Izahluko
Ukuphrinta kwe-3D eMkhakheni Wamazinyo Wanamuhla
[00:00:00 – 00:01:57]
Ukuphrinta kwe-3D sekuvele kuyinto esebenzayo emikhakheni yamazinyo nasemalebhu, hhayi umqondo okude. Kusetshenziswa kuzo zonke izinhlobo zokwelapha ezibanzi ngokumangazayo, kusukela kumathileyi okugcoba kanye nama-retainer kuya kuma-guide okuhlinza, amazinyo okufakelwa, kanye nama-mock-up okuklama ukumamatheka.
Lesi siqephu sichaza indlela ubuchwepheshe obusebenza ngayo, okwenzekayo emsebenzini uma kuqhathaniswa naselabhorethri, nokuthi kungani iziguli zingazuza ngokunemba, induduzo kanye nokusebenza kahle.
Indlela Ukuskena Nokuphrinta kwe-3D Okusebenza Ngayo Ngempela
[00:01:57 – 00:04:30]
Inqubo iqala ngokuskena kwamazinyo nezinsini zesiguli nge-3D, okungabamba umhlathi ongaphezulu wonke ngemizuzwana engaba ngu-90. Lelo fayela ledijithali ligcinwa efwini futhi lingathunyelwa ngqo elabhorethri noma lifakwe kusofthiwe yokuklama ngosuku olufanayo.
Iningi lokunyathelisa kwamazinyo kwe-3D lisebenzisa i-resin, eyakhiwe ngezingqimba ezincane njenge-50 kuya ku-100 microns — efana nephepha elilodwa. Umphumela unembile kakhulu, ngaphandle kwezingqimba ezibonakalayo. Leli zinga lokunemba lenza lifaneleke kukho konke kusukela kuma-bite splints kanye neziqondiso zokuhlinzwa ezifakiwe kuya kumamodeli aphrintiwe asetshenziswa ekwenzeni umqhele.
Ngokungafani nemidwebo yendabuko yeplasta, ehilela izinto ezingcolile kanye nezinyathelo eziningi lapho amaphutha angangena khona, ukuhamba komsebenzi kwedijithali kunikeza indawo yokuqala ethembeke kakhulu futhi ephindaphindwayo.
Amathreyi Okumhlophe Ngokwezifiso: Isicelo Esinobuchwepheshe Obuphezulu Ngokumangalisayo
[00:04:30 – 00:06:32]
Amathileyi okwenza mhlophe kungenye yezindlela ezivame kakhulu zokusebenzisa ukuphrinta kwe-3D. Nakuba kubonakala kulula, ithreyi elingafaneleki kahle livumela ijeli elimhlophe ukuthi livuze ezinsinini, okubangela ukucasuka nokunciphisa ukusebenza kahle.
Amathileyi aklanywe ngedijithali futhi anyathelisiwe afanelana kahle kakhulu, egcina ijeli emazinyweni lapho kufanele ibe khona. Kukhona futhi inzuzo ewusizo: uma ithileyi ilahleka noma ibhujiswa — izinja ngokusobala ziyimbangela evamile — kungenziwa enye esikhundleni sayo ngokushesha ngaphandle kokuqala inqubo kusukela ekuqaleni.
Ama-Retainers nama-Bite Splints: Ukunemba Okwenza Umehluko Wangempela
[00:06:32 – 00:08:25]
Izibambi kanye nonogada basebusuku bafuna amazinga aphezulu okulingana. Isibambi esingahlali kahle singavumela amazinyo ukuba akhukhuleke, kanti i-splint yokuluma engafanele ingase yehluleke ukuvikela ekugayweni noma ekushayweni yi-bruxism.
Njengoba kuthathwe amaskeni edijithali endaweni efanele yomhlathi, ilabhorethri ithola konke okudingekayo ukukhiqiza umshini ochofoza nje endaweni yawo ngokulungiswa okuncane noma okungekho nhlobo. Ezinye izinto eziphrintiwe nge-3D ezisetshenziselwa ama-bite splints ziqinile ekushiseni komlomo kodwa zingathanjiswa kancane emanzini ashisayo ukuze kuvunyelwe ukulungiswa kokugcina kokulingana - okuyisici esincane kodwa esiwusizo ngokwezokwelapha.
Ukusekela Umsebenzi Womqhele Nowobumba Elabhorethri
[00:08:25 – 00:09:29]
Ngisho noma umqhele wokugcina ugaywe noma ucindezelwe kusuka ku-zirconia noma i-lithium disilicate kunokuba uprintwe, imodeli ephrintiwe nge-3D idlala indima ebalulekile yokusekela. Ochwepheshe belabhoratri bayayisebenzisa ukuqinisekisa ukuthi ifanelekile emaphethelweni, bahlole izindawo zokuthintana, futhi balungise isimo ngaphambi kokuba ukulungiswa kufinyelele esigulini.
Umphumela uba ukuthi imiqhele ihlalwa kahle ekuqaleni kokufakwa, kunesidingo esincane noma kungadingeki nhlobo ukugaya. Iziguli zingase zingayiboni imodeli ephrintiwe, kodwa ukuthuthuka kokulingana nokuqeda kuyinto eziyibona ngqo.
Iziqondiso Zokuhlinzwa kanye Nokubekwa Kokufakelwa Okuqondiswayo
[00:09:29 – 00:10:32]
Umhlahlandlela wokuhlinzwa ophrintiwe nge-3D usebenza njengethempulethi enembile edlulisela indawo yokufakelwa ehlelwe ngedijithali emlonyeni wesiguli. Esikhundleni sokuthembela ekwahluleleni kuphela ngesikhathi sokuhlinzwa, umhlahlandlela uqondisa i-drill endaweni efanele, ukujula, kanye ne-engeli.
