Mō ngā tekau tau, i whai te hanganga o ngā niho rūpahu tango i tētahi tikanga tawhito, ā-ringa: he paru ngā tānga ā-ringa ka taea te whakapēke, he ngana ki te tā i ngā ware pi e hiahia ana ki te whakaaro noa, me te tukanga hanga e tino whakawhirinaki ana ki te pūkenga o te tohunga hangarau takitahi.
Ko te mutunga? He huringa o ngā putanga kāore e taea te matapae, he roa te wā noho o ngā tūroro, me ngā whakarerekētanga whakararuraru mō te hunga katoa e whai wāhi ana.
Mā te tukanga mahi matihiko mō ngā niho rūpahu ka pakaru tēnei huringa. Mā te whakauru i te matawai ā-waha, te pūmanawa hoahoa CAD , me te hangarau mira tika, ka whakauruhia he paerewa hou mō te tika, te ōrite, me te whai huatanga mō te whakaputa niho rūpahu katoa me te wāhanga.
Ka whakamāramahia e tēnei tuhinga te tukanga katoa mō te hanga niho matihiko mai i te tīmatanga ki te mutunga. Ka hipokina e mātou:
· Ngā Hipanga Matua e 4: Mai i te kohikohi raraunga ki te tukunga whakamutunga
· He aha te mea nui o te mira: Ngā painga o te hangarau mira 5-tuaka mō te hanganga uaua o ngā niho rūpahu
· Te Painga o te Taiwhanga Mamati: Me pēhea te whakahaere i te mahi tahi a te whare hauora me te taiwhanga e ngā tūāpapa kapua
· Ngā Painga Ā-tinana: Ngā whakapainga haumanu me ngā whakapainga whakahaere i runga i te tukatuka tikanga
Ahakoa he taiwhanga niho koe e arotake ana i ngā taputapu CAD/CAM, he tākuta niho hanga niho, he tākuta niho rānei e whakauru ana i ngā rerengamahi mamati, he tohunga hangarau rānei e whakapakari ana i ō rātou pūkenga, ka whakaratohia e tēnei aratohu ngā mōhiotanga mahi hei whakatinana angitu i te hanga niho rūpahu mamati.
Ka tīmata katoa mā te tānga matihiko tika. Mā te whakamahi i te matawai ā-waha Ka hopukina e koe tētahi tauira 3D taipitopito o ngā kōhao kāore i te niho. Mā tēnei ka whakakorea te whakapohehe me te kore whakamarie o ngā whakaahua tuku iho, ka whakaratohia he turanga matihiko tino pai. Ka taea te whakauru i ngā rekoata matihiko tāpiri—pēnei i te rēhitatanga ngau, i ngā matawai kanohi rānei—hei whakamōhio i te mahi me te ataahua mai i te tīmatanga.
I konei, ka tūtaki te toi me te pūtaiao o te hoahoa niho rūpahu tango ki te tika matihiko. I roto i te pūmanawa CAD (tō whare hoahoa niho rūpahu mariko ), ka hoahoa koe i te prosthesis:
Ka āta hangaia e koe te mata intaglio (te taha kiko) me ngā rohe i runga i ngā tohu ā-tinana mō te pumau me te whakamarie tino pai.
Ka tīpakohia e koe ngā niho mai i ngā whare pukapuka matihiko, ka whakanohohia kia rite ki ngā kaupapa ārai me ngā aratohu ataahua, me te āheinga hoki ki te waihanga i tētahi arokite mariko mō te tūroro.
Ka noho te hoahoa kua oti hei huinga tohutohu mō te mīhini mira .
Koinei te wāhi e huri ai te hoahoa matihiko hei niho rūpahu tūturu. Mō ngā niho rūpahu pumau, mō te wā roa, ko te hanga tango (mira) te tikanga pai mō tōna kaha me tōna tika.
A Ka taea e te mīhini mira tuaka-5 te huri i te rauemi, ka taea ai e te taputapu tapahi te whakatata mai i tetahi koki. He mea nui tēnei mō te hanga tika i ngā pihi uaua me ngā tapahi raro o te turanga niho rūpahu me ngā niho i roto i te whakatakotoranga kotahi, whai hua.
Ka whakamahia e te tukanga hanga CAM te matū kua whakapūmua-whakapūmuatia, he matū taumata-ahumahiPMMA he pūkā hiato rānei. He rite tonu, he mātotoru ake ēnei rauemi i ngā kiriaku kua tukatukahia i mua, ā, ka hua ake he niho rūpahu he ātete nui ake ki te pakaru, he iti ake hoki te pūngao.
Whai muri i te mira, ka whakakanapahia te niho rūpahu, ā, ka taea te whakaahua i tōna āhua hei whakapaipai. Nā te tika o ngā mahi o mua, ka māmā ake te wā tuku, ka arotahi ki te manatoko me ngā whakatikatika iti, kaua ki ngā hanga hou nui.
Ehara i te mea he taputapu noa iho te taiwhanga niho rūpahu matihiko tūturu ; he pūnaha hono, whai hua hoki e whakarerekē ana i te mahi tahi a ngā wāhi hauora me ngā taiwhanga.
Mā ngā tūāpapa kapua ka taea te tiritiri tere, haumaru hoki i ngā raraunga matawai, ngā kōnae hoahoa, me ngā urupare i waenga i te whare hauora me te taiwhanga, ka whakaitihia ngā whakaroa me ngā hapa. Mā te whakawhitiwhiti kōrero ā-wā tonu ka kore e taea te whakawhitiwhiti kōrero tuku iho e whakaroa ana i ngā wā o ngā take.
Te Huarahi Whai Hua: E ai ki ngā taiwhanga e whakamahi ana i ngā tūāpapa mamati whakauru, kua heke te hapa whakawhitiwhiti kōrero mā te 40%, ā, he tere ake te wā whakaoti i roto i ngā rā e 3.
Ka purangatia matihiko ia hoahoa kua oti. Mēnā ka ngaro, ka pakaru rānei tētahi niho rūpahu, ka taea te hanga tere i tētahi tārua me te kore e hiahiatia he tānga hou—he uara nui tēnei mō ō kiritaki.
Painga mō te Tūroro: Kua whakaitihia te wā whakakapinga mō ngā niho rūpahu kua ngaro mai i te 2-3 wiki ki te 3-5 rā pakihi mā te whakamahi i ngā kōnae matihiko kua purangatia.
Mā ngā rerengamahi niho rūpahu matihiko paerewa ka whakaitihia te rerekētanga, ka whakarite kia rite tonu te kounga me te wā whakaoti, ahakoa te rahinga o ngā keehi. Mā tēnei matapae ka taea e ngā taiwhanga te whakanui ake i ngā mahi me te kore e whakararu i te kounga.
Mā te whakamahi i te tukanga mahi matihiko mō ngā niho rūpahu ka puta he painga mārama, ka taea te ine puta noa i ngā kaipupuri katoa:
• Mō te Tūroro: He pai ake te noho me te whakamarie mai i te rā tuatahi, he iti ake ngā whakaritenga whakarerekētanga, ā, he hua pakari ake, he hua ātaahua ake hoki.
• Mō te Whare Hauora: He iti ake te wā tūru, he iti ake ngā hanga hou, ā, he kaha ake te uara o ngā taputapu mā roto i ngā hangarau matatau.
• Mō te Taiwhanga: Te nui ake o te auau o te whakaputanga, te whakamahinga whai hua o ngā rauemi, me te kaha ki te tuku ratonga utu nui pēnei i te whakatikatika niho rūpahu i taua rā anō, te tāruatanga rānei e hangai ana ki ngā pūranga.
He haumi rautaki te whakawhiti ki te tukanga mahi matihiko mō ngā niho rūpahu ki te matapae, te kounga, me te whai huatanga. Ka nekehia te hanga niho rūpahu mai i te mahi ā-ringa e pāngia ana e te rerekētanga ki tētahi tukanga whakahaere, ka taea te tukurua, e tautokona ana e ngā putanga haumanu ka taea te ine.
Mā te mārama ki ngā mahi nui—mai i te tika o ngā tānga matihiko ki ngā painga pakari o te mira tuaka-5 mō ngā mahi hanga niho —ka taea e ngā taiwhanga me ngā tākuta te whakauru māia i tēnei hangarau hanga niho rūpahu CAD/CAM hei whakapai ake i ngā putanga mō ā rātou mahi me ā rātou tūroro.
Ko te awe matihiko i roto i te mahi niho tango ehara i te mea ko te whakamahi noa i ngā taputapu hou; engari ko te whakarato i ngā wheako tūroro tino pai tonu, me te hanga i tētahi mahi whai hua, whai hua hoki.
Tirohia me pēhea e taea ai e tā mātou pūnaha taiwhanga niho rūpahu mamati te whakahaere i tō rerenga mahi me te whakapai ake i ngā putanga mō ngā tūroro.
Ahakoa kei te arotake koe i ngā taputapu CAD/CAM mō tō taiwhanga, kei te whakauru i ngā rerengamahi mamati ki roto i tō mahi, kei te tūhura rānei i ngā rautaki mira motuhake, kei te rite tā mātou tīma tohunga prosthodontic ki te āwhina.
Whakapā mai ki a mātou i tēnei rā hei whakarite i tētahi kōrerorero whaiaro, hei ako hoki me pēhea te whakatutuki a te hangarau niho rūpahu matihiko i ō hiahia.