62
ftana II Ia6oparopxste eranbl Ti:xsruorrrr 6ttlte.tlnoro npole3ttlloBaHxt nti ctrcrcrtc' BEGO roroBbtt npore3 BepxHeu ten@ch ror a Bht" n pare t H u * Het ee nb( | u Cnap-dR ^oHLtpy\\"F ' MEoro,6eibc6b trt.rdtr v6pov raroBhtt nporer Bepraeu seto.rq. He6na' aytot KoHcrpykutq Bep\Het eetnc co cao1aAHou nepeAHeu u3BuHhtn 6a3t. - noaKoBoa5pa3HaF Q.pMa

Современные технологии протезирования 2

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Page 1: Современные технологии протезирования 2

ftana II Ia6oparopxste eranbl

Ti:xsruorrrr 6ttlte.tlnoro npole3ttlloBaHxt nti ctrcrcrtc' BEGO

roroBbtt npore3 BepxHeu ten@ch

ror a B ht" n pare t H u * Het ee nb( | u Cnap-dR ^oHLtpy\\"F ' MEoro,6eibc6b trt.rdtr v6pov

raroBhtt nporer Bepraeu seto.rq. He6na' aytot KoHcrpykutq Bep\Het eetnc

co cao1aAHou nepeAHeu

u3BuHhtn 6a3t. - noaKoBoa5pa3HaF Q.pMa

Page 2: Современные технологии протезирования 2

2. 1 h3roroBreHlre Macrep-Moaerxl,4acrep-Moaen,1 noABepra€rcfl 6onbuhM tafpy3KaM Kax BospeMF 4y6n,rposaHuF, raK ,l npu np, nacoBKe KapKacoB. no_3roMy anF ,l3roroBneFrF Moaen/ npuMeHFOr cyneprBep_abiri ftanc, lV oacca'. Ha MoAenFx u3 npocro rBepAororrncacnoMaHHbre 3y6d cacro Nenb3F oonbue 3aQuKcrpo_BarE c Heo6xoaMMoir roeHocrbto orc/eecK/e csoricrBa Ma_repuana aonxNbr coorBercrBoBar6rpe6oBaHhFM repMatscKorc npoMbr!,reHHoro craHAapra D N EN 26873 /n/ Mex'

ayNapoaFo; Hoprre ISO 6873. HapFAyc Heoonbr/M pacurLr''peNreM, ruFc AonxeH cosAaearb maAryo, cBo6oaHyro ornop noBepxHocrb 11 Bbcoryo cra6rnbNocrb KpaeB , ymoBMoaen,l, QH He aonxeH 6brcrpo cr,lparbcF unu Bcryrarb BpeaKqu|o c ,qy6nupoBo! Not Maccoi. tlrpocKonMeecKut rxncaonxeH xpaHLr'rbcF B nnorHo 3aKpbroM cocyae np'4 reMne_parype oKono 20 'c l-lyxHo oopaurarb BHuMar/e Ha cpoKfoaHocru. noroMy'rro fnncbraaxe B 3aKpbron opnruHanbHon ynaKoBKe !enpuroaHb K aonroBpeMeHHoMy xpe tsccrbKaK oAfH 13 BaxHhrx pa6oerx MarephanoB cyneprBepAbreflincE aonxHbro6pa6arb BarEcF roeHo no yKa3aHrFM npo'/3Boa/renF. HanptrMep cyneprBepaEt runc Begostone':q6pal z0 ?er \ -a ro! ra r rcon.u B BoFV c reMn-odrypouo(ono 20'C aaMeuuBaercF cHacana BpyqBylo Ha B16parop

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BpylHyE B releHue 60 ceryBA,npexae qeM oH HeoonbuqM/ nopurFMu 3anuBaetcF B or_rfcK.lr.loaenb rcBneKaercF He paHbue leM !epe3 30 M4ryr.ocne 3aruepaeHuF r'4nca xenaeMas npo!focft tsa cxa_r/e rrncoBoi Moaenx aocrhfaercF iprMepHo eepe31 eac.FeKalecreeHtsaF noBepxBocrb Moaen,l Moxer 66rb o6yc-

o rhnca / cneno!Horc Marep/_FMr, Kak Kpo8b, cnoHa. fpe

socxoaHoe KalecrBo noa BaKyyMoM r4ncaMoxHo 3aMerurb nocne o6pa6orKu Mo4enM Ha rpuMMepeno fe3HacurenbHoMy 06pa3oBaHu|o nop.

tsixHFF cropoHa Moaenu BbrpasHusaercF HarptrMMepe na-parnenbHo K xeBarenb8on nnocKocr/. EokoBbre cropoHbuoKonF Macrep-Moaenu un|4$y'orcF napunenbHo, tonycue cnefKa KoHr4qec(r1 (npuMepHo 5'). UoKonb Moae/r,He AorxeH 6b rb r /xe Heo6xoAtrMoil MUHhMU hHox BblcorbB l0 MM. Oco6eHHo 3ro AonxHo yqnr6rBarbcF Bo BpeMF 3-rorosneHuF MoAenei BepxNen eenEcru c tny6oK/MraK Ha'

He5oM. AnF YnpoLrreHHoro nonb_3oBaHuF MoaenFMh B apn41(ynFrope peKoMeNAyercF notb3oBarbcF uoKonbHoii o4creMot (Sp/'tcast, ,1nl Ap.). Ecnh

ftana II - Ila6oparopxste eranbl

crcreMa Splitcast Ne npvMeHFercF ro HTXHFF cropoHa qo_(onF Moaenu o6paoarbrBaercF Na rpt{MMepe.OaFa ,l3 maBBhrx xapaKrepuc 4K cfHrerrqecKL,lx cBepx_

npoeHEx. rncoB-coxpa|eHue BreqeBveAonrcrcBpeMeHuBax8etuux cBor4crB Marepuana: paBHoMepHbx napaMer_poB nprl3arBepAeHuu u BbrcoKon craounbHocru npu xpaHe_

PekoMeHAyercF rsroroBneH/e Bropon xna KoHrponbFotrvoaenu. BMecro cny,ranHo noBpexaeHHot 3o BpeMfl pa_6ord un nnoxo BbrffFAFUren Moaenr4, roroBbrn 6orenh-Hbrt npore3 MoxHo ornpaBrrb K Bpaly Ha sroM BropoM3rceMnnupe. lnF 3roro ay6nvpyercF eu]€ He noarara'BneHaaE K ay5nvpoBaH|,l�0 Macrep-Moaenb (Marepran: ay_onupoBoqBbrt AyonrpoBoeHbri renb AnF

2.1.1 PucyHoK KoHcrpyKr.lru

rlocne 3MepeHuF Macrep-Moaenu Ha Nee nepeHocrrcF pLr''cyro( KoHcrpyKuMu c npeaocraBneBHoro Bpa!oM-croMaronoroM o6pa3qa Ha ara ocr/eecKoii Moaenu unu B na6opa'ropNoM 3aKa3e O6pa3qbraaor 3y6HoMy rexNrlrry BaxHyo

Bpa\ npeAnrcbraaer xoacfqKUtb: o6utpEHt nuro, 6a3rc

CrenerupoBaHBbtt 6a3uc

Page 3: Современные технологии протезирования 2

Ilrana II - Ia6oparopHbte eranbl

r4HQopMaq,roo QopMe / pacnonoxeHu, KapKaca npore34.HapFAy c QyHKuxen, NaraKoM pncyHke B nepByb yqrrbrBa|orcF Au3ants npore3a rrffeHueHbre acneKrH KoHryp 6a'3rca EonxeH ocraBrFrb MapruHabrbrn napoao|r 3y6oBcBo0oAH6rM u HaxoahrbcF or Heto Ha paccroFNrM MuHx-MarbHo 4 MM. Ha Bepxret !pxlHaF OopMa nuroro 6a3uca. Ee npoure ycraHoB/rb ecn,kapaHAauoM HaMerurbcepearHy Moaenu, a 3areM ucnonb-3oBarb qupKynb. PucyHoK koHcrpyKuq/ Ha!uHaercF c orpaHrteHuF ceAnoBMAHbx o6nacrei, Ha Koropb e oyAer HaKna-AbrBarrcF noAroroB/renhHbrii BockfpaB/poBaHre KoNrypa He6Hon ayru npore3a aenaercn

yKa3aHhNr Bpaea. lnF 3rorc noKoHrypaM ayrr 6opoM r43 rBepaorc cnnaBa aenaercF nonykpyrnaF KaHasKa rny6x|on MaKcrManbHo 0,2 MM.

2.2 npeABapurenbHaf, nocraHoBKaxcKyccrBeHHbrx 3y6oB

Bo SpoHrarbHoti oonacr4 ' no coo6paxeH'.1FM 3creruK4unu npn cnoxHoM np/Kyce peKoMeHAyercF BbrnonHurbnpea8apxrenb|yo nocraFoBKy uckyccrBeHHhrx 3y6oB Eeaenaor Ha BocKe nepea HaqanoM ,r3roroBner/fl KapKaca66fenbHorc npor€a. 3ro ynpouraer fpM aanbHetureM MoAenuposdHuh plc ono-e-ve verdr,r/ee(ts/r p6raHqxil(HanpMMep, rnn oAn|oeHbrx nepeAH'4x 3y6oB). Ha nocraB'neHHbre qcKyccrseHHbE 3y6br aenapr cunukoHoByro Ma-rp{qy, Koropot sareM nonb3ylorcF npu MoaenxpoBaHrFkapKaca|4 anF nepeHoca ucKyccrBerHbD( 3y6oB Bo BpeMFnphMepKx KapKaca. MoxHo 14310108116 3aurtrrNbre nna.-rrFE AnF rcKyccr8eHHbx 3y6oB. C noMolrbo npea8ap4-renbHoi nocraHoBK, 3y0oB nerle onpeaenxrb rpaHuqyMexAy nMrbrM oa3McoM tr ceAnoBuAHon qacrbo M3 nnacr-Maccb! ,, cneaosarenhHo ro,rHee ooopMurb orpaHrquBa-

2,3 noaroroBKa Macrep-Mgaer!l

2.3.1 6noKupoBaHue noaHyrpeHnirlocne 3aBepoeHuF u3MepeHuF MoAenh u HaHeceHur pq-cyNXa HaqhHaercF noaroroBKa Macrep-Moaenu K ay6nupo-BaHho. Harennouraax 3y6oB, fle HdoaFrcF noaH),TpeHuFu raM, fae nphneraer Manbi coeauHrrerb, NaHoc4rcF 6noKupoBo!Hbrx BocK nyeure Bcefo 3neKrpueecKuM unareneMB /3MepxrenbHoM np/6opecKofo 3KBaropa cocKa6nvBaBrcF noayrnoM He MeHee 2'. Bpaoore ny!ue rcno,1$oBarb 3neKrpu!ecKre, KoHhqecxlie

78

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. noa|yrpeHrF Ha anbBeonFpHErx orpocrKax

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. YrnyOneBMF Bo3ne L.roKo,rF MoAenrj

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Page 4: Современные технологии протезирования 2

lnaea II * Ia6oparopHble granbl

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Pa3ryyxaercE cpeAkEHbtn aebqbtti uoB

'toKupoBaHte BocKoM B BMepue"bgo{ np46ope

Page 5: Современные технологии протезирования 2

lnasa II - Ia6oparopHble oranbl

peA/Ne qen6crHoro rceOHF Merat n reec Khe cra n d, AvKc{'py€r KapKac npore3a B Bepr/KanbHoM NanpaB,reHuu Eo

BpeMF 3aMeFb BocKa Ha nnacrMaccy.

AnF nrrorc 6asuca 6o,r6uoi nnouraau tseo6xoa,rMo ocBo_6oaurb or farpy3Ku pe3qoBb(i cocoqeK u cpeAuHHb i He6Nb i uoB (Raphe palal ) npuMepFo tsa 0,1 _ 0,2 MM. 3r, 06'facr,1 ioKpbrBalorcF B coorBercrBr14 cyKa3aN/FM14 Bpaea-croMarono.a onoBFHNon qan'ton unu onoK,poBoqHbrMBocKoM. HepoBNocrtl, HanpuMep, 6opo3aK/ Na He0e, Koro_phre fHale npoFsnFrorcF no3xe B Meranne B 3 ae 3avce_Neq, HyxNo ioKpbrBarb BocKoM. Oco6eNNo cunbHo Bbrpa_xeHHbre ,ln, aaxe o6pa3yourue ioaHyrpeNuF He6H6!ecKnaaKxaonxHH aceraanoKp6 BarbcFcnoeM BocKa, Bo t13_SexaF/e noFBne!fF AaBFUrqx Mecr ,qnhBeonf,pHbrtr rpe_

p/ ' ardHuf l ro! !c hr ' rox !v- lnoKpbrBa€r cnoeM BocKaronuruHoii B 0,1 _ 0,3 MM K Bepx-HeMy Kpao ayru ronur,lFa c,loF socKa yMeHbuaercF B c|4_ryauhFx Kracca KeHHea/, r43_3a oxLr'aaeMon porauL4f 610rcnbHoro npore3a B cropoly KoHqeBbx ae.peKroB, Ha 3ruMecra NaHocvrcF 6onee roncrbri cnon socKa OleHb Kpvrbre an6BeonFpHb|e rpe6Bu !enrocrf noKpb 3a'orcF ron6koroHKhM cnoeM BocKa.3aec6, KaK noKa3brBaer onbrr, aocraro!Ho 6yaer nocneayourei oopaoorKM Merarna +pe3aM/,3neKrpon/roM u pe3MHoBblMrl nonrpaMLr'. Kpr.{r14!ecKtlMrlfBnFOrcF yMepeHHo .pe6Hu lenocru rleo6pa3yorcF Mecra aaBneHuF u iponexHM or av oorcnb'Horc npore3a. TaKue rpe6F, ByxHo 6onbue pa3rpj/xarE.Hemy6oKue qapanMHd Ha socKe noMoraor nepeHc.ru no_3vuAto ayru. Macrep-Moaen/ Na orHeynopHyro MoaenbO6nacrb noa MUbrM coearHurereM Poyc knaMMepa, oco6eHHo oKono KpaF aecHhr pa3rpyxaercF 3a cqer noaoa_

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rpi4neraer Ko|eq KnaMMepa, ycryn /3 6noK,lpoBolBoro

BocKa o+opMnFercF noA npFM6rM yfnoM K oKKn$uoHNo,nnocKocru Ta(4M o6pa3oM MoxHo roeHoycraHaB4rb antrNvKnaMMepa / erc nonoxerre, ero cyurecrBeNNo ooferqaer

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k noBpexaeHuFM np, nocaaKe L/ cHFruh

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Ecn|a ycnosMfl oKx]rro3r.{u rpe6ybr nocraFoBKu ayonrKar_MoAenh sapr,lKytFrop, ro NaHuxHei cropoNe Macrep_Mo_aenu MoxHo caenarb Kanas(r. Or Hhx np,l ay6nupoBaHuuMoaenu B cfnfKoHoBoi $opMe nony!a6rcF Kr14HoBtraNbreB6r.ry.b. C noMourbE ay6noKar MoaenbycraHaBnhsaercF e aprrKynflrop. Fto HyxBo yeLrrbrBar6,Jro ay6, / .dr voAeqb u- ja pdruuo. tuF rdhoBo\ .o7

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8 l

Page 6: Современные технологии протезирования 2

lnasa II - Ia6oparopHble oranbl

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BpeMF 3aMeFb BocKa Ha nnacrMaccy.

