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Tishlarning to'liq yo'qolishida chaynash moslamasining
anatomo-fiziologik xususiyatlari. Tishlari butunlay yo'q
bo'lgan bemorlarni tekshirish xususiyatlari. Tishlarning
to'liq yo'qligida funktsional taassurotlar.
 Fakultet:Stomatologiya
 Guruh: 522A
 Talaba: Ortiqboyev Shaxzod
Tishlarning to'liq
yo'qolishining sabablari:
•Kariyes va uning asoratlari;
•marginal pereodontit va boshqa
kasalliklar
•travma;
•Birlamchi (tug'ma) adentiya (juda
kamdan-kam).
Stomatologiya kasalliklarini diagnostikasi va davolashda eng yangi texnikalar paydo
bo'lganiga, tish implantatsiyasi amaliyotiga keng joriy etilganiga qaramay, mamlakatning iqtisodiy
ahvoli har doim ham bu yutuqlarni qo'llash imkonini bermaydi. Bu, ayniqsa, aholining ijtimoiy
himoyalanmagan guruhlariga (pensiya yoshidagilar, nogironlar va boshqalar) taalluqlidir.
To’liq adentiyaning tarqalishi
1
5,5
25
0
5
10
15
20
25
30
40-49 year 50-59 year more 60 year
%
Ushbu raqamlar tishlarning to'liq yo'qligi protezlash
muammosining amaliy ahamiyatini tushuntiradi
Tishlarning to'liq yo'qolishida anatomo-fiziologik
o'zgarishlar
Funktsional buzilishlar og'irlashadi.
Tezda yuz skeletining qisqarishi va yumshoq to'qimalarning qoplanishi.
Funktsional buzilishlar og'irlashadi.
Tezda yuz skeletining qisqarishi va yumshoq to'qimalarning qoplanishi.
Tishlarning to'liq yo'qolishida anatomo-fiziologik
o'zgarishlar
Yuqori jag'ning atrofiyasida alveolyar jarayonning vestibulyar
yuzadagi suyak to'qimasi,
Tishlarning to'liq yo'qolishida anatomo-fiziologik
o'zgarishlar
Bunday bemorlarda
Burun-labial burmalar keskin
ifodalangan,
Burun uchi tushirilgan,
Og'iz burchaklari
Hatto ko'z qovoqlarining tashqi
qirralari.
Lablari va yonoqlari cho'kib ketgan.
Yuzning uchdan bir qismini
sevuvchilar hajmi sezilarli darajada
kamayadi.
Mushaklarning kuchsizlashuvi paydo
bo'ladi,
Tishlarning to'liq yo'qolishida anatomo-fiziologik
o'zgarishlar
Chaynash yukining kamayishi tufayli
Mushaklar hajmi kamayadi, xiralashadi,
qisman atrofiyaga uchraydi.
Tishlarning to'liq yo'qolishida anatomo-fiziologik
o'zgarishlar
temporo-mandibulyar bo'g'imlarda o'zgarishlar sodir bo'ladi:
Bo'g'im teshigi qiyshayib bormoqda
Artikulyar tepalik atrofiyaga uchramoqda
Pastki jag'ning bosh shakli bo'yicha silindrga yaqinlashmoqda
Pastki jag'ning harakatlari erkinlashmoqda
Artikulyar sirtning funktsional ortiqcha yuklanishi deformatsiya qiluvchi artrozning
ko'rinishiga olib kelishi mumkin.
Tishlarning to'liq yo'qligini davolash muammolari:
Chaynash funktsiyasini tiklash;
Yuzning estetik me'yorlarini
tiklash;
Nutqni tiklash;
Shaxsni psixologik reabilitatsiya
qilish.
Oshqozon-ichak kasalliklarining oldini
olish;
Temporo-mandibular qo'shma
kasalliklarining oldini olish;
Mushaklar atrofiyasining oldini olish;
Ba'zida eshitish qobiliyatining pasayishining oldini olish va
boshqalar.
Keksalikning erta namoyon bo'lishiga qarshi kurash.
To'liq tishlari yo'q bemorlarni tekshirish:
Shikoyatlar
•Chaynashning mumkin emasligi;
•Nutqning buzilishi;
•estetik nuqson (lablar, yonoqlarning
yopishishi, kuzatilgan burmalarning
ifodalanishi, yuz shaklining o'zgarishi).
