Me pēhea te whakapai ake a ngā kirihou kanapa i te whai i ngā whakaritenga a ngā taiohi tūroro orthodontic?

Kupu Whakataki

Ko te maimoatanga whakatikatika niho a ngā taiohi e whakawhirinaki ana ki ngā whanonga me ngā tikanga, ā, ko te mau i ngā rapa o ia rā te wāhi e pakaru ai ngā mahere. Ko tētahi mea whakahihiri tino whai hua ko te tae: mā te hoatu i ngā taiohi he kōwhiringa o ngā rapa tae kanapa ka taea te whakapai ake i te āhua o te maimoatanga, ka kitea, ka ngāwari ake te whakapau kaha. E whakamārama ana tēnei tuhinga me pēhea te tautoko a taua kōwhiringa hoahoa iti i te tutuki i ngā whakaritenga, he aha i rite ai ki te hinengaro o ngā taiohi, me tōna tikanga mō te whai huatanga o te maimoatanga, ngā putanga o te wā whakarite, me te pai o te manawanui. Ka whakatakotohia hoki ngā āhuatanga mahi me whai whakaaro ngā tākuta me ngā mātua i te wā e whakamahi ana i ngā rapa tae kanapa hei whakatenatena i te mahi tahi pumau.

Me pēhea te whakapai ake a ngā rapa kanapa i te whakaritenga o ngā taiohi mō te tiaki niho

Ko te ngohengohe o ngā taiohi tetahi o ngā taurangi tino kore e taea te matapae i roto i te maimoatanga orthodontic. Ahakoa kua pai ake ngā hoahoa bracket me ngā whanaketanga koiora-mīhiningā koranu waea āwhata, ko ngā putanga haumanu kei te whakawhirinaki tonu ki te mahi tahi a te tūroro, inā koa mō te akuaku waha mete mau tonu o ngā whitiki rapa interarchKo te maha o ngā taiohi tūroro whakatikatika niho e kore e tutuki i ā rātou whakaritenga, he maha ngā wā ka rerekē mai i te 30% ki te 50%, he ngoikoretanga whanonga ka roa ake te wā maimoatanga, ka pā kino hoki ki ngā hua whakamutunga o te tango niho.

Hei whakaiti i tēnei, ka nui haere te whakamahi a ngā tākuta i ngā akiaki whanonga hei whakatairanga i te mana whakahaere o te tūroro ki te tukanga maimoatanga. Ko te whakaurunga o ngā here elastomeric tae kanapa me ngā rapa interarch he taputapu hinengaro iti te utu, he nui te pānga. Mā te huri i tētahi tikanga hauora kore mahi hei wheako taunekeneke, ka taea e ngā mahi orthodontic te whakamahi i te hinengaro taiohi hei whakapai ake i te piri ki ngā tikanga kakahu kua whakaritea.

He aha te hiranga o te kōwhiringa tirohanga mō te hihiri o te taiohi

Ko te taiohitanga he wāhanga whanaketanga e tohuhia ana e te hiahia nui ki te mana motuhake me te whakapuaki i a ia anō. Ko te maimoatanga orthodontic, he mea whakahau e ngā mātua, ā, e whakahaerehia ana e ngā tākuta, ka whakawhāiti noa i tēnei mana motuhake. Mā te tuku i ngā taiohi ki te whiriwhiri i ngā tae o ā rātou here elastomeric (O-rings) me ngā hononga interarch elastics ka whakahokia mai he taumata mana whakahaere. E whakaatu ana ngā rangahau whanonga haumanu mā te tuku i ngā kōwhiringa iti, whakahaeretia i roto i te taiao tiaki hauora ka taea te whakanui ake i ngā kaute whakauru tūroro tae atu ki te 40%.

Mā tēnei kōwhiringa tirohanga ka hurihia te taputapu orthodontic mai i te taputapu hauora noa iho hei taputapu whakarite. He maha ngā wā ka whakatauritehia e ngā tūroro ā rātou whiringa tae ki ngā hararei, ngā tae kura, ngā manakohanga ataahua whaiaro rānei. Mā tēnei hononga pai ka whakaitihia te whakama me te pouri e pā ana ki ngā taputapu pumau, ka poipoi i te hinengaro mahi tahi a te tūroro i te wā o ngā whakatikatika tūru me te tiaki kāinga.

