{"id":1421,"date":"2020-04-27T19:22:30","date_gmt":"2020-04-27T19:22:30","guid":{"rendered":"https:\/\/znp.dei.mybluehost.me\/?p=1421"},"modified":"2025-04-02T15:18:35","modified_gmt":"2025-04-02T15:18:35","slug":"kiveheto-fogszabalyozo","status":"publish","type":"post","link":"https:\/\/kavicsdental.hu\/en\/kiveheto-fogszabalyozo\/","title":{"rendered":"Kivehet\u0151 fogszab\u00e1lyoz\u00f3"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"1421\" class=\"elementor elementor-1421\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7913a0ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7913a0ea\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-641c9128\" data-id=\"641c9128\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3694ae92 elementor-widget elementor-widget-text-editor\" data-id=\"3694ae92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A kivehet\u0151 k\u00e9sz\u00fcl\u00e9keket nagyon sok m\u00f3don lehet kategoriz\u00e1lni, a sok lehets\u00e9ges kateg\u00f3ria \u00e9s az ann\u00e1l m\u00e9g nagyobb sz\u00e1m\u00fa k\u00e9sz\u00fcl\u00e9k (gyakori, hogy egy k\u00e9sz\u00fcl\u00e9ket a k\u00e9sz\u00fcl\u00e9k kital\u00e1l\u00f3ja ut\u00e1n neveztek el) \u00e1ttekint\u00e9se meglehet\u0151sen neh\u00e9z. A kivehet\u0151 k\u00e9sz\u00fcl\u00e9kek \u00e1ttekint\u00e9s\u00e9ben pr\u00f3b\u00e1lunk seg\u00edts\u00e9get ny\u00fajtani.<\/p><p>Kivehet\u0151 fogszab\u00e1lyoz\u00f3 k\u00e9sz\u00fcl\u00e9knek nevezz\u00fck a p\u00e1ciens \u00e1ltal k\u00f6nnyen elt\u00e1vol\u00edthat\u00f3 fogszab\u00e1lyoz\u00f3 eszk\u00f6z\u00f6ket. Ezen logika szerint n\u00e9gy kateg\u00f3ri\u00e1t \u00e9rdemes elk\u00fcl\u00f6n\u00edteni:<\/p><ul><li><strong>\u00c1tl\u00e1tsz\u00f3 s\u00ednes fogszab\u00e1lyoz\u00e1s<\/strong><\/li><li>Retainer-ek, melyeknek c\u00e9lja a kezel\u00e9s sor\u00e1n el\u00e9rt eredm\u00e9ny megtart\u00e1sa<\/li><li>Funkcion\u00e1lis k\u00e9sz\u00fcl\u00e9kek (m\u00e1s n\u00e9ven funkci\u00f3s k\u00e9sz\u00fcl\u00e9kek vagy bimaxill\u00e1ris k\u00e9sz\u00fcl\u00e9kek<\/li><li>Akt\u00edv k\u00e9sz\u00fcl\u00e9kek, lemezek<\/li><\/ul><p><strong>\u00a0<\/strong>Jelen cikk\u00fcnkben kiz\u00e1r\u00f3lag a negyedik kateg\u00f3ri\u00e1val, az akt\u00edv k\u00e9sz\u00fcl\u00e9kekkel, lemezekkel foglalkozunk. (A <em>k\u00e9sz\u00fcl\u00e9k <\/em>\u00e9s a <em>lemez <\/em>szavakat a cikkben szinonimak\u00e9nt haszn\u00e1ljuk.)<\/p><p>\u00a0<\/p><h2>A kivehet\u0151 fogszab\u00e1lyoz\u00f3 k\u00e9sz\u00fcl\u00e9k r\u00e9szei<\/h2><p>A kivehet\u0151 lemezeknek h\u00e1rom f\u0151 alkot\u00f3r\u00e9sze van:<\/p><ul><li>Akt\u00edv elemek: fogmozgat\u00e1st v\u00e9gzik<\/li><li>Helyben tart\u00f3 (retenci\u00f3s c\u00e9l\u00fa) elemek: c\u00e9ljuk, hogy a lemez j\u00f3l illeszkedjen, ne essen ki<\/li><li>Alaplemez: az akt\u00edv \u00e9s a retenci\u00f3s elemeket k\u00f6ti \u00f6ssze<\/li><\/ul><p>\u00a0<\/p><h3>Akt\u00edv elemek<\/h3><p>Az akt\u00edv elemek seg\u00edts\u00e9g\u00e9vel t\u00f6rt\u00e9nik a fogak mozgat\u00e1sa, azaz ezek a k\u00e9sz\u00fcl\u00e9knek azok a r\u00e9szei, amelyek er\u0151t fejtenek ki a fogakra. \u00c1ltal\u00e1ban h\u00e1rom t\u00edpus\u00fa akt\u00edv elemet tartalmazhat egy kivehet\u0151 k\u00e9sz\u00fcl\u00e9k: rug\u00f3kat, csavarokat, illetve elasztikus (\u00e9rtsd gumib\u00f3l k\u00e9sz\u00fclt) kieg\u00e9sz\u00edt\u0151k. A rug\u00f3k sokf\u00e9lek\u00e9ppen oszt\u00e1lyozhat\u00f3ak: elt\u00e9rhetnek form\u00e1jukban (pl. Z-rug\u00f3k vagy T-rug\u00f3k), elhelyezked\u00e9s\u00fck, r\u00f6gz\u00edt\u00e9s\u00fck alapj\u00e1n, illetve t\u00f6bb \u00e1tm\u00e9r\u0151ben \u00e9s hosszban is l\u00e9teznek. A rug\u00f3 kialak\u00edt\u00e1sa hat\u00e1rozza meg a fogra hat\u00f3 er\u0151 ir\u00e1ny\u00e1t \u00e9s nagys\u00e1g\u00e1t, ez\u00e9rt fontos a helyes param\u00e9ter\u0171 rug\u00f3k kiv\u00e1laszt\u00e1sa \u00e9s k\u00e9sz\u00fcl\u00e9kbe \u00e9p\u00edt\u00e9se. A csavarok az alaplemezt k\u00e9t r\u00e9szre osztj\u00e1k (lehet k\u00e9t egyenl\u0151 vagy k\u00e9t elt\u00e9r\u0151 m\u00e9ret\u0171 r\u00e9szre). A csavarok szerepe a fog\u00edvek t\u00e1g\u00edt\u00e1sa. Az elasztikus kieg\u00e9sz\u00edt\u0151k \u00e1ltal\u00e1ban gumib\u00f3l k\u00e9sz\u00fclt karik\u00e1k, amelyek m\u00e9retben \u00e9s a kifejtett er\u0151hat\u00e1sban elt\u00e9rhetnek.<\/p><p>\u00a0<\/p><h3>Retenci\u00f3s elemek<\/h3><p>A retenci\u00f3s elemek c\u00e9lja a lemez helyben tart\u00e1sa. A retenci\u00f3s elemeket \u00fagy kell kialak\u00edtani, hogy akt\u00edv fogmozgat\u00e1st ne v\u00e9gezzenek, a komfortos visel\u00e9st ne zavarj\u00e1k, a l\u00e1gyr\u00e9szeket ne s\u00e9rts\u00e9k. A retenci\u00f3 legt\u00f6bb esetben kapcsokkal t\u00f6rt\u00e9nik (ezek k\u00f6z\u00fcl is az Adams-kapocs a leggyakoribb), illetve labial \u00edv is seg\u00edtheti a retenci\u00f3t. (A labial \u00edv a k\u00e9sz\u00fcl\u00e9kbe \u00e9p\u00edtett f\u00e9m dr\u00f3t, amely az els\u0151 fogak el\u0151tt helyezkedik el, \u00e9s funkci\u00f3j\u00e1t tekintve szolg\u00e1lhatja a retenci\u00f3t, illetve az akt\u00edv fogmozgat\u00e1st is. Azaz a felhaszn\u00e1l\u00e1sa kett\u0151s, \u00e9s a klinikai ig\u00e9nyt\u0151l f\u00fcgg\u0151en lehet a k\u00e9sz\u00fcl\u00e9k akt\u00edv vagy retenci\u00f3s eleme.)<\/p><p>\u00a0<\/p><h3>Alaplemez<\/h3><p>Az alaplemez akril\u00e1tb\u00f3l k\u00e9sz\u00fcl, az akt\u00edv elemeket \u00e9s a retenci\u00f3s elemeket tartja \u00f6ssze. Az alaplemez van, hogy a fogak mozgat\u00e1s\u00e1ban is t\u00f6lt be szerepet. Ilyen lehet p\u00e9ld\u00e1ul a felharaptat\u00f3 s\u00e1nc, ahol az akril\u00e1t vastagabb a fels\u0151 metsz\u0151fogak m\u00f6g\u00f6tt. A k\u00e9sz\u00fcl\u00e9k ilyen t\u00edpus\u00fa m\u00f3dos\u00edt\u00e1sa hasznos lehet m\u00e9lyharap\u00e1s korrig\u00e1l\u00e1s\u00e1ra.<\/p><p>\u00a0<\/p><h2>Milyen esetekben haszn\u00e1lhat\u00f3 a kivehet\u0151 fogszab\u00e1lyoz\u00f3 k\u00e9sz\u00fcl\u00e9k?<\/h2><p>Az al\u00e1bbiakban felsorolunk n\u00e9h\u00e1ny helyzetet \u00e9s <strong>harap\u00e1si rendelleness\u00e9get<\/strong>, amikor a kivehet\u0151 fogszab\u00e1lyoz\u00f3 eredm\u00e9nyes lehet. Ez nem jelenti azt, hogy mindig az is lesz. A fogszab\u00e1lyoz\u00f3 orvos egy <strong>konzult\u00e1ci\u00f3t<\/strong> k\u00f6vet\u0151en tudja eld\u00f6nteni, hogy kivehet\u0151 fogszab\u00e1lyoz\u00f3val van-e re\u00e1lis es\u00e9ly a k\u00edv\u00e1nt eredm\u00e9ny el\u00e9r\u00e9s\u00e9re. Fontos lesz\u00f6gezni, hogy sok harap\u00e1si rendelleness\u00e9g nem kezelhet\u0151 kivehet\u0151 k\u00e9sz\u00fcl\u00e9kkel. A kivehet\u0151 fogszab\u00e1lyoz\u00f3s kezel\u00e9sre \u00f6n\u00e1ll\u00f3 kezel\u00e9sk\u00e9nt \u00e9s a r\u00f6gz\u00edtett fogszab\u00e1lyoz\u00f3s kezel\u00e9st kieg\u00e9sz\u00edt\u0151 kezel\u00e9sk\u00e9nt is sor ker\u00fclhet.<\/p><ul><li>A kivehet\u0151 fogszab\u00e1lyoz\u00f3 fogak egyes\u00e9vel t\u00f6rt\u00e9n\u0151 \u00e9s csoportos mozgat\u00e1s\u00e1t is lehet\u0151v\u00e9 teszi.<\/li><li>A fog valamilyen ir\u00e1ny\u00fa d\u00f6nt\u00e9se sz\u00fcks\u00e9ges: a kivehet\u0151 fogszab\u00e1lyoz\u00f3 a fog gy\u00f6kercs\u00facs\u00e1nak mozgat\u00e1s\u00e1t \u00e9s a fog testes mozgat\u00e1s\u00e1t nem teszi lehet\u0151v\u00e9, mert a k\u00e9sz\u00fcl\u00e9k a foggal csak egy ponton \u00e9rintkezik. A fogak koron\u00e1j\u00e1nak d\u00f6nt\u00e9se viszont lehets\u00e9ges.<\/li><li>M\u00e9lyharap\u00e1s kezel\u00e9se: felharaptat\u00f3 s\u00e1nccal ell\u00e1tott lemezzel a n\u00f6veked\u00e9sben l\u00e9v\u0151 p\u00e1ciensn\u00e9l a m\u00e9lyharap\u00e1s bizonyos esetekben kezelhet\u0151.<\/li><li>Keresztharap\u00e1s kezel\u00e9se: Az akt\u00edv elemek (rug\u00f3k, csavarok) seg\u00edts\u00e9g\u00e9vel a fels\u0151 fog\u00edv sz\u00e9les\u00edthet\u0151, amely az oldals\u00f3 keresztharap\u00e1s kezel\u00e9s\u00e9re hasznos lehet. El\u00fcls\u0151 keresztharap\u00e1s kezel\u00e9se is t\u00f6rt\u00e9nhet kivehet\u0151 k\u00e9sz\u00fcl\u00e9kkel, ha van el\u00e9g hely, \u00e9s a fogak k\u00e9s\u0151bbi visszarendez\u0151d\u00e9se elker\u00fclhet\u0151. (Ennek egyik fontos eleme, hogy a kezel\u00e9s v\u00e9g\u00e9n a fels\u0151 metsz\u0151fogak fedjenek valamennyit az als\u00f3kb\u00f3l.)<\/li><li>Extrud\u00e1l\u00e1s \u00e9s intrud\u00e1l\u00e1s<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>A kivehet\u0151 k\u00e9sz\u00fcl\u00e9keket nagyon sok m\u00f3don lehet kategoriz\u00e1lni, a sok lehets\u00e9ges kateg\u00f3ria \u00e9s az ann\u00e1l m\u00e9g nagyobb sz\u00e1m\u00fa k\u00e9sz\u00fcl\u00e9k (gyakori, hogy egy k\u00e9sz\u00fcl\u00e9ket a k\u00e9sz\u00fcl\u00e9k kital\u00e1l\u00f3ja ut\u00e1n neveztek el) \u00e1ttekint\u00e9se meglehet\u0151sen neh\u00e9z. A kivehet\u0151 k\u00e9sz\u00fcl\u00e9kek \u00e1ttekint\u00e9s\u00e9ben pr\u00f3b\u00e1lunk seg\u00edts\u00e9get ny\u00fajtani. Kivehet\u0151 fogszab\u00e1lyoz\u00f3 k\u00e9sz\u00fcl\u00e9knek nevezz\u00fck a p\u00e1ciens \u00e1ltal k\u00f6nnyen elt\u00e1vol\u00edthat\u00f3 fogszab\u00e1lyoz\u00f3 eszk\u00f6z\u00f6ket. Ezen logika szerint n\u00e9gy kateg\u00f3ri\u00e1t [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[10,11],"tags":[],"class_list":["post-1421","post","type-post","status-publish","format-standard","hentry","category-fogszabalyozas","category-gyermekfogaszat","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kivehet\u0151 fogszab\u00e1lyoz\u00f3 - Kavics Dental Fogorvosi Rendel\u0151<\/title>\n<meta name=\"description\" content=\"Mi a kivehet\u0151 fogszab\u00e1lyoz\u00f3, kinek aj\u00e1nlott, \u00e9s milyen esetekben haszn\u00e1lhat\u00f3? 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