Malocclusion kwamazinyo

I-Malocclusion isho ukuthi amazinyo awahambelani kahle.

Ukuvaleka kubhekisa ekuqondanisweni kwamazinyo nendlela amazinyo aphezulu nangaphansi ahlangana ngayo (ukuluma). Amazinyo aphezulu kufanele alingane kancane phezu kwamazinyo aphansi. Amaphuzu we-molars kufanele alingane nama-grooves we-molar ehlukile.

Amazinyo aphezulu akwenze ungakulumi izihlathi nezindebe, kanti amazinyo akho aphansi avikela ulimi lwakho.

I-Malocclusion ivame ukuzalwa njengefa. Lokhu kusho ukuthi kudluliselwa emindenini. Kungabangelwa umehluko phakathi kosayizi womhlathi ongaphezulu nowaphansi noma phakathi komhlathi nosayizi wamazinyo. Kubangela ukuminyana kwamazinyo noma amaphethini okuluma angajwayelekile. Ukuma kwemihlathi noma ukukhubazeka kokuzalwa njenge-cleft lip ne-palate nakho kungaba yizizathu zokufakwa kwe-malocclusion.

Ezinye izimbangela zifaka:

• Imikhuba yobuntwana njengokuncela isithupha, ukufaka ulimi, ukusebenzisa i-pacifier ngaphezu kweminyaka yobudala engu-3, ​​nokusetshenziswa kwebhodlela isikhathi eside
• Amazinyo angeziwe, amazinyo alahlekile, amazinyo athintekile, noma amazinyo abunjwe ngokungajwayelekile
• Ukugcwaliswa kwamazinyo okungafaneleki, imiqhele, izinto zokusebenza zamazinyo, ukugcina, noma izinsimbi
• Ukungahambi kahle kwemifantu yomhlathi ngemuva kokulimala kanzima
• Amathumba emlonyeni nasemhlathini

Kunezigaba ezahlukahlukene ze-malocclusion:

• I-malocclusion yesigaba 1 yiyona evame kakhulu. Ukulunywa kuyinto ejwayelekile, kodwa amazinyo aphezulu ahlangana kancane emazinyweni angezansi.
• I-Class 2 malocclusion, ebizwa nge-retrognathism noma i-overbite, yenzeka lapho umhlathi ongaphezulu namazinyo kugqamana kakhulu nomhlathi ongezansi namazinyo.
• Isigaba sesi-3 se-malocclusion, esibizwa ngokuthi yi-prognathism noma i-underbite, senzeka lapho umhlathi ophansi uphuma noma ujikisa phambili, okwenza ukuthi umhlathi ongezansi namazinyo kudlule umhlathi ongaphezulu namazinyo.

Izimpawu ze-malocclusion yilezi:

• Ukuqondanisa okungavamile kwamazinyo
• Ukubukeka okungavamile kobuso
• Ubunzima noma ukungaphatheki kahle lapho uluma noma uhlafuna
• Ubunzima bokukhuluma (obungavamile), kufaka phakathi i-lisp
• Ukuphefumula umlomo (ukuphefumula ngomlomo ngaphandle kokuvala izindebe)
• Ukwehluleka ukuluma ekudleni ngendlela efanele (ukuluma okuvulekile)

Izinkinga eziningi zokuqondaniswa kwamazinyo zitholwa udokotela wamazinyo ngesikhathi sokuhlolwa okujwayelekile. Udokotela wamazinyo wakho angadonsela isihlathi sakho ngaphandle bese ekucela ukuba ulume phansi ukuze uhlole ukuthi ahlangana kanjani amazinyo akho angemuva. Uma kunenkinga, udokotela wamazinyo angakudlulisela kudokotela wamazinyo ukuze axilongwe bese elashwa.

Ungadinga ukuba nama-x-ray wamazinyo, ikhanda noma ugebhezi ama-x-ray, noma ama-x-ray ebusweni. Izinhlobo zokuhlonza amazinyo zivame ukudingeka ukuthola inkinga.

Bambalwa kakhulu abantu abanokulungiswa kwamazinyo okuphelele. Kodwa-ke, izinkinga eziningi zincane futhi azidingi ukwelashwa.

I-Malocclusion iyisizathu esivame kakhulu sokudluliselwa kudokotela wamazinyo.

Inhloso yokwelashwa ukulungisa ukubekwa kwamazinyo. Ukulungisa i-malocclusion elinganiselayo noma enzima kunga:

• Yenza amazinyo kube lula ukuwasusa futhi wehlise ingozi yokubola kwamazinyo kanye nezifo ze-periodontal (i-gingivitis noma i-periodontitis).
• Susa ukuqina kwamazinyo, emihlathini nasemisipheni. Lokhu kunciphisa ingozi yokuphuka izinyo futhi kunganciphisa izimpawu zokuphazamiseka okuhlangene kwe-temporomandibular (TMJ).