•tishlash balandligining pasayishi belgilari.
Suhbat davomida bilib olish shart:
1)Bemorning sun'iy protezlarini tajribasi
bormi?
2) Uning umumiy holati (asab va yurak-qon
tomir tizimi) qaysi va uni hozir aynan nima
bezovta qilmoqda;
Tishsiz jag'larning tasnifi
Tishsiz jag'larning Shreyder tasnifi
Birinchi tur -
Alveola yaxshi saqlanib qolgan
Alveolyar tepaliklar yaxshi saqlanib qolgan
Yuqori palatal yoy mavjud
O'tuv burmasi, mushaklarning biriktirilish joylari
ancha yuqori joylashgan.
Ikkinchi tur -
Alveola atrofiyasi o'rtacha darajada
Palatal yoy aniq ifodalangan.
O'tish burmasi birinchi turga qaraganda alveolaning
tepasiga biroz yaqinroq joylashgan.
Uchinchi tur -
O'tkir atrofiya: alveola va tepaliklar yo'q
Tanglay yoyi tekis.
Transitiv burma qattiq tanglay bilan bir gorizontal
tekislikda joylashgan.
Tishsiz jag'larning Kellers tasnifi
Birinchi tur -
Alveolyar shox biroz atrofiyalangan.
Alveola yumaloqlangan.
Mushaklar va shilliq qavat burmalarining biriktirilish nuqtalari
alveolyar shoxning negizida joylashgan.
Ikkinchi tur -
Alveolyar shoxning atrofiyasi ifodalangan, ammo bir xil.
Alveolyar shox og'iz bo'shlig'idan deyarli ko'tarilmaydi, tor, ba'zan
hatto o'tkir, mushaklarning biriktiriladigan joyi deyarli shox
darajasida joylashgan.
Uchinchi tur -
Alveolyar shoxning atrofiyasi lateral qismda, lekin oldinda saqlanib
qolgan.
To'rtinchi tur -
Alveolyar jarayonning atrofiyasi eng ko'p old qismida namoyon
bo'ladi, lekin jag'ning lateral qismida nisbatan xavfsizdir.
Tishsiz jag'larning tasnifi
Oksman tomonidan yuqori va pastki tishsiz jag'lar uchun tasnif
Birinchi tur
Ikkinchi tur
Alveolyar shox biroz atrofiyalangan. Yuqori jag'ning
tepaliklari va tanglay yoyi yaxshi ifodalangan. Alveolyar
jarayon negizida joylashgan.
Alveolyar shox atrofiyasi va yuqori jag'ning tepaliklari o'rta
darajada ifodalangan, tanglay chuqurroq va qo'shimchalar
harakatchan shilliq qavat pastroq.
Alveolyar shox yuqori, o'tuv burmasining
joylashuvi va birikish nuqtalari pastroq.
Alveolyar jarayon atrofiyasi o'rta
ifodalangan, bir xil.
Tishsiz jag'larning tasnifi
Alveolyar shoxning shakli va relyefi
Protezlashning optimal shakllari kesilgan konus va yarim ovaldir, chunki chaynash bosimi
alveolyar jarayon tepasining cheklangan yuzasida seziladi va alveolyar jarayonning kengroq
asosiga o'tadi. Uchburchak cho'qqili va tikanli shakllar juda noqulay. Bunday holda bu sohadagi
shilliq qavat doimo shikastlanadi. Va bemorlarda uzoq vaqt og'riq bezovta qiladi.
Uchburchak -
cho'qqisi qirrali
Kesik konus To'rtburchak tikanli
yarimoval tekis konus
Tishsiz jag’larda shilliq qavatining holatini baholash
Protezli ostidagi shilliq qavatining 4 sinfi aniqlangan:
1 - zich, o'rtacha egiluvchan shilliq qavat – optimal basiz
2 - atrofik, ingichka, oqargan shilliq qavat - qattiq protezli
3 - bo'shashgan giperemik, ko'pincha kataral yallig'langan shilliq qavat - Suppli
tomonidan "yumshoq og'iz";
4 – Tomir shilliq qavati alveolyar jarayonda erkin harakatlanadi, xo‘roz
taroqchasini eslatadi, odatda parodontoz, parodontit paytida bir vaqtning
o‘zida ko‘p miqdordagi tishlarni olishdan keyin sodir bo‘ladi.