Le ndlela isusa ukuqagela ekubekweni kwe-implant futhi iwusizo kakhulu ezimweni eziyinkimbinkimbi lapho ukwakheka komzimba okuseduze kufanele kuhlonishwe ngokucophelela. Iziqondiso zisetshenziswa futhi emisebenzini yokuvuselela kanye neyobuhle ukuze kuthuthukiswe ukuhambisana.
Ukwakhiwa Kwamazinyo Okusebenzisa Umjovo kanye Nokunakekelwa Kwamazinyo Okulondolozayo
[00:10:32 – 00:11:34]
Ukuphrinta kwe-3D kuhlangana kahle nokubunjwa kwe-injection okungangenisi kakhulu ukuhlanganisa okuhlanganisiweKudalwa umklamo wedijithali, uboniswe isiguli, bese kusetshenziswa imodeli ephrintiwe ukukhiqiza isikhunta esiqondisa ukubekwa kokugcina kwenhlanganisela.
Ngenxa yokuthi inqubo ihilela ukwengeza emazinyweni kunokuba iwabhoboze, kuyindlela ehluke ngokuphelele kulokho okubizwa ngokuthi ama-veneer alungiselelwe kancane, okungasusa iphesenti elibalulekile lesakhiwo samazinyo esinempilo. Imodeli ephrintiwe yenza le ndlela yokwengeza inembe kakhulu futhi ibikezelwe.
Ukubona Umphumela Ngaphambi Kokuqala Kokwelashwa
[00:11:34 – 00:16:03]
Enye yezinhlelo zokusebenza ezigxile kakhulu esigulini ukumoyizela okuphrintiwe noma ukuzama. Umklamo ukhiqizwa ngedijithali, kunyatheliswe imodeli, bese kuthathwa isikhunta se-putty. Ngesikhathi sokuqokwa, kufakwa into yesikhashana enombala wamazinyo phezu kwamazinyo esiguli akhona kusetshenziswa leso sikhunta, okusenza sikwazi ukubona kusengaphambili ukumoyizela kwaso okusha esibukweni ngemizuzu embalwa.
Iziguli zingacela ukulungiswa — izinyo elide kancane lapha, isilinganiso esihlukile lapho — ngaphambi kokuba noma yikuphi ukuskena kuqedwe bese kuthunyelwa elabhorethri. Lokhu kusho ukuthi umphumela wokugcina ubonisa lokho isiguli esikuvumile ngempela, kunokuba kube yinto enqunywe ngaphandle kokufaka kwabo umbono.
Lesi siqephu siphinde siveze iphuzu elibalulekile lokuziphatha: ukubonisa isiguli isibonelo esingokomzwelo ngaphambi kokudalula yonke imininingwane, isikhathi, kanye nezindleko zokwelashwa kubhekwa njengomkhuba omubi. Iziguli zifanelwe ukwaziswa ngokugcwele kusukela ekuqaleni, okuhlanganisa nokuqonda ukuzibophezela kwesikhathi eside okuhilelekile kunoma yikuphi ukuvuselelwa okukhulu kokumamatheka.
Amazinyo Okufakelwa Aphrintiwe Nge-3D Namabhuloho Asekelwe Ekufakweni Kwezitho Zokufakelwa
[00:16:03 – 00:18:38]
Ubuchwepheshe besimanje bamazinyo okufakelwa buthuthuke kakhulu. Ezigulini ezidinga izixazululo zokufakelwa ezigcwele njengokulungiswa kwe-all-on-four noma i-all-on-six, ukuphrinta kwe-3D kuhilelekile cishe kuzo zonke izigaba - kusukela kumhlahlandlela wokuhlinzwa osetshenziswayo ukubeka ama-implant, kuya kumazinyo okufakelwa okulingwayo, kuya ebhulohweni lokugcina eliphrintiwe noma le-zirconia eligoqekayo endaweni yalo.
Ukubukeka okungokoqobo kwamazinyo okufakelwa aphrintiwe kungaba okumangalisayo; ukuhamba komsebenzi wedijithali kuvumela imiphumela efana ncamashi nokuphila. Kukhona futhi inzuzo ebalulekile ewusizo: ngoba wonke amarekhodi edijithali agcinwa, amazinyo okufakelwa angena esikhundleni sawo angaphrintwa zingakapheli usuku uma kudingeka, ngaphandle kokuthembela kumamodeli amadala e-plaster okungenzeka ukuthi awonakele ngokuhamba kwesikhathi.
Izinzuzo Eziyinhloko Zesiguli Zokuphrinta Nge-3D
[00:18:38 – 00:20:03]
Izinzuzo zeziguli zinkulu kakhulu. Izinto zikagesi kanye nokulungiswa kwazo kuhambisana kahle okokuqala, kunciphisa isidingo sokulungiswa. Ukwelashwa kungaqedwa ngokushesha — kwezinye izimo, imiqhele ingalethwa ezinsukwini ezimbili kunokuba kube amasonto amabili uma ihlanganiswa nelabhorethri kusenesikhathi.
Akukho mibono yendabuko engcolile, ukwakheka kokuvakasha okufanayo kanye nokulingisa kungenzeka ezigulini ezivakashela kwamanye amazwe, futhi yonke inqubo isekela indlela elondolozayo egcina isakhiwo samazinyo esinempilo. Inani langempela akusibo ubuchwepheshe ngokwalo, kodwa imiphumela yokwelapha enembile futhi ebikezelwayo evumelayo.
Imikhawulo Yokuphrinta Kwe-3D: Lapho Ezinye Izindlela Zisengcono Kakhulu
[00:20:03 – 00:22:26]
Akuzona zonke izinto okufanele ziphrintwe nge-3D ngoba nje kungenzeka. Okokugcina imiqhele kanye ne-inlays, izinto zobumba ezigayiwe noma ezicindezelwe njenge-zirconia kanye ne-lithium disilicate zisenomlando omude futhi zihlala isikhathi eside. Ukulungiswa okuphrintiwe kulezi zigaba kuyathuthuka ngokushesha kodwa akukabhekwa njengokulingana nokusebenza kwesikhathi eside kuzo zonke izimo.