Ukwelashwa kungafaka:

• Izinsimbi noma ezinye izinto zokusebenza: Amabhande ensimbi abekwa azungeze amanye amazinyo, noma insimbi, i-ceramic, noma izibopho zepulasitiki zinamathiselwe ebusweni bamazinyo. Izintambo noma iziphethu zisebenza ngamandla emazinyweni. Sula ama-brace (aligners) ngaphandle kwezintambo angasetshenziswa kwabanye abantu.
• Ukususwa kwezinyo elilodwa noma amaningi: Lokhu kungadingeka uma ukuminyana kuyingxenye yenkinga.
• Ukulungiswa kwamazinyo amabi noma angajwayelekile: Amazinyo angalungiswa phansi, abunjwe kabusha, aboshwe noma ahlanganiswe. Ukubuyiselwa kweMisshapen nemishini yamazinyo kufanele ilungiswe.
• Ukuhlinzwa: Ukwakhiwa kabusha kokuhlinzwa ukwelula noma ukunciphisa umhlathi kuyadingeka ezimweni ezingavamile. Izintambo, amapuleti, noma izikrini kungasetshenziswa ukuzinzisa ithambo lomhlathi.

Kubalulekile ukuxubha nokufaka amazinyo akho nsuku zonke futhi uvakashelwe njalo kudokotela wamazinyo jikelele. Uqweqwe lukhula phezu kwezinsimbi futhi lungahle lumake amazinyo unomphela noma lubangele ukubola kwamazinyo uma lungasuswanga kahle.

Uzodinga isamba ukuze uzinze amazinyo akho ngemuva kokufakwa izinsimbi.

Izinkinga zokuqondaniswa kwamazinyo zilula, ziyashesha, futhi azibizi kakhulu ukwelashwa lapho zilungiswa kusenesikhathi. Ukwelashwa kusebenza kahle ezinganeni nasebusheni ngoba amathambo abo asathambile namazinyo ahanjiswa kalula. Ukwelashwa kungahlala izinyanga eziyisithupha kuye eminyakeni emibili noma ngaphezulu. Isikhathi sizoncika ekutheni kungakanani ukulungiswa okudingekayo.

Ukwelashwa kokuphazamiseka kwe-orthodontic kubantu abadala kuvame ukuphumelela, kepha kungadinga ukusetshenziswa okude kwezinsimbi noma amanye amadivayisi.

Izinkinga ze-malocclusion zifaka:

• Ukubola kwamazinyo
• Ukungakhululeki ngesikhathi sokwelashwa
• Ukucasulwa komlomo nezinsini (gingivitis) okubangelwa izinto ezisetshenziswayo
• Ukuhlafuna noma ukukhuluma ubunzima ngesikhathi sokwelashwa

Shayela udokotela wamazinyo wakho uma ubuhlungu bamazinyo, ubuhlungu bomlomo, noma ezinye izimpawu ezintsha zikhula ngesikhathi sokwelashwa kwamazinyo.

Izinhlobo eziningi ze-malocclusion azivinjelwe. Kungadingeka ukulawula imikhuba efana nokuncela isithupha noma ukuphonsa ulimi (ukusunduza ulimi lwakho phambili phakathi kwamazinyo akho aphezulu nangaphansi). Ukuthola nokwelapha inkinga kusenesikhathi kuvumela imiphumela esheshayo nempumelelo engaphezulu.

Amazinyo aminyene; Amazinyo angafanele; I-Crossbite; Ukubulala; Ukukhohlisa; Ukuluma okuvulekile

• Ukuqagela
• Amazinyo, umuntu omdala - okhakhayini
• Malocclusion kwamazinyo
• I-anatomy yamazinyo

UDean JA. Ukuphatha ukuvimba okusathuthuka. Ku: Dean JA, ed. McDonald no-Avery's Dentistry for the Child nentsha. Umhlaka 10. ISt Louis, MO: Elsevier; 2016: isahluko 22.

UDhar V. Malocclusion. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 335.

I-Hinrichs JE, Thumbigere-Math V. Indima yezibalo zamazinyo nezinye izinto ezibekiwe zasendaweni. Ku: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. I-Clinical Periodontology kaNewman noCarranza. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2019: isahluko 13.

I-Koroluk LD. Iziguli ezisakhula. Ku: Stefanac SJ, Nesbit SP, ama-eds. Ukuxilongwa Nokuhlelwa Kokwelashwa Kwezamazinyo. 3rd ed. ISt Louis, MO: Elsevier; I-2017: isahluko 16.

INesbit SP, Reside J, Moretti A, Gerdts G, Boushell LW, Barrero C. Isigaba sokwelashwa esichazayo. Ku: Stefanac SJ, Nesbit SP, ama-eds. Ukuxilongwa Nokuhlelwa Kokwelashwa Kwezamazinyo. 3rd ed. ISt Louis, MO: Elsevier; I-2017: isahluko 10.