Shilliq qavatining holatini baholash
Agar shilliq qavat periosteum bilan o'stirilgan
bo'lsa,
Stationary
Og'iz bo'shlig'i shilliq qavatining anatomik tuzilmalari
lablar, tillar, yonoqlarning harakatini cheklovchi
burmalar, tepaliklar, frenulum;
mushaklar va ligamentlar mavjud
MOBIL
Faol-mobil va statsionar shilliq qavat o'rtasidagi
oraliq pozitsiyani egallaydigan qavat
Passive-mobile
Agar shilliq qavatning ma'lum joylarida bosim bo'lsa, u siqiladi va bosim tugashi bilan - siqilish
holatidan chiqib, boshlang'ich shaklni oladi. Bu qobiliyat pliability.
Shilliq qavatining holatini baholash
Passiv-mobil shilliq qavat neytral
zona deb ataladi, u yuqori va pastki jag'larning
vestibulyar yuzasida, pastki jag'ning til yuzasida va
"A" chizig'ida notekis kenglikdagi chiziq shaklida
tarqaladi.
Neytral zonaning chegarasi bir
tomondan, faol-harakatlanuvchi shilliq qavatning passiv-
mobilga o'tish joyi, boshqacha aytganda, mimik va chaynash
mushaklarining jag'larga birikish nuqtasiga to'g'ri kelgan
burma; boshqa tomondan - passiv-mobil shilliq qavatning
statsionarga o'tish joyi.
Neytral zonaning kengligi frenulum, lablar
va til, bukogingival va pterigopalatal burmalar va palatal bo'shliqlar
mintaqasida 1-3 mm dan oshmaydi, ammo bu shakllanishlar orasida
4-7 mm ga etishi mumkin.
To'liq olinadigan protezni mahkamlash usullari
1. Mechenical:
• Foshar botiqlari
• Pastki jag'da protez asosi bilan
• Turli xil implantlardan foydalanish
2. Biomechanics:
•Gingival qisqichlar
3. Physical:
• yopishqoqlik,
•magnitlar,.
4. Biophysical.
Protez asosi ostida bo'sh joyni
shakllantirish
Adentiya tasnif.ppt

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Adentiya tasnif.ppt

  • 1. Tishlarning to'liq yo'qolishida chaynash moslamasining anatomo-fiziologik xususiyatlari. Tishlari butunlay yo'q bo'lgan bemorlarni tekshirish xususiyatlari. Tishlarning to'liq yo'qligida funktsional taassurotlar.  Fakultet:Stomatologiya  Guruh: 522A  Talaba: Ortiqboyev Shaxzod
  • 2. Tishlarning to'liq yo'qolishining sabablari: •Kariyes va uning asoratlari; •marginal pereodontit va boshqa kasalliklar •travma; •Birlamchi (tug'ma) adentiya (juda kamdan-kam). Stomatologiya kasalliklarini diagnostikasi va davolashda eng yangi texnikalar paydo bo'lganiga, tish implantatsiyasi amaliyotiga keng joriy etilganiga qaramay, mamlakatning iqtisodiy ahvoli har doim ham bu yutuqlarni qo'llash imkonini bermaydi. Bu, ayniqsa, aholining ijtimoiy himoyalanmagan guruhlariga (pensiya yoshidagilar, nogironlar va boshqalar) taalluqlidir.
  • 3. To’liq adentiyaning tarqalishi 1 5,5 25 0 5 10 15 20 25 30 40-49 year 50-59 year more 60 year % Ushbu raqamlar tishlarning to'liq yo'qligi protezlash muammosining amaliy ahamiyatini tushuntiradi
  • 4. Tishlarning to'liq yo'qolishida anatomo-fiziologik o'zgarishlar Funktsional buzilishlar og'irlashadi. Tezda yuz skeletining qisqarishi va yumshoq to'qimalarning qoplanishi. Funktsional buzilishlar og'irlashadi. Tezda yuz skeletining qisqarishi va yumshoq to'qimalarning qoplanishi.
