Cov hniav cog hniav tau hloov pauv hloov cov hniav, tab sis lawv txoj kev vam meej yog nyob ntawm kev kho kom zoo thiab kev tswj cov ntaub so ntswg. Ob qhov tseem ceeb hauv cov txheej txheem no yog kho abutments thiab npog cov ntsia hlau, txhua qhov ua haujlwm sib txawv hauv kev cog hniav.
Kho abutments(tseem hu uakho lub kaus mom) yog cov khoom txuas me me tso rau ntawm qhov chaw cog khoom nruab nrab ntawm txoj kev cog lus thiab cov khoom siv prosthetic. Lawv protrude los ntawm cov pos hniav (feem ntau 6-7 hli nyob rau hauv qhov siab) thiab pab tsim cov ntaub so ntswg nyob ib ncig ntawm lub sij hawm kho.Npog screws, ntawm qhov tod tes, yog cov khoom tiaj tus uas zaum yaug nrog lub implant platform, tag nrho submerging nws hauv qab cov pos hniav.
Kev nkag siab thaum twg yuav siv txhua yam tseem ceeb heev rau kev ua tiav cov txiaj ntsig zoo nkauj zoo nkauj, tsim cov ntaub so ntswg kom zoo, thiab ntev - lub sij hawm cog qoob loo.
Duab qhov chaw: villagedentalmedicine.com
Healing Abutments: Lub Hom Phiaj thiab Kev Siv Kho Mob
Dab tsi yog Kho Abutments?
Kho abutments yog ib ntus cov khoom tsim los rau:
- Qhia thiab tsim cov ntaub so ntswg gingival thaum kho
- Tsim kom muaj qhov xwm txheej tshwm sim rau yav tom ntej kev kho dua tshiab
- Tiv thaiv qhov chaw cog los ntawm cov khib nyiab thiab cov kab mob ntxeem tau
- Txo qhov xav tau kev phais mob gingival theem nrab hauv ntau qhov xwm txheej
Thaum twg los xaiv Kho Abutments
- Loading Protocols tam sim ntawd: Thaum npaj rau tam sim los yog ntxov loading ntawm implants, kho abutments feem ntau nyiam raws li lawv npaj cov ntaub so ntswg rau lub tom ntej no kev kho mob.
- Aesthetic Zone Implants: Nyob rau hauv cov cheeb tsam anterior uas gingival contour yog ib qho tseem ceeb rau kev zoo nkauj, kho abutments pab tsim ntuj tsim - saib cov pos hniav architecture.
- Ib -Txoj kev phais mob theem: Thaum siv cov txheej txheem phais uas tsis yog{0}} submerged, kho abutments muab tso rau tam sim ntawd tom qab muab tso rau.
- Thick Gingival Biotypes: Hauv cov neeg mob uas muaj cov pos hniav tuab, kho abutments tuaj yeem pab tiv thaiv cov ntaub so ntswg overgrowth uas yuav nyuaj rau yav tom ntej.
- Kev ua haujlwm yooj yim: Cov kev coj ua txhawm rau txo cov theem kev phais thiab kev mus ntsib cov neeg mob feem ntau pom zoo kho abutments rau lawv cov txiaj ntsig.
Qhov siab ntawm kev kho abutments yog qhov tseem ceeb -Tsau Prosthodontics Kev Tshawb Fawb Cov Teeb Meemqhia tias nce abutment qhov siab los ntawm4mm mus 7mmtuaj yeem txhim kho kev tuav cialos ntawm 67%, qhia txog qhov tseem ceeb ntawm kev xaiv kom raug.
Npog Screws: Lub Hom Phiaj thiab Daim Ntawv Thov Kev Kho Mob
Dab tsi yog Npog Screws?
Npog screws yog cov khoom tiaj tus uas:
- Ua tiav kaw qhov kev cog lus cog
- Khaws cov implants submerged hauv qab gingiva
- Tiv thaiv cov xov sab hauv ntawm qhov cog
- Tiv thaiv cov ntaub so ntswg loj hlob mus rau hauv lub implant platform
Thaum xaiv Npog Screws
- Ob-Txoj kev phais mob theem: Cov txheej txheem kev kho cov dej hauv cov txheej txheem yuav tsum tau npog cov ntsia hlau los tiv thaiv kev cog hniav thaum lub sij hawm osseointegration.