AnF nrrorc 6asuca 6o,r6uoi nnouraau tseo6xoa,rMo ocBo_6oaurb or farpy3Ku pe3qoBb(i cocoqeK u cpeAuHHb i He6Nb i uoB (Raphe palal ) npuMepFo tsa 0,1 _ 0,2 MM. 3r, 06'facr,1 ioKpbrBalorcF B coorBercrBr14 cyKa3aN/FM14 Bpaea-croMarono.a onoBFHNon qan'ton unu onoK,poBoqHbrMBocKoM. HepoBNocrtl, HanpuMep, 6opo3aK/ Na He0e, Koro_phre fHale npoFsnFrorcF no3xe B Meranne B 3 ae 3avce_Neq, HyxNo ioKpbrBarb BocKoM. Oco6eNNo cunbHo Bbrpa_xeHHbre ,ln, aaxe o6pa3yourue ioaHyrpeNuF He6H6!ecKnaaKxaonxHH aceraanoKp6 BarbcFcnoeM BocKa, Bo t13_SexaF/e noFBne!fF AaBFUrqx Mecr ,qnhBeonf,pHbrtr rpe_

p/ ' ardHuf l ro! !c hr ' rox !v- lnoKpbrBa€r cnoeM BocKaronuruHoii B 0,1 _ 0,3 MM K Bepx-HeMy Kpao ayru ronur,lFa c,loF socKa yMeHbuaercF B c|4_ryauhFx Kracca KeHHea/, r43_3a oxLr'aaeMon porauL4f 610rcnbHoro npore3a B cropoly KoHqeBbx ae.peKroB, Ha 3ruMecra NaHocvrcF 6onee roncrbri cnon socKa OleHb Kpvrbre an6BeonFpHb|e rpe6Bu !enrocrf noKpb 3a'orcF ron6koroHKhM cnoeM BocKa.3aec6, KaK noKa3brBaer onbrr, aocraro!Ho 6yaer nocneayourei oopaoorKM Merarna +pe3aM/,3neKrpon/roM u pe3MHoBblMrl nonrpaMLr'. Kpr.{r14!ecKtlMrlfBnFOrcF yMepeHHo .pe6Hu lenocru rleo6pa3yorcF Mecra aaBneHuF u iponexHM or av oorcnb'Horc npore3a. TaKue rpe6F, ByxHo 6onbue pa3rpj/xarE.Hemy6oKue qapanMHd Ha socKe noMoraor nepeHc.ru no_3vuAto ayru. Macrep-Moaen/ Na orHeynopHyro MoaenbO6nacrb noa MUbrM coearHurereM Poyc knaMMepa, oco6eHHo oKono KpaF aecHhr pa3rpyxaercF 3a cqer noaoa_

abrBaHrF rlnu Buatbe Ha Moae,r/, Hene 3xcrPaKqLr',1 3Y6oB PaHbrffr4

my6oKue NepoBHocru ta anbBeo,lFpHoM rceOHe noKpbrBa_6rcF eocxoM 6onee o6urhpFo.

caenatsHbrt rc 6noKrpoBo!Horo BocKa noanxN/eri npune_

EHxF xnaMMepa npFMoyro,rsHhrx ycryn iepeHocur rocHoe

nonoxeH e KnaMMepa Ha Ay6nr.kar_Moaenb. Sror ycryn u3

so.Ka BuAe ' o r lo -d Ayor / .a r -so lenu / ' nahoBo o i

MaccbLr.{ coorBercrByer,,x,eMy Kpalo KnaMMepa TaM, |Ae

rpi4neraer Ko|eq KnaMMepa, ycryn /3 6noK,lpoBolBoro

BocKa o+opMnFercF noA npFM6rM yfnoM K oKKn$uoHNo,nnocKocru Ta(4M o6pa3oM MoxHo roeHoycraHaB4rb antrNvKnaMMepa / erc nonoxerre, ero cyurecrBeNNo ooferqaer

rioAen/poBats/e B pe3ynbrare He rpe6yercn nepeHocapa3Mer(, KnaMMepa fa ay6nMKar_Moaenb /n/ nosropHoe

u3MepeHue MoAenM. Oco6eHHo rqarenbNo npou3BoaurcF

6noK/poBKa raM, tae npeAycMorpeHbKnaMMepa Mofyr Bo3HrlKHyr6 ctrryaquu, npq Koropbrx

Heynpyrre,1.e. naccuBqhte cacrf KnaMMepa aonxHH npo_

xoA,1r6 !epe3 noaHyrpeBMfl. Ecnf u3 3a NeaocrarKa Mecra

3ro.o tsen$F u36exar6, ro rasrux ycacrKax nocr'4 HeBG_

MoxHo /36exarb 3a3opa Mexay uaMMepoM tr 3y6oM TeM

He MeNee, 3ror HeaocraloK 6onee npueMneM. ceM seayuree

k noBpexaeHuFM np, nocaaKe L/ cHFruh

2.3.3 ycraHoBKa ay6nrKar-MoaerrlB aprt4Kynf,Top

Ecn|a ycnosMfl oKx]rro3r.{u rpe6ybr nocraFoBKu ayonrKar_MoAenh sapr,lKytFrop, ro NaHuxHei cropoNe Macrep_Mo_aenu MoxHo caenarb Kanas(r. Or Hhx np,l ay6nupoBaHuuMoaenu B cfnfKoHoBoi $opMe nony!a6rcF Kr14HoBtraNbreB6r.ry.b. C noMourbE ay6noKar MoaenbycraHaBnhsaercF e aprrKynflrop. Fto HyxBo yeLrrbrBar6,Jro ay6, / .dr voAeqb u- ja pdruuo. tuF rdhoBo\ .o7

Maccb He coorBercrByer pa3MepaM rhncoBon Moaenx no_3roMy qenecoo6pasHo nepeFocurb aybnuKar Moaenb B apruKynFrop nocpeacrBoM c/n/KoHoBoro Knb!a (c|rnrkoHo_so, pur /cr uuqukoHoBa/ -ouky ' IAr ae-_a ' un oBonMoaenu B apr,lKy,rflrope OH 6brcrpo , rolHo +aKcrpyetMoaens u3 ofreyiopHou Maccbl

2.3.4 HacHqeHue Macrep-MoAerx Boaotl

nepeA Ay6ntrpo8aHreM peBepcuBHbrMrlcaMx Moaenu 3 releHue MaKcuManbro l0 Mr4Hyr Hacbrula€rBoaou. flpu 6o,ree aonroM yBnaxHeHuh tunc Ha noBepxNocr/ Moaenx chnbFo pa3MFreaercF (an6u/i r cynb+arbrpa_crBopForcF.TonbKo cro caenaHHbre, eule anaxHbre Moaen/MeNee BocnpuuMeuBbrK KoHtaKry c Boaori eeM yxe BbcoxuL,1e OHU Bnurb Baor MeHbueBoabrL/ coxpaHF'or KaeecrBonoBep\Ho l / . I 06" voA-nb . . B"-Fr /Br d /3 terveBaT

ay6n/poso,rFot Maccbr BnaxHocrb ee Bceraa Heo6xoauMoysrax!Frb. BG,AyuHbLe ny3b pbKu BExoaFurue 'l3 6oneecrap6rx, cunbHo E brcoxuqx Moaeneii. tuoryr orcoeAuHurb orFrx noaroroBurenbf b li BocK.flo3roMy peKoMeHAyercF cHa!da nonoxrrB cyxMe Mo,AenunpfMepNo Ha 5 MuHyr - aNoM BBepx _ B xonoaFyrc Boayl.loaenr /3 cuNrerrcecK4x rancoB craBFrcF B BoAy Na2 3

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Page 7: Современные технологии протезирования 2

l,'rasa II fla6oparopnute sTanbl

np.nrrarfe oAerh EaAan nPu revneDafype 26 23 c

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f r . r ! , xh 26 2E c E .n ! Bo3a\ ' rHhe ny :EpLKf l ronbu.

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No.r6 npri nrrE E:rL [iolerL no/'lo! or aa.er

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neparype Boab no;1 noAroroEirefLrL M nocKoM Ha .ean.

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paay . .E no ts f : l rL paao! \ 'o re !neperypy lyUnrpoEo,rtsof fa.cb 3ro r peAorBpaDLaei o6pa

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foL,l reralrn!! e.Ka! no3eprfo.ft,t r ! .eneri 30 spe F efr:l

orJrax;retsfi lonon!fi€fb ryo ae3ona.tsc.rL /1aer 3aKpaufE: ts re maqKfx noFcprHo. re( 4 rnoMa. repoM 3a . 'e r

,irctur tr!!uae cn cuenneHr-p /ryofhpoE.!Hof Mac.u

2.4 Ay6ny�poF�a{r/'e o6parhMbrMtlAy6n la py Fo u.l!4 M x MaccaMu

i l . .nc ro ro (a i ra . rep L loaenf nponf ran f .6 Boaa! fxr p i . !u /E .or t in fKo! . no fnouaoLqen Enary .a faer t ro !Fpo.yuf saHUe c{ar! tu Eosayxori oxf a!<rraci noaenf !roMoxe i nprs€ . r i K o rAdreHro c r ts f r noarc r .Rr renEtso foBo.ka nepe! ay6n!poEaHfeM oaenL KoHrpon!pyerc r r t sa.norts.e nprnefats!e BocKa ToirhKo n.cne 3rorc rarp-"ran

B 3oA. Macrep L l laen6 ycr :BaBnrsacrc i Ann ) ]yDnfpoBa

BerL TaKfM oapa3otu. ae: AonontslrenbHo'r paborE npf

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[ - : D

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!acr,i Koroh (6Bera lfn )ry6rrrpoeatsin Be np!foaHa lnq

ay6nfpoBocfb r nonfsQlp tsa ! pe3r tsb t

. fn ! (o r a KoEerb ann ay6nupoBaBfF rc fen tsenL3F .Mar ! r apy . /M! .Ma3o! rb Mf ' . ' a rep fa

!aMr an . ! ! . rk r f .nonbsyercFEo/1a CMiisolHh e Lrarepianu I Lracna r. .oeLrelraErcF .

.ocraBtsE M! ra.rFMf l]yorfplro rlero fenF npr ava!/p.Berax.yure.rByer pf cK !r. ay

6n(pyour f r rcnb .n fu (o t r r 6Ecrpo Aacr ycaa(y ! o r .nor r .n He ro fLKo or Kpbu(u (opny .a KEE€rd ro ! o r M.

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Page 8: Современные технологии протезирования 2

:::.:.,eNNhre annaparu AnF AyOn'4poBaHUF uMeor Mr,1-. ::r.oLreccopNyro pefynrpoBKy reMneparypE. BeHrunF:. cuaxaaer ay6nxpyourh, renb, Harperbrt ao reMnepa

--.. pacrannqBaBuF (93 -c 96'C), Ao pa6oceii reMne-::',rpE (.10 'C 45 'C). HarpeB Maccb cBbrure 96 "O Moxer..:roprrrb AyOnrpyrou.r,ln renb PeKoMeHAyeMyo reM nepa-, ry pacrannuBar/F Hyxtso co6n|oAarbro!Ho. raK KaK oNa/.!eer 6onbuoe BnhFN/e Ha KalecrBo KorcMcretsqMu re,rF..tsa cBotcrBo Bo3BpaureHuq Ay6nrpyourerc renF B /cxoa--r.'o+opMy. no3tru/F K6Beru Bo BpeMF 3an'aBaHuF Ay6nu-: oBoeHon M accd He |43MeHFercF. npu HopMan bBou KoMHar:o, reMneparype BpeMF 3acr6rBaHMF cocraBnFer npr-',€pHo 1.5 caca, npr rer\rneparype Bo3ayxa 6onee 28'C oHa.roxer yBen/ehrhcF Ao 2 eacoB.

ftaea II - fla6oparopxbre eranbl

KoM6r-KbBefta anF ay6nupoBaHtq cBBoBHaMt KnuHhEMt B KpbtuKe

nprMecaHhF AnF npaBnnbHon o6pa6orK,ay6rrposo{Ho.o rens:

oopMy r43 |enF, nocne rorc kaK rcsneeeHa orNeynopHaFMoaen6, ocHoBarerbHo npoMbrBaor orEolHon Maccbr noa fporoeHon BoAoi. tenb Fe AonxeH6onbue arurbrBarb MHofo BnaxHocrM, n6roMy u3nuukhBoab Haao crpflxNyrb. !o cneayourei pacnraBKr. 8o,13-6exaHxe nepecblxaHxF, rciB xpaHqr B repMerueHo3akp6rroM KoHreiHepe.l,1Ha,re ecrb pr4cK, ero npr pacra-

qcnaphrcF oonburoe KoruLrecrBo BoAbr,!ro Moxer rcnopr/rb cBoncrBa Marepf ara. lpuMeHeHue3ar(pblr6lx annaparoB AnF ay6n,JpoBaH4F 3ror pucK uc'Knoeaer rlo3roMy Bo MHofue Ayonupyor4re renu He ao-6aenFbr Boay. Bo u36exaH4e ouu6oK ooF3arenbHo co-onoAatre paooehe '4Hcrpyxqru:raK, HarpuMep, npx pa-6ore c WircGel [4' /cnapaBuyrocF BoAy HaAo Aorrrblyxel,1cnonb3oBaHHbrn Ay6n pyrourri renb Nenh3fl cMeurliBarhc HoBb M. npu Kaxaoi 3aMeHe Marepuana annapar AnFAyonupoBaHun ru]arenhHo oquuraercF or ocrarKoB rcnF,

KoBerb HenBr oxnaxaarb B xonoaHori BoAe, rHale KoH-raKrHan K feno noBepxHocrb Ay6nxKar-Moaen / He 3arBep-aeer nonHocrbro. KpoMe roro, yBenreuBaercF BpeMF 3arBepaeHuF naKoBo!Hot Maccd, u nosepxHocr6Moaen, craHoB',rrbcF uepoxoBaroii. ycKopeHHoe oxnaxaeHhe rcnF Mo'xer np/Bec

K o6pa3oBaF,lro urenh Mexay Macrep-Mo-AenEo '4 Ay6,rupyourxM rcneM.

npuMecaHrF AnF pacrannMxKpoBonHoBon neqrr

lyonupyrour'4e renu Moryr pacrannLr'sarhcf, B MuKoo8or-HoB6x necax (nopqli,l np/MepHo no 400 r). npoAonxtr-

u ycraHoBneHfor,rMoLjrHocrtr MuxpoBonHo8ot nelM (400 Br - 4,0 MrH. /900 B - 2.5 Mx-.r.