  • 5. Tishlarning to'liq yo'qolishida anatomo-fiziologik o'zgarishlar Yuqori jag'ning atrofiyasida alveolyar jarayonning vestibulyar yuzadagi suyak to'qimasi,
  • 6. Tishlarning to'liq yo'qolishida anatomo-fiziologik o'zgarishlar Bunday bemorlarda Burun-labial burmalar keskin ifodalangan, Burun uchi tushirilgan, Og'iz burchaklari Hatto ko'z qovoqlarining tashqi qirralari. Lablari va yonoqlari cho'kib ketgan. Yuzning uchdan bir qismini sevuvchilar hajmi sezilarli darajada kamayadi. Mushaklarning kuchsizlashuvi paydo bo'ladi,
  • 7. Tishlarning to'liq yo'qolishida anatomo-fiziologik o'zgarishlar Chaynash yukining kamayishi tufayli Mushaklar hajmi kamayadi, xiralashadi, qisman atrofiyaga uchraydi.
  • 8. Tishlarning to'liq yo'qolishida anatomo-fiziologik o'zgarishlar temporo-mandibulyar bo'g'imlarda o'zgarishlar sodir bo'ladi: Bo'g'im teshigi qiyshayib bormoqda Artikulyar tepalik atrofiyaga uchramoqda Pastki jag'ning bosh shakli bo'yicha silindrga yaqinlashmoqda Pastki jag'ning harakatlari erkinlashmoqda Artikulyar sirtning funktsional ortiqcha yuklanishi deformatsiya qiluvchi artrozning ko'rinishiga olib kelishi mumkin.
  • 9. Tishlarning to'liq yo'qligini davolash muammolari: Chaynash funktsiyasini tiklash; Yuzning estetik me'yorlarini tiklash; Nutqni tiklash; Shaxsni psixologik reabilitatsiya qilish. Oshqozon-ichak kasalliklarining oldini olish; Temporo-mandibular qo'shma kasalliklarining oldini olish; Mushaklar atrofiyasining oldini olish; Ba'zida eshitish qobiliyatining pasayishining oldini olish va boshqalar. Keksalikning erta namoyon bo'lishiga qarshi kurash.
  • 10. To'liq tishlari yo'q bemorlarni tekshirish: Shikoyatlar •Chaynashning mumkin emasligi; •Nutqning buzilishi; •estetik nuqson (lablar, yonoqlarning yopishishi, kuzatilgan burmalarning ifodalanishi, yuz shaklining o'zgarishi). •tishlash balandligining pasayishi belgilari. Suhbat davomida bilib olish shart: 1)Bemorning sun'iy protezlarini tajribasi bormi? 2) Uning umumiy holati (asab va yurak-qon tomir tizimi) qaysi va uni hozir aynan nima bezovta qilmoqda;
  • 11. Tishsiz jag'larning tasnifi Tishsiz jag'larning Shreyder tasnifi Birinchi tur - Alveola yaxshi saqlanib qolgan Alveolyar tepaliklar yaxshi saqlanib qolgan Yuqori palatal yoy mavjud O'tuv burmasi, mushaklarning biriktirilish joylari ancha yuqori joylashgan. Ikkinchi tur - Alveola atrofiyasi o'rtacha darajada Palatal yoy aniq ifodalangan. O'tish burmasi birinchi turga qaraganda alveolaning tepasiga biroz yaqinroq joylashgan. Uchinchi tur - O'tkir atrofiya: alveola va tepaliklar yo'q Tanglay yoyi tekis. Transitiv burma qattiq tanglay bilan bir gorizontal tekislikda joylashgan.
