rogor aviciloT kariesis ganviTareba

orTodontiuli mkurnalobis dros

T. miqaZe, o. darjania

yba-kbilTa sistemis anomaliebi warmoadgens erT-erT etiologiur faqtors kariesis ganviTarebaSi, TavisTavad, rodesac ar aris daculi piris Rrus higiena orTodontiuli aparaturuli mkurnaloba warmoadgens risk faqtors kariesis ganviTarebaSi. (1)

aqedan gamomdinare yba-kbilTa sistemis anomaliebis, rogorc mkurnalobamde ise mkurnalobis procesSi aucilebel pirobas warmoadgens piris Rrus higienis dacva da kariesis sawinaaRmdego profilaqtikuri RonisZiebebis Gatareba Gvenebis mixedviT. (2.3)

orTodontiuli mkurnalobis dawyebisas rogorc wesi fasdeba pacientis piris Rrus higienuri mdgomareoba, kbilis magari qsovilebis rezistentobis gansazRvra, raTa SeirGes aparatis saxeoba. (mosaxsneli an mouxsneli) da daigegmos kariesis sawinaaRmdego profilaqtikuri RonisZiebebi.

aparaturul mkurnalobamde aucilebelia pacients vaswavloT, kbilebis da aparatis swori da xarisxiani xexva, romelic xorcieldeba kbilis iseTi jagrisebiT, romelTa jagrulebi sigane kbilis gvirgvinis sigrZes Seesabameba (4.5). amave dros didi mniSvneloba eniWeba pastebis swor SerGevas. aparaturul mkurnalobis dros mizanSewonilia kbilis pastebis monacvleobiT gamoyeneba, kerZod rekomendirebulia kariesis sawinaaWmdego pastis Senacvleba anTebis sawinaaRmdego pastebiT. amasTanave kbilebi da aparatebis zedapiridan nadebis mosacileblad kviraSi orjer abraziuli tipis pastebis gamoyeneba da periodulad piris Rrus profesionaluri gawmendva-damuSaveba eqim higienistis mier (kbilebis profilaqtikuri gawmendva, rbili da magari nadebis mocileba instrumentalurad).

aparaturuli mkurnalobis dros kariesuli da arakariesuli defeqtebis arsebobisas aucilebelia maremineralizirebeli Terapiis Gatareba, romelic individualurad igegmeba TviToeul pacientisTvis Gvenebis mixedviT.

maremineralizirebeli Terapiis Gatareba pirdapiraraproporciulia damoulidebeli aparatis saxeze (mosaxsneli firfitovani tipis, mouxsneli breket sistema) da kbilis magari qsovilebis mdgomareobaze.

mosaxsneli firfitovani aparatiT mkurnalobis dros pacients, romelsac aReniSneba kariesis kompensirebuli forma maremineralizirebuli Terapia da kbilebis profilaqtikuri gawmendva eniSneba weliwadSi erTxel. subkompensirebelis dros ki maremineralizirebeli Terapia da kbilebis profilaqtikuri gawmendva 6 TveSi erTxel, xolo kariesis dekompensirebuli formis dros maremineralizirebeli Terapia 4 TveSi erTxel, profilaqtikuri wmenda weliwadSi samjer, maSin rodesac orTodontiuli mkurnaloba tardeba mouxsneli breket-sistemiT, romelic uSualod magrdeba minanqarze sakompozicio masaliT, piris Rrus higienis dacva ufro metad aqtualuri xdeba, raTa higienis daucvelobis Sedegad SesaZlebelia minanqarze gaGndes breketis mimagrebis adgilze TeTri laqebi (daziandes minanqari) da adgili hqondes lorwovanis gaRizianebas (gingiviti).

breket-sistemis gamoyenebis win aucilebel pirobas warmoadgens piris Rrus sanacia, higienuri mdgomareobis Sefaseba, kidovani parodontis mdgomareoba da Gvenebis mixedviT winaswar maremineralizirebeli Terapiis Gatareba.

pacients romelsac orTodontiuli mkurnaloba utardeba breket-sistemiT aswavlian kbilebis xexvas ornairi jagrisiT, yoveli Wamis Semdeg, garda amisa rogorc wesia minimum weliwadSi erTxel unda Gatardes kbilebis profesionaluri wmenda. kbilebis xexvisas pacients eniSneba karies sawinaaRmdego da anTebis sawinaaRmdego pastebis monacvleoba.

breket-sistemiT pacientebis mkurnalobis dros, TiToeuls kbilis magari qsovilebisa da lorwovani garsis mdgomareobis mixedviT individualuraT eniSneba profilaqtikuri RonisZiebebi, rogorc mkurnalobamde ise mkurnalobis periodSi da zog SemTxvevaSi mkurnalobis Semdegac. kerZod kariesis kompensirebuli formis dros maremineralizirebeli Terapia da kbilebis profilaqtikuri gawmenda bavSvs eniSneba orTodontiuli mkurnalobis periodSi weliwadSi orjer.

subkompensirebuli formis dros aparaturul mkurnalobamde da mkurnalobis procesSi weliwadSi samjer, xolo dekompensirebuli formis dros breketis damagrebamde erTi TviT arde, mkurnalobis procesSi ki weliwadSi oTxjer da mkurnalobis Semdegac, xolo profesionaluri gawmenda yovel or TveSi erTxel.

mkvlevarebis azriT maremineralizirebuli Terapiis Gatarebis dros unda gamoyenebul iqnas is preparatebi, romelTa SemadgenlobaSi Sedis kalci, fosfori, ftori, stronciumi da sxva.

amgvarad eqim orTodontis amocanaa ara marto yba-kbilTa sistemis gasworeba, aramed piris Rrus higienis, kbilTa magari qsovilebisa da parodontis mdgomareobis gaumjobesebac.

literaturis CamonaTvali:

1. Хорощилкина Ф.Я. Руководство по Ортодонтии 1999 г. из “Медицина” Москва

2. Морозлва Л.В. Гигиена полости рта детей с зубочелюстными аномалиями находящихся на ортодонтическом лечении. Методическая рекомендация Москва 1980 г. ст. 1-23.

3. Абрамова О.Ю. Арсенина О.И. Оспанова Г.Б. Профилактические Мероприятия при лечений пациентов эстетическими брекетами. Стоматология 1999 г. №1 ст. 39-40.

4. Сахарова Э.Б. Жевательные резинки и здоровье полости рта. Стоматология 1998 г. №2 ст. 40-41.

5. Kleink - Heckmann V Bredy E Orthopдdische Stomatologie. 2 Auflage - Leipzig J.A. Barth, 1980 j. 323 z.

Summary

T. Mikadze, O. Darjania

The main mission of the orthodontia is not only formation of perfect dentition, but also improving general hygienical condition of the mouth, the hard fissures and periodontal.