'-lpenBdpu-en6 o Ay6./pyro-r, renb

pa3psaercr HaMdeHbkre Kyorku pa3MepoM B 1 cM. Ox-naxAeHhe Ao paoocet reMneparypb npo cxoar4r B BoaF-Hot BaNHe, np nocroFHHo

Ay6ru Kar-MoAe n b c loxone$

OcropoxHo! lenb He Aorxea

Ey6rrpoBoeHaq Qopva I Castogela

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Page 9: Современные технологии протезирования 2

lnasa II - fla6oparopHbre eranbl

Ay6rupoBo\Ebtt ctnt rcH repaHruqot

2.5 CxcreMa ay6nnpoBaHvtB cltrlrKoHoM

npxMeHFercF a8yxKoMnoHeHrHbrt cunuKoH B ao3l4poBoq-HoM annapare, Koropbn ocNaqeH cnequanbHb M cMeLrlMBa_ouluM HarcNeeHhKoM oaHopa3oBoro non63oBaNMF. BpyT _

Byo 3aMeuxBaHre npou3BoaurcF Bronxe nponopqr,l 11.3arBepAeBr/eKoNa MoxHo no3AHee nerKo yaanrrh, KaK nteFKy. rlpu pa-oore c chnqKo|]oEbrMr4 cMeBaErcF paB|oMepNo, r,{ Bce Kp4rreecKLr'e obnacru 3anl,lBa_orcF 6e3 o6pa3oBaHuF Bo3ayurHbx nysbrpeti.B oonburuH_crBe aG/poBoqFbx annaparoB eMKocrM c KoMnoHeHraMucunuKoHa ycraHaBnhBarcrcF aHoM BBepx. OnEr noKasbtsBaeri cro /xnyluie Ne onopoxHFrb nonHocrbo, a BoBpeMFNanonHqrb MarepxMoM cepe3 Bbpe3aHHoe tsa aHe eMKo_cru orBepcrLr'e. TaKrM oOpa30M MoxBo rc6exarbaononHu_rer"Hox p.6o hr. Heo6\oalMoir ArF rdMeHb eMho.retLlroobr KoMnoNeHrbr Marepuara He cMeuxBai/cb M He 3arBepAeBa,r, Ha Bbuole npu0opa, cMecurenbHb e Ha-KoHeeHr,rff nocne ynorpe6neHhF He cHuMaor Pa6olee BpeMF'puro oB re- lF cxnuroHc co, aBnFer pxMeo-o 5 M/ry .

AnF yBer/ee!/F Bbrcorb o.re|b H,13Kux MoAenei, BbcoraqoKorF KoropErx HeAocruraer 10 MM, noAKnaAbrBaornnac_rr', /H CMe-aHHb/ oHrct flpyptlMexAy Macrep-Moaenb|o u KloBeroi AonxHo 6brb M,lHr4-ManbHoe paccroFHr{e 5 MM. Cra6qnffiLr'pyNrqaF BcraBKa upa3Hb eSopMd Heoa B Wircsilo -c,creMe Iy6nupyrourrx Kro-

cnttrca rBepAeer E npu6ope noa

c o6t b aa rf e M 4 H u M a t b Hy b f o n q4 HycreHoK .lopvEr (5 MM)!

He nepexaurBatre Macrop.MoAeru npa

@op'6t Ae6a t cra6qnt3auroEHaqBcraEKa yxPedn"br 3y6Hotl pEA t

Ber' noBbruaror cra6unbHocrh KoH$,1rypaquu B o6nacru3y6Horo pflAa, He6a. OHU cnocoocrBy|oryBe,r/eeHLr'ro ro'r-flocrrl 14 yMeHbueHxo pacxoaa Mareprana 3a caer u.MeHe_HhF no3ur.uli. !nF 3ar8epaeHhF cunukoH peKoMeHAyercFnocraBurb noA aaBneHL,le. npu AaBneHuu B 4 6apa coKpa-uralorcF sosayurNbre ny3brp6Ktr, ucrnrKoN BAasnrBaercF BkprrucecKue o6nacrL,r. TaKoi Meroa rpe6yer, ero6br noroM|a Ay6nuKar MoAenb3arBepaeBana noA AaBnetsMeM. BpeMF,Heo6xoauMoe anF 3arBepaeHuF cunuKoHa, aonxfo ro!Bo^o6nnqarb.a. BHyroeHHue noBeorHo.-a,unuhoHoBon

OopMb| nepecrapr 6brrb nunK,Mu ronbKo nocne nonHoro3arBepaeH F. fo 3aBepureHuq npouecca nonyqaercFHeo6xoAr.{MaF KotseeNaF rBepaocrb no LlJopyiA 17 - 20.

Tqarenbtso 3a6noKupoBaHHbre Moaenu |4 o6pa6oraHHb|e HarprMMepe noa He6on6urM yrnoM cropoHbrqoKotF MoaenuocooeHHonerKo u3BneKaNrrcF '43 crin'4xoHoBb xOopM. 5na-ronprFrHo cKa3biBaercF npeaBap/renhHoe npLr'nyap/BaHne Moaeneii ranhKoM [4oxHo 3HaefirenhHo rc6exarb ae-QopMaq4/ c/nLr'KoHoBbrxQopM, ecff He nepeKaurLr'Barh Moaenr np,1 r13i,Frrl. fl@roMy BaxHo ocHoBaretbHo 3a0no_kMpoBar6ae{eKrH B qoKone MoAe,r,l, noA$,apeHuF B o6na-cT, qen|ocrtr u Bb paxeHrbe Mercy6Hbre o6nacru. Pa3ae-neHreaare3hl/l Mexay foBepxHocrbro Moaenv ,l c4n4Ko3oMnpoucxoaxr c noMoulbro cxaroro Bo3ayxa. HeooxoarMaoc_ropoxHocrb npu npuMeHeNMn cxarorc BGAyxa npu x31,f,_ru Moaenei ,s cunfKoHoBbx OopM cunhHhri Hanop Mo-xer npuBecr/ K D( pacurL,lpeHulo.

ctnuxoHoBaq &opNa Macreq.iloAen6

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Page 10: Современные технологии протезирования 2

Inana II - fla6oparopHbre sranbl

tlroobi rcoexarb raKux 3arprcNeHvt, KaK ocmrKu Macnainq KoraeHcara, Heo6xoar4M perynFpHbn yxoa 3a KoM-npeccopoM u Bo3ayxonpo8oaHhrM/ rpy6aMu.

l ra6rnu3aqLr 'oHHaFBcraBKar+opMbrBeOanpuaaorcunu-<oHoBon QopMe cra6unhHocrb np, r3!Frr4f MoAet4. Br6nacr/ qoKonF AnF 3KoHoMuh MoxHo ucnonBoBarb aor0"; craporc /sMenb!eHHoro Marepfara. XopouraF cBF3b c-oBbrM c/n/KoHoM |apaHr/poBaHa.

2.6 t43roroBfl eHne Ay6r{Kar-Moaeru

2.6.1 noaroroBKa ay6rnpoBoqHoi (popMbl

-ir ayonupoBaHuu reneMr qoKonb'r KpsruKa K[Berb cHr4-

',:€rcF c QopMs ronbko nocne nonHoro oxnaxEeHuF renF,: ,.racrep-Moaenb rl3BneKaercF eepru(an6Ho. Ecnu nurbe:.€nbHoro npore3a 6yAer npom8oaurbcF eep* Ay6nr-.: ioaenb (noaKoBoo6pa3FaF OopMa, ahrplaraF nnac-..:a). ro B 6opMy noMeuraercF rpy6KanxrbeBon BopoHKu.

:,ta3aNNaF Ba3enrHoM rpyOxa B aanbNenueM o!eHbnerKo

poBafrF rpyo(u u BbrecHer/F ay6n/pyfoqex Maccbr, Moxer.pMBecr/ K NerolHoMy npuneraHro ayf,l 6pren6Hofonpore3a flxrbeBaF BopoHKa aonxHa Bceraa ycraHaBnr-BarbcF qeHrparbHol flurbe !epe3 Moaenb ocooeHHo 3ape-KoMeNAoBdo ce6r Ha MoaenFx HuxHet qerlocTrl r€ rentreBo, +opMH 3ro o6tFcrFercfl npocrorox tpxKcaqrr nrrH,1KoB HaayonhKar Moaenu u Hu3Kon Bb coroi MyOenF. no'cne rcEFruF Moaen/ OopMa 3 ay6nr{poBoeHoro renF HeaonxHa npononacKuBarbcF Bo4oi unu npocyu BarbcFcxarb M Bo3AyxoM o|a cpa3y xe HenocpeacrBeFHo 3anr-BaercF naKoBoeHon Maccon AnF 3roru +opMy BcraBnfloro6parHo B KpbrurKy xloBerbrarF ayornpo8aHr F. 9ro6H m'6exar6 ae+opMaquu QopMb, KpbuKx KbBer HetFF fe

Ay6nupoBaNMe cunu(oHoM: nepeaynopBot Moaenn crn4KoBoBaF +opMa 06pbr3fr,lBaercFxhaKocrbro, cN I Ma|]3ureir HanpFXeHue c noBepxHocrM, u !e-pe3 30 ceKytsA rularenbHo npocyurhBaercF cxarbrM Bo3Ay-roM ^uqho ro r . pa / ry . r Boaoorrat^uB"o-ee .Bo7crBo noBepx|ocr,l cunuKoHa u ynyeuaer reKylecrb naKo-Boctsot Macc6r. EcnM noaNyrpeN/fl Ha Moaen,l anoxo 3a6,roxrpoBaHb, ro npf r3rFrru Macrep-Moaen/ cunuKoHoBaqOopMa Moxer cMn hHo pacu,lprlrbcF. B 3roM cnycae QopMyHerb3F 3anuBarb cpa3y, a ronbKo .o ucreqeH4/ BpeMeHu.HeooxoauMorc anF Bo3paqno,roxeHre (MuHr4MyM r5 M,Hyr).

2.6.2 3aMeurBaHne naKoBo,rHoi Maccbl

npu 3aMeu,{eaH,1 ,1 naKoBocNot Maccb ByxHo ro!Ho co6n'o-aarb coorNoueH/e Mexay nopour KoM ,1 xrlaKocr6E. naKo-Bo!Ny€ Maccy rl xr4aKocrb anF 3aMeuuBar/F Henb3F xpa-H,lrb B xonoaunbHqKe. nopouoK , xtrAKocrb aonxHbr noBo3MoxHocru xpaF/,JrbcF B KtkMarrchpoBaHHoM uKaw uo6pa6arbLBarbcF np, KoMHarHoi reMneparype 18 - 22'Cnpu raKot reMneparype aocruraorcF caMbp xopouue pe-3ynbrarb. Paoocee BpeMF 3aBucur NenocpeacrBeH|o orreMneparypH B noMeurefru q reMneparypd Marepuana xcocraBnFer np/ reMneparype 20'C oKono4 Mrtsyr Ko!LreH-rpJr / pd '6r3, . -HiE {x!^or rb epo! ynoro€one rpMNyxHo B36anrbrBarb. CraKan anF 3aMeuuBaNrF aonxeH

orHeynoptsot Mo4en/. Ecnu 6rcrenbHbrh_..re3 BepxHen een€crh 6yaer, B Brae ,cK,r oeetsqF, ornx-.:ibcfl eepes Moaenb ro rpy6Ky n'1rbeBo|1 BopoHku HenBF:.,(crpoBarb BenocpeacrBe!No Bo3ne ayf/. AaeneHre B:- an / pyoureu QopMe, Bo3HvKaoqee Bo BpervF n03, quoH4-

lpeABaprrerbHo chq4tre Hanpd^eHt c nogeprHoc t r l4HreqcraHo 3aMe@tBarh unarqe$ 15 ceKysal

Page 11: Современные технологии протезирования 2

lnasa II - Ia6oparopHbre oranbl

obrb cneffa BnaxHbM. oaHaKo He uMerbnxrhd Bo4br Ha ! e Anfl npeaorBpaureH/" eroqHo-r.nI prl 3atieu/ BaHuu aonxHa ucnor$oBarbcF nocyaa c f,raa-K/Mu BHyrpeHHuMx creNKaM4. urepoxoBarb e noBepxHocru

naxHocru MbrepHar4BNou3-MepeHro Mef 3ypKot xrlaKoao3r4posarhcF urrpuqeM. nopqLioHHbe naKerf K, tsyxHoonopaxHxBarb nonHocrbro. rlaKoBo!Hafl Macca MrNrlMyM 1 5cehyi I rdMeL/Bae-ca Bpy Hyro !o -onyceH4F -ovoraHHot

cMec,l, 3areM 60ceKyHA'noaBaKyyrdoM.

KaHoM an F 3aMeuru BaH,4F. npeaenbHb i BaKyyM aonxeH ao-crurarbcF 6brcrpo. CraKaH anF 3aMeuuBaNuF cHhMaercF

Bpe'rrcHM. Macca ocraercfi cBo_

PacxoA Marepnara AnF orHeynopHon Moaeru

npfrve!aHue K MopaM 6e30nacHocrli:Co6noaatre HaqhoHanbHbre rHcrpyKr.lr414 nooe3onacHocru rpyAal

36emnre nonaaaNuF B op|aHbr abrxaHuF KBapqeBori uKp (-o6ar./roBoh v14HeparbHox n".ru. so3-/"drouretnpu naKoBKe u pacnaKoBKelnpu AnxrenhHoM BAbrxaNuonacHocrh nerocHhx 3a0oneBaHht (cunuKo3).

. O6ecnechre MepH 3aqxrH or nbnh (MacKaor MenKo'inbn, no HopMe EN 149, Ornbrp Macca FFP 2 S)

. ycraHoB'are B noMeureHuu xopouyo BeHrunflq |]J

. nopquoHHbe naKeruKh pa3pe3aire HoxHr4ltaMu-lft6eraire o6pa3o8aHuF nbrnM npu 3acbrnke BCTAKAH ANF 3 MEUUBANI,9

. nbrb Ha pa6o,reM Mecre yohpanre ronbKo BnaxHbrMcnoco6oM; ocrarK, nopouKa cMbBaiire Boaoi

. voupanre Bclo oopa3oBaBuryrocF n6nq 3aKpbrrbenecKocrpynHbre annaparB cHa6arre SrnbrpaM'1 anF

. npoBepFire perynFpHo BhrFxKy (3aMeHa Ornbrpa)

. He o6ayBaire pa6oey'o oaexay cxarbrM Bo3AyxoM

lr , , lourHb a Br^yyMHba .vp.u '6nh qo.r / ra 'o on xvarorbrxBaq,ryM B 100 Moap. 3ro npeaorBpauraer o6pa3oBaHhe ny-3brpbKoB BoaFHorc napa B xuaKoM pacrBope. B craKaHeanF 3aMeuuBaH/F nptr BM'o\reHuu annapara aBroMaru-

Baryyv Cropocr" Bpc .eHuF no'd ' rFtMeuarK,l cocraBnFe-r nprMepHo 350 o6/MuH.Ton6Ko nona-cru, coorBercrByroqre pa3MepaM craKaHa, o6ecne!rBa|or3sQeKrhBHoe nepeMeL!MsaHhe naKoeoqHot MaccbL.FaKoBocHaF Macca 3duBaercF BQopMy Ha B/6pocronxKe.h3oeratre oOpa3osaHrF ny3brpeil naKoBo! NaF Macca aon-xfa 3anuBarbcF B 3y6Hot pFA ro,r6ko c oaHoi cropolb.nocnerorc xaKoonacru HeOafl oKpoNrrcF naKoBo,rHoi Maccoti. B/6pocronuK u QopMa 3d/BaercF

KoHrponb Mou+rocru BaKyyMa

BKnoexle Ba(yyMHbr l cvecu-enbHbt a--apa- 6F r tdKaNa anF 3aMeuuBaH/Fl CrpenKa MaHoMerpa He aonxtsaABurarbcF. npu Heo6xoa/Mocr/ npo!/crxre 3af pF3HeFNbre

Sunhrpbr, npoBepbre npoffaaocts6re Konrqa u npoxoau-Mocrb urnaHroB.3areM npoBepbre MoqHocrb BaKyyMa cra-

npL4 cxBarbrBaHuu naKoBoeHon MaccH ay6nupyourui rcnbBr aenFer ,!3nuurkr4 BoE6, Bcneacmue eero noBbrllaercFn4fpocKonxqHoe pacuxpeHue. nmroMy npx ayonupoBa-

Hbuei KoHqeHrpaquu xuarcc-

Begosol ! .