Isinqumo sokuthi kufanele kuphrintwe, kugaywe, noma kucindezelwe ukulungiswa kufanele ngaso sonke isikhathi siqondiswe yilokho okuzoletha umphumela wesikhathi eside ongcono kakhulu kuleso siguli esithile. Izindleko kanye nesivinini kuyizinto ezifanelekile zokucatshangelwa, kodwa akufanele zidlule ikhwalithi yezokwelapha. Iphrinta iyithuluzi - elinekhono kakhulu - kodwa alithathi indawo yokwahlulela okuhle kwezokwelapha.
Okulotshiweyo
U-Eon Engelbrecht (0:00)
Sawubona futhi wamukelekile ku-Save Your Money, Save Your Teeth, i-podcast lapho sikusiza khona ukuvikela ukumamatheka kwakho kanye nesikhwama sakho semali ngeseluleko esicacile nesisebenzayo. Ngingu-Eon futhi njengoba ngihlala ngijoyinwa nguDkt. Clifford Yudelman wase-OptiSmile, oseSea Point eDolobheni Elihle LaseMother, eKapa. Namuhla sikhuluma ngolunye lwezinguquko ezinkulu ezenzekayo kudokotela wamazinyo wesimanje — futhi lokho ukuphrinta kwe-3D.
Abantu abaningi bangase bacabange ukuthi lokhu kusebenza kuphela kuma-crown noma kumagajethi esikhathi esizayo, kodwa iqiniso liwukuthi ukuphrinta kwe-3D sekuvele kusetshenziswa emikhakheni yamazinyo nasema-laboratory ezintweni eziningi ezahlukene, okuhlanganisa amathreyi okumhlophe, ama-retainer, ama-bite splints, amamodeli ama-crown, ama-surgical guides, ama-mock-up okuklama ukumamatheka, amazinyo okufakelwa angaphelele, ngisho namazinyo okufakelwa aphelele. Ngakho-ke namuhla sizochaza ukuthi konke kusebenza kanjani, yini engenziwa ehhovisi lamazinyo nokuthi yini esaqhubeka elabhorethri, futhi okubaluleke kakhulu ukuthi lobu buchwepheshe bungenza kanjani ukwelashwa kube okunembe kakhudlwana, okukhululekile kakhudlwana, futhi kwezinye izimo kusebenze kahle futhi kubize kahle iziguli. Dkt. Yudelman, kuhle ukukubamba.
UDkt. Clifford Yudelman (1:18)
Kuhle ukubuya. Ngiyabonga ngaleso singeniso esihle. Eqinisweni, ngicabanga ukuthi sesiqedile nge-podcast manje. Lokho kuzwakala yikho konke ebengifuna ukukusho.
U-Eon Engelbrecht (1:31)
Cha, ngisenemibuzo eminingi ngawe. Ngiyethemba ukuthi usukulungele. Nginemibuzo eyi-10 ezayo kuwe.
UDkt. Clifford Yudelman (1:35)
Bengicabanga ukuthi unginika izimpendulo nemibuzo namuhla. Kumelwe ukuba unesikhathi esiningi ezandleni zakho.
U-Eon Engelbrecht (1:43)
Kubonakala sengathi yebo. Kulungile, ngakho-ke uma abantu bezwa amagama athi 'ukunyathelisa nge-3D kudokotela wamazinyo', asho ukuthini ngempela endaweni yokwelapha amazinyo noma elebhu?
UDkt. Clifford Yudelman (1:57)
Kusho ukuthi singaskena umlomo wakho ngesinye sezikena zethu ze-3D — kungaba yi-iTero noma sakamuva nesingcono kakhulu, esibizwa ngokuthi i-Shining 3D Aoral Elite wireless scanner, isikena esimangalisayo. Singaskena umhlathi wakho ongaphezulu wonke, amazinyo akho, ulwanga lwakho, nezinsini zakho cishe ngemizuzwana engama-90, okufanayo engxenyeni engezansi, bese sikugcina efwini. Kuthatha imizuzwana, kodwa-ke singakufaka kwenye isofthiwe, siklame okuthile kukhompyutha, bese sikususa kuleyo khompyutha siye kuphrinta yethu ye-3D noma sikuthumele elebhu yethu.
Uma sesiqedile ukuskena, singayithumela ngqo elabhorethri ngesofthiwe yokuskena, bese beqala ukuklama into ethile kukhompyutha bese beyiphrinta noma ngabe iyini. Ngokuvamile ezimweni eziningi iyimodeli, futhi iphrintwa kahle kakhulu, ungqimba nongqimba. Iningi lokuphrinta kwe-3D kudokotela wamazinyo ukuphrinta i-resin. Kukhona ukugeza nge-resin — uma ungakayisebenzisi kusukela izolo kufanele uyixube — bese kuba khona ipuleti elihlayo, lifudumeza i-resin, bese lenza ungqimba lube ngama-micron angu-50 noma ama-micron ayi-100, okuwubukhulu bephepha.