Te pānga o te tutuki i ngā whakaritenga ki te whai huatanga o te maimoatanga

Ko te whai huatanga ā-pūkaha o te maimoatanga orthodontic e pā ana ki te whakamahinga tonu o te kaha. Mō ngā rapa i waenganui i ngā niho, ka tohua e ngā tākuta he 20 ki te 22 hāora o te mau i ia rā kia tutuki ai te nekehanga pai o ngā niho. Ina heke te hihiri, ā, ka whakaitihia te wā mau o te tūroro ki te 12 hāora, iti iho rānei, ka mutu te kaha koiora, ka hua ake he wā okiokinga pūtau i roto i te hononga periodontal, kaua ki te whakahou koiwi.

Ko te korenga o te tutuki i ngā whakaritenga ka hua ake te koretake o te mahi haumanu. Ka taea te piki ake o te roanga o te maimoatanga mā te 3 ki te 6 marama nā te koretake o te kakahu o ngā rapa, e hiahiatia ana he wā whakarite tāpiri, me te pikinga ake o ngā utu whakahaere mō te mahi. Mā te whakamahi i ngā rapa tae kanapa hei pupuri i ngā taumata tiketike o te hihiri o te tūroro, ka taea e ngā tākuta te whakarite kia noho tonu te urupare koiora ki ngā kaha e pā ana, kia mau tonu ai te kaupapa maimoatanga.

Ngā Take Hauora me ngā Take Whanoke i Muri i te Whakamahinga o te Tae Tae

Ko te whakamahinga o ngā elastomeric tae kanapa me mārama ki te pūtaiao rauemi e whakahaere ana i ngā hua polyurethane me ngā whanonga o te taiohi. He maha ngā hua elastomeric i roto i te mahi orthodontic, engari kāore ō rātou āhuatanga miihini e pumau. Ko te kaha o te pakaru o ngā here me ngā mekameka elastomeric ka eke ki te 50% ki te 70% i roto i ngā haora 24 tuatahi o te whakaaturanga ā-waha.

Nā te mea me whakakapi pinepine ēnei rauemi—ia 4 ki te 6 wiki te nuinga mō ngā here, ā, ia rā mō ngā rapa i waenganui i ngā kiriuhi—ko te hiahia tonu mō ngā elastomeric hou ka puta he huringa tonu o te whai wāhi mai o te tūroro. He mea nui te mārama ki ngā rerekētanga haumanu i waenga i ēnei hua me ngā āhuatanga whanonga e akiaki ana i tā rātou whakamahinga hei whakanui ake i te whai huatanga koiora me te ngohengohe o te tūroro.

Te rerekētanga o ngā rapa tae kanapa mai i ngā here me ngā rapa interarch

Ahakoa he maha ngā wā ka whakamahia e ngā tūroro te kupu "rōpū rapa" hei whakawhitiwhiti kōrero, me wehewehe ngā tākuta i waenga i ngā here elastomeric me ngā here interarch i te wā e hangaia ana he rautaki whakaritenga. Ka whakamahia ngā here elastomeric (ngā mowhiti-O rānei) e te tākuta hei whakau i te waea āwhata i roto i te mokowā whāriki. Ka whakaratohia e tā rātou whiringa tae he whakarei ake i te ataahua me te hanga i te hihiri mō te wā whakarite, engari kāore e hiahiatia he wawaotanga o ia rā a te tūroro.

I tetahi atu taha, ko ngā whitiki takai interarch he whitiki tango e whakamahia ana hei whakatika i ngā hapa pēnei i ngā rerekētanga Akomanga II, Akomanga III rānei. Me tino whakarongo te tūroro ki ēnei, nā te mea me tango e te tūroro mō ngā kai, ā, me whakakapi i ngā whitiki hou i ngā wā maha i te rā hei pupuri i ngā taumata kaha pai (mai i te 2.5 ki te 6.0 hekere te nuinga). Ko te tuku i ngā whitiki takai interarch tae kanapa hei whakamahara tirohanga tonu mō te tūroro kia mau tonu tā rātou kaupapa kakahu o ia rā.

Ko ēhea ngā āhuatanga hinengaro me ngā āhuatanga heamana e whakanui ake ana i te hihiri

He mea nui te wheako o te heamana ki te whakapakari i te ngohengohe o te tūroro. Ina whakatapua e ngā kaiawhina whakatikatika niho he 2 ki te 3 meneti ki te matapaki i ngā kōwhiringa tae, ka hangaia he whanaungatanga nui i waenga i te tīma haumanu me te taiohi manawanui. Mā tēnei whakapakari pai ka ngāwari ake te aro o te tūroro ki ngā tohutohu haumanu e pā ana ki te akuaku waha me te mau i ngā mea e hiahiatia ana.