  • 12. Tishsiz jag'larning Kellers tasnifi Birinchi tur - Alveolyar shox biroz atrofiyalangan. Alveola yumaloqlangan. Mushaklar va shilliq qavat burmalarining biriktirilish nuqtalari alveolyar shoxning negizida joylashgan. Ikkinchi tur - Alveolyar shoxning atrofiyasi ifodalangan, ammo bir xil. Alveolyar shox og'iz bo'shlig'idan deyarli ko'tarilmaydi, tor, ba'zan hatto o'tkir, mushaklarning biriktiriladigan joyi deyarli shox darajasida joylashgan. Uchinchi tur - Alveolyar shoxning atrofiyasi lateral qismda, lekin oldinda saqlanib qolgan. To'rtinchi tur - Alveolyar jarayonning atrofiyasi eng ko'p old qismida namoyon bo'ladi, lekin jag'ning lateral qismida nisbatan xavfsizdir. Tishsiz jag'larning tasnifi
  • 13. Oksman tomonidan yuqori va pastki tishsiz jag'lar uchun tasnif Birinchi tur Ikkinchi tur Alveolyar shox biroz atrofiyalangan. Yuqori jag'ning tepaliklari va tanglay yoyi yaxshi ifodalangan. Alveolyar jarayon negizida joylashgan. Alveolyar shox atrofiyasi va yuqori jag'ning tepaliklari o'rta darajada ifodalangan, tanglay chuqurroq va qo'shimchalar harakatchan shilliq qavat pastroq. Alveolyar shox yuqori, o'tuv burmasining joylashuvi va birikish nuqtalari pastroq. Alveolyar jarayon atrofiyasi o'rta ifodalangan, bir xil. Tishsiz jag'larning tasnifi
  • 14. Alveolyar shoxning shakli va relyefi Protezlashning optimal shakllari kesilgan konus va yarim ovaldir, chunki chaynash bosimi alveolyar jarayon tepasining cheklangan yuzasida seziladi va alveolyar jarayonning kengroq asosiga o'tadi. Uchburchak cho'qqili va tikanli shakllar juda noqulay. Bunday holda bu sohadagi shilliq qavat doimo shikastlanadi. Va bemorlarda uzoq vaqt og'riq bezovta qiladi. Uchburchak - cho'qqisi qirrali Kesik konus To'rtburchak tikanli yarimoval tekis konus
  • 15. Tishsiz jag’larda shilliq qavatining holatini baholash Protezli ostidagi shilliq qavatining 4 sinfi aniqlangan: 1 - zich, o'rtacha egiluvchan shilliq qavat – optimal basiz 2 - atrofik, ingichka, oqargan shilliq qavat - qattiq protezli 3 - bo'shashgan giperemik, ko'pincha kataral yallig'langan shilliq qavat - Suppli tomonidan "yumshoq og'iz"; 4 – Tomir shilliq qavati alveolyar jarayonda erkin harakatlanadi, xo‘roz taroqchasini eslatadi, odatda parodontoz, parodontit paytida bir vaqtning o‘zida ko‘p miqdordagi tishlarni olishdan keyin sodir bo‘ladi.
  • 16. Shilliq qavatining holatini baholash Agar shilliq qavat periosteum bilan o'stirilgan bo'lsa, Stationary Og'iz bo'shlig'i shilliq qavatining anatomik tuzilmalari lablar, tillar, yonoqlarning harakatini cheklovchi burmalar, tepaliklar, frenulum; mushaklar va ligamentlar mavjud MOBIL Faol-mobil va statsionar shilliq qavat o'rtasidagi oraliq pozitsiyani egallaydigan qavat Passive-mobile Agar shilliq qavatning ma'lum joylarida bosim bo'lsa, u siqiladi va bosim tugashi bilan - siqilish holatidan chiqib, boshlang'ich shaklni oladi. Bu qobiliyat pliability.
  • 17. Shilliq qavatining holatini baholash Passiv-mobil shilliq qavat neytral zona deb ataladi, u yuqori va pastki jag'larning vestibulyar yuzasida, pastki jag'ning til yuzasida va "A" chizig'ida notekis kenglikdagi chiziq shaklida tarqaladi. Neytral zonaning chegarasi bir tomondan, faol-harakatlanuvchi shilliq qavatning passiv- mobilga o'tish joyi, boshqacha aytganda, mimik va chaynash mushaklarining jag'larga birikish nuqtasiga to'g'ri kelgan burma; boshqa tomondan - passiv-mobil shilliq qavatning statsionarga o'tish joyi. Neytral zonaning kengligi frenulum, lablar va til, bukogingival va pterigopalatal burmalar va palatal bo'shliqlar mintaqasida 1-3 mm dan oshmaydi, ammo bu shakllanishlar orasida 4-7 mm ga etishi mumkin.
  • 18. To'liq olinadigan protezni mahkamlash usullari 1. Mechenical: • Foshar botiqlari • Pastki jag'da protez asosi bilan • Turli xil implantlardan foydalanish 2. Biomechanics: •Gingival qisqichlar 3. Physical: • yopishqoqlik, •magnitlar,. 4. Biophysical. Protez asosi ostida bo'sh joyni shakllantirish