- Pob Txha Grafting Cases: Thaum kev txhim kho pob txha ib txhij ua tiav, npog cov ntsia hlau pab kom ruaj khov thiab tiv thaiv qhov chaw kho.
- Nyias Gingival Biotypes: Hauv cov neeg mob uas muaj cov pos hniav me me, npog cov ntsia hlau tuaj yeem txo qhov kev pheej hmoo ntawm cov ntaub so ntswg thaum kho.
- Loading Protocols ncua sij hawm: Thaum npaj rau lub sijhawm kho kom ntev ua ntej kev kho dua tshiab, npog cov ntsia hlau muab kev tiv thaiv yam tsis tas yuav tsum muaj cov ntaub so ntswg shaping.
- Kab mob Risk: Hauv cov chaw muaj kev cuam tshuam uas muaj peev xwm kis tau tus mob ntau dua, npog cov ntsia hlau tuaj yeem nyiam dua vim tias lawv kaw qhov cog tag.
Kev Tshawb Fawb Sib Piv: Cov Ntsiab Lus Txiav Txim Siab
Thaum txiav txim siab ntawm kev kho abutments thiab npog screws, xav txog cov yam tseem ceeb no:
1.Tissue Management Requirements:
Kho abutments nquag tsim cov ntaub so ntswg kom zoo dua tshwm sim profiles
Npog screws tuav cov ntaub so ntswg hauv nws txoj haujlwm ntuj
2. Kev phais raws tu qauv:
Ib qho -theem phais feem ntau siv kho abutments
Ob-theem phais feem ntau yog siv cov hau npog npog thawj zaug
3. Kev Kho Ib puag ncig:
Kho abutments tsim ib qho kev sib txuas ntawm transgingival
Npog screws tuav ib puag ncig submerged kiag li
4.Aesthetic Demands:
Kho abutments nyiam nyob rau hauv qhov chaw pom
Npog screws tej zaum yuav txaus nyob rau hauv cov cheeb tsam tom qab
5.Biological Considerations:
Kev kho abutments tuaj yeem ua rau muaj kev pheej hmoo kis kab mob microbial
Npog screws muab kev tiv thaiv zoo dua tiv thaiv qhov ncauj kab mob
Kev Txiav Txim Kho Mob -Cov Lus Qhia
Raws li cov ntaub ntawv pov thawj tam sim no thiab kev siv tshuaj kho mob, ntawm no yog cov lus qhia tswv yim rau kev xaiv ntawm kev kho abutments thiab npog screws:
Xaiv Kho Abutments Thaum:
- Ua cov txheej txheem thauj khoom tam sim lossis ntxov
- Ua haujlwm hauv thaj chaw zoo nkauj (cov hniav sab hauv)
- Lub hom phiaj kom txo qis cov theem phais
- Tswj cov gingival biotypes tuab
- Tus neeg mob muaj kev tu cev ntawm qhov ncauj zoo
Xaiv Npog Screws Thaum:
- Ua raws li ob- theem kev cai
- Simultaneous pob txha grafting yog ua
- Tswj nyias gingival biotypes
- Kev ncua sijhawm thauj khoom yog npaj (ntxiv sijhawm kho)
- Tus neeg mob muaj kev pheej hmoo kis mob ntau dua lossis kev tu cev tsis zoo
Cov Txheej Txheem Tshaj Tawm thiab Cov Kev daws teeb meem digital
Niaj hnub nimno kev kho hniav digital muaj peev xwm tshiab rau ob txoj hauv kev:
- Custom Healing Abutments: Digital workflows tso cai rau tus neeg mob-kev kho mob tshwj xeeb uas haum raws li qhov kev npaj kho dua tshiab ntawm qhov xwm txheej tshwm sim.
- Kev cob qhia kev phais kev koom ua ke: Cov txheej txheem kev npaj digital tuaj yeem qhia qhov kev xaiv zoo tshaj plaws thiab txoj haujlwm ntawm cov khoom kho mob raws li txoj kev npaj kho mob virtual.
- 3D Printed Temporary Solutions: Qee lub tsev kho mob tam sim no siv 3D luam ntawv kho mob abutments rau kev kho cov ntaub so ntswg thaum kho.