Incane kakhulu, incane kakhulu. Awuboni imigqa noma yini. Inembile kakhulu futhi empeleni singaphrinta umhlahlandlela wokuhlinzwa kokufakelwa, noma i-splint - okuhlukile, njenge-splint yokuluma okufanele uyigqoke uma ugedla amazinyo akho. Singaphrinta amazinyo okufakelwa futhi manje asene-resin yokuphrinta ama-inlays, ama-onlays, nama-veneers. Ngakho-ke esikhundleni semibono yakudala - izinto ezihlekisayo ozifaka emlonyeni wakho, i-plaster, ukuyithulula, ukuyisika futhi unethemba lokuthi akukho okungahambi kahle endleleni - singasebenza kusukela endaweni yokuqala yedijithali enembile kakhulu. Kuzwakala sengathi kusesikhathini esizayo, kodwa empeleni sekukhona kudokotela wamazinyo isikhathi eside. Kumane nje ukuthi manje amaphrinta ayatholakala emitholampilo yamazinyo yomuntu ngamunye, futhi kwa-OptiSmile sinezakamuva nezinhle kakhulu, eziklanywe eCalifornia. Ibizwa ngokuthi i-SprintRay Pro 2. Kuyamangalisa.
U-Eon Engelbrecht (4:30)
Kuyamangalisa, yebo. Futhi ngicabanga ukuthi abantu abaningi ngeke balindele ukuthi amathreyi okwenza mhlophe afake ubuchwepheshe obuthuthukisiwe. Ngakho-ke ukuphrinta kwe-3D kusiza kanjani ngamathreyi okwenza mhlophe ngokwezifiso, Dokotela?
UDkt. Clifford Yudelman (4:44)
Lokho kungenye yezindlela ezivame ukusetshenziswa, ngoba cishe wonke umuntu kulezi zinsuku ufuna ukwenza i-whitening. Futhi uma ubuyela emuva ulalele i-podcast yokwenza i-whitening, uzongizwa ngithi akusizi ngalutho ukwenza i-whitening esihlalweni uma ungeke ulandelele ngama-tray. Eqinisweni, uma ungajahi, ungathola ama-whitening tray bese ushiya ngokuphelele i-in-chair. Abanye odokotela bamazinyo noma ochwepheshe bezempilo abaziphilisa ngokuthengisa wonke umuntu ukwenza i-whitening esihlalweni bangase bangathandi ngempela engikushoyo, kodwa empeleni lokho kuyiqiniso.
Uma ngikhuluma iqiniso, abantu abaningi bayashesha, ngakho benza isihlalo bese belandela ngamathileyi okwenza mhlophe ayiswe ekhaya. Futhi nakuba amathileyi okwenza mhlophe engase abukeke elula, uma engalingani kahle, ijeli iyavuza, iyacasula izinsini, futhi yenze ukungcola. Ngokuskena kwedijithali namamodeli aphrintiwe, singenza amathileyi afanelana kahle kakhulu futhi azizwe ekhululekile. Lokho kusho ukuthi ijeli ihlala lapho kufanele ihlale khona - okusemazinyweni, hhayi kuzo zonke izinsini zakho noma emlonyeni wakho. Kwenza futhi ukwenziwa kabusha kube lula kakhulu uma ithreyi ilahleka noma idliwa yinja yomndeni, okwenzeka kaningi. Singakwenzela entsha.
U-Eon Engelbrecht (5:53)
Bengingazi ukuthi lokho kuzokwenzeka. Kuyathakazelisa lokho.
UDkt. Clifford Yudelman (5:56)
Izinja zithanda izinto zokugcina izinto, amathileyi okugcoba kanye nezinti zokuluma. Empeleni kwenzeke kimi. Nganginenja encane ngesikhathi ngihlala ePerth futhi yayigxuma embhedeni iyisuse etafuleni eliseceleni kombhede. Noma uma iphakeme kakhulu lapho ingenakuyifinyelela khona, izoya ekhabetheni, ithathe isitebhisi, ikhuphuke isitebhisi bese iyithatha. Bayifuna ngaphezu kwanoma yini, ngithembe.
U-Eon Engelbrecht (6:22)
Awu Nkosi yami.
UDkt. Clifford Yudelman (6:24)
Ithoyizi elihle. Angazi ukuthi liyini. Mhlawumbe yiphunga lalo. Qiniseka ukuthi uligeza kahle.
U-Eon Engelbrecht (6:32)
Ngifuna futhi ukukubuza — ama-retainers nama-bite splints azuza kanjani ekunyathelisweni kwe-3D kanye nomklamo wedijithali?
UDkt. Clifford Yudelman (6:40)
Futhi, lezi zinto zidinga ukunemba okukhulu. Uma i-retainer ingalingani kahle, amazinyo angaqala ukunyakaza. Uma i-lute splint noma i-night guard inganembile, ingase ingavikeli amazinyo akho noma ingasekeli ukuluma kahle.
Ngokuskena kwedijithali namamodeli aphrintiwe, kwenza konke kuhambisane futhi kube lula ukukukhiqiza. Kuhle kakhulu ezigulini ngoba, futhi, uma kukhona okulahlekayo noma okonakalayo, akudingeki siqale phansi futhi. Okumangalisayo ngama-bite splints aphrintiwe nge-3D kubantu abagaya amazinyo ukuthi sithatha i-upper scan yakho, sithatha i-low scan yakho, bese sibeka umlomo wakho endaweni efanele ngesikhala esifanele phakathi kwamazinyo akho aphezulu naphansi. Bese sikuskena kuleso simo. Lapho ilabhorethri ithola i-scan, amazinyo akho ahlukene kancane, kodwa kuhlobene nomhlathi wakho. Uma siwathola, avele avele angene. Akudingeki alungiswe, okuhlala kuyinkathazo enkulu ngalezo zinto.
Futhi, izinto eziphrintiwe nge-3D — kukhona into esetshenziswa yilebhu ebizwa ngokuthi i-e.stone soft. Kuyinto eqinile kakhulu futhi eqinile ekushiseni kwegumbi emlonyeni wakho. Emasontweni ambalwa edlule ngithole isiguli singene futhi ipuleti lokuluma esilenzile lalizizwa liqinile kancane. Ngilifake emanzini ashisayo kakhulu imizuzwana embalwa. Alincibiliki, kodwa lithambile kancane. Silifake futhi lavele langena ngokunethezeka. Labe seliphinde labunjwa emazinyweni alo. Uma uthola ipuleti lokuluma, awufuni elithambile noma elithambile. Lesi akusona isivikelo somlomo sezemidlalo. Lesi isivikelo saseMichigan esenziwe ngokwezifiso — noma isivikelo se-bruxism esifanele noma isivikelo sasebusuku, njengoba sibabiza kanjalo.