2.6.3 OrBepAeHre x l,43Bne'reHxe orHeynopHoi

oopMbr cHurvalorcq c BuOpocro,rfKacpa3y xe nocne3anon-HeHrF naKoBolHon Maccoi. Moaenb 3arBepAeBaer Ha Aocraro!NoM paccrof,Hr4,l or Bubpocro,rhKa Bo rcoexaHre o0'

v6par6 c Bu6pocrottKa! )

pa3oBaHhF rpeurrN. Ecnx ctrn/KoHoBbp +opMb 3arBepAe-Bdu noaaaBne!/eM ro HyxHo npocneatrrb, lro6brAy6nuKar-Moaeru roxe craB/nrch noa aaBneH/e. Tonbxo nocnenonHoro 3arBepAeHuF iaKoBocHon Maccbr (npxMepHo 40Mrryr) ay6nrKar-Moae,ru MoxHo BErHuMarb M3 SopMbr.4yorvpoBoe -u ano HrEpa,a|or Bohpyr qoFoiF . r'puHo7np/MepHo B 1 cM Lr' yaanF|or. Haape3 aenaercF ronEKd

- np"68crpoMHa|p€B€np,M*RrhBeqoso K

8 6

Page 12: Современные технологии протезирования 2

:,rorb rtoKonF Moaen/lEcn/ Ha noBepxNocrh o6pe3aNNofo:fF Fe B,1aHo roHKoro cnoF naxoBo!Hon Maccbr, ro naKo-

:o!NaF Macca 3arBepaena non Hocrbo. 3anof HeHF b e naKo-:.!Boti Maccot +opME rc renF Henr3F ocraBnFr6 tsa npo:rnxfrenbHoe BpeMF (NanpuMep. Ha Hoeb), /Naee f3 Hrx:-.rer ocets6 rpyaHo f3BneeE Moaenb OcrarKM rcnF tsa no-

. -o ._u voFe. / He pdrpe de- " ,vbrB" rb Bo!o7

lnaea II - fla6oparopHbre oranbl

Ay6tuKaf- MoAetu noryyxabr B orEepauterh 5- a.eK.

aen, u3 xuaKocfu MeanerBo. /3-nuuK/ orBepAL4renF HaAyonhKar MoAenFx np'lBoAFr k06-pa3oBaH L4€ 6axpoM b Ha nurbeBoM o6r,e1<re. Borc6exatsre3roro Moaen/ craBFrcF eqe pa3 Ha5 - 10 M/Byr B cyuunb-ts6, ukao U3pacxoAoBaHHb ii orBepA renb HyxHo BoBpeMFAonuBarb. a KaxAbre 2 - 3 MecFLra 3aMeHFrb, ycrpa

uHcrpyKq/, OrBepaurenq, coaepxaurhepacrBopxrenL/ (byrrnarrerar) aonxHb xpa|urbcF xopouro3aKpbrbrMr. !nF cyurKf 14 orBepxAeHL/F MoAeneti oOF3arenbHo HeooxoA/ria BbrrFxKa norpyxeHue MoAenei AnForBepxaeHrF B socK'npoqecc bonee rpyaoeMK4t u u3 3aonacNocrhrpaBME np/ pa6ore c ropF!/M xhaK/M BocKoM,or ferc Boo0u.te nyeure orl<a3arbcF.

Ay6nuKar Moaen/. nonyleHHEe q3 cqrf KotsoBbrx .FopM.AonxHb npocyuuBarbcF npuMepNo 5 - 10 Mqryr, npu reM-neparype 70'C. Ecnu no38onFer epeMF ro MoxHo npocyur/Barb MoAenL,l oKono 1 laca Ha Bo3Ayxe. 3areM noBepxtsocrb MoAenrl noKpbrBaNrr Na paccroFNl,lu npuMepfo 20 cMpaBroMepNE M, roHKiM cnoeM DLrroiluid (cnpet) Fpr 3roMtsenpeMeHHo HyxFo 3xn6!arb sbrrFxKyr He peKoMeHAyercF npoBoa/rb 3aKtrKy Moaene, MeroaoM norpyxeHuF:

raBU/rcF ocaaoK orBepaurenFMoryr /cnopr/16 rnaaryD noBepxHocrb.

2.7 MoAerupoEaHhe KapKacoB6torenbHbrx npore30B

2.71 O6que yKa3aHrF h noaroroBKa KMOAenrpoBaHr lo

npeAnocb n Koii An F yAaefoi MoAenrpoBKf FBnFercF AyoniKar Moaenb rocHo nepeaa€utaF aera,lr1, c rBepa6rM4

"E auv u a l oB 'P o bo . _ l '_

pea MoaenhpoBaHueM, ecn/ reo6xoauMo, Moaenb MoxHoNarperb nprMepro ao 40 'C B cyu/n8tsoM uKaOy hnh noaiHSpaKpacHot naMnot. 3ro ynyeuaer aAre3r6 BocKoB6rx:aroroEoK c MoAenBNr tlepeA MoAen,1poBaF,1eM pfcyHoK(oHcrpvKLrii c Macrep-MoAenu nepetsocFr Ha Ay6n/Kar.

2.6.4 npocyurxBaHxe

: anhKar-Moaenf. caenaNNbre B .bopMe h3 renF, o6br!Ho'o- F ara npolJur l Ha 45 60 vuH' I B ! 'u lnr " t

.a.b c reMneparypon 250 'C. Ho oHa Moryr npocb,xarb u. :rneHHo - npf reMneparype 70 c - 80 'c. nepea norpy--:ifeM B orBepa/renb reMneparypa B uKaey np4MepHo

: ,1rrkar.MoAerh (Ay6rtpoBaEue rerev) cyuurh 45 - 60 MtE

-: a MfHyr yBenreuBaercF ao 250 'C. AnbrepHaruBNo: :.,! Bo3MoxHa npocyu(a MoAeneii. tlpf:_ : . , r , ie roae lep€ 30 MrHyr reMneparypa or 100 'C fo -. - .aer .a ao 224 'C v e6aepx/BaercF 30 '45 MuHya Foc-

fcnapfrcF MoAenunpuo6pe: -: - .nefKa Kop/e!eBaryrc oKpacKy Ha npouecc npocyu /-

Htsbe OaKropb, u Ner !/KaKoro::-r3Ha!Hoio peuenra anfl /aeanbHoii ycraHosKu reMne-:: -obr u BpeMets, qeM 6onEue MoAenet HaxoAfrcF B cy

. "NoM EKaOy reM aonbue BpeMF npocyuuBaf/F. Bbl::-/: Hoaenu nyeue craBurb Na BepxNlo|o nonxy cyuunb-

2.6.5 OrBepxaeHue

. ::-'!fnbNorouKadra Narperorc ao reMneparypbr 250 C,:--..rEo BbrcyueNrb e ay6nrKar-Moaen/ BbrHtrMarcrcF /

: :iaorcF (cneu/anbBbrMh urunuaMu) Ha 5 - I ceKyBA B: :,iNoiji orBepAqrenr. MoAenb 3o BpeMn norpyxer/F

- "! aBf|arr lro6H orBep4/renr (Hanp/Mep, D!ro )Mof" : : :xKNyrb B Hee paBNoMepNo. Bo u36exaH/e rcnhuKa: i :3 ; r ,1rerF.ocooeHfoHaMoAenFxBepxHeiqenncr .Mo

8 7

Page 13: Современные технологии протезирования 2

nrasa II - fla6oparopxste granbl

PrlcyHor, nocxonue 3aroroBKLI

P,cyHox a(^yparHo nepedocurca c MacreP-Moaent Ay6nrKar.NoAeth c pucyHrcM Kapkca

BocrcBo' npo.ltrh ana KnaMMepoBBocKoahte 3aroroaxt atq MaMNepoE,craHAapfHbte npoQunu

o

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ai)

BacxaBhte pereHaru AnF Bepx{.n eetpcrr:KBaap.rHo-peuer\araq l ), AuarcHanbHo. peuereaftF A. kpytao-peuergrah,craHAaprHaF A t yMeHbueHHora pa3Mepa @

wffi,

Pen9eln'un sacK AtE ttrb4: MenK"n i.cpeaHtt a. ryy6u, A

8 8

Page 14: Современные технологии протезирования 2

14HcrpyMeHru arF MoaenupoBaHuF

r i,4aneHbK/n u 6onburori Hox anF socka. 3oH4 anF MoaenrpoBaHuF (cpeaH/n u oonbuoi). Le Crcn - uH.rpyueNr F F MoaenfpoBaHhF

(ipoaonro3aroe ne38,4e u noxka). Zahle - vqcrpyue'l[� !.'laMoaenxpoBaHuF

lManeHbKoe cof|yroe ne3By€ x 3oHA). Ocrpbrn Hox (HanprMep, Rapidi j-cKanhnenb)

' loxKoo6pa3Hbri liHcrpyMeHr Anfl MoAenrpoBaHhF(arF 6onhuoro KonulecrBa BocKa)

. [4F.KaF 3y6HaF ]4erKa c HarypabBon urerrlHont MFrKfn nacrrK unu ManeHbKaF ry6Ka AnF

--:: <tp!!ecKue unarenu Moonef.rabr pa6ory. AnF o(

. I t. np, MoaervpaBaNuu: {'i BocKoBbrx npo$Mreil. OHh uMeor oAhlaKoBy0 xecr-

.::-i lro ynpou.raercocKa6nuBaHue u MoAenhpoBaHhe ne:: :roB. AnF xeBarenbHbrx noBepxHocret q3Meranna, sa-

u !p Mo\-o BlFr" 6onee .ecr .un Borts:-:'.,oaenrlpoBar/F kopoHoK rl MocrosuaHbx npore3oB.:::{osb€ 3aroroBKu AonxHb xpaN/rbcF B npoxnaAHoM'::-e MoaerupoBo!Nbrt BocK /rycue KoM6rHxpoBarB c

; : : ia ' . ,o . fMeEUr/Mu uaeHrue|bre KalecrBa (HanprMep,_::.rocrh / reMneparypy nnaBneHrF) q or oaNorc npor3-

- : -,:ce MoaenupoBaHue rpeoyer npoayMaHHofo, i4HA,1Br-: r_.Norc peueHqF u rBoplecKoro noAxoAa. 3Aecb 3axra-::::3rcF craounbHocrb 11 npo!Hocrb 5yayutero KapKaca: ' r iHa kapKacasasuc4ror r '4nanp, rMeNFeMorocnnaBa,:: o ry AnF 3KcrpeManbHo ,3FUrHbx 6Eren 6Hbrx n pore3oB

-::io,]Fr npeuMyLlecrBetsNo cBepxnpoeHbre cnnaBbr. Tpy,:::, {oe MoaenxposaHue, npeaycrvarprsaEutee, Hanp,

:: 3oporEuxoBbri oxBarcroFU.trix oraenbNo qcKyccrBeH-

. I 3y6oB. u3 3a oonbuoi 3arparbr BpeMeF/ h BhrcoKoi: :,,!ro.rh renepb AenaercF peAKo. OAHaKo, raKoe o6op

ecrecrBeHHor QopMe 3y6a, M- : -,re . aqueHrb Haxoaunu aro peueN /e 6onee orarcnpu-

: -: .r. MoaenMpoBatsre MHoro3BeHbeBb x knaM MepoB rex-oceH6 rpyAoeMKo. CeroAHF ux AenaEr

-: :io B peAk4x cnyqaFx: AnF utrts/poBaH/F sy6oB, yny!,. rF onopE nporsa rno Bo rcoexaHne onpoKrAbrBaFfF:: :3a. Hanp/Mep, npx cr,nhHo NaMoHeHFbx OpoHranb-

-. 3,/6axHnxHeieen|ocru.AnForaenbtsocroFUrrx3y6oB,: '::rHocrt4 Bo OpoHranb!oi oonacr xopouo 3apexoMeH,::.ra ce6F pereHquF B dopMe urhrpF, KoropaF aononH/-':_:r. y(peirFer rcKyccrBeHH6re 3y6br.

ftasa II - tla6oparopHbte oranbl

Ay6nuxaf-MoAen, c aaqurshtvr nractuBaMt tysreycf a Ea EruB af 6 B a pf h xyt Ff op

nnaBHoe yToH'reHre npoOunF '<naMMepa, HaquHaF orocHoBaHqF Manoro coeafHurenF afnorb ao ero KoHua.O(KnNl3uoH!be HaKnaAK,l MoaenupyErcF cnefKa 3a rpe-,er6l npenaphpoBaHHbx ryats'aq. Bo rc6exaH/e pa|tsrxKotsraKroB L4M npuaaercF BofHyraF QopMa.

npa He6na.onpunr!6x ycnoBrFx nprKyca AnF MoAenupo,BarfF 3autL4rNoi nnacr,lHbt |a ra. Ay6nuKar MoAenhHeo6xoAuMo ycraHo8rrb B apruKynnrop.Ton6(o raK MoxHo/ '6e rdra -o.nFqv6 en -p/Aoev^o/ {ppets r /p/o4er1oopaoo r/ verar,na. tld' ro d voAen8, xl 'a^osoeHotMacc6r Her NanpaBnFbur'1x Splitcast-ouqhea (cM. rnaBa 11,2.3.3:ycraH'BKa Ay6nrkaf-Moaetu B apnaKynFrap). B 3rvxcnycaFx coorHoureHue npukyca nepeHocFr, KaK yxe 06|n0cKa3aHo, np/ noMor4u caenaHNoro B apr'lKynFrope cxnu-

2.7.2 MoAenupoBaHue Ha MoAenFx BepxHei

:-: .auqoHanb|oro MoaenrpoBaHrF BaxHo ueneHanpaBaaKre h oKpyrneNts6re nepe,

!::: araKxe ler(re o.paNrenren 3H6re KpaF. yxeronbKo

npfc'4HaM nrrbF rpeoyercF co6n|oaarb

B 3aB/cuMocr/ or BenhexHb /.FopMbi HeOa Moaenupye-Moro 6bfefuHofo npore3a noA penbe+N6rn socK aenaorcNaeana craoxnrc/pyrouryro ocHoBy. B crryaqrFx c none-peeHb M coeA,rHeHreM /nM cKenerrpoBaHHb Mn/rhr 6a3uroM ̂ or ' o \ lquo y . / . /Ba6r norv<p/ - ro i Bo . .oBou npoBonor<ot (1,15 MM x 1,75 MM) ununurH,lKaM|a (0.2s MM - 0,35MM). nony'<pyrnaF Boc(oBaF npoBonoKa npantrBaercF k Mo,Aer11 c o6eox cropoH Boc(((((oN Kpbtueo'pa3Ha q naloM 3aK-pymFercF raK, ero6E He 6bno ocrporc pe6pa. Ecn/ nep-BbrM cnoeM raKnaAbrBaercF rnaAkut BocK (rH. "caHABye-

rexHxKa"), ro oH aenaercfl Ha 2 3 MM yxe penbe$Horo Bocka, a KpaF cKau/BaorcF raK, ero6b oHu He BbrAenFnrch"3 noapenbeQHorc BocKa. AnF ur/poKot ayM ucnonb3yNrrpen6ecpHb, BocK ron q/Hot 0,4 - 0,5 MM rlonepelHbre Ayflrcra6onrcrpy6rcF maAKrlMpuHb uMeor ronutrFy or 0 7 Ao 1,15 MM. HyxNo rc6erarbroNKrx tsenpoqHbx KapKacoB npore3a, rax KaK oHr rMeorBbcoKyo coocr8eEHyo noaBuxfocrb. 3ro nprBoaur K tsepaBroMepNb M Narcy3KaM r'{aF,1, Korophre B6|3E Ba|or arpo-+,'o aib8eonFpHbrx orpocrKoB. KpoMe 3roro onopHbre3y0E ioABepaorcF BpeAHon rcp/3oHranbHoti Narpy3Ke.

