics orthopedics. Nyob rau hauv thawj cov ntaub ntawv, ib tug kws tshem tawm tsis xws luag tau thaum yug los, thiab tus neeg thib ob kis lub pathology nyob rau hauv lawv lub neej.

Rau ob txhiab xyoo ntawm nws lub neej, orthodontics tau ua tus nrov tshaj plaws nyob rau hauv kev kho hniav. Yuav kom kho cov "luag" siv tshwj xeeb rau kev zawm hniav, lawv yog ua los ntawm cov khoom ruaj ruaj. Locks xa mus rau cov hniav los ntawm txoj kev ib tug tshwj xeeb nplaum, thiab tag nrho lub system "txhawb" cov tub ceev xwm sawv ntsug kom nyob rau txhua lwm yam. Nyob rau hauv lub complexity ntawm tus thawj lub xeev ntawm kev kho mob yuav siv sij hawm nyob qhov twg los ntawm plaub lub hlis los 1.5 xyoo. Peb cia siab tias koj to taub dab tsi teeb meem yog solved los ntawm orthodontics nyob rau hauv kev kho hniav, nws yog dab tsi thiab zoo li cas ntawm tau koj yeej yuav tau txais. Los.

Yuav ua li cas yog cov anomalies ntawm malocclusion

Pathology ntawm tom feem ntau yog tsis yog ib tug congenital kho raws, vim hais tias cov chaw ntawm tus hniav yog tsim los ntawm ib tug ntev heev lub sij hawm. Paub qhov txawv ob peb ua sawv, thaum lub sij hawm uas hloov hauv daim ntawv ntawm cov tom:

• me nyuam mos;
• ib ntus;
• tsim los ntawm ib ntus;
• mixed;
• qhov.

Kev ua txhaum ntawm cov pob txha loj hlob nyob rau hauv tag nrho cov sij hawm yuav ua tau kom malocclusion. Nyob rau hauv ntau zaus, nws manifests nws tus kheej nyob rau hauv ntau txoj kev. Cov yooj yim tshaj plaws pathology ntawm cov hauv qab no:

• progenichesky tom;
• nrub nrab;
• ntoo khaub lig;
• dystopia.

Yog hais tias ua txhaum yog vim qhov chaw ntawm cov kaus hniav sab sauv lub puab tsaig yog heev lawm, nws los txog progenicheskom tom. Nrub nrab tshwm sim thaum lub qis lub puab tsaig los rau pem hauv ntej heev xav. Qhov tseeb dentition xaiv - nws orthognathic tom.

Cov ntaub ntawv yog tom

Raws li nws yog tsis yooj yim sua kom tau raws li cov tib neeg, thiab yuav tsis tau raws li tib lub tswv yim ntawm cov hniav. Txawm lawv yog qhov chaw tseem muaj ib co ntau yam, differing cim thiab cov tsos ntawm kaw. Xam tias yog tus txheej txheem ntawm kev zoo nkauj orthognathic tom. Tom ntej no, peb tham txog dab tsi nws yog.

Yog hais tias lub orthodontist hais tias ib tug neeg orthognathic tom, nws yuav feature raws li nram no: rau sab saum toj kab ntawm me ntsis muab kaw qhov qis thiab rau pem hauv ntej cov hniav sab sauv lub puab tsaig los ntawm ib tug thib peb kaw coronal qis incisors.

Muaj xws li ib tug tshaj plaws raws li qhov ncaj qhov chaw ntawm lub dentition. Raws li zoo raws li orthognathic, lub tom yog muaj tseeb. Nyob rau hauv cov ntaub ntawv no, cov hniav yog tsis ze rau txhua lwm yam, tab sis tsuas yog nrees QHAIB.

Progenichesky tom yog ib tug zoo kab ntawm cov qub thiab txawv txav chaw. Nws cov tswv ntawm lub sab sauv lub puab tsaig, feem ntau yog raug thawb rau pem hauv ntej nonetheless ceev kaw ntawm cov hniav yuav ua rau nws tau hais txog nws mus rau lub physiological hom.

Tej yam tshwm sim ntawm yog tom rau cov neeg laus

Tej zaum txhua leej txhua tus xav li cas txog cov nqe lus nug ntawm yog dab tsi yuav tsum tau qhov tseeb tom. Firstly, nws tseem zoo nkauj, thiab tib ob, nws muaj feem xyuam rau cov kev kho mob ntawm lub dentition (thiab tsis xwb). Yog li ntawd tam sim no peb yuav kawm txog cov yam ntxwv ntawm orthognathic tom.

Kev tshawb nrhiav nws on tej ntaub ntawv:

• Thaum kaw lub puab tsaig ntawm pem hauv ntej protuberance nyob rau sab saum toj los rau hauv qab.
• Qhov kev ncua deb ntawm sib tshooj nyob rau sab saum toj ntawm lub sab incisors yuav tsum sib haum 2-3 hli.
• Cov hniav yuav tsum tsis txhob yuav deployed raws axis, nrog rau txoj kev qhov chaw nyob, lawv yog cov nyob rau ib tug me ntsis lub nyob rau hauv lub anteroposterior kev taw qhia.

