Iimpazamo kwi-dentition: Udidi lukaKennedy

Utshintsho kulandelelwano lwamazinyo lunokuphulaphula ukuqhubeka kunye nobunye bamazinyo kumhlathi ophezulu okanye ongaphantsi, kwaye izizathu zale ngxaki zinokuhluke ngokupheleleyo. Oku kukulimala, izibhamu, izifo ezithathelwanayo zomlomo, ukungabi nonyango olufanelekileyo lwe-caries, okubangelwa iingxaki.

Ulwahlulo lweziphene zenthambo kaKennedy

Kukho iindlela ezininzi zokuchaza le pathology. Into eqhelekileyo yohlu lweKennedy. Isekelwe kwiziphene ezilandelayo:

• Iqela lokuqala - i-dentition inqamlekileyo ukusuka kumacala amabini ngamazinyo e-5 okanye e-6, kungekho zithsaba zokuhlafuna;

• Iqela lesibini - i-dentition iyancishiswa ngenxa yokungabikho kwemingcele evela kwelinye icala okanye enye;

• Iqela lesithathu - isithsaba se-chewing sigcinwe, kodwa akukho mazinyo kwindawo yecala;

• Iqela lesine - isakhiwo senxalenye yangaphambili yomhlathi siyaqhekeka, ngokukodwa, akukho zifowuni okanye i-incisors.

Ukuba isigaba sikaKennedy sisetyenziselwa ukuxilongwa, ama-orthopedics aquka unyango oluyinkimbinkimbi, kuba ukuba kukho iziganeko ezininzi ngokukhawuleza, isifo sibelwe iqela elincinane. Ngenxa yoko, isicwangciso se-prosthetics sitshintsha. Leli qela lingabandakanya amacala eekliniki ezahlukeneyo.

Iimbangela zeziphene kwi-dentition

Kukho izizathu ezininzi ezikhokelela ekubonakaleni kwengxaki (ekupheliseni kwabo, omnye kufuneka afake i-pathology kwiqela elithile, apho isigaba seKennedy sikhona):

1. Ukungabikho komntwabala, ngokukodwa, ukuxhaswa kwamazinyo (ngenxa yokungabikho kwamazinyo) ngenxa yokugula komama ngexesha lokukhulelwa, ngenxa yokuba iindawo ezinamazinyo zingabikho, kukho iziphene kwisakhiwo se-enamel, esiyifumana njengefa.
2. Ubukho bemikhwa emibi. Kubantwana - ukusetyenziswa kwe-pacifier kunye nokufakelwa okufakelwayo, iminwe yokulisela, kubantu abadala, umkhwa wokunquma amantongomane, umzekelo, i-pistachios, kunokukhokelela ekulahlekeni kwezinyo.
3. I-Caries, kwimeko apho ingaphathwa. Ukutyelela rhoqo kwidokotela wamazinyo kuya kunceda ukugcina i-dentition iphephile kwaye isandi.
4. Iinkqubo ezivuthayo. Ekubunjweni kokutshiswa kwegazi kuzinyathelo kufuneka kususwe ngokukhawuleza. Ukukhokela kule nto inokuba yi-periodontitis, i-cyst, i-periodontitis kunye nezinye izifo zamazinyo.
5. Ukulimala kwamatshini, okubaluleke ngakumbi kwiminyaka engama-6-9. Ngeli thuba, kukho utshintsho lwamazinyo obisi kwiingcambu, kwaye ukubetha ngamandla kunokukhokelela kumonakalo kwingcambu.
6. Izifo zezingane, ezifana ne-rickets, i-pneumonia, izifo eziphefumulayo ezenzeka ngexesha lokubunjwa kwamazinyo. Zinefuthe elibi kwisakhiwo se-incisors eziphambili.
7. Ubukho be-neoplasm kwi-periodontium. Ukuba kufunyenwe, ukukhutshwa kwangoko kwamazinyo kuyimfuneko. Kukho ukukhula okutsha ngenxa yokuphazamiseka kwegciwane le-thyroid, umzila wamathumbu, kunye nokuntuleka kwamavithamini.

Iimpawu zokukhubazeka

Ukwahlulelwa kweziphene ngokubhekiselele kuKennedy kubonisa ukuba ingxaki ibonakala ngenxa yokulahlekelwa kwezinyo okanye ukuphuhliswa kwayo. Iimpawu zixhomekeke kwizinto ezininzi:

• Indawo ekhoyo yesiphene (ezi zinokuba ngamazinyo angaphantsi okanye amazinyo angaphantsi kwimihlathi engezansi okanye ngaphezulu);
• Iiparameters zephutha;
• Uhlobo lwesiphene (lungabandakanywa okanye luphele);
• Izakhi zo kuluma;
• Ubudala bomguli;
• Imeko yezinsini kunye namazinyo ekhona;
• Ixesha ukusuka kumzuzwana wezinyo zokulahleka ekuqaleni kwonyango;
• Izizathu zokubonakala kwesiphene.

Ukufumanisa i-defect, kufuneka ufike kwiofisi yamazinyo, oya kuqhuba uviwo kwaye ugqibe ingxaki. Izikhalazo eziphambili ezivela kwizigulane ezinyanzela abantu ukuya kudokotela zi:

• Malocclusion;
• Ukungabi namandla okuphelisa ukutya;
• Ukuguqulwa komhlathi;
• Kwezinye iimeko, ukuphulwa kwesichazizwi.

Ukupheliswa kwesiphene kuxhomekeke kwiqela le sifo, apho kufuneka usebenzise isicwangciso esithile, kwaye ngokuqhelekileyo isigaba sikaKennedy sisetyenziswe. Ngaphambi kokutyala okanye ukufakelwa kwento, udokotela wamazinyo kufuneka enze ukucocwa kwamanye amazinyo, ngexesha lokuphelisa i-caries nokuphelisa zonke iinkqubo zokuvuvukala.

Izindlela zokuthintela

Umntu omdala unokuzimela ngokuzimeleyo kuthatha amanyathelo okuthintela ukubonakala kweziphene, ezinokuthi zifumaneke ngokwahlula ngo-Kennedy. Utshaba oluphambili kule meko luyacima, ngoko ucoceko lomlomo olwaneleyo kunye nokutyelela rhoqo kwiizinyo zamanthambo kufuneka. Oku kusebenza kubantwana. Abazali banokunyanzelisa ukucoceka ngomlomo komntwana onamazinyo omntwana, kuba bakholelwa ukuba baya kuphuma kwaye abayidingi ukunakekelwa. Kodwa oku akunjalo. Kwakhona, ukuba i- bite engalunganga kunye namazinyo angapheliyo afumaneka, kufuneka aphathwe ngexesha. Ukungahoyi naziphi na iingxaki emlonyeni womlomo kungenza ngcono imeko kwaye kuholele ekulahlekeni kwezinyo.