Kusanthula kwathunthu kwa ntchito ndi ntchito ya zomangira zomangira mu chithandizo cha mano

ⅠTanthauzo la chinthu ndi makhalidwe ake oyambira
Ma Ligature Ties ndi zinthu zofunika kwambiri zomwe zimagwiritsidwa ntchito mu dongosolo lokhazikika la orthodontic kulumikiza mawaya a arch ndi mabracket, ndipo ali ndi makhalidwe ofunikira awa:
Zipangizo: latex/polyurethane ya digiri ya zamankhwala
M'mimba mwake: 1.0-1.5mm (mu mkhalidwe wosatambasuka)
Modulus yotanuka: 2-4 MPa
Mtundu: Wowonekera/Woyera/Wokongola (Zosankha Zoposa 20 Zosankha)
Mphamvu yokoka: ≥15N

II. Ntchito yokonza makina
Dongosolo loyika mawaya a Archwire
Perekani mphamvu yoyambira yokonza ya 0.5-1.2N
Pewani waya wa arch kuti usasunthike kapena kusuntha
Sungani malo olumikizira bracket pamalo ake onse

Kulamulira kukangana
Kukangana kwachikhalidwe: 200-300g
Kukangana kwa elastic ligation: 150-200g
Kukangana kwa bracket yodziyimitsa yokha: 50-100g

Thandizo lowongolera la magawo atatu
Zimakhudza momwe mphamvu imagwirira ntchito (± 10%)
Thandizani kukonza kuzungulira
Tengani nawo mbali mu ulamuliro woyimirira

III. Udindo waukulu wa zachipatala
Katswiri womangirira makina
Mphamvu yoletsa kusokonekera kwa waya wa arch ndi ≥8N
Nthawi yogwira ntchito ndi masabata 3-6
Sinthani mogwirizana ndi machitidwe osiyanasiyana a mabulaketi

makina owongolera
Sinthani mphamvu yowongolera mwa kusintha kulimba kwa chomangira
Kulumikizana kwa differential kumakwaniritsa kayendetsedwe kosankha
Kugwirizana ndi njira zosiyanasiyana zochizira mano (monga Tip-Edge)

Kukongola ndi thandizo la maganizo
Mapangidwe okongola amathandiza achinyamata kutsatira malamulo
Kalembedwe kowonekera bwino kamakwaniritsa zosowa za akuluakulu
Lembani magawo a chithandizo

IV. Ukadaulo wapadera wogwiritsira ntchito
Njira yolumikizira magayidwe osiyana
Kumangirira mano akunja/kumanga mano kumbuyo kosasunthika
Dziwani kulamulira kosiyana kwa malo omangira
Sungani 1mm ya malo omangira pamwezi

Ukadaulo wowongolera mozungulira
Njira yomangirira yokhala ndi mawonekedwe 8
Gwiritsani ntchito pamodzi ndi wedge yozungulira
Kuchita bwino kwawonjezeka ndi 40%

Dongosolo la uta wa gawo
Kukhazikitsa zomangira za m'deralo
Kuwongolera bwino kayendedwe ka dzino
Ndi yoyenera makamaka kusintha kwanuko

V. Mafotokozedwe a opaleshoni yachipatala
Njira yolumikizira
Gwiritsani ntchito mphamvu yapadera yolumikizira
Sungani ngodya yoyandikira ya 45°
Tembenuzani maulendo 2.5-3 kuti muteteze

Kulamulira mphamvu
Pewani kutambasula thupi kwambiri (≤200%)
Mphamvu yolumikizira: 0.8-1.2N
Yang'anani nthawi zonse kufooka

Kupewa mavuto
Kuchulukana kwa ma plaque (chiwerengero cha zochitika 25%)
Kukwiya kwa chingamu (njira yosinthidwa yolumikizira)
Kukalamba kwa zinthu (chikoka cha kuwala kwa ultraviolet)

VI. Chitsogozo cha luso lamakono
Mtundu wa mayankho anzeru
Chizindikiro cha mphamvu chimasintha mtundu
Kusinthasintha kwa malamulo a kutentha
Gawo lofufuza zachipatala

Mtundu wogwirira ntchito
Mtundu woletsa kutsekeka kwa caries wokhala ndi fluoride
Mtundu wa antibacterial ndi anti-inflammatory
Zogulitsa zili kale pamsika

Mtundu wowononga zachilengedwe
Zipangizo zochokera ku zomera
Masabata 8 a kuwonongeka kwachilengedwe
Gawo loyesera R&D

VII. Malangizo a akatswiri pakugwiritsa ntchito
"Chingwe cholumikizira ndi 'chosinthira chamakina' cha madokotala a mano. Malangizo:
Kukonza koyamba kumagwiritsa ntchito mtundu wamba
Mukatsetsereka, sinthani ku mtundu wocheperako kuti mukwaniritse zomwe mukufuna
Kusintha mwadongosolo milungu inayi iliyonse
"Mogwirizana ndi kuwunika mphamvu zamagetsi"
- Komiti Yaukadaulo ya European Orthodontic Society

Monga gawo lofunikira kwambiri la chithandizo chokhazikika cha mano, waya womangirira umakwaniritsa ntchito ziwiri zomangira makina ndi kusintha kwa makina kudzera mu mphamvu zake zanzeru zotanuka. Mu machitidwe amakono a mano, kugwiritsa ntchito mwanzeru mitundu yosiyanasiyana ya mawaya omangirira kumatha kuwonjezera magwiridwe antchito a mano ndi 15-20%, zomwe zimagwira ntchito ngati chitsimikizo chofunikira kwambiri pakusuntha mano molondola. Ndi kupita patsogolo kwa ukadaulo wazinthu, mbadwo watsopano wazinthu zopangira waya womangirira udzapitilizabe kusunga ntchito zawo zazikulu pamene ukusintha kukhala wanzeru komanso magwiridwe antchito, kupereka chithandizo chodalirika kwambiri cha chithandizo cha mano.