U-Eon Engelbrecht (8:25)
Ngasohlangothini lwelabhorethri, amamodeli aphrintiwe nge-3D asetshenziswa kanjani lapho kwenziwa imiqhele ye-zirconia ne-lithium disilicate?
UDkt. Clifford Yudelman (8:36)
Ngisho noma umqhele wokugcina ungaphrintwanga, imodeli ephrintiwe isiza ilabhorethri ukuthi yenze umsebenzi ongcono. Uchwepheshe uyayidinga ukuze ahlole ukulingana emaphethelweni - okuyilapho zihlangana khona emgqeni wezinsini - amaphuzu okuxhumana, ukuthi kungena kanjani phakathi kwamazinyo, kanye nakho konke ukuma. Ngokuvamile kusho ukulungiswa okuncane lapho isiguli singena.
Kulezi zinsuku ngemiqhele ye-lithium disilicate noma ye-zirconia egayiwe noma ecindezelwe eyenziwe ngemodeli ephrintiwe ngedijithali ye-3D, iphelele nje. Siyayifaka, akudingeki siyigaye. Isiguli singase singayiboni leyo modeli ephrintiwe nge-3D, kodwa ngokuqinisekile siyazuza kuyo, kanye nobuchwepheshe obusha bokwenza imiqhele.
U-Eon Engelbrecht (9:29)
Yiziphi iziqondiso eziphrintiwe nge-3D futhi zenza umehluko omkhulu kuphi kwezokwelapha amazinyo?
UDkt. Clifford Yudelman (9:36)
Umhlahlandlela ngokuyisisekelo uyithempulethi elisisiza ukudlulisa uhlelo lwedijithali emlonyeni ngokunembe kakhudlwana. Lapho sizisebenzisa khona ikakhulukazi kungokwezifakelo, kodwa futhi nomsebenzi wobuhle nowokuvuselela. Umhlahlandlela usetshenziselwa ukubeka noma ukusiza ukubeka isifakelo ngokunembe kakhudlwana futhi usibonise ngqo ukuthi kufanele sibekwe kuphi. Akukho ukuqagela ngodokotela wamazinyo oqondile oqondisiwe - isifakelo sihlala singena endaweni efanele. Siphinde sisebenzise iziqondiso eziphrintiwe nge-3D kwezinye izinto, futhi ngiyaqiniseka ukuthi eminye yemibuzo yakho izothinta lokho.
U-Eon Engelbrecht (10:22)
Uvame ukukhuluma ngokubumba ngemijovo kanye nodokotela wamazinyo ongangenisi kakhulu, Dokotela. Ukuphrinta kwe-3D kungena kuphi kulolo hlelo lokusebenza?
UDkt. Clifford Yudelman (10:32)
Ingena kahle kakhulu. Singaklama isimo sezinyo esifanele ngedijithali, sisibonise isiguli kuvidiyo eqoshiwe esikrinini, futhi empeleni singenza nevidiyo yokuthi izobukeka kanjani ngamazinyo akho amasha sisebenzisa i-AI. Siphrinta imodeli yalowo mklamo bese siyisebenzisela ukwenza isikhunta senqubo yokujova. Into ephrintiwe akuyona njalo into yokugcina noma yokulungisa - ngezinye izikhathi kuyisinyathelo nje esisisiza ukuthi sidale umphumela wokugcina ngokunembe kakhudlwana.
Leso ngesinye sezizathu ezenza ukuphrinta kwe-3D kusebenze kahle kakhulu ngodokotela bamazinyo abalondolozayo, abangabhobozi - ngoba kusisiza ukuthi singeze emazinyweni kunokuba siwabhoboze ngokungadingekile, njengoba kwenzeka “ngamazinyo e-turkey” noma okuthiwa ama-veneer amancane kakhulu, angasusa u-5 kuya ku-10% wezinyo lakho. Ngokubopha okuhlanganisiwe okufakwe umjovo kanye nenye yalezi zinhlobo eziphrintiwe ze-3D ezinezimbobo, ungeza ezinyweni lapho kudingeka khona. Lokho kuyinzuzo enkulu.
U-Eon Engelbrecht (11:34)
Ukuphrinta kwe-3D kungasiza kanjani ngokuklama ukumamatheka kanye nokuzama okuphrintiwe ngaphambi kokuba ukwelashwa kokugcina kuqedwe?
UDkt. Clifford Yudelman (11:45)
I-smile test drive, noma i-smile trial — lena ingenye yezingxenye ezinobungane kakhulu nesiguli kudokotela wamazinyo wedijithali. Kunezimo lapho esikhundleni sokubonisa umuntu izithombe esikrinini noma ukumcela ukuba acabange ngomphumela, sakha imodeli bese sithatha isikhunta sokuhlanza i-putty phezu kwaso. Isiguli siyangena bese sigcwalisa leso sikhunta ngepulasitiki yesikhashana, enombala wamazinyo. Sibukeka njenge-resin ehlanganisiwe, njengoba siyisebenzisela okuhlala njalo, kodwa kulula ukuyisusa. Siyifaka, kuthatha imizuzu embalwa ukuyibeka. Bese siyikhipha, sihlanze noma yikuphi okungaphezulu, bese isiguli singahamba siye esibukweni sibone ukuthi ama-veneer abo amasha noma ukubumba komjovo kuzobukeka kanjani. Singenza izinguquko bese sithatha izithombe kanye nokuskena okusha bese sithumela ukuskena elabhorethri ukuze umsebenzi wokugcina uhambisane nanoma yini isiguli esiyibonile. Akukho ukuqagela.
