Chitsogozo cha kukula kwa Orthodontic telatic: Sayansi ndi luso la kugwiritsa ntchito mphamvu molondola

1. Tanthauzo la malonda ndi dongosolo la magulu

Maunyolo ozungulira a orthodontic ndi zipangizo zozungulira zozungulira zopangidwa ndi latex yachipatala kapena rabala yopangidwa. Malinga ndi muyezo wapadziko lonse wa ISO 21607, zitha kugawidwa m'magulu atatu:

1. Kugawa malinga ndi kukula: 9 muyezo wofunikira kuyambira 1/8″ mpaka 5/16″
2. Kuyesedwa ndi mphamvu: yopepuka (3.5oz), yapakati (4.5oz), yamphamvu (6oz)
3. Kugawidwa m'magulu malinga ndi kapangidwe kake: mtundu wotsekedwa (mtundu wa O), mtundu wotseguka (mtundu wa C), ndi mtundu wosinthira pang'onopang'ono

2. Mfundo ya kayendedwe ka makina

Makhalidwe opumulira kupsinjika maganizo: Mphamvu ya mankhwalawa imachepa ndi 15-20% mutatha kugwiritsa ntchito maola 24.
Mzere wozungulira wa mphamvu yolimba: ubale wosalunjika (chitsanzo cha malamulo cha Hooke chosinthidwa)
Kuzindikira kutentha: kusinthasintha kwa mphamvu ya ± 10% m'kamwa

3. Njira yosankha zachipatala

Kusintha bwino malo a mano akunja
Kukula kovomerezeka: 1/8″-3/16″
Ubwino: Kuwongolera molondola kayendetsedwe ka kayendedwe (kolondola kwa 0.1mm)
Mlandu: Kukonza mphamvu ya incisor yapakati

Kusamalira malo ochotsera zinthu
Chisankho chabwino kwambiri: Mtundu wotsekedwa wa 3/16″-1/4″
Makhalidwe a makina: mphamvu yowala yosalekeza (80-120g)
Deta: Pa avareji, kusiyana kwa 1.5-2mm kumatsekedwa mwezi uliwonse

Kukonza ubale wa pakati pa maxillary
Kugwira kwa Kalasi II: 1/4″ (chibwano chapamwamba 3→chibwano chapansi 6)
Kugwira kwa Kalasi III: 5/16″ (chibwano chapamwamba 6→chibwano chapansi 3)
Chidziwitso: Iyenera kugwiritsidwa ntchito limodzi ndi mbale yowongolera yathyathyathya

4. Zitsanzo zapadera

Unyolo wamtengo wapatali wa mphamvu ya gradient
150g ya gawo lakutsogolo / 80g ya gawo lakumbuyo
Ntchito: Kusuntha kwa dzino kosiyana
Ubwino: Kupewa kutayika kwa malo omangira

Mtundu wozindikiritsa mtundu
Khodi ya mtundu wa Intensity grading (buluu - wopepuka / wofiira - wolemera)
Mtengo wachipatala: kuzindikira mwachilengedwe
Kutsatira malamulo a odwala kwawonjezeka ndi 30%

Chitsanzo chophikira mabakiteriya
Ma microcapsule okhala ndi Chlorhexidine
Kuchepetsa kuchuluka kwa matenda a gingivitis
Ndi yoyenera kwambiri kwa odwala omwe ali ndi matenda a periodontal

5. Malangizo Ogwiritsira Ntchito

Kasamalidwe ka Makina
Pewani kutambasula thupi mopitirira muyeso (≤300% ya malire)
Kugwira ntchito pakati pa maxillary kuyenera kuvalidwa kwa maola ≥20 patsiku
Kuyesa mphamvu nthawi zonse (kuwerengera mphamvu ya dynamometer)

Kusamalira ukhondo
Chotsani chivundikiro chosadetsedwa ndi banga mukamadya
Kuyeretsa thupi tsiku ndi tsiku pogwiritsa ntchito mankhwala ophera mowa
Pewani kukhudzana ndi mafuta ofunikira

Kupewa mavuto
Kusamva bwino kwa mafupa a temporomandibular (chiwerengero cha matenda ndi 8%)
Kuchuluka kwa ma gingival hyperplasia m'malo osiyanasiyana (chiwerengero cha zochitika ndi 5%)
Kuopsa kwa kulowetsedwa kwa mizu (kuyang'aniridwa ndi CBCT)

6. Kupititsa patsogolo ukadaulo wamakono
Unyolo wanzeru wozindikira
Chip yolimba ya RFID yomangidwa mkati
Kutumiza deta ya Bluetooth
Kugwiritsa ntchito kuchipatala: Chithandizo chosawoneka cha orthodontic

Zowola
Zinthu za Polycaprolactone
Zimawonongeka zokha mkati mwa masabata 4-6
Ubwino waukulu pa chilengedwe

Ukadaulo wosindikiza wa 4D
Kusintha kwa mphamvu yamphamvu
Nkhani: Chithandizo cha orthodontic musanachite opaleshoni ya orthognathic
Kulondola kwawonjezeka ndi 40%

Chilankhulo chosangalatsa, monga "chilankhulo chamakina" cha madokotala a mano, chimatsimikizira mwachindunji mtundu wa kuyenda kwa mano kudzera mu kusankha kukula kwake. Mwa kukwaniritsa kufanana kwa kukula ndi mphamvu yake yeniyeni komanso kugwiritsa ntchito ukadaulo wamakono wowunikira digito, kugwira ntchito bwino kwa chithandizo cha mano kumatha kuwonjezeka ndi 30%, pomwe kuchepetsa kwambiri chiopsezo cha zovuta. M'tsogolomu, pogwiritsa ntchito zipangizo zanzeru, chipangizochi chachikale chidzapitirizabe kukhala ndi mphamvu zatsopano.