8 9

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lnasa II - Ia6oparopxbte sTanbl

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I/r6re 6a3rcbr un, toAKoBoo6pa3Hbe Aytu 6ofenbNbxnpore3oB, noKpb Ba€!rre nepeaHolo aOnacr6 He6a. cra6nu3trpyFrcF raM. iqe tsaxoaFrcF He6Hble cKnaaK/. llprl3roM sbrnyxnbe oonacr/ yronqa|orcF BocKoM. Ha aNarorrcec(, o.bopMneNHoi o6na.rh tse6a ntrLr.ry ,re.!e nepeBo'pacuBafu / oHa He 6yAer 66Lcrpo cocKdmb BarE. Tor xe3QQekr MoxHo nony!frb ec,r, yxe npu noarorouke M.._rep-Moae,rl, k ay6nhposaHulo o6pa6orarbee raK. !ro6E HaKoHcrpyKutr, nonyeL/1ncF pen6eQ. noao6Hbrt coaaKaMHe6a. PereHqx|4 anF ucKyccrBeHHbrx 3y6oB npu 3roMcnerKa nepexoAFr 3a cepeAuHy eenlocrHoto rpe6HF Ha6yKKanbHyo (Becr4oynflpHyro) cropofy B cnylaFx, Kof,qa pereHuh, Bepxreri eenrccr/ tsaxoaFrcfl cMeu]etsHbrM/ rplr /(apyfy , npu 6on6uoM KonulecrBe AeQeKroB 3y6Horo praapeKoMeHAyercF Kpyrn6re peuereatbre pereHquu. OHU aarcr 6onbue BcMoxtsocrex AnF oQopMne_!rF. eeM KBaaparFbe peuersarbre pereHquu.TaKrM o6pa30M, HecMorpF Haro, ero ceanoBraHbre eacr/ npore3a Mo

ryr 66rb no-pa3HoMy pacnonoxeBbr apyr x Apyfy nonylaercF rapMo|u,rFbn B/a. AnF He6onburtrx BKnoeeNNbrx aeoeKroB f3-3a orcyrcrBrlF Mecra, nyeue ucior*oEarh' p ! r a e p F u p - d r o p o b ' o H U / /

nonyKpymyo BocKo8yb npoBonoKy (1 . r s x 1 ,75 MM)MoxHo

npuMeHFrb anF ycL/neH,rfl Man6x coeafNrrenet /n/ MHo'

ffiBeHeBEx KnaMMepoB 6a3fc q3 rnaaKoro BocKa oQop_uuprNb ay fn u 4n /Bbr IeQe(

roB O6racri, noKpbrbre rnaAKUM BocKoM. ro]arenEtso.o_earHFrorcF BockoM c ManbMu coearrirenFMx u pereH

/qMh B M- ra ' nepe o .o vp t ! / Avro i / pF ' - -vFu

BaxHo, lraobr HatseceHHb ii BocK aocrif ronur'1f]bl BocKo_

Bbx peretsqut BocKHaHocrltcF Bnnorbao Kpafl pereruuu

3ro npeaorBpauraer pa3ffOaHue 0'orenbHofo npore3a noa

xeBarenEtsb M aaBneHtreM B oonacru nepexoaa ( ceano_

BrAHoi !acr4. KP',1rrcec(4M,o6uupHE e cBoaE tse6a oHuaonxtss MaccuBNocra6/nr3M_posarbcF fnaAKuM BocKoM (npuMepfo 0.5 MM) unu nory

Kpymot BocKoBori npoBonoKot CMoaerrpoBarHaF tu

xHFF KoNcrpyKu/F 43 30 (a ru]aren 6tso nposepFercF oco6eHHo Na Heposfocrh

3areM nerK/M npuAaBnrBaHtreM, HacuHaF c caMoro rny0o

Korc Mecra He6a, 6e3 cxraEoK - fakflaab saercF pe,rBe.p

!b ti BocK (0.4 ' 0,5 MM). CKenerupoBaFs6re He6Nbe ayfuroxe Moaen/pybrcF m penbe$Horo socka npu crnbHo.ny6oKoM Be6e penbe+Hbrt BocKny!ue HaApe3arH Kf,tso_

B/aHo unu npinoxvrb u3 a8yx eacret. !nF npxaaBnrBa_HiF foa/rcF ManeHbKaF MflrKaF ry6Kaunr,lacruK. Baxfo.

lro6br pucyHoK perBe+a M ronurL/Ha BocKa coxpa8Fnqc6

Penbe$Hbrti Bock MoxHo ronbKo oqeH6 ocropoxHo Harpe'

Bar6 tsaa nnaMeHeM, cro6E He /3MeH/rb crpyKrypy B

aanbfetueM npoLrecce pa6orb narc8o!BaF Macca, Hu 3

koeM cnyqae tse aonxHa nonacft noa BocKoByro KoMno3tr-

uub. nGroMy 6a3uc rurarenbHo npurqBaercF Bo.koM no

KpaFM npu MoAen4poBaHuu Ha rennot Moaen4 aocrarocHo 6yaer npuaaBMrb BocKoBy|o nnacrrHy rynbrM uHcrpy_

MefroM unu pe3/HoBbM nacrukoM.

9 0

Page 16: Современные технологии протезирования 2

nraea II - ,la6oparopHbre eranbl

flpuueplr N'ro[eJrrpoBaHrrr ua nepxHerii .rerrocru

aApHb,n ttrot 6a3tc noaKoBoo6pa34aa +opMa

t x^oghte <pytnbte peuenarbte pere{uu,

u -..o3Bea6eBot Kn aMMep

o.FopMneHre sKnpeeHHb'x ae$enoE

Hrxakt cton eocKa t pereEutk ruarenbBo coeAtHEbrcs!

)

9 l

Page 17: Современные технологии протезирования 2

lnasa II - tla6oparopHbre granbl

Ilpulreplr Mole,tupoBaHuq na nepxneu .re:rrocru

OryaHnerrenbHbtt Kpati re Bocxoaot flpoBoroKu

orpaq etrqEEbrt (pan c pete4qtet

He noBpexBanre penbe.lsbrt Bock nPt saec.Htul

orpaErtrrenb4btt Kpa, ay.t K ceanoBuaHo, cacv

CtrtKoHoBaE Marptaa E Kcrpyer "cxy.crBe4q6tt 3y6

92

Page 18: Современные технологии протезирования 2

Drasa II - Ia6oparopHbte oranbl

Pa:Hoeuqnsre Soplmr 5a:luca nepxueu .Ierncrn

1 a,Bep: crener uPo BaHau a 64Ac Ko a cf py K lt a B e p xqe,1 ee, @c f t

ilaAxoBoo6pa3qaq 6opqa nPu fot k.ttyaqru C6o6oAHaF He6Haa o6nacr b

O6urpHbtt 6a3rc KaK 'craHAaprHaq KoHcrwKqta n phMep f pa HcBeqanbHot ayrt

\Itl

Page 19: Современные технологии протезирования 2

lnaea II - Ia6oparopxbre granbl

B 06racru nepexoAa pen6eQNorc BocKa K pereHq,lu erc o6pe3aor noa yfnoM npL,lMepHo 75' k tsrxHeMy cno|o. flpx

3roM HuxN/n cnoii He aonxeH noBpexaarbcF my6oK4MHaAp*oM AnhrepHar BNo MoxHo npunurb penbe$Hbrt

BocK K pereHqur. B kacecrBe orpaHulrrenbtsofo KpaF anFnnacrMaccbr npxKnaab BaercF BocKoBan nposonoKa aua-MerpoM 0,8 MM KoropaF ntrub c oEfoi cropotsE npqnuBa-ercF K penbeQNoMy BocKy FnocKue BocKoB6re 3aroroBKhc pereH quFMr, ,cnon$yeMhre anF ofpaNu.ref ,1q, ycKopFbr

MoaenupoBaHxe. nepexoa or MerannaBceraa. aaxe npu npuMe|eH ,l cunaH/3trpoBafrF! oaop-

orpaH,r!,1renbH6rM, KpaFM/. Bo6nacru Marbrx coeA'1F,lrenet u Hanepexoae K uaMMepaM, tsaoaaKaM c rrxHeii cropoHbr FyxHo o6F3arenbHoo.FopMMtu eerKoe orpaHxleHxe ,q,rF .nacrMaccb. BoBp-va oeopvr aHuF o po- lexr . r " -o ro rodF H 'o6 'oauMoy!/rbrBarb nonoxeHue /ckyccrBe!Nbrx 3y6oB. rlpaKr cec

Ky|o noMouth npL/13roM oKa3b Baer fpe4Bap/renbHaF ycra'

HoBKa foryccrBeHHb x 3y0oB u ux Q'4Kcaq F Bc,ln,lKoHBoM

nph He6naronpuFrNbrx crryaqrFX npIKyca (apKac npore3aMoxer tsaxoArrcA a o6nacrv ceanoauaHoi eacrh B npeMoMKoHraxre co cnu3ucroi o6ono!Koi. B3roM cnycae a,rF pe_

reHqri npuMeNFlorcfl pereHu,loNHbreuap,lKu OarBo!Hbre

sy6d cra6rflr314pyorcF f e0onbuxM,l nnacrMaccoBbrM pe

KnaMMep npuknaab BaEr K ay6nuKar-Mo.qenf, HacuHaF cero KoHqa, Korop6r4 cnena npunrBaercF BocxoM. vcrynbl,3 BocKa, caena|]Hbre Na Macrep MoAenM u qerKo ornela-ra|Nbre Ha ayorrKar Moaenu nepeaalor ro\r|oe nonoxeNre KnarvMepa npoQrn h KnaMMepa n p,l KnaAbrBaercF c no-

npo.ptth KravMepa anaNotApoB u npeMonaPoB

{

Mourbrc 3oHAa / ycunuBaercF B o6nacru nepexoaa nree NaoyKKanbFyro cropotsy. CKoueHH6e npoQunu uMe|ourre Bnonepe!HoM ceceF,lu nonykanen6Hy'o OopMy, npeaorBpautaNrr cKonneFrle ocrarKoB nuqM, rK. oNa nerr<o cocKanb

2.73 MoaenupoBaHre Ha MoaenFx HrxHei'{enlocTu

MoaenrlpoBa|,le faquHaercfl c ycraroBKu BocKoBoto npo-

S/nF ayru Tonu]uHa npo+,lrF 4 MM x 2 MM unu 4 MM x 1,6M M lapatsr/pyer aocraroeHyo npoeHocrb u HenoaBuxHocr6foro8ori aytu OqeFb r3F!]ts6e, Hecra6rnbNbre noabF3b,l-Bbe ayrh np/BoaFr ( Hapyuetsr'o +yNKuut u Mofyr no-Bneeb 3a co60/ Neo0parfMoe noBpexaeHrenoxa npore3a.

KoH.rpyxutd HtxHet eenbcrt c a4atoMteecKxM dpo$hnev

BocKoBon npobhnb ayrh na npa$eccapy ap. MapKcKapcy'(rorur"tsa npo.FhnF:4 MM x 2 MM) npuknaA6saercF BbrnyK-notr cropoHot k cnu3rcrot o6onoeKe. rlnocKaF cropoBa

ayM oopaureHa K F3brKy. v raKoro npoQunF 3aKpyrneHts6,BepxHut Kpat Aytu He np/n/BaercF BocKoM KAyOntrKar-Mo-

AenA AHaroMueecKrn BockaBan npobunb ay.u lronqt/NaIpopurF r .2 MV ̂ 1 .8 MV' np / re - "e r Bo ' v o ; ' ooo-onK FobrKy. BepxHuil u F/xHui Kpa, npo+unF cner(a 3akpyrneN6 (cM. kaBa 1,1.1.7:Ayra HrxHen cenbcrr).

OOnac

coearBeHhF Mexayayfoii u pereHquet o.FopMnF-rorcF ui,rpoKr4Mu ucraounhH6rMr, Ho He3aKpbrBaoquMh npM3roM Mapf/HUbHbi napoAo|r PereFLrru Ha anb8eonFp'HoM rpe6Ne cnerKa cMeu]eHbr B cropoHy F3brKa. Bo BpeMFMoaenupoBaHuF oHrl coeauHFrorcfl, no MeHbuen Mepe noL]rrpuHeAy

hycMnM8aorcF B o6nacrh nepexoAa. npM npo-rFxeFHb,x KoHqeBEx rnu BobleHHhrx ae.beKrax BocKoBy|o pereHqL/ro Heo6xoarMo crabunu3xpoBarh Boc(oBo1,rnposo, o .o / Tpu B. .o e HoM Ae.F . . rp Bo OpoHra ib oToord . / pe e- - /s -a 4or -H" 6br t ! . /u .oM -upoFo i r /

AaneKo 3axoAufu B Becru6ynFpHyo cropoFy. OrpaHu!/-'e .oArqnrd rva-o rporoar4- o r H/ - e 'o kodF D/ / !e

Page 20: Современные технологии протезирования 2

cfa6tnhHbtt nepexoa Mexay ayrot t pere4tlhei

::3 Manbi coeauHurenb ao opanbHorc nneqa KnaMMepa.:ocKoBaF npoBonoKa ron!.r,lHon 0,8 MM npunuBaercF Boc-.,.i ronbKo co cropoHbrayrtr. B urore nonyeaercF Faaex_aq exaH4ceckaF pereHuxF anF nnactMaccE co cropoHbl

::ffa. OrpaH|4,rurenrN E t Kpat ycunueaer Manbrt coeau_-..ien6 3a c!er rpeyronbHoti +opM br npo$,nF. [4ecro, noa':iosneHHoe anF crota, noKphrBaercf,

a -ahreuretbHbtt KpaA n3 BocrcBot DPoBonow

:::{trr,r nepea HanoxeHreM pereHu4L4. Fia BocrcBbu Kpy-' : L sereHu4Fx B rd hHexueM xopouo QrKc/ pyrorcF nprl

2.74 MoaenupoBaHre c ua6noHaMrH3 nnacTMaccbl

:ri'.raccoBbe ua6noHbr (QneKcerb) anF MoaenupoBa-.,- rcooeHHo nph BbrcoKon xoMtsarBot reMneparype npr.