Ngaphandle kwale nqubo, ungabhoboza amazinyo akho, uthole isikhunta, bese kuvela okuthile elabhorethri ongazange ube nezwi kukho. Kungase kube kukhulu kakhulu noma kungakhulu ngokwanele. Lokhu kunikeza isiguli ithuba lokuthi, “Yebo, ngiyakuthanda lokho,” noma, “Singalenza nje leli zinyo libe lide kancane noma lelo zinyo libe lifushane kancane?”
Angiyisebenziseli ukubumba ngomjovo, ngoba imvamisa ayihlaseli kakhulu - simane nje sinezela kancane emazinyweni - futhi iziguli zingathola umbono omuhle kakhulu enkambisweni yangaphambilini engikhulume ngayo. Kodwa uma umuntu enamazinyo abuthakathaka kakhulu futhi ezothola imiqhele, ama-veneer, kanye nama-implant futhi kuzoba ushintsho olukhulu - uma sakha ukwesekwa kwakhe noma sivula ukulunywa kwakhe - khona-ke ngokuqinisekile, ama-mock-up noma ama-try-ins aphrintiwe ayingxenye ebaluleke kakhulu yokwelashwa.
Ngifuna nokusho okunye. Angikholelwa noma angilandeli lokho okubizwa ngokuthi ukwelapha amazinyo ngokomzwelo, lapho odokotela bamazinyo benza konke ngasese. Bahlola isiguli, bese ngasese - ngaphandle kokuxoxa ngakho nesiguli - bahlela ukushintsha ukumamatheka okuphelele nelebhu, ngaphandle kokunikeza isiguli isilinganiso noma yimuphi umbono wokuthi yini ehilelekile. Ngemuva kwalokho isiguli siyangena, senza lokhu kulingisa, sikugcwalise, sikubeke phezu komlomo wesiguli, sikukhumule, bese sibabonisa esibukweni. Bavame ukuqopha ividiyo ngalesi sikhathi. Kuyamangalisa kakhulu. Kodwa isiguli asikatshelwa ukuthi singadinga ukufakelwa, noma iminyaka emibili yokwelapha amazinyo, kanye nezindleko nakho konke okuhilelekile. Bathola lokhu kunamathela ngokomzwelo kulokhu kumamatheka.
Nginomuzwa wokuthi — futhi abantu abalalele abasebenza nodokotela bamazinyo abathile abenza ngale ndlela bangase bangavumelani futhi bangase bangiphathe kabi — kodwa angicabangi ukuthi kuyinto efanelekile ukubonisa umuntu okuthile ngaphandle kokudalulwa okugcwele. Kufana nokukuyisa embukisweni weFerrari, ukukunikeza okhiye, ukukuvumela ukuthi ushayele, futhi ungakutsheli ukuthi kubiza malini. Mhlawumbe leso akusona isibonelo esihle kakhulu, kodwa ngicabanga ukuthi ukusetshenziswa kabi kwalobu buchwepheshe. Isiguli kufanele sithathwe ohambweni kusukela ekuqaleni. Kufanele bazi izindleko ezihilelekile nokuthi kuzohilelani. Bangabona ezinye iziguli eziseduze kanye nezingaphambi nangemva kokuhlinzwa. Mina ngokwami, angikholelwa ekubekeni i-pre-and-after ku-Instagram noma ku-Facebook, ngoba kuyinto efanayo — abantu bacabanga ukuthi ukumamatheka kwabo okusha kuzobukeka kanjani kodwa abanalo ulwazi lokuzibophezela ngokwesikhathi, izindleko, izindleko zokufaka esikhundleni, noma yiziphi izinto esikhulume ngazo ngaphambili.
U-Eon Engelbrecht (16:03)
Cha, ngiyavumelana nawe. Impela. Empeleni ngibone owesifazane kuTikTok muva nje futhi wayenomomotheka omangalisayo, futhi bakubonisa eduze, kwathi ngomzuzu olandelayo wakhipha lawo mazinyo wembula ukuthi anyatheliswe nge-3D. Ngamangala ngoba kwakungekho nhlobo indlela ongabona ngayo ukuthi kwakungamazinyo okufakelwa kwasekuqaleni. Ngakho-ke kungokoqobo kakhulu. Uma engazange akukhiphe, ngicabanga ukuthi kuyiqhinga lakhe lephathi.
UDkt. Clifford Yudelman (16:41)
Ingabe wayenamazinyo ngaphansi lapho lapho uthi uyawakhipha?
U-Eon Engelbrecht (16:44)
Cha, cha. Izinsini nje.
UDkt. Clifford Yudelman (16:47)
Kulungile, lokho bekuyoba yi-implant — njengebhuloho lokufakelwa elihlanganisa zonke izinto eziyisithupha elichofoza izi-implant. Bekuyoba ukuzama kwakhe. Ngakho-ke singaziphrinta nge-3D nazo. Ngicabanga ukuthi lokho kuyeza manje — ngicabanga ukuthi mhlawumbe lowo ngumbuzo wesishiyagalombili. Ake sibone ukuthi sinani lapho.
U-Eon Engelbrecht (17:09)
Uqinisile. Ngakho-ke kusobala ukuthi ukuphrinta kwe-3D kungasetshenziswa emazinyweni okufakelwa angaphelele kanye namazinyweni okufakelwa aphelele. Ubuchwepheshe buhamba ibanga elingakanani, Dokotela?
UDkt. Clifford Yudelman (17:18)
Akukholeki. Leso siguli osibonile kuTikTok — ngabe sinamazinyo amabi kakhulu, noma okungenani ngithemba kanjalo, ngoba abazange nje bayokhipha amazinyo aso. Bebezokhipha wonke amazinyo aso. Bebezosebenzisa ukuhlinzwa kokufakelwa okuqondisiwe ukuze babeke mhlawumbe amane — lokho okubizwa ngokuthi yi-all-on-four — kodwa ngokuvamile kuba ama-implant amahlanu noma ayisithupha noma ngaphezulu. Bese bezosebenzisa ukuphrinta okwengeziwe kwe-3D ukuklama amazinyo okufakelwa anamathelayo kuma-implant, bese ekugcineni, ibhuloho elihlala njalo eliphrintiwe nge-3D noma i-zirconia elifakwa ezitsheni zokufakelwa futhi likhishwa njalo eminyakeni embalwa uma kudingeka bahlole ama-implant angaphansi.
Ngakho konke lokhu — amamodeli aphrintiwe, izisekelo eziphrintiwe, ukuzama, ngisho namazinyo okugcina okufakelwa kanye nengxenye epinki yamazinyo okufakelwa — yilokho kuphela okuphrintiwe nge-3D kulezi zinsuku. Futhi akuthathi indawo yokwahlulela okuhle kwezokwelapha noma ikhono lochwepheshe omkhulu. Kwenza konke kusebenze kahle kakhulu futhi kuphindeke. Kuwusizo kakhulu uma amazinyo okufakelwa edinga ukwenziwa kabusha. Uma unomuntu osekhulile olahlekelwa amazinyo akhe okufakelwa, ilabhorethri ingaphrinta enye phakathi nosuku ngoba inawo wonke amarekhodi edijithali, kunokuba ibe ngamakhabethe amamodeli amadala eplasta avame ukuqhekeka noma aqhekeke.
U-Eon Engelbrecht (18:38)
Kuyamangalisa. Futhi, ngokombono wesiguli, Dokotela, ungathi yiziphi izinzuzo eziyinhloko zalobu buchwepheshe bokuphrinta be-3D?
UDkt. Clifford Yudelman (18:49)
Ziningi kakhulu, ngaphezu kwalokho esesikushilo kakade. Enye yazo ukunemba — izinto zifanelana okokuqala. Bese kuba nenduduzo — amazinyo okufakelwa aphrintiwe nge-3D, noma i-inlay entsha noma umqhele, unembile, uyafanelana, ukhululekile. Ukuze kukhulunywe, njengoba sishilo, ngama-mock-up, njalo njalo. Ukuze kube lula — kunezikhathi lapho ngenze khona imiklamo, ngaphrinta, futhi ngenza i-mock-up yesiguli konke ngesikhathi esisodwa. Bavakashile bevela phesheya kwezilwandle, bahlala nami, futhi siyaklama, siphrinta imodeli bese siyizama. Okumangalisayo. Akukho mibono engcolile — unama-scan e-3D. Ezimweni eziningi, ukwelashwa okusheshayo kakhulu. Esikhundleni sokulinda amasonto amabili ukuze uthole umqhele, uma siwubhukha kusengaphambili nelebhu futhi bazi ukuthi siyawuthumela, singathola umqhele ezinsukwini ezimbili. Kusisiza ukuthi sihlele ukwelapha amazinyo okulondolozayo — silondoloza isakhiwo samazinyo esinempilo kakhudlwana.
Inzuzo yangempela ayikona ukuthi lo mkhuba ubukeka usezingeni eliphezulu. Inzuzo ukuthi isiguli empeleni sithola ukwelashwa okunembe kakhulu futhi okubikezelwayo.
U-Eon Engelbrecht (20:03)
Futhi omunye umbuzo owodwa nje — ingabe kusenemingcele yokunyathelisa nge-3D kwezokwelapha amazinyo, futhi unquma kanjani ukuthi yini okufanele inyatheliswe nokuthi yini okungafanele inyatheliswe?
UDkt. Clifford Yudelman (20:14)
Lona ngumbuzo omuhle kakhulu okwamanje. Angicabangi ukuthi konke kufanele kuphrintwe nge-3D ngoba nje kungenzeka. Ezinye izinto zisagaywa noma zicindezelwe kangcono. Sikhulume ngokugaya i-ceramic ngosuku olufanayo bese siyibopha, ngoba ezinye zalezi zinto sezikhona cishe iminyaka engama-20 futhi siyazi ukuthi akukho lutho olungaba ngcono kune-Emax noma i-lithium disilicate. Umqhele ophrintiwe nge-3D ungase ushibhile noma usheshe ukhiqizwe. Kodwa yize zibukeka kahle kakhulu, ngicabanga ukuthi zisenendlela encane okufanele ziyihambe ngaphambi kokuba zifinyelele isikhathi eside esifanayo nomqhele ogoqiwe noma ocindezelwe we-zirconia noma we-Emax.
Kukhona odokotela bamazinyo abalalele lokhu abaphrinta yonke into. Ngihlala nginolwazi lwakamuva, kodwa angithandi ukuba ngowokuqala, ngoba angithandi ukuzama iziguli. Ngiyabona ukuthi uma othile eMelika elalele lokhu futhi eya endaweni yokwelapha yohlobo lwezokwelapha - i-HMO noma i-PPO, njengoba beyibiza kanjalo eMelika - futhi bedinga ama-inlays ayisishiyagalombili noma ayishumi angaphrintwa ngesikhathi esisodwa futhi enziwe ashibhile kakhulu, azoba ngcono kunokugcwalisa okukhulu, kodwa mhlawumbe ingxenye noma ingxenye yesine yentengo ye-ceramic egayiwe, futhi angenziwa ngokushesha. Ngicabanga ukuthi leso sikhathi siseduze kakhulu. Kimi, asikafiki - yize sengibhalise futhi ngenze izifundo ezimbili ezijulile kakhulu eziku-inthanethi, ngasinye sithatha amahora angaphezu kwe-12 futhi singibize amaRandi angu-20,000 ngalinye - elilodwa kuma-veneer okunyathelisa nge-3D kanye nelinye kuma-filling okunyathelisa nge-3D. Sikwenzile kwezinye izimo ezigulini ezindala noma abantu abanesabelomali esincane kakhulu. Kodwa ngokuqinisekile, iphrinta iyithuluzi. Akuyona imilingo. Futhi ngicabanga ukuthi isinqumo sihlala sincike ekutheni yini ezonikeza isiguli umphumela omuhle kakhulu wesikhathi eside. Uma kwengeza inani, khona-ke siyakusebenzisa. Uma okunye kungcono - noma ngabe ubuchwepheshe obudala futhi bubiza kakhulu - sizokusebenzisa lokho, kulesi sikhathi.
U-Eon Engelbrecht (22:26)
Dkt. Yudelman, ngiyabonga kakhulu ngokusisiza siqonde ukuthi ukunyathelisa kwe-3D kushintsha kanjani ukwelapha amazinyo kwesimanje. Bekuwusizo kakhulu futhi siyabonga ngesikhathi sakho.
UDkt. Clifford Yudelman (22:38)
Ngiyabonga. Ngijabulele kakhulu uhlelo lwanamuhla nemibuzo emihle kakhulu. Ngiyabonga kakhulu. Futhi ngilangazelela ukukhuluma nawe ngesonto elizayo ngento esikhulume ngayo kafushane - ukubhema i-vaping uma kuqhathaniswa nokubhema. Ngilangazelela lokho ngempela.
U-Eon Engelbrecht (23:00)
Esinye esithakazelisayo sizovela ngesonto elizayo. Kodwa ngicabanga ukuthi into ebalulekile namuhla ukuthi ukuphrinta kwe-3D akuyona nje into yobuchwepheshe obukhazimulayo. Uma kusetshenziswa kahle, kungenza ukwelapha amazinyo kube okunembe kakhudlwana, kube mnandi kakhudlwana, kube nokugcina isikhathi eside, futhi kube ngcono kakhulu kokubili kudokotela wamazinyo kanye nesiguli. Uma ukujabulele lesi siqephu, sicela ubhalisele i-Save Your Money, Save Your Teeth kupulatifomu yakho oyithandayo ye-podcast bese wabelana ngayo nomuntu ozoyithola iwusizo. Ungavakashela futhi i-OptiSmile.co.za ukuze ufunde kabanzi ngokwelapha amazinyo kwedijithali kanye nokwelashwa esixoxe ngakho namuhla. Kodwa kuze kube yisikhathi esilandelayo - nakekela amazinyo akho futhi azokunakekela.
Ummemezeli (24:05)
Thola umhlaba wobungcweti bamazinyo nge-OptiSmile. Joyina nathi kwi-podcast yamasonto onke equkethe uDkt. Clifford Yudelman, uchwepheshe onolwazi oneminyaka engu-40 yesipiliyoni samazinyo emazwenikazi amane. Thola ukuqonda okuyingqayizivele kanye neseluleko samazinyo sochwepheshe ngokuvakashela i-OptiSmile.co.za ukuthola izihloko ezikhanyisa indlela eya empilweni yomlomo engcono kakhulu. Uma ufuna ukunakekelwa kwamazinyo okungenakuqhathaniswa eKapa, xhumana ne-OptiSmile noma ubhukhe ngqo ku-inthanethi ku-OptiSmile.co.za. I-OptiSmile — lapho ubuchwepheshe bomhlaba wonke buhlangana khona nokunakekelwa kwendawo.
Umshwana wokuzihlangula: Okuqukethwe okuhlinzekwe kule podcast, “Yonga Imali Yakho Yonga Amazinyo Akho” ngeMisombuluko Yezokwelapha, okwezinjongo zolwazi nezemfundo kuphela. Akuhloselwe ukusebenza njengeseluleko samazinyo noma sezokwelapha. Imibono nemibono evezwe uDkt. Clifford Yudelman kanye nanoma yiziphi izihambeli zenzelwe ukugqugquzela ukuqonda kangcono impilo yamazinyo, izinyathelo zokuvimbela, kanye nempilo enhle evamile, kodwa akufanele kuhunyushwe njengezincomo zamazinyo ezichwepheshile noma zezokwelapha.UDkt. U-Clifford Yudelman akahloli, akalaphi, noma anikeze ngamasu okuvimbela anoma yiziphi izimo zezempilo ngokuqondile ngale podcast. Le nkundla ayithatheli indawo yokunakekelwa komuntu siqu nezeluleko ezinikezwa udokotela wamazinyo onelayisensi noma uchwepheshe wezokunakekelwa kwezempilo. Sikhuthaza kakhulu abalaleli bethu ukuthi baxhumane nabahlinzeki babo bamazinyo ukuze babhekane nezidingo zempilo yamazinyo ngabanye kanye nezinto ezibakhathazayo.Ulwazi olwabiwe lapha luhlose ukunika abalaleli amandla olwazi mayelana nempilo yamazinyo kodwa akufanele lusetshenziswe njengesisekelo sokwenza izinqumo ezihlobene nempilo ngaphandle kosizo lwezempilo. isiqondiso sochwepheshe. Umhlinzeki wakho wokunakekelwa kwamazinyo ungumthombo ongcono kakhulu weseluleko mayelana namazinyo akho kanye nempilo yakho iyonke. Sicela uhlale ucela iseluleko sikadokotela wakho wamazinyo noma abanye ochwepheshe bezempilo abaqeqeshiwe mayelana nanoma yimiphi imibuzo noma okukukhathazayo mayelana nempilo yakho yamazinyo.