Tej yam tshwm sim ntawm yog tom nyob rau hauv cov me nyuam

Orthognathic tom hniav nyob rau hauv cov me nyuam yog txhais ib nyuag txawv:

• Yog hais tias lub puab tsaig yog thaum so, ib tug me me qhov chaw (txog 2 mus rau 3 lub hli) yuav tsum tau muab ntawm cov kab.
• 1/3 - hais tias qhov no yuav tsum yog tus theem ntawm sib tshooj ntawm lub hauv qab kab mus rau lub sab saum toj.
• Lub sab sauv koov yog zoo li ib tug semi-ellipse, thiab hauv qab yuav tsum tsim ib parabola.
• Hniav sab sauv thiab sab yuav tsum kiag symmetrical.
• Qhov nruab nrab txoj kab ntsug twv ntawm lub incisors ntawm lub Upper thiab qis jaws yuav tsum phim.
• Txhua hniav muaj muaj ob tug antagonist, qhov no kuj siv tau rau lub Upper thiab qis uake.

Tag nrho cov tej yam tshwm sim ntawm orthognathic tom tus me nyuam yuav paub txog 12 xyoo, tab sis yog tias koj pom tej yam hloov ntawm tus txheej txheem, yuav tsum nrhiav kev tam sim ntawd kev pab los ntawm lub orthodontist.

Qhov ntau txaus ntshai tus kab mob no?

Yuav luag tag nrho cov malocclusion yeej ib txwm txais ib tug ntau ntawm cov teeb meem mob. Tus thawj raug kev txom nyem hauv cov hnyuv, yog li ntawd cov zaub mov yuav tsis zom zoo. Tshwj xeeb tshaj yog txaus ntshai nyob rau hauv cov ntaub ntawv no muaj ib qho qhib saib ntawm lub pathology, raws li cov zom nuj nqi yog yuav luag tsis tuaj. Nyob rau hauv tas li ntawd, xws ua txhaum yuav ua rau cov kab mob ntawm cov hniav lawv tus kheej, raws li tus load rau lawv yog sis tsis ncaj, ua nyob rau hauv lub hnub nyoog ntawm 30-40 xyoos yuav pib kab ncig.

Nyob rau hauv tas li ntawd mus rau saum toj, vim lub pathology ntawm tus kab mob tsim dentition tuam tsev pob qij txha. Tom qab ntawd, tus neeg ntawd yog feem ntau yuav raug kev txom nyem los ntawm mob taub hau, nyob rau hauv tas li ntawd, yuav muaj ib tug txhaj suab thaum lub sij hawm qhib ntawm lub qhov ncauj. Thaum ib co hom anomalies yuav raug mob cov nqaij mos mos ntawm lub qhov ncauj.

Tsis tas li ntawd tsis txhob hnov qab txog loog, vim hais tias thaum twg malocclusion feem ntau suffers ntawm lub ntsej muag profile, qhia lub curvature ntawm lub dentition. Nyob rau hauv ib tug frontal hom feem ntau muaj teeb meem nrog hais lus. Thiab, piv txwv li, ua tsis taus pa yuav nyuab, thiab muaj yog twb tsim nyog phais rau progenicheskom hom.

Yuav ua li cas koj yuav tsum tau paub lub expectant niam

Txij li thaum pathological mob tej zaum tshwm sim txawm thaum lub sij hawm me nyuam hauv plab kev loj hlob, tos niam yuav tsum tau them tshwj xeeb mloog mus no qhov teeb meem, raws li cov theem ntawm calcium nyob rau hauv lub cev. Feem ntau cov zaub mov ib tug me nyuam xav tau kev pab, pib los ntawm lub 20th lub lim tiam: lub sij hawm no nws pib mus rau daim ntawv hniav. Tom qab yug tus me nyuam yog ib qho tseem ceeb heev rau xa mus rau lub mis thiab pub tus me nyuam mos. Thaum lub ib qho kuam me me no xwb yug los ntawm nws sab puab tsaig, feem ntau yog ib tug me ntsis tsawg tshaj li rau sab saum toj, tab sis tom qab ib tug thaum txhua yam yog raws li. Ib qho tseem ceeb luag hauj lwm no yog ua si los ntawm txoj kev loj hlob ntawm lub ntsej muag nqaij. Yog hais tias koj pom muaj ib qho txawv txav, koj yuav tsum tam sim ntawd sab laj ib tug kws kho mob. Niaj hnub nimno possibilities ntawm sis kev kho mob yuav pab tau koj sai sai kom daws tau qhov saum toj no teeb meem nyob rau hauv ib tug noj qab nyob zoo. Tsis txhob muab tso tawm qhov teeb meem rau yav tom ntej, vim hais tias tom qab nws yuav nyuab me ntsis kom tau tshem ntawm tus kab mob. Yog hais tias koj pom ib tug me nyuam curvature ntawm cov hniav, tam sim ntawd mus rau lub orthodontist thiab muab tso rau nkhaus: nyob rau ntawm ib thaum ntxov muaj hnub nyoog yog ib tug kab mob yooj yim dua rau kho.