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Dr. Edlira Baruti
Departamenti i Stomatologjise
Universiteti Amerikan i Tiranes
Dr. Gurien Demiraqi
Departamenti i Kirurgjise OroMaksiloFaciale
Albanian University
KONGRESI I III te MBAREKOMBETAR i STOMATOLOGJISESHKUP 2013
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Menyra me e preferuar e trajtimit te mungeses se dhembevetek adoleshentet eshte vendosja e implanteve pas hapjes sevendit me ane te trajtitmit ortodontik.
Pas trajtitmit ortodontik, ne pritje te arritjes se pjekuriseskeletike per te vendosur implantin , duhet te perdoret njerruajtes vendi qe te kete efekt edhe estetik edhe funksional.
Pergjithesisht ato qe perdoren jane aparate / protezaparciale te thjeshta ne te cilat pervec elemteve retentiveshtohen edhe dhembet qe mungojne.
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Pas perfundimit te trajtimit ortodontik me bandat emolareve te pare ne goje merret mase dhe kerkohetnga laboratori te realizohet nje lloj harkupalatinal/lingual teresisht pasiv ne te cilin te jete bereedhe retension ne vendin ku mungon dhembi nearkade.
Pas proves ne goje merret perseri mase me harkun negoje dhe pasi te kemi percaktuar me pare edhe formendhe ngjyren e pershtatshme e dergojme perseri nelaborator per te vendosur dhembe rezine.
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13 vjec
Kl III skeletike
Devijacion i vijes mediane te denticionit maksilar
Mungese e 25
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14 vjec
Kl III skeletike dhe dhembore
Mungese e 12 dhe 22
Dhembi me nr. 25 i retinuar
Ne mes te trajtimit djagnostikohet me bulemi
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13 vjec
Traume frontale me ekspulsion te frontalevemandibulare me gjithe nje pjese vestibulare te procesitalveolar
Skeletikisht dhe dhemberisht Kl I e Anglit
Higjene jo e mire
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13 vjec
Ekstraksion i 13 dhe 23 nga nje mjek I pergjithshem I cilipo tentonte me ane te aparatit te levizshem ortodontikte mbyllte hapesirat duke retraktuar bllokun frontal
Dhemberisht dhe Skeletikisht Kl III e Angelit
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12 vjec
Ekspulsion i 11 si pasoje e nje traume
Higjene shume e mire
Kl e I re skeletike dhe dhembore
Koha e trajtitmit vetem 30 dite
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Pas 8 vjet eksperience me perdorimin e ketij lloj aparati mund te garantoj qe kylloj aparati eshte nje mjet shume i mire per te :
stabilizuar trajtimin ortodontik
per te ruajtur distancen e krijuar gjate trajtimit ortodontik
per te krijuar estetike maksimale
per te rritur besimin ne vetvete te adoleshentit pa ndikuarnegativisht ne psikologjine e tij
per te ruajtur nga rezorbimi ne nje lloj menyre procesin alveolar ku me pas do te vendoset implanti
krijon nje estetike dhe funksion afer idealit deri ne momentin kurprinderit do te jene financiarisht gati per te kaluar ne fazen e trajtimitimplantologjik
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Teuta. Z
Histori traume ne moshen 9 vjecare me ekspulsion te 12
Paraqitet per trajtim ortodontik ne moshen 13 vjecare
Perfundon trajtimin pas 9 mujash
Vendosja e aparatit fiks me dhemb rezine menjehre pas debondimit te braketave
Vendosja e implantit ne moshen 20 vjecare
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