Ko te nuinga o ngā kaihoko niho ka arotake i te PMMA mā te utu me te wātea. Engari i roto i ā mātou wheako mahi tahi me ngā taiwhanga me ngā kaituku puta noa i te umanga, ko ngā whakataunga e arahi ana ki ngā waeatanga anō, ngā hanga hou, me ngā kaiwhakamahi mutunga kore e harikoa ana, tata tonu ka hoki ki tētahi āhuatanga kotahi i warewarehia: te pai o te mārama ki te rauemi i mua i te tono.
Ko te PMMA — polymethyl methacrylate — tētahi o ngā rauemi e whakamahia whānuitia ana i roto i ngā mahi hanga niho hou. He ngāwari, he hototahi ki te koiora, he kaha ki te āhua, ā, he hototahi hoki ki ngā tukanga mahi CAD/CAM o ēnei rā. Engari, pērā i ngā rauemi katoa, he kōpaki mahi tōna. Mā te mōhio ki te mutunga o taua kōpaki ka wehea ai te whakatau hoko atamai mai i te whakatau utu nui.
E kapi ana tēnei tuhinga i ngā kōrero matua e rima mō ngā rauemi niho PMMA: he aha tēnei mea, me pēhea te hanga, he aha i tino pai ai tana mahi i roto i ngā horopaki haumanu maha, kei hea ōna herenga tūturu, me pēhea te whakamahinga puta noa i ngā karauna, ngā niho rūpahu, me ngā whakatōnga whakapūmau, me ngā mea kei te heke mai i roto i te hangarau PMMA. Ahakoa kei te hoko koe mō tētahi taiwhanga kotahi, kei te rapu rānei i tētahi mea nui, koinei ngā mea hei mōhio.
Ko te Polymethyl methacrylate he pūmua thermoplastic — he kapia kiriaku hangai — i hangaia mā te hono i ngā monomers methyl methacrylate ki ngā mekameka roa, pumau mā te tukanga e kiia nei ko te polymerization. Ko te hua he rauemi mārama, he māmā, ā, he tino ātete ki te pakaru ki te whakataurite ki te karāhe, ki te porcelain tuku iho rānei.
Kua roa te whakamahinga o te PMMA i roto i te mahi niho. Ehara i te mea nā te hokohoko i whiwhi ai i tōna tūranga engari nā te mahi haumanu: he pono, he matapae, he ngāwari hoki te mahi tahi me ia puta noa i ngā taiao taiwhanga maha.
Ko te mea e tino whai hua ai te PMMA mō ngā mahi niho ko te huinga o ngā āhuatanga matua e whā:
• Mārama: He rite tonu te āhua o te tuku māramatanga ki te enamel tūturu, koia te take e whakaranua noatia ai ngā whakahoutanga PMMA ki roto i te waha.
• Ātete pakaru: He rerekē ki ngā uku karāhe, ka mimiti te PMMA i te pānga, kaua e pakaru, ka whakaiti i te tūponotanga o te pakaru ohorere.
• Te hototahitanga ki te koiora: He pai te manawanui o ngā kiko o te waha, he roa hoki te hītori haumanu mō te whakamahinga haumaru.
• Te whai hua o te utu: He pai ngā hua ataahua e puta mai ana i tēnei, he iti noa iho te utu o te zirconia, o ngā momo uku-katoa rānei.
Ko ngā PMMA paerewa he mea hanga mai i ngā monomer MMA, ngā mekameka polymer hei whakapakari i te hanganga, me ngā plasticizer hei whakakapi mō te ngāwari. Ko te mea nui ki ngā kaihoko me ngā taiwhanga, kāore tēnei hanganga i te pumau — ka taea te whakarerekē. He rerekē ngā momo hanganga e pai ana mō ngā tono rerekē, ā, e tuku ana ngā kaihanga rongonui i ngā poraka PMMA i roto i ngā momo matotoru, ngā kōwhiringa atarangi, me ngā kōtaha miihini.
Mā te mārama ki tēnei rerekētanga ka āwhina i ngā taiwhanga me ngā tīma hokohoko ki te tautuhi tika i ngā rauemi, ā, ka whakaiti i te whakamātautau-me-te-hē e puta mai ana i te whakaaro ki ngā PMMA katoa he mea whakawhiti.
He tino pakari te PMMA mō tōna wāhanga. I roto i ngā āhuatanga o te aukati noa - te ngaungau, te huri, me te ngau i ia rā - ka mau tonu ngā whakahoutanga PMMA. Ka roa te karauna rangitahi mō ngā wiki ki ngā marama i raro i te mahi katoa. Ka tu tonu ngā niho rūpahu i hangaia mai i te PMMA mō ngā tau maha i mua i te whakaatu i te pakaru nui.
Ahakoa rā, ko te "pūmau" he horopaki. He pai ake te mahi a te PMMA i ngā tono kāore e tika ana kia mau i te kawenga miihini roa katoa o te whakaora tuturu o muri i roto i te bruxer taumaha. I roto i aua horopaki, he pai ake te whakamahi i ngā momo rerekē pēnei i te zirconia. I te nuinga o ngā whakamahinga kē atu, he nui atu i te rawaka te kaha o te PMMA - ā, ko te utu iti-mō ia waeine ka waiho hei painga nui i te tauine.
Ko te āhua ataahua te wāhi e nui rawa atu ai te PMMA i runga i te utu. He rite tonu tōna mārama ki te enamel tūturu, ā, e wātea ana i roto i te whānuitanga o ngā tae ka taea te whakataurite tika ki ngā niho e karapoti ana. Ka orohia kia kanapa rawa, ka mau tonu i roto i te wā.
Mō ngā niho rangitahi o mua me ngā niho rūpahu, he maha ngā wā kāore e taea e ngā tūroro te wehewehe i te PMMA mai i ngā rauemi utu nui ake. He mea nui tēnei ki te taha hauora me te taha arumoni mō ngā taiwhanga e mahi ana ki ngā mākete e aro nui ana ki te utu.
He ngāwari te mahi tahi me te PMMA. Ka taea te whakarite i ngā mahi miihini i roto i ngā rerengamahi CAD/CAM, ka ngāwari te whakarite i runga i te tūru, ā, ka tere te whakatika. Mō ngā taiwhanga nui te rahinga, ka tika te whakamaoritanga o tēnei ki te nui o te mahi. Ko te tere o te tukatuka, te iti o ngā hanga hou, me te ngāwari o te whakauru ka iti ake ngā utu whakaputa katoa - he painga tēnei e hono ana ki ngā ota nui.
Ko te tino pouri o te PMMA ko te whakamahinga i roto i te horopaki hē. Ko te karawarawa o te mata te herenga matua i roto i te wā - i roto i ngā taiao e mau ana te mata, ka memeha pea, ka puta rānei he karawarawa iti ka pā ki te ataahua. Ka taea te whakahaere i tēnei mā te whakakanapa auau engari he mea tika kia whakaarohia ngā tikanga whakawhitiwhiti kōrero me te tiaki a te tūroro.
He iti ake te kaha piko o te PMMA i te zirconia, i te lithium disilicate rānei. He mea nui tēnei mō ngā tūroro he kaha te ngau, he kaha rānei te whanonga parafunctional. Mā te whakamahi i te PMMA mō ngā whakaora tuturu o muri i roto i ēnei tūroro, tera pea ka puta he rahunga wawe me ngā utu whakakapinga e pā ana.
Ngā herenga e toru hei maumahara māu:
• Te pakaru o te mata i roto i te wā: He mea nui rawa atu mō ngā piriti whānui me ngā take he nui te kawenga o te ārai.
• Kāore i te pai mō ngā whakaora pumau kaha-nui: He pai ake mō ngā whakaora rangitahi, ngā whakamahinga pumau iti iho rānei te tono.
• Te ngawari ki te pakaru i raro i te ahotea roa: He onge, engari he mōrearea i roto i ngā whakahoutanga kāore i te tino tautokona, i te tino angiangi rānei.
Ko ngā uku — inā koa ko te zirconia me te lithium disilicate — he pai ake i te PMMA i te kaha me te ātete ki te kakahu mō te wā roa. Koinei te whiringa pai mō ngā whakahoutanga pumau. Ko te PMMA ia, he toa i runga i te utu, te tere o te hanga, te ngāwari o te whakarerekētanga, me te whānuitanga o te ataahua mō te utu.
Ko te akoranga whai hua: ehara ēnei rauemi i te whakataetae i roto i te nuinga o ngā horopaki haumanu. He rerekē ā rātou mahi. He pai ake ngā hua o ngā taiwhanga e pupuri ana i ngā mea e rua, ā, e mārama ana ki te wā e whakamahia ai ia mea i ngā wā katoa, i ērā e herea ana ki te kotahi rauemi puta noa i ngā take katoa.
Ko ngā karauna rangitahi te wāhi e tino whakamahia ana te PMMA. Ka tere te hanga mā te whakamahi i te mira CAD/CAM, ka pai te taunga, ka ātaahua te āhua, ā, ka tiakina te niho kua whakaritea i te wā e hangaia ana te whakaora tūturu. Mō ngā taiwhanga e whakamahi ana i ngā pūnaha mira hou, ka taea te whakaputa i ngā pāmahana PMMA i roto i ngā meneti me ngā hua ōrite, matapaetia hoki.
Ko te kounga o te mira whakamutunga e whakawhirinaki ana ki ngā mea e rua: te kounga o te poraka PMMA me te tika o ngā taputapu mira. Mēnā he iti te kounga o te rauemi, he mira kāore i te tino tika te whakatikatika, ka puta he tawhā kāore e hiri, he mata taratara, me ngā mira e hiahia ana kia whakatikatikaina tonutia. Mā te tika o ēnei e rua ka kore e puta te nuinga o ngā amuamu noa mō ngā mira PMMA.
Neke atu i te 70 tau te roa o te PMMA hei rauemi paerewa mō ngā turanga niho rūpahu — ā, he take pai anō hoki. He mama, he mea nui mō te whakamarie o te tūroro i te rā katoa e mau ana. He ngāwari te tae kia rite ki te kiko o te kapia. He pakari kia ora ai i ngā maturuturunga iti me te whakamahinga o ia rā. Ā, ka taea te whakarite me te whakatika i te taha o te tūru me te kore he taputapu motuhake.
Ko ngā niho rūpahu PMMA o ēnei rā he atarangi me he āhua mārama e tata ana ki te āhua o ngā niho tūturu. I te whakakotahitanga me te turanga kua pai te urutau, ko ngā niho rūpahu PMMA tonu te otinga tino whai hua me te utu-pai mō te nuinga o ngā tūroro kāore anō kia whai niho.
I roto i te mahi niho tāpiri, he mea nui te mahi a ngā whakaora wā poto i te wā o te osseointegration. Me tiaki e rātou te wāhi pokanga, me pupuri te ataahua, me ārahi i te whakaora o ngā kiko ngohengohe, me te mahi i raro i ngā taumahatanga occlusal tūturu — me te ngāwari hoki te whakarerekē i te haere tonu o te whakaora.
He tino pai te PMMA mō tēnei mahi. Ka taea te hanga tere i mua atu, i muri tonu rānei i te pokanga, ka taea te whakarerekē ngāwari i te hurihanga o ngā āhua o te kiko, ā, ka taea te whakakapi me te kore uaua ina oti te whakauru katoa o te mea whakauru. Nā te iti o te utu, he mea whai hua hoki te whakakapi i te mea whakauru i ngā wā maha i roto i ngā wā whakaora roa me te kore he utu nui.
Kotahi te mea hei mōhio mā te hoko: ko te tika o te mira e hiahiatia ana mō ngā whakaurunga wā poto he teitei ake i ngā whakaurunga wā poto paerewa. Ko te taunga ki te atanga whakaurunga ka pā tika ki te hauora o te kiko me ngā putanga whakaurunga. He wāhanga tēnei e whai pānga nui ana te kounga o te rauemi PMMA me ngā taputapu mira.
Ehara te PMMA o ngā tau e rima ki muri i te PMMA e wātea ana i ēnei rā. Kei te whakapai tonu ngā kaihanga i ngā hanganga: ngā ranunga kaha ake, ngā poraka paparanga maha me ngā tae atarangi kua hangaia, ngā momo ārai huaketo e whakaiti ana i te piri o ngā huakita, me ngā rauemi whakarei ake i te nanotechnology e whakapai ake ana i te āhua me te ātete ki te kakahu.
Kei te āta whakapōturi haere ēnei whanaketanga i te rārangi i waenga i te "wā poto" me te "tūturu" i roto i te mahi haumanu a te PMMA. Kei te whakamahia kētia ētahi whakatakotoranga PMMA kaha-teitei hou mō ngā whakaora pumau-poto ki te wā waenga i ngā take e tika ana - he ia ka haere tonu i te whanaketanga o te pūtaiao rauemi.
He mea tika kia tika te kōrero mō tētahi mea e warewarehia ana i roto i ngā kōrero: ko te kounga o te whakaora PMMA ka whakatauhia noa iho e te rauemi tonu. He rite tonu te hiranga o te tukanga mira.
Ka hua ake ngā hua kino i te poraka PMMA pai rawa atu i mirahia ki runga i ngā taputapu kāore i tino tika te whakatikatika, i te tawhito rānei — he mata taratara, he taunga taha koretake, he rauemi maumau. I tetahi atu taha, ka taea e te poraka PMMA waenga-awhe pono i mirahia ki runga i tētahi pūnaha kua tiakina pai, kua whakatikatikahia kia tika te hanga i ngā whakaora e nui ake ana i te mahi haumanu o ngā rauemi utu nui ake i tukatukahia ki runga i ngā taputapu ngoikore.
Mō ngā taiwhanga me ngā kaihoko e arotake ana i te utu katoa o te whakaputanga, ko ngā taputapu mira te taurangi me te kaha teitei rawa. Ka whakaitihia e te mira tika te para rauemi, ka whakanuia te kaha whakaputa, ā, ka whakapai ake i te ōritetanga puta noa i ia take - PMMA, i ētahi atu rānei.
Kei te piki haere te mahi a ngā taiwhanga niho matua hei taiao ranu: te whakakotahi i ngā rerengamahi hoahoa mamati me te mira tino tika, te whakamahi i te PMMA me ētahi atu rauemi i runga i ngā whakaritenga o te take. Ko te whakaurunga CAD/CAM, te mira aunoa, me te hoahoa āwhina-AI kei te whakaiti i ngā wā whakaputa me ngā hapa tangata i te wā kotahi.
Mō ngā kaituku me ngā tīma hoko, he pānga mahi tō tēnei panonitanga. Me whai rauemi me taputapu e hototahi ana ki aua pūnaha ngā taiwhanga e haumi ana ki ngā rerengamahi matihiko. Me whai whakaaro ngā whakataunga rapu rauemi o ēnei rā ki te huarahi e anga atu ana te ahumahi, kaua ko te tono o nāianei anake.
He tūranga pumau, he tūranga nui hoki kei roto i te mekameka tuku niho ngā rauemi niho PMMA — ehara i te mea nā te koretake, engari nā te mea kei te tuku tonu mai i te uara haumanu me te uara ōhanga pono. He maha ngā whakamahinga, he mārama, ā, kei te pai haere tonu i ia tau.
Ko ngā meka e rima e tino hira ana ki ngā kaihoko me ngā kaituku: Ka taea te whakarite i ngā āhuatanga o te PMMA, ā, kāore e taea te whakawhiti puta noa i ngā hua katoa; he tūturu, he ine hoki ōna painga i te taha ataahua, te whakahaere, me te utu; ka taea te matapae me te whakahaere i ōna herenga me te whiriwhiri tika i ngā take; he rerekē ngā whakaritenga mahi o ia tūranga haumanu e toru; ā, he hononga tata te heke mai o te PMMA ki te hangarau mira mamati.
Mā te mārama hōhonu ki ngā rauemi ka taea ai te hokohoko atamai ake, te iti ake o ngā hokinga mai, me te kaha ake o ngā whanaungatanga ki ngā taiwhanga me ngā wāhi hauora e whakaratohia ana e koe.
Hei wetewete i te pūmanawa o te PMMA, he rite te hiranga o te pūnaha mira ki te rauemi. Ka hangaia e Dentex ngā mīhini mira CAD/CAM tino tika i hangaia mō ngā taiwhanga niho e hiahia ana kia rite, kia tere, kia tika hoki puta noa i ia whakaora. Ako atu mō ngā otinga mira Dentex →