Stomatologija - Ispravljane krivo postavljenih zuba

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Ispravljane krivo postavljenih zuba

Ispravljane krivo postavljenih zuba

proteze za decije zube,ispravljanje zuba,fiksna proteza

Uslovi za formiranje nepravilnog zagrizaja stvaraju se u najranijem periodu zivota. Medjutim postoje i patoloski nasledni faktori, koji su inace dominantni u razvitku u ljudskom organizmu, pa i organa za zvakanje Za pravilno funkcionisanje zuba neophodan je njihov uskladjeni polozaj u zubnom nizu kao i pravilni odnosi izmedju obe vilice. Na taj nacin se obezbedjuje najpovoljnije razlaganje sila oslobodjenih pri zvakanju i podnosljivo opterecenje zuba i zglobova. U suprotnom dolazi do preopterecenja vilicnog zgloba i pojedinih zuba i njihovog brzeg propadanja zbog razvoja parodontalnih oboljenja (parodontopatije, parodontoza). Nepravilni polozaj zuba isto tako omogucava zadrzavanje ostataka hrane i bakterija cime se podstice stvaranje zubnog plaka i njegov uticaj na razvoj karijesa i parodontopatija. Tek na trecem mestu po znacaju su estetski nedostatci, mada su oni gotovo iskljucivi razlog dolaska pacijenata kod lekara.

Ublazavanje naslednih faktora

Uslovi za formiranje nepravilnog zagrizaja stvaraju se u najranijem periodu zivota. Normalna funkcija ishrane, gutanja, disanja, a kasnije i govora, odgovarajuci polozaj glave u toku sna, osnovni su preduslovi za pravilan razvitak vilica i postavu zuba vec u periodu neposredno posle rodjenja. Medjutim postoje i patoloski nasledni faktori, koji su inace dominantni u razvitku svakog organa u ljudskom organizmu, pa i organa za zvakanje. Prema tome, u prvim godinama zivota je veoma znacajno stvoriti u usnoj supljini uslove za pravilno nicanje i postavu prvih mlecnih zuba. To pre svega znaci obezbedjivanje uskladjene i uravnotezene funkcije brojnih misica koji ucestvuju u aktu zvakanja i gutanja, govora i si. A to je najbolji nacin da se onemoguci formiranje nepravilnog zubnog niza i zagrizaja i da se ublaze potencijalno nasledno uslovljene nepravilnosti u zubnom nizu. Mere za ocuvanje zuba Sledeca znacajna stavka u ocuvanju pravilnog zubnog niza i zagrizaja je briga o zdravlju mlecnih zuba. Najveci broj ortodontskih nepravilnosti u nasim uslovima javlja se kao posledica preranog gubitka ili osecenja mlecnih zuba. Doslednim sprovodjenjem danas pristupacnih i mocnih preventivnih mera moguce je ocuvati zdravim mlecne zube, a u slucaju neophodnosti njihovog vadjenja potrebno je uraditi odgovarajuce cuvare prostora.

Smena zuba otkriva nepravilnosti

U periodu smene zuba pojedine nepravilnosti u medjuzubnom ili medjuvilicnom odnosu (ortodontske nepravilnosti), bilo da su nastale kao posledica neuskladjene funkcije ili su nasledne, postaju vidljive. Ovo je istovremeno najpovoljniji period da se zapocne sa lecenjem ortodontskih nepravilnosti. Kostano tkivo vilice se tada nalazi u intenzivnom razvoju i potrebno je znatno manje truda da se zubi u toku nicanja usmeravaju u pravilnom smeru nego sto bi trebalo da se oni koji su vec nepravilno postavljeni pomeraju na mesto koje im je prirodom predodredjeno u zubnom nizu. Zapocinjanjem terapije u ovom periodu cesto je moguće (ali ne uvek) izbeci vadjenje zdravih stalnih zuba kako bi mogli svi zubi da se smeste u pravilan i funkcionalni niz.

Nikad nije kasno za protezu

Sa lecenjem ortodontskih nepravilnosti moze se zapoceti u bilo kom uzrastu. Danas se ortodontski aparati izradjuju i osobama u poodmaklim godinama zivota radi ispravljanja njihovih zuba pre izrade proteza i mostova, jer se time obezbedjuje najbolje opterecenjem samim tim duzi vek proteze. Naravno u svakom periodu neophodna je maksimalna saradnja stomatologa i pacijenta (posebno roditelja). Izradjene ortodontske aparate dete mora da nosi sto je duze moguce u toku dana (optimalno je za vreme spavanja i dok god je u kuci). Tokom nosenja ortodontskih aparata neophodno je pojacati higijenu zuba i ispiranje usta rastvorima fluorida (kod nas Fluorogal) zbog mogucnosti razvoja karijesa i zapaljenja desni.

Fiksne proteze

U danasnje vreme komercijalizacije cesto se namecu resenja koja su daleko skuplja, a nisu neophodna. Tako se poslednjih godina i kod nas sve vise preporucuju iskljucivo fiksni ortodontski aparati. Oni su u svakom slucaju efikasni, prednost im je sto dete mora da ih nosi jer se ne skidaju, ali je ovakav tretman cesto i pet puta skuplji od klasicnog sa mobilnim protezama. Postoji mali broj i to najcesce veoma teskih nepravilnosti koje zahtevaju iskljucivo fiksne aparate. Najveći broj moze da se resi sa mobilnim, i nije lose postovati uobicajeno pravilo sa zapada da se pre odluke o nacinu lecenja poslusaju tri saveta.

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