Hei tāpiri atu ki tēnā, ka taea te whakamahi i ngā rautaki tākaro. He maha ngā wā ka whakahaerehia e ngā mahi ngā whakataetae ā-wā, ngā kaupapa pāpāho pāpori rānei, ka whakaatuhia ai e ngā tūroro ā rātou huinga tae ahurei. Mā tēnei whakamanatanga hoa-ki-hoa ka whakamahia te hiahia o te taiohi kia whakaaetia e te hapori, ka hurihia te mau kakahu rapa tae hei whanonga whai hua ā-hapori, kaua hei mahi takitahi.

He aha ngā herenga me ngā āhuatanga whiriwhiri take he mea nui

Ahakoa ō rātou painga whanonga, he iti noa ngā herenga haumanu o ngā elastomeric tae. Ko te hanganga rauemi te mea matua; ko te nuinga o ngā here tae hou he mea hanga mai ipolyurethane kore-ratexHei karo i ngā mate pāwera, he tere ake te pirau o ngā kiri rapa kore-rapa i ō rātou hoa rapa tūturu. Me tohu pea e ngā tākuta he pikinga 10% ki te 15% o te kaha tīmatanga mō ngā whitiki kore-rapa hei whakakapi i tēnei pirau tere.

Ko te kōwhiringa o te pouaka ka whakatau i te pumau o te tae. I ngā wā e hiahia ana kia whakatikatikahia te hurihuri nui, i ngā wā rānei he mea nui te mahi reti kore-waku,ngā whāriki here-whaiarohe pai ake pea ngā here waea kowiri tira i ngā here elastomeric i te taha koiora. I ēnei wā, me whakataurite e te tākuta te hiahia whanonga mō ngā here tae kanapa ki ngā whakaritenga ā-tinana o te wāhanga maimoatanga.

Te Whakataurite i ngā Kōwhiringa Ārai Tae me ngā Kōwhiringa Ārai Korekore

I te wā e hoahoa ana i tētahi mahere maimoatanga, me paunatia e ngā tākuta niho ngā painga whanonga o ngā rarapa tae ki ngā āhuatanga ataahua me te haumanu o ngā momo rerekē koretake, mārama rānei. He maha ngā wā ka honoa ngā whāriki ataahua (uku, hapaira rānei) ki ngā here elastomeric mārama, tae niho rānei hei whakaiti i te kitea o te taputapu. Heoi, he wero motuhake ēnei kōwhiringa koretake e pā ana ki te pumau o ngā rauemi me te makona o te tūroro.

He tino ngāwari te whakarerekē i te tae o ngā mekameka me ngā here o ngā elastomeric mārama. E whakaatu ana ngā rangahau ka taea e ngā elastomeric polyurethane mārama te whakaatu i tētahi panoni tae kitea (he uara Delta E nui ake i te 3.0) i roto i ngā rā e 7 noa iho ina pāngia e ngā chromogens kai pērā i te kawhe, te tī, te māti, te turmeric rānei. Ka taea e tēnei pirau tere o te āhua te whakaiti i te pai o te tūroro, ka waiho te whakataurite i waenga i ngā kōwhiringa tae me ngā kōwhiringa koretake hei whakaaro haumanu nui.

Ko ēhea ngā āhuatanga e pai ake ana te whakataurite i te tutuki i ngā whakaritenga, te āhua, me te tae

Ko te aromatawai i ngā taupatupatu i waenga i ngā elastomeric tae me ngā elastomeric kore tae me tātari i tā rātou mahi puta noa i ētahi tawhā haumanu me ngā tawhā whanonga. He pai te huna a ngā rapa tae i te tae kai, engari ko ngā kōwhiringa mārama ka whakanui ake i tēnā. Hei tāpiri, kāore ngā tāpiringa tae i roto i ngā elastomeric tae e tino whakarerekē i ō rātou āhua tuku kaha ki te whakataurite ki ngā momo kāore i te tae, e āhei ai ngā tākuta ki te whakatau i runga i te āhua me te tutuki i ngā whakaritenga kaua ki ngā raruraru koiora.

Āhea pea ko ngā kōwhiringa kūpapa te kōwhiringa pai ake

Ahakoa ngā painga whanonga o ngā kōwhiringa tae kanapa, ko ngā rapa kūpapa, mārama rānei te kōwhiringa pai rawa atu mō ngā momo tāngata me ngā āhuatanga haumanu motuhake. Ko ngā tūroro pakeke e tiaki niho ana, e whakatairanga ana i te ātaahua i te whakakī i ngā niho, he nui ake te hiahia ki ngā here mārama me ngā whāriki uku, te whakaora whakahāngai mārama rānei. Mō ēnei tūroro, ko te āwhina hinengaro i ahu mai i te kore e kitea o te taputapu, kaua ki tōna whakaritenga.

Hei tāpiritanga, he tino māharahara ētahi o ngā taiohi, ā, he pai ake ki a rātou te huarahi iti noa iho. Mēnā ka whakamahia ngā here mārama engari he take tonu te tae o te kai, ka taea e ngā tākuta te whakakapi i ngā elastomeric mārama ki ngā here hiriwa, tae paowa rānei, ka whiriwhiri rānei i ngā here kua pania ki te Teflon.here kowiri tiraHe iti noa te āhua o te tirohanga a ēnei momo rerekē, ā, e ātete ana ki te tere o te hurihanga o te tae e pā kino ana ki ngā rauemi polyurethane mārama.

Me pēhea te whakatinanatanga o tētahi rautaki whiriwhiri tae e ngā mahi whakatikatika niho

Ko te whakauru i tētahi rautaki whiriwhiri tae whānui ki roto i tētahi mahi whakatikatika niho e hiahia ana kia nui atu i te hoko noa i ngā momo here elastomeric. E hiahiatia ana he huarahi hanganga mō te rere o ngā mahi, te whakahaere taonga, me te whakawhitiwhiti kōrero ki ngā tūroro. Ki te kore he tikanga whakahaere, ka taea e te whiriwhiri tae te whakararu i ngā mahi o te tūru, ka pau te wā haumanu nui o te mahi.

He iti noa te utu mō ia tūroro mēnā he pai te whakahaere o te rarangi tae, arā, 20 ki te 30 ngā tae e wātea ana—he maha ngā wā kei raro iho i te $0.15 mō te herenga katoa o te waha—engari me tino whakahaere te taonga kia whai hua ai ngā rauemi. He tairongo ngā hua polyurethane ki ngā āhuatanga taiao, ā, ki te kore e tika te rokiroki, ka pakaru wawe te kaha i mua i te whakatakotoranga o ngā kirihou ki roto i te waha o te tūroro.

Me pēhea te hanga i tētahi kawa whiriwhiri tae

Hei ārai i te wā nui o ngā tūru e pau ana i ngā kōwhiringa tae, me whakauru wawe ngā mahi rongoā i te tukanga whakatau i roto i te tukanga mahi a te tūroro. He maha ngā wāhi rongoā e whakamahi ana i ngā taupānga tīpako tae mamati i runga i ngā papa i roto i te rūma tatari, kia taea ai e ngā taiohi te whakaaro me te whiriwhiri i ō rātou tae i mua i te noho ki te tūru niho. Mā tēnei nekehanga whakahaere māmā ka taea te penapena i te toharite o te 3 ki te 5 meneti mō ia wā whakarite.

Heoi anō, ka taea e ngā mahi niho te whakamahi i tētahi "wira tae" ā-tinana i te tēpu whakahoromata, i te tēpu takiuru rānei. Kia rite te kaiawhina niho ki te tango i te waea āwhata, kua oti kē te whiriwhiri a te tūroro. Mā tēnei tikanga ka tutuki ngā painga whanonga o te whiriwhiri tae me te kore e whakararu i te whai huatanga o te whakaritenga o ia rā o te whare hauora.

Ko tēhea whakawhitiwhiti kōrero e tino whai hua ana ki ngā taiohi me ngā mātua

Mā te whakawhitiwhiti kōrero whai hua ka huri te kōwhiringa o ngā rapa kanapa mai i te hiahia ataahua noa iho ki te kirimana whanonga. Me whakatakoto e ngā tākuta me ngā kaimahi te whakarato i ngā rapa kanapa kanapa i waenga i ngā tākuta hei hononga mahi tahi. Ko te tikanga noa ko te kī atu ki te taiohi, "Kei a koe te kawenga mō te whiriwhiri i ngā tae kia ātaahua ai tō ataata, engari hei utu, kei a koe te kawenga mō te mau i aua tae mō ngā haora 22 i te rā kia pai ai te maimoatanga."

He mea nui anō hoki te whakauru i ngā mātua ki tēnei kōrero. He maha ngā wā ka pikau ngā mātua i te taumahatanga pūtea o ngā wā maimoatanga roa nā te kore e tutuki i ngā whakaritenga. Mā te whakaako i ngā mātua ki te whakamahi i ngā taura karakara hei tohu tirohanga mō te kakahu – kia ngāwari ai te kite mēnā kei te mau tonu ā rātou tamariki i ā rātou taura rapa kua tohua – ka whakaurua e te mahi te mātua hei kaiārahi hohe i roto i te pūnaha tutuki i ngā whakaritenga.

Te pānga o te pupuri taonga me te mana kounga ki te ōritetanga

Me āta tirotiro i ngā taonga e hiahiatia ana hei pupuri i te whānuitanga o ngā tae elastomeric. He iti noa te roa o te oranga o ngā elastomeric orthodontic, mai i te 18 ki te 24 marama te nuinga, ā, muri iho ka tīmata te hononga hē o ngā mekameka polyurethane, ka hua ake he pakarukaru me te kaha e kore e taea te matapae. Me whakatinana e ngā mahi he pūnaha taonga tuatahi-ki-roto, tuatahi-ki-waho (FIFO) hei whakaiti i te paunga o ngā rauemi.

Hei tāpiri atu,ka horapa te mana whakahaere kounga ki ngā tikanga rokirokiHe tino pāngia ngā hua elastomeric e te hihi ultraviolet (UV) me ngā piki me ngā heke o te pāmahana. Me rongoa ngā taonga ki roto i ngā ipu koretake, ki roto rānei i ngā kāpata pōuri, kia matara atu i te rā tika me te wera o te autoclave, kia mau tonu ai te hanganga me te ngāwari o ngā polymer.

Me pēhea te ine mēnā he pai te tuku i ngā kirihou kanapa tae

Hei whakamārama i te kaha whakahaere o te whakahaere i tētahi rarangi whānui o ngā elastomerics tae kanapa, me arotake e ngā mahi orthodontic te hokinga mai o te haumitanga (ROI) mā roto i ngā inenga haumanu me ngā inenga whakahaere tūturu. Ahakoa he iti noa te utu tuatahi mō ngā here me ngā whitiki tae, ko te uara pono o tēnei wawaotanga whanonga ka inehia e tōna pānga ki te whai huatanga o te maimoatanga me te pupuri i te tūroro.

Mā te aroturuki pūnaha i ngā tohu tutuki i ngā whakaritenga,

Ngā Whakaaro Matua

• Ngā whakatau me ngā take tino nui mō ngā Tūroro Whakatikatika Niho
• Ngā whakaritenga, ngā whakaritenga, me ngā arowhai mōrearea e tika ana kia whakamanahia i mua i tō whakaae
• Ngā mahi whai muri me ngā whakatūpato ka taea e ngā kaipānui te tono tonu

Ngā Pātai Auau

Me pēhea e āwhina ai ngā taura rapa karakara i ngā taiohi ki te mau i ā rātou whitiki niho i ngā wā katoa?

Ka hoatu e ēnei ki ngā taiohi te mana whiriwhiri, ā, ka āhua whaiaro te āhua o te maimoatanga, ka taea te whakapai ake i ngā tikanga kakahu o ia rā, me te whakaiti i ngā hāora i mahue.

He rite tonu ngā here rapa tae ki ngā here here me ngā here rapa i waenganui i ngā taura?

Kāo. Ka whakanohoia ngā here here tae e te tākuta niho ki runga i ngā whīra, ko ngā here rapa i waenganui i ngā niho he here tango me mau e ngā taiohi i runga i ngā whakahaunga o ia rā.

E hia ngā hāora ia rā e tika ana kia mau ngā taiohi i ngā taura kirihou interarch?

Ko te nuinga o ngā tākuta niho e kī ana kia 20 ki te 22 hāora te roa o te mahi i tēnei i te rā, ka tangohia mō te kai anake, ka whakakapia ki ngā whitiki hou e ai ki ngā tohutohu.

Ka taea rānei e te ngoikore o te ngāwari te whakaroa i te maimoatanga?

Āe. Ka taea e te kakahu koretake te whakararu i te nekehanga o ngā niho, ā, ka roa pea te maimoatanga, me ētahi atu haerenga whakatikatika.

He aha ngā mahi whakatikatika niho e whiriwhiri ai i ngā kirihou rapa kounga teitei mai i ngā kaihanga pēnei i a Denrotary?

Ka tautokona e ngā rapa pono o te taumata hauora te kaha pumau, te kounga hua, me te whakawhirinaki ki te tuku, ā, ka āwhina i ngā wāhi rongoā ki te whakahaere i te maimoatanga i runga i te huarahi e taea ai te matapae.