:-"orcF Bo ,36exa! /e aeoopMaq'1 '1 npo+,net. oH/ or-. -:.rcF 6onbuerl rBepaocrbo Marepoana I ycroucrBo-

: . ' r KnaMMepbru penbe+:/ a;ranrauu, no.lropMe, crpykrype. BaxNo, ero6b 3yo:,i -ertsfK ruarenbHo oraenFn uaonotsb::.iaaoK Heo6xoaMMbri no pa3Mepy Kycole( o6p%a_

:':; OCTPbIM 'BCTPYMEHTOM ANF MOACNUPOBAHUF X OTAE

lnasa II - .fla6oparopHbte granbl

nnac rcabte ua6toH

(q'excerhn

nFercF or roaKraaKu pe3KLrM aBuxeHxeM. B3aBucuMocruor curyaqr,l nnacT,rKoBbre uao,roHbr KoM6uH,rpyrorcF c 3o-cKoBb Mr npo+unFM4. HeaocrarKoM FBnFercF ro, ero /xHen$F cKo6nrrh. nnacrL,rKoBbre uraOnoHb Bbrropaor no]rHocrbro tso He Morya aonro xpa|rlrscF, cra|oBFcb co Bpe-MeNeM xpyfKrlMr.{ 'l noMKrMu. nph cnMUKoM an,{renbNoMxpaHeHr/ oHu cnefKa BbrqBera€r,

nepea HalaioM MoaenqpoBaN/F uenecoobpa3Ho HarperbMoaenb a3 naKoBoeHoir Maccbr np, MepHo ao 40 'C. no,r63oBar8cn KneeM anF nnacrrKoBbx uaonoHoB HyxNo o,reHE

np/ nxrbe o6pa3yercF 6axPoMa. Kner4BoeHyb Maccy r y,rycuaer aa_

re3ub OneKcer K Moaenr. npooreMarMcNee paoorarb cocrapbrM, yxe cfycrL4BUi4McF KneeM, Koropbrt yBenu!,lBaerphcK noF BneHuF 6axpoM 6r n pM nhrbe. KoHcrpyKquu, cMoAe_nupoBatsHbre c ua6,roHaM/, adxHbr 6e3npoMeA,reHrF naKoBarbcF Ha ayonrKar-MoAenFx c rny6o-xxM Ne6oM uaonotsE Moryr cxarbcF / orcnorrscE .r Mo-

aenx flo 3roii npucrHe nnacruKoBbre uaonoHbr Bo BpeMFHaKnaaKu Ne aonxfb pacrFMBarbcF nocne HanoxeHrFsa ofHeynopHyo Moaenb xx, KaK npaBuno, yxe HenFF.Hrrb 6e3 fospexaeN,l14.

KoBctpvRqrq Hrxqei \erbcrh n nnacrurcBbtx uaotoHoa

Page 21: Современные технологии протезирования 2

ftana II - Ila6oparopHbre oranbt

2.75 nposepKa MoAenBpoBKlr

Bce BocKoBbre npo$unu aonxFb np nerarb K ayonuKar_Moaenu nrorHo, 0* 3a3opoB, a e Kpurrqec(/x Mecrax ao_non!/ren6Ho noanrBarhcF BockoM. Oco6eHHo ipu na-KoBKe MoAenupoBKq noa aaBneNf eM oH14 Mof yr orcnotrrbcFor ay6nuxar-Moaerh, u naKoBoeHaF Macca 3anbercF noakoHcrpyKLrurc KnaMMepd npu FanoxeBuu He aonxNb| Me-HFrb cBoro .popMy, noBpexaarbcF L/nf pacnnouruBarbcF. ^KoHqaM oHu paBNoMepHo yroH\raorcF, nmroMy ny.rue npu'KnaAbBar6 6yKKanhHbre nneeri KnaMMepa B nocneAHNrooeepea6. CrpyKrypa perbe(FHbx BocKoBbix nnacruH aonxFa norHocr6b coxpaNFrbcF: nph aAanraquu penbeoNoroBocKa oHa He aonxHa pacnnourxBarbcF. Tqare,rbHo cMo_aen/poBaHFbre nepexoab K BockoBbrM 3aroroBKaM yMeHbuaor p,lcK cKanhrBaHrF .aKoBoqHot Maccb Bo BpeMF 3a_

L/ ipeaorBpaurapr rpyAoeMKyNr aopa'6orKy MerannueecKoro KapKaca.

npooecc'.loHanb|o ycraHoBneHHbe nurNL/KoBbre KaHanblFsnf,orcF maBHon npeanocbnKoii anF nonHoqeHHo ornu_rorc oobeKra'6e3 ycaaotHhrx pakoBr4|'. KonLi,recrBo 14 au_aMerp nrirHr4KoBbx xaHanoB 3aB4cFr or M|ofr.{x napaMer_poB.6on6uyo ponh urpa'or MourHocrb u +yHKuuordhHaFnocneaoBarenbf ocrb ucnonByeMoro nurenNorc annapara.

Hrc nMoro npocrpaH.rga B obrekre 3a

Ixrhe HanrretHoM annapare Nautilus I ' coeafHFer B ceoeraAex|yo, 6brcrpy€ BbcoKoeacrorHyb nnaBKy c npeuMy_urecrBaMu eaKyyMHoro nurbF noa aaBne|feM. 3aecb nocpaBHeHu'o cnurbeM Ha Bb cokoqacrorHoM qeHrpo6exHoMannapare xBaraer MeFsue

OnbFHbreAaBHbre Ana Korr'{ecrBa u pa3Mepa

2.8 Jl}|rHxKoBaF6|orenbHoro

cucreMa B TexHonoruunpore3xpoBaHxF

sr(yyrHsrrra tl.Hoo66x@nee/noaaaerchrc{' nrlBudrprErx

2 iieKfx ifiiKa 2MHrrmr{a20 ,Mr45Md 2p r r r 6 ,5w

2niodrrrmHrs 2mcernfmd20rMx i l5w 20 w r 1 ,5 r {

2iie(AifiMG 3Msnrmda20n r r4 ,5MM 2 ,0 Mr x4 ,5 xM

3o r r -3 ,5MM 3 ,0 MU -3 ,5 rM

2 nBtre 3,0 Mr - 3,5 uM30 rv 3,5Mr 1 46. imd 1,35 !M

Page 22: Современные технологии протезирования 2

nrasa II la6oparopxure oranbl

KopoHoK x MocroBrlaHbrx npore: : : raK x anF bEfenbfbx npore3oB BaxeF QaKropynpaB-.:.,ofo oxnaxae|,1F cnnaBa. B oonacrFx, rae uupoK/e

HAXOAFTCF PF40M:::.(rE iMeor MaccrBHy0 QopMy. BosHuKalor rennoBbe,:--p! 3ru renno86e ueHrpb o6pa3yorcF ronbKo nocne: I r B (" cnfaBa B nonocrr +opM E . oB, ocrbrBaor nocnea-

,,rf f. BcneacrBue 3rofo, ,3 3a ycaak4 Meranna Mofyr: :3 : r ( tsy rb HanpFxeBre ,n , nopb. C oaNoi c ropo |b . cy --..r]\Er xetarerhHbte rennoBbre qeFrpbr (Harp Mep-..-6eBE e KaHanbrl, /3 Koropbx eLrte xL4aK14u cnnaB Bbrca:-:aercF Bo BpeMF oxraxaeH,lF orrurofo o6beKrar c apy:. .ropots6l Bo3HrKaor rexetaret'hbte rentaBse \eH-

-:- rar,r..ae BocKoBon o66ekr 13 3a cra6qnrrocru /n/ no: . ,n r npu! fHaM aonxeH ooopMnFr6cF MaccqBBB|M. Te. :6o'i qeHrp tse o6F3arenbro uaeNrhleN c L.te|]rpoM

:_.Kf. re ee reoMerpu!€cKon cepearHoti. B L,laeanbHoM:_,ra€ ooteKr 3arBepAe8aer paNhue, leM nL/rHr4KoBb e-::-anb FooroMy i B AanbBetueM aeicrByer rpaBtlto:,-te npaBBoAtrcR ar Macck1H'tx qacrei BrcHKre!

r-r enbfb Li npore3 no cBoe, KoHcrpyKu/! 4Meer pa3nu!-.r ronuruHy, nGroMy Bce. ocooeHHo MaccrBts6 ycacrK/,

::rxHb /Mer8 tsenocpeacrBerryE c3F3b c ntrrbeBbrM Ko-- ::,. !epe3 aononHxrenbFbi n,1rHu(oBE tl kaEan. no

:-.Le, Mep€, aonxHo 6brrb o6ecneleHo oecnpenFr-. EyxHo L4cKn'o! L,rrb c/ryarrrE,

:. ioropoli cnnaB ero6br 3anonf,1rb nonocrL4 oonruofo'::.ia aonxeH reeb eepe3 roHK/e, .yxarcurrecF nrr'-,, no3roMy / npu BaKyyMNoM nurbe noA AaBreHueM B

:',,x cnycaFX tseo6xoaqMo craBurb aononNrrenbf b e nrli..<f. fpf .ix ycraHoBKe Baao oopaurar8 BHuMatsre Ha rorr06L nrrHuKh raxoaunucb Na npFMoM yAnrHeHrl'l K

::rr3y6No,rrexH K pacnnaBnnercnnaB orKpb rbrM nnaMe:r.r ro nrrexHb I annapar c MoropflbrM npL/BoaoM Bb nonier cBo€ aytsKqu|o nycue, ceM c npyx/NHbrM nprBoaoM.

-.erMyutecrso cocrorr B 6onee 6bcrpoM MoMefre 3anyc

..:: f6onee paBroMepHoM Bpauter/, UeHrpo6exHb e an na-

..16 caBorHLtM nneeoM ao.ru.a6rraK/x xe xopou/x pe-:.nbraroB. KaK u aniapart t . aaH|,M FenoaBtxHLtM nne

rH OcoOeNtso 3ro KacaercF nonBoro , paBroMeptsorc 3a-:kaHhF Meruna B nuretByE +opMy.

oaKropbr, BnuFloqHe Ha onpeaeneHqe KonueecrBa upa3Mepa nxrHxKoabrx KaaanoB

. i,'leroa nrr6F: HanprMep, ueHrpo6exHoe fnfsakyyMtsoe nurEe noa aaBnetsqeM

. Tei neparypanurbF (npuMepNo Ha 150 _c

6onbLlerei ieparypb nL4KBr4aycal

' Pa3MepH o6teKra (ronurfHa. nfoura46), Do vap oro. /. o' ului r i ipHor

aon6uoe My.penbtsoe (on3uo). IeMaeparypa npeaBapfren6Boro npopeBa

1900'C 1 050 'A) u BpeMF BELAepxKh KotsecHo

. BpeMF nnaBnets/F (BpeMF 3aaepxKu nhrbF):

. MoMerr 3anycka nnela qetsrpq+yrq

. noareM / nocneAoBarenbBocrb aaBneHuF npr

. nnaBneHhe noa BaKyyMoM /n/ 6e3 BaKyyMa

. Beru!11Ha rurnF. +opMa rfflrF , pacnoroxeHue

rlp/ onpeAeneHi, KonveecrBa u pa3MepoB n/rHhKoBb x Ka-

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Page 23: Современные технологии протезирования 2

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Page 24: Современные технологии протезирования 2

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Page 25: Современные технологии протезирования 2

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Page 26: Современные технологии протезирования 2

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Page 27: Современные технологии протезирования 2

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tlo MeroAy BaKyyMHofotr4rbF noAAaBneNueM c rFAyKuxoN-HbrM HafpeBoM cnnaBa pa6ora€r Nautilus' I4C pLus, _T u _CC'. B BepxHei lacrx nnaErnbNon/ nurbesot KaMepb Ha'xoAFrcF /HAyKr.lr4oHHaF karluKa u aEoiHot rurenh;B Hr4x-Hxo nonoB/ y Ba^yyM coraaHHhr;anfl nnaBneHhF, BbrnonHFer BaxHbre SyHKr.l4f:npu nnaBKeoH npenFrcrByer 06pa3oBaHulo okcuaoB h o6ner!aeronpe_aeneHxe MoMeHra rrr8F. KpoMe roro, BaKyryM yMeNhl].|aer

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ocrarKx npoayKroB cropaHxfl He aonxHu npeBbruarb0,05 %.

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lnasa II - fla6oparopHbre oranbl

Hbrx uHAyKrtMoHHb x qeNrpobexHbrx annaparax. Pa3nacH6rereMneparypb npeaBaprrenbHoro npofpesa onoK roxeBnrFNrr Ha crpyKrypy u noBepxHocrbnxrhF. npr 6onee Bb -coK'4x reMneparypax cnerKa noB6ruaercF cpeaHnF 3epN rc-rocrb: crpyKrypa 6yAer ey6ee. Oco6oe aocroxHcrBon/rbF HanMretHE xannaparax Nautilus._ -3ro Bo3Mox!ocr6noH4xeNrF reMneparypbr npeasapurenstsoro npofpeBanoqru Na 100 'C OABa(o npeAnocbnxoi AnF 3rofoFBnflercF KanuopoBaHHaF MyOenbraF ne!6.

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1 0 3

-

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lnasa II - tla6oparopHble eranbl

CHa6xeHHbrir coorBercrByroquM nporpaMMHb M obecneee-HueM Nautilusr l\,'lc p us cneaur He ronhKo 3a npoqeccoM

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"q no, ' e Eono. urenbHo; Ba-

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rynFroP ycraHaBn/sae

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lnasa II - fla6oparopHbre eranbl

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UeNrpobexHbre anna-parb c MoropHb M npu-BoaoM - 3ro ycoBep-ueBcrBoBaHHbre npyxr4|Hbre annaparbr.3aecb BaxHb Bbrco-KaF, nnaBraF iycKoBaF cKopocrb, araKxepaBHoMepHoe, KpyroBoe BpaLrteHue co cKo-pocrhb oKono 500o6/MfH. B qerFx 6e3o-nacNocrx nureiiH6reannaparbr aonxHbl6hrb ocHau.teHbr 3anM-pabqencF Kpbuxon{3neKrporvarHrlrHaF

Fundot f ' - fuaetahtn adnaPar c

npnMeqaHru Atr npuMeH€HnF ra3oB:

Bce ra3oBble oatnoHbl c rop peutth .a3aMA - 3a oaHAM tlo'KnloqeHreM - uMeor neByo p$b6y. TonbKo aqeruneHoBb|e6annoHEr ocHau]eHbr HarFxHbrM xoMyroM 14 Br,{HroM c r_06-pa3Hoir rcnoBKon. oKpacKa6annoHoB B pa3nxqHbx crpa'Hax Moxer 6brrb pa3Hon. BpaMxax EsponsncKorc Coo3a,l,'lexayHapoa|brn Coo3 ra3onpoMbruneHHrKoB crpe_Mr4rcF xco3AaHuo eahHoi HopMb, OKpacKa6annoHoB r4H-

SopM{pyero csoncrBax €sa. vxe Ha paccroFHr4r.r BuaHocoaepxaHne 6annoHa rcploel4M, oKucnu_FAoBrrrbrM. O6nsarenhHaF npeaynpeau_

ronbHaF HopMa I rBHaa Map(upoB<a coqeowaHtF 6dnroHaNaxoAur.a Ha HaKneeHaoi srtkerKe MF anac4ux rppaBOHa no4po6ro /HQopvupye o cocraBe ra3d /n, ra3osotcMecu, cTeneH, lrxcToTb| u aA'

Page 32: Современные технологии протезирования 2

lnasa II - tla6oparopHble eranbl

OKpacKa HeKoropbx ra3oBbrx 6anroHoE

FoBhre npas'4na Lr'nLr' NaMeqaeMbrx craHAaprAnF !/crhrx ra-3oB u |a3oBbrx cMecen (EBpo-HopMa DIN EN r089-3)

.lro6br ucxrroeurb fyraHuqy, HoBbre MapKupoBKu Ha nne:ax rasoBhx 6arnoEoB noMeeaor 6yKBon N (Ne!, New''louvea'r).

AnF oannoHoB c nponaHoM Her eArlHoii qEero-.ct oKpacKh: oHh 6hrBabr KpacNoro, crHero hnx 3eneHorc

HukoB6rM, KaHanaMa HeooxoAuMo 4 qunuHApa cn,raBa. Co-KpaureHxe KonMeecrBa rtunuHApos cnnaBa npuBoa/r KroMy, ero nrrHuKoB6re KaHand He oyAyr AoxoAurE Ao nurbe-Bofo KoNyca. 3ro cGAaer Neyao6crBa npq pacnaKoBKe.nnorNocrb CoCrcnnaBoB: 8,0 8,5 r /cMr.

2.11.6 npoqecc Kprcran nu3at luu

2,11.4 nnaBKa BonbroBoi Ayroi

":-oa nnaBKu BonbroBori ayrcn npxuen /3 Merannoo6pa-::i- BaKUrei npoMbruneHHocrr. Bo BpeMr 3roro npouecca: . ae pacn,raBnqercF B 3alrurHoi cpeae aprofa npu reM_:.arype oKoro 4.000'C BonbroBaF Ayra cGAaercn':xrry aByMF BonbopaMoBbrMx 3neKrpoaaMu. OaLaH 3neK-: -a.onxr.. Ho aHo r/f.. apyron 3aS'aK.xpoBaHHb,T

: :r!Ke. Boar,lrcn KpymebrML/ aBrixeHrnMf Naa cnnaBoM.:=:okaF r-"n/roBaF 3Nep.uF BonbroBot Ayru pacnnaBnFer: . 39 oceHb 6brcrpo. no3ranHaF perynhpoBKa MourHocrl4: :.r{x noMoraer /s6exarb neperpeBa cnnaBa.

2.11.5 Heo6xoArMoe Konr'recrBo Meranta

:a= !Bo anF n/rhF xapKacoB BepxNet M NMxHet lenbcrx

CocrcnnaBb Kp/crann/3yrorcF nocne pacnnaBneHrF uoKoHcaBrF npoqecca nurEF oleHb obrcrpo l,1x reKyrecrb,Heo6xoarMaF anF 3anonHeNMF nonocrx nuretHon OopMbr,coxpatsFercFronbKoAo,r,{ceKyHAbr. nooroMyAnFnurbFHaqeHrpo6exr b x an naparax aocmro! Ho Kopor(oro BpeMeHhBpaureHhF - oKono 10 ceKyHA. Bo BpeMF oxnaxaeHhFcnnaBa Eo reMneparypb nrKBuayca eu.te B xrlaKoM cocroF

nepBaF ycaaKa. B oonacru reMneparypMexay nuKBriaycoM r4 conuaycorv Bo BpeMF Kpr4crannrca\aa aaer ycaa(a Ha3bBaeMaF e!.re ycaaKoi np'l 3arBep! .Huu lv . {qy ev ep"_ypot lor laycd u.oMHarHot r .v-neparypoi yxe B rBepaoM cocroFHo/ cnnaBa npoLr'cxoar4rrepMhlecKaF (rBepaaF) ycaaKa Koropar roxe MoxerBrrFft Ha /3MeHefre oor'eMa B npoqecce npeo6pa3oBaH F. KaK ycaaKa B x/aKoM cocroFNuu raK u ycaaKa np,r3arBepaeNfu aalor B xroreyMeHbuets/e o6beMa ao 2.4 %.PacnnaBneHHbrn Merann, NaxoaFul,licn B norHr4KoBbrx Ka'Hanax I norbeBoM KoHyce, aonxeH Kprcrann/supoBarbcFnocne 3arBepaefrF oorrekra rhrhF Hrlxe reMneparypbnxKBrayca.TaK/M o6pasoM /3 aeno n/rHuKoBbx KaHanoB,np/ 3acr6rBaHuu u ycaAKe o6beKrarocrynarb ̂ /Axhn cnndB Ecfu Fe c /ra-"co rrot ra{oBoMepHocrhE, ro B ooteKre ndr6F tseu3oexHo Bo3HhKNyrycaaoqNbre paKosuHbr / nop4crocru.

Bo BpeMF oxnaxre|uF cnnaBa cHaeana o6pa3y6rcF o6na-cru ,3 MerKfx Kp/cranroB (Ha,ranbHaF Kpr4cranrrcaquF),Koropbre yBen/exBabrcF B aanbHeftueM sa caer ocaxae-

BGBuKaoLrtue np/ 3roM 3epHapa3pacraorcF 4o coceAHero 3epHa. np, 3acr6rBaN ru BceroocraBurerccn cnnaBa o6pa3yNrrcF conphKacaburhecF no'BepxHocrtr oraenbHbrx 3epeH. ^p,lcrann,lqecKaF crpyKrypa

BoicrBa KapKaca oprenbHofonpore3a. ̂enaren6Ho nonycur6 kpncrannlieecKylo crpyK-rypy MenKon 3epFucrocrr. OHa 3aBxc/r or npaB/nbHoroonpeaeneN/F MoMeHra nurbF q or Meroaanrr6F. 3epruc-rocrb crpyKrypbr cyurecrBertso Menble B rexo6nacrFx Ko-ropbre Kpucrannu3upyrorcF B nepByro ocepeA6. nmroMycrpyxrypaHa KoHqax K,raMMepa Bceraa Menble, leM B ayfe

x, y Koropbrx crpyKrypa nonyea-

2.11.7 noBTopHoe,rcnonb3oBaHueCoCr - cnnaBoB

B coleraNuu c HoBbM MerunoM n/rheBbre Kolycbr Mofyr,cno/r*osarbcn noBropHo Ho ronbKo nocne rutarerbHo,a6pa6arKu B necKocrpyrHbrx annaparax. O,reHb roNKue

r: saryyMoM u aaBre|ueM aocrarocHo rpex qfn'1HApoB:-iaBa no 6 r (= l8 r)i anF nurbF Ha ueHrpo6exHoM anna-::-: eerbpex LrunuHApoB Merdna (= 24 r) ArqF o6uxp--. ! nir8x 6a3rcoB Bepxtset eenocru c MaccrBH6|M, nm-

MUEHoB6i lcepHbii, xenrb ii)

(90 N/ 10 H)(ep6i(reMNBeieHEi eeftui)

1Q7

Page 33: Современные технологии протезирования 2

I}ana II - Ia6oparopHbte eranbl

HyxHo oope3arh u orcoPruPoBb Barb:rc-sa Manoi ronu.ruHbr oHu cnuuKoM obrcrpo pacnnaB,rF_rorcF, lro npuBoaxr K neperpeBy cnnasa. AnF nrrbF tsa

.eH pooa^Hov a--dpa-e r/ rbeBoTkoHyc Maayr Ha aHo rfiflrF. Tonbko raK yaaercF Eocruc6paBHoMepHoro Ha|peea Bcerc Marepuana. Konu!ecreo craporc Meranna He aonxso npeBbruarb 50 %. npu pa6ore cW onr l -A r -06r ' e yxyaudr" -a-ec-so narapHoicBapKq, aonF craporo MeroKono 30 %. OrxoAbryxe noBropHo /cnon$oBa|Horo Marepra,ra Ne aonxNb| oonbue npnMeHFrbcF anF KnaMMepHhx npore3os. vcnoBHo rx MoxHo ynorpe6'1rbatF 6'orenb-Hbrx npore3oB6* traMMepoB. Bo BpeMF npoueccannaeKhu36era'1re qacrreHoro neperceBa ManeHbKux KycoqKoscnnaBa. EepexHaF, MeaneHHaF nna8Ka oqeHb BaxHa nphnoBropHoM /cndb3oBaNf u Meranna

OAFaKo noBropHoe hcnonh3oBaHhe Meranna He pexoMeF'

ayercF noroMy, lro 3ro aeHoMepa napru4 , /sHalarbHoro Ka,recrsa cnnaBal

2.'12 Oxna>KAeBne h r3BreqeHre6prerbHbrx KapKacoB lr3 onoKl

onoK4 c 66fenbHb Mu npore3aMu aonxHbL ocrblBar6 npukaMHarHan reMneparype un,{ noA BeHrhnFropoM. Pe3Koe.-d\eHue -eM-ap. rypb. Ha, pyMep \onoE ou Boaori pu-soaur K HanpFxeHup, a uHoEa h K rpeurHaM e KapkaceraK KaK Merann HaxoarncN l1i. An hrepHaruBso onoKx MoxHo nocraBlrrb anF ocrb Ba_Nt4F B BbKnoeeNry'o MyQe,rb|yo neqb !ro, noHuxaer Ha-n pFxeHxe Marepuana. Sror cnoco6 3apeKoMeNAoBan ce6FocooeHHo npM KoM6uHxpoBaHHbrx pa6ord, a rakxe AnF6€rcr 6H6rx . pore30B c BHeuHuM|a KopoHkaM/ u3 CoCr(Mo-No,l|ar|]oe nfr6e). l.43BneeeHrc Lrc onoKu npo4cxoaurronbKo roraa, Kofaa ee MoxHo B3Frh B pyKy.

O6pa3oBaHxe nb nL,1 npu u3BneleHuu u3 onoKu yMeHburaercfl ecnu onoKy npeaBapfrenhHo cMoe/rb. KapKac 0lo_ferbHorc npore3a QuKcupyercF B o6nac

nurbeBorc (o-ryca qunqaMu u ocropoxrbrMu yaapaMx no xoHycy ocso_6oxaaercF or naKoBoctson Maccbr. Eonee pauroHarbHo u0e3 o6pa3o8aHxF PacnaKoB6rBarbnFeBMarMcecKuM aonoroM unu B cneqranbHhx annaparax,43 Koropbrx oaHoBpeMeHHo

r08

2.13 O6pa6orKa 6prerbHoro npore3a

2.13.1 necKocrpyiHaF o6pa6orKa

QKcuaH u naKoBoeNaF Macca Ha noBepxHocrh KapKacavoryr y rpaHardFBov -v lo hn,dB-ov" 4qe' kon echocrpyiiHon oopaoorKot AnF 3rorc nprMeHFercF oKcxa an€_M/HuF 3epH,rcrocrE'o 3 250 fM, c pa6oq,{M AaBneHreM4 6 6ap anF pylNon / 5 - 6 6ap anF a8roMarulecKon 06'pa6orKM. AnF olr,icrKr4 Kp,lr4lecKux o6nacret, rax/x KaKBHyrpets NMe nosepxNocru nne\r pacnpeaeneNuF cMeureFMF,peKoMeHAyercF 3epH4crocr6 B 110 gM. noebrueHHbri crocvd-ep/ara Bo 'Huha.r o.o6eHFo no/ aBroMdruee.^ot -ec

B a x E a r ular e, E H a a n e cKo ct py t n a ar o6p a6 or x a

KocrpynHon 06pa6orKe c 250 UM noa6onburM aaBneHueM.Ecnu AnF aBroMarxleckon o6pa6ork, uMebrcF MeHeerpex o6r,eKroB, K HUM peKoMeHEyercF aooaBoeNo nono'xtrr6 craphre nurbeBbre KoHycd. 3ro noMoxer u36exarhHero!Hocrei B npuneraHr'4 '€-3a uepL!aeocrn ,r cHoca Ma-repfara. Heo6xoarlMo yeecrb, lro HoBbre6onbuyNr Mou.rfocrb. TBepa6e MerannrLrecKUe HacaaKu 13rerpaoopKapootsara .poaneBa|or cpoK 4x 3Kcnnyarauhtl.ItroueHtsbe conra aonxts6r cBoeBpeMeHHo 3aMeHFrbcF.LleM MeN6ue paccroFNre K o6teKry reM 6onbue crta Bo3aeicrBuFHaoobekr t rcrocMareprata.Oonacrr ,npxKpb'

Mu, o6pa6arbrBa€rcF qeneHan-paBneHHo. fl!4rHukoBbe KaHanb o6pe3a'or rdbKo nocnenecKocrpyiHon o6pa6orKt1. l,4erannulecKun KapKac rurarenbfo koHrponhpyercF Na ocrarKx oKcuAoB. TpyAHoAoc

rynNbre Mecra, Hanp/Mep, .oa oKKnE3/oHHbLMu HaKnaa-(aMr, rpe6yEr oco6oro sNfMaHhF.

Page 34: Современные технологии протезирования 2

Mepbr npeAocropoxHocru:

Co6n|oaair6 HaqnoHanhHbre npeanucaHrF no rexHhKe

nhnb naKoBocHoi Macchr coaepxur KBapq u Kprcrooa-nfr nnn nsckocrpynHon o6pa6orK, HenpeMeHHo nonb-3ynrecb annaparaMu c r4HrerpxposaHHbrMu roHK'4M!4rDrnbrpaM rnx c qeHrpanbHon BbrFxKon. CyurecrByel

oMy HyxHo nonb3oBarhcF abtsxarenbHoi Macxoi c fosbrueHHon Qunbrpauuen. nplay6opKe Mecrc necKocrpytHbrMu annaparaM, nbnbycrpa-aF/or BnaxHbrM cfi 0co00MJ

Tpe6oBaHrF K ornrroMy o6beKry

nrasa II - Ila6oparoprbte granbl

He3NaerrenhHoe o6pa3oBaHxe oKcMaa, NrKakoipeaKquu c .aKoaoeH0h Macc0tnonHocrbro ornurb i xap(ac - 0e3 aeQeKros u

raroreHNbrt, be3 HanuqL,1f, nop|4 ycaaoeHbrx paKoBrlH3e3 HanpFxeHuF , nepekocoBia4KaF noBepxNocrb, NrlKaKux urepoxoBarocre,l

2.13.2 O6pa6orKa

_-" o6pe3aHrF ,4 KoHe.rHot o6pa-:: <i rcnon$ytre ipeuMyurecrBa 6brcrpbrx unuooBanh'=.! craNKoB. BbrcoKaF Mor4Hocrb 14 c(opocrb BpaureHuF, a:{ie BMoHrxpo8aHHbre B craq/oHapNbin Ban uHcrpy-

,':-rd no3Bo For paoorarh paqhoHdbHo { 6brcrpo. npu:-.'.,:y68on rexHrK Moxer HanpaBnnrh o6r,eKr c He6onb-

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ueHrpdbHoi BbrFxKe. AnF o6pe3aHxFb3yror pa3Eennen 3H6re auckx

: a'.,erpoM 25 MM u ronuth|on 0,5 MM. Eonhui,{e unu cer:-:e axcK/ Ne aonxNbr npuMeHFrhcF no npu!Lr'HaM 6e30-: r -o-!r: aepxarerb arcKa npu nepekoce otueKra Moxer:--!T8cF, cro ysenMehBaer onacHocrb ionyqeHLrF

_::..,ru [Iecra nprcoearN,.-aE cF nepooprpoBa|HbrM a,lcKoM (25 MM x 3 MM).

: ,r enuaF oOpa60rKa u nonnpoBka pe3MHoBhrM nonxpoM': <:r nonNocrbNr npo,r3Boa

Mepb' trpe4ocropoxHocrr:

::6nEAatre raquoHanbHbre npeAnucaBMF no rexHuke

a. speMF o6pa6orKr4 Bcena HaaeBaire 3aqrarHbre oqKxl:.e.Aa BKnocairo BbrrFxxy u Hocure MacKy. He BAbts.inre nbnb I He o6ayEanre pa6o,rylo oaexay cxarbrM=.3ayxoM. PerynFpHo npoBerpxBanre noMeqeHrc na6o-:eiopri. CyurecrByer6onbuaF onacHocrhanF 3aopoBbfi-.H BEbrxaf,{4 oqeHb MenKoi, oceaaloutet BnefKux nbnx<o6anbr, xpoM 14 r. a.). np6 He coonloaeHff yKa3aHHbrx

lsp npeAocropoxHocru Moxer npou3oiru HapyureHue

1 0 9

Page 35: Современные технологии протезирования 2

lnana II - fla6oparopHble oranbl

+yrKqx|a AbxaHrF alnorb Ao yAyubs c nocneAcrBueMpaHHei uHBanvANocrr.Bce 3arprcNeH F raKoro poAa nbDhb oeeHb onacBd AnF

npoayMaHHhrn Bbr0op h!crpyMeHra FBrFercF npeEnocbnKon anF paqrofanhHon oopaoorK/. Ope3br, B saBxcrMoc-ru or AraMerpa u oo}eMa Mofyr pa6orarb rorbKo c onpeAeneHHoi cKopocrbo Bpaqets /F. Pa6orarb Na unrSoBanb-HoM craHKec apesaMx, hMe'ourhM/ auaMerp xBocroBuKa B2,35, He peKoMeHAyercF. TonurrNa x8ocroB/Ka B 3 MMrMeer noBbrueNNyo npo!Nocr6 Ha r3noM,oonee BsrcoKyrocraounbHocr8 u MeHbuiyo Bropaqr|o. no rexHonotu 610-rcrbforc np01e3r.rpoBaN rF MoxNo npxMeHFrb MorruposaH-lbre Ha KepaMulecKot mF3Ke a0pa3rBH6re uHcrpyMeHrbr.3a6frbre ,1n,1 NepaBNoMepNo croeeHNbre a6pa3uBHbre uN-crpyMefrbr noAnpasnForcn Ha orAenoeHoM KaMHe. Oco-

Bce yrru t xpa' 3aKwrn1brcd!

6eHHo xopou/ anF o6pa6orKx xNcrpyMeHrbru3 cneeeNBbrxanMa3oB. ON/ hcnon$yKrcF c He6016u, M AaBneHueM Mcockopocrho 15.000 18.000 o6lMrH. IrF fpy6oi o6pa6or(,MoxHo hcnonh3oearb rBepaocnnaBHbre dpe3br c Kpecro06-pasHon HaceeKoi. O6pa0orka fae'4HaercF c Ayf,l KapKaca-coKpymeN/F KpaeB. AnF ororo 6orcnbHbrt npor€ 3ax,lMaercF, HanpyMep, B cnecapHbe cKu. 3areM o6pa6arbtsBa€rcF KnaMMepb, HaKnaAKx L, Manbrii coeaxH/renbFlyxHo crpeMurbcF K u3flurHoMy oQopMneHub KapKaca 3a-KpyfnFF nepexoab, HacKonbko 3ro no3BonFer coxpatseHuecra6unbHocru. MaccrBH6re afi cnyu,rcM yBen,{lefHbreo6nacru o6paoarbr8aFrcf, rreneHanpaBneHts b Mu aBxxe-HaFMM. MdeHbKMeny36rp6Ku Ha HuxFei cropoHeAyru y6,lpaorcF LlapoBraHbrM 6opoM u3rBepAoro cnnaBa. Penbe$-HaF cropoHaayru o6pa6arb BaercF ronhKo rocre 3neKrpo-nrrleecKo, nonrpoBku. O6par,{re BHrMaHye Ha rorurfr'ryq cra6unbHocrb Maroro coeAxHhrenF u nne! uaMMepaBocnpenFrcrBoBarb nprn/naHx6 eacrru n/uu MoxHo. , e lFa ia^py lh8- l+HEo. ropoHyvdot< 'aeD/ v ene ' 'AnF yny!ueHxr caMoocucrKM. MexAy pereHq/en u Ayfoi3y6Hon rex|LiK ooopMnner ocrpoyronbHbrn ofpaN/exrenh

anf nnacrMaccbr. YerK,le fpaFIqbranF nnacrMaccbr BaxN br

raKxe Ha Man6x coeA/HurenFx u n,reqax KnaMMepa. Poe-Hbre nnoulaar. raKue KaK xpaF KapKaca, MoxHo Ha Mahxoooporax 3arnaaurb HaxAaeNEM no,lorFoM (3epNrcrocrBr20). OcropoxHo: He 3aqennFnrecb 3a r<naMMepHL BHyr-peNHne cropoHbroaMMepa u HaKnaAkh oopaoarb BaEr ry--dM urdpoB/AHbrv 6opoM

_lep" ! .nerrpo, / ru . . .on o-

n/poBKoi npor* oopaoarbrBaNrr B necKocrpyn|oM aiia-pare crextFHNbrM, nepnaMu oK'lcu HarpuF - Penablasl' l

125 UM

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Tynon rBepaocnnaBHbrn trNcrpyMeHr 4nF o6pa6orKxBHyrpeNNux cropoH KnaMMepa

Pa3Aen/ren6Hbe AucK, (25,0 MM x 0,5 MM) AnFo0pe3aHuF rrrHuKoBbx KaHanoBrlepoophpo8aHts b e aucK, (22,0 MM x 3,0 MM)AnF

^4oHrxpoBaHHb e a6pasuBHbre uHcrpyMeNrbr 6enbeanF rpy6ot o6pa6orKy r0.000 20.000 o6/MrH.TBeproc-raBHbe Op"rb r "pe!roo6palHon -a.e ^o7ulnuooBanhHbre KaMHU pa3Hbxpa3MepoB, anF.py6onu Menxoi o6pa6orKu 20.000 - 30.000 o6lMuHPe3rHoBbre nonhpoBoqHbre AucKr , NaKoHeeHuK,l L/nuH3bri3eneH6re = MFrK,le, lrepHbe = rBepab|e(18.000 ' 20 000 o6/MnN)CyneprxOK/epe3/NoBbre nonhpoBoeHbeaucKh(WiroFlex') AnF cenapauM,Aepxarenu AnF nonapoB u AricKoB (rAeanbHbrtr

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1 1 0

Page 36: Современные технологии протезирования 2

Karoay.TaKuM o6pa3oM, nonyeaercF cBernaF, cnerKa 6ne-.rFLr.ran MerannqeecKaF noBepxHocrb. BbrcoKue KpaF,yffbr r13 3a noBbrueBHoro 3neKrpulecKoro nonF cHarrluBa':3rcF u oKpymFlorcF 6onbue. He3Hac4renstsbrt cHoc Mare-.{ana B uepuaBb x yrny6neHhFX BbipaBNuBaer noBepxHoc-i O6teKr. ykpennetsts6rt tsaMeaNoM KproeKe /nf 3axfMe,

' onHocrop onYLAe B te ' Paru n-e ' rn ,lacrBop h Be /Merb KoHra(ra c rcnbueBb M KaroaoM. flp/

rroNr KapKac aonxeH +, KcMpoBarbcF Na B03MoxHo paBHo,repNoM paccroFHr,ll or KaroAa. KapKacbL npor*oB Bepx_:ex len€cr ycraNaBnqBaErcF raK, lro6d HL4XHFF cro..Ha ay.u Haxoa/nacb napanrenbHo K AruHHoi cropotse:aHNb. Fa (oHqax KnaMMepoB, Koropbre pa3Meqa6rcF

:rfuKoM 6nr3r<o K (o,rbqeBoMy Karoay, Marep/an cHo-aMMep nony!aercF o!eBh roN_

:.r.i. repFer roqHocrb npf nerats/F a cra6MnbHocrh. Kprrrr-:.Kue eacl1 KapKaca MoxHo noKpbrb 3aurL/rHbrM naKoM-anpuMep, SecLrlac'). Foc,re sneKrponurulecKon non'l

:rBk/ cnoi 3aqurnorc naKa cHrMaercF, Kak ine|]Ka 3+-:KryBHee Bcero nph6opbr pa6orabr np,1 reMneparype pa-

:-Bopa 4s'C - 60'C. ]lpf xonoANoM pactBope pe3ynbrar

:.rer tseyaoBnerBopurenbHb M.

,:i:Krpon/rulecKan nonupoBKa Hu B KoeM cnycae tse:.nFercF peLleHueM npooneMH ro!lon npnnacoBKL/ 3a: -?r ctsoca Mareprara. nnorHo npMnera'our'le ryrre KnaM'':ob aonxHbr noarcHFrEcF qeneHanpaBn': t onecK aocruraercF Ne Bceraa, fo noBropets/e npo-

-;.ca nonupoBKr,r He pe(oMeHAyercF. MaroBbre ootacn4':x|o o6pa6orarb ryn brM urapoBuAtsE M 6opoM.

l-oc vareprana Bo BpeMF 3nexrporrrucecKon

25.4 5 0 ' c

0,01 MM 0,02 MM

6 0,05 MM

8 0,06 MM 0,08 riM

1 0 0,09 MM O,1O MM

12 0,10 MM 0 , 1 2 M M

NNO!KuCHarpeBOM. b raKux an__:carax pacrBop MoxHo Harperb ao xenaeMoii pa6oqen-:..rneparypbr, ecn 'l ryaa noMecrurb crapb e n,lrbeBb e Ko. 15. Ho npr.3roM 3neKrpon/r 6b crpee Hacbr!]aercF.TeM-:parypa caMorc oOr,eKra roxe BrrFer Ha pe3ynbrarr ecnu

. . p -a H6 o i ppa rBpHHo nepe ! , ne r roo ro . / ooBho t Hd -

..rb noa fopFeet Boaori / noMec lrb B pacrsop, ro 3ro

.!qufr6neck. AnF eacrrq!b x6orenbHbrx npore3oB c4na_rka cocraBnFer 4 5A, anF 6on6uqx nurbrx ba3rcoB:rono 64 AnF ayta NuxHeh qen|ocrr,l AocraroeHo npu-''.pHo 44. B annapare Eltrcpol SL' oneKrpulecKaF crna

ftasa Il - Ia6oparopxbre eranbl

t r l

Page 37: Современные технологии протезирования 2

fhasa II - fla6oparopHbte oranbl

roKa perynhpyercF 3-MF creneNFMu (cna6aF, cpeaHFF ,lcMn bHaF) aBr0Ma ru!eckx, He3aBL,tcr,1M0 or xonu,lecrBa Kap-xacoB. 3ro rapaHr'4pyer NeooxoA,lMyo 3reKrprlecKyronnor-oc r !erpe6yF qonron !o onHarenbHot pacrpoa(/.FTMXHFF cropoHa KapKacoB BepxHenqen|ocrr aonxHa, Kaxdprdr l8. oeHo -oB ooF ropenbe+ o8ep" .oc- x . rxr lc ,ouooonoeKx nonocrr4 pra. gp€MepHaF 3neKrpondupoBKanprBo4hr K oopa3oBaH/lo 6opo3aoK Ha noBepxHocru xap-Kaca u Hapyuaer penbeQ cnr3ucror ooonoqKr. Eonee paB-HoMepHbrt pe3ynbrar aocruraercf, aBroMar/lrecKrM aBr4,xeHfeM o6rekra B annapare E[ropot SL,. Annapar oclau.leH npolrbtM KarorqoM rc cra,lhNoro HepxaBeNllreronucra. H/Ken'4poBaHtsbre MeaHbre Karoast o6orar]1a|or3,reKrponrr BbrAeneHuFM,l MeAu. 3ro BeAer K noH"xeHrDBo3ae4crBr4F 3neKrponfira M yMeHbueNrb cpoKa ero aei-crBhF. BaxHo, ,rro6br He Bo3HhKaro p*Krx nepenaAoB'ev-epaloo 3rF" poqura An! Bcex dnn.pdroB 4e/_crByer npaBuno: He npeBbruarb reMneparypy Bhrre 65 .C.4Ha!e sneKlpueecKaF npoBoarMocrb xr4aKocrh curbHonaAaer, L4 xenaeMbrt 3OQeKr orecKa He Aocr,,aerlF.Ecnh B rpuoope o4loBpeMeHHo ycraHaBnxBarorcF Hec-KonbKo ooreKroB, ro HyxHo yBenulurb cury roKa. BoBpeMF nepeMeureHrF uoHoB Meranna oraHoaa (+)K karoay(-) c KapKaca npo,cxoaurcHoc Mareprana. BoneKrponrlreoH B BrAe Fepacrsop'4Mo, conu oceaaer HaaHo.l.4oHb ko-6dnb_? BoAenFl]3rc" B oacrBop obcrpeF. -av uo-d y.rox-,rfBoro K Koppo3L4, xpoMa. Bb aeneHHbp qacrrqbt oceAaNlrB 3neKrponxre, Koropbri BcneacrB/e 3lofo co speMefeMrepFer cBoe cBo'lcr30. anhren6Hoe aencrB4e ocraro,rHonnyrbcaqru BbnpFMneHHofo ro(a EbBbBaer o6pa3o8aHheyroMFHyrb x 6opo3aoK. 143,3a npukpbrBarourero 3+(FeKraroK He Aocru.aer my6oKrx o6nacren He6a, !4 3Aecb He npor,lcxoaur ypaBHLr' saHuF noBepxHocl.{; Merann B 3rrx MecraxocraercF, KaK npaBrjno, MaroBbrM, B 3roM cny,rae MoxHoycraHoB/rb AononHurenbHbrr karoA. Ero craBFr K caMoMymyooKoMy Mecry He6a, He xacaFcb KapKaca 66renbHoro

2.13.4 npoBepKa roqrioc

npfineraHrFHa MacTep-Moaenx

CHa!da KapKac npoBepF|or Ha HepoBHocru c HuxHei cro-poHb r,1 c BNyrpeH|en cropoHH MaMMepoB. Bce ocrpbErpaH, x KpaF ru]arenhro 3aKpy.nForcF repeA npunacoB,Kon. Ton5Ka nacne 3nenpon/rueecxon nonhpoB(Lr Kap-kacb oorenhHbx npore3oB np/nacoBbrsa6rcF Ha MUAeIb.rlpn 3roM HyxHo 06paqarb BHuMaHue Ha co6noaeHueycra,

N4aroBaF, Heaocraro!No 6necrFUraF noBepxHocrb perheeHot Ayf, OorenbHorc npore3a BepxHenpoxHo Aopa6arbrBaercF rynbM, uaposr4AHbrM 6opoM ,r3r8epAoro cnraBa. Pa6ora BeAercfi KpyfoBbtMr4 Asuxe-HuFMh,6e3 crn6Horo aaBneH'jF. Ecnf o$Oexr onecKa ocnaoeBael ro 3reKrponrr HaAo saMeH,1Tb.

HosneHHorc npx rcMepeHL4/ Moaen, HanpaBneHrF BBeae-NrF npore3a, erooH oH He nepeKauMBancF