N'chifukwa chiyani muyenera pulasitiki chapakamwa?

Anomalies ya lilime frenulum, komanso chapamwamba kapena kuchepera milomo angakhale ndi zotsatira zosasangalatsa kwambiri. Pakati ambiri monga mapangidwe fissures pakati incisors pafupi chapamwamba (diastema), padzuwa la khosi la dzino ndi muzu wake, malocclusion, matenda kulankhula, chiwonongeko m'dera la m'kamwa periodontitis ndi zovuta kukhazikitsa chipangizo chamagetsi orthodontic.

Pulasitiki lilime frenulum Nthawi zambiri posachedwa atabadwa. Pambuyo chosayenerera pafupipafupi zambiri kumayambitsa movutikira woyamwa kuchita. chapakamwa pulasitiki mu nkhani iyi ikuchitika ndi kung'ambika ake yopingasa. bala amakhala mawonekedwe rhombic ndi kutulutsidwa zonse za chinenero chimene limachititsa ulusi, ntchito elasticity wa minofu kuligaŵa pa phukusi la.

Pulasitiki frenulum wa mlomo chapamwamba pansi miyeso yachibadwa ya khonde m'kamwa imagwiridwa ndi excision (frenectomy) kapena kung'ambika (frenotomiya). Tikumbukenso kuti palibe sakhala ogwira ndiko kupita malo kuphatikana ndi kulemekeza chapakamwa cha mphepete gingival.

Pulasitiki chapakamwa ndi kutalika osakwanira zace

Kuti apange gawo ili apakatikati kudzera kumanganso. Choncho anapanga awiri triangular mphako khumudwitsidwa lomwe matanthauzo kenako anasamukira, ndiye atathana ndi yarns kupanga kapena woonda catgut. Pa opaleshoni ayenera musaiwale za malo a papillae sublingual, kupewa choipa.

Pamene chitukuko nthenda ya gawo alveolar wa mandible zambiri chapakamwa amamangiriridwa mwachindunji Arc yokha. Pankhaniyi, izo kuligaŵa mwa odulidwa angularly. M'menemo vertex ndi mwachindunji kwa gawo alveolar la nsagwada m'munsi. The khumudwitsidwa pa underside wa padziko lilime ndilo katungulume kuchokera isanatuluke zake zonse. mwamphamvu sutured bala inakhazikitsidwa m'zaka popanga munthu opaleshoni.

Excision wa kuzomangira pakamwa (frenectomy) Milomo, Kupha minofu yovulazidwa chingwe m'kamwa khonde

Opaleshoni njira mu milandu zosiyana. Pulasitiki chapakamwa kaŵirikaŵiri suturing ndi mucosa ku periosteum pa utali wonse wa sulcus gingival. Bala chifukwa ndi sutured pamodzi kutalika lonse.

Pulasitiki chapakamwa mlomo opangidwa ncholinga kutambasuka ake, kuchititsa kutseka kuti uchiwo usatuluke kauntala triangular. Dongosolo lonse la ntchito ndi zofanana kwa ikuchitika ndi lilime-tayi.

Imachitika mwai kaye, zambiri za theka la ora. Ndipo pambuyo ntchito kuchira nthawi pambuyo opaleshoni zambiri masiku asanu ndi awiri. Ziletso pa stitches ndondomeko kupasuka okha patapita nthawi yochepa. Pambuyo pa opaleshoni pulasitiki muyenera kukaona oyenerera kulankhula dokotala, adzakupatsani angapo malangizo pa masewera olimbitsa thupi kuti kutambasula frenulum, mapangidwe kulankhula ndi kulimbikitsa minofu ya lilime. N'kutheka kuti zina amafuna kutikita wachifundo wa nkhope. Panthawi inayake nthawi ayambe ayenera kusiya chakudya waukali ndiponso amphamvu.