- Platform Switching Considerations: Kev xaiv ntawm kev kho abutments thiab npog screws tuaj yeem cuam tshuam los ntawm kev hloov pauv ntawm lub platform, uas qee qhov kev tshawb fawb qhia tias yuav txhim kho cov ntaub so ntswg zoo.
Tej Teeb Meem Teeb Meem thiab Kev daws teeb meem
Ob txoj hauv kev muaj cov kev xav tshwj xeeb:
Healing Abutment Challenges:
- Tej zaum yuav loosen thaum kho, yuav tsum tau rov- zawm
- Nws tuaj yeem khaws cov plaque yog tias tsis tswj xyuas kom zoo
- Tej zaum yuav ua rau tsis xis nyob ib ntus vim yog protrusion
Cover Screw Challenges:
- Yuav tsum tau kev phais thib ob
- Tej zaum yuav ua rau cov nqaij ntshiv ntau dua thaum lub sij hawm uncovering
- Nws tuaj yeem ua rau cov ntaub so ntswg uas tsis tshua xav tau
Cov Lus Pom Zoo
Raws li cov ntaub ntawv pov thawj tam sim no thiab kev paub hauv chaw kho mob:
- Aesthetic Zone Preference: Feem ntau cov kws tshaj lij pom zoo kho cov kab mob rau cov anterior implants kom ua tiav cov gingival architecture zoo.
- Posterior Region Flexibility: Hauv thaj chaw tom qab, ob qho tib si tuaj yeem ua tiav, nrog kev xaiv nyob ntawm lwm yam xwm txheej.
- Tus neeg mob -Kev txiav txim siab tshwj xeeb: Xav txog ib tus neeg mob yam xws li kev nyiam huv, biotype, thiab kev xav zoo nkauj thaum xaiv.
- Digital Planning Advantage: Siv cov kev ua haujlwm digital thaum ua tau los ua kom zoo tshaj qhov kev xaiv thiab kev tso chaw.
Xaus: Ua qhov kev xaiv zoo rau txhua rooj plaub
Kev txiav txim siab ntawm kev kho abutments thiab npog screws yuav tsum yog raws li:
- Qhov chaw kho mob tshwj xeeb
- Cov txheej txheem phais raug ua raws
- Cov kev xav kom zoo nkauj ntawm rooj plaub
- Tus neeg mob tus yam ntxwv
- Lub sijhawm ntev - lub sijhawm kho dua tshiab
Thaum kho abutments muaj qhov zoo ntawm cov ntaub so ntswg shaping thiab ua haujlwm yooj yim, npog cov ntsia hlau tseem muaj txiaj ntsig hauv qee qhov xwm txheej kho mob, tshwj xeeb tshaj yog thaum siv ob qho tib si -theem mus kom ze lossis thaum tib lub sijhawm grafting ua tiav.
Los ntawm kev nkag siab txog cov lus qhia, qhov zoo, thiab kev txwv ntawm txhua yam, cov kws kho hniav tuaj yeem txiav txim siab paub txog qhov ua kom zoo tshaj plaws ntawm cov txiaj ntsig lom neeg thiab cov txiaj ntsig zoo nkauj rau lawv cov neeg mob cog.
Raws li kev kho hniav digital txuas ntxiv mus ntxiv, peb tuaj yeem cia siab tias yuav muaj cov kev daws teeb meem ntau dua rau kev cog qoob loo thiab kev tswj cov ntaub so ntswg, ntxiv dag zog rau peb lub peev xwm los tsim ntuj tsim - saib, ua haujlwm, thiab ntev - kev kho kom zoo dua qub
Tshawb nrhiavADS Dental Laboratory Ltd- Peb yog cov kws tshaj lijDigital Dental Lab hauv Suav teb, tshwj xeeb hauv kev muab sijhawm ntev -, ruaj khov outsourcing cov kev pabcuam kho hniav kho hniav kho hniav rau cov kws kho hniav txawv teb chaws thiab cov chaw kuaj hniav. Tiv tauj peb kom kuaj dawb.Email:
Cov ntaub ntawv siv / Cov ntaub ntawv
https://www.sciencedirect.com/
https://pubmed.ncbi.nlm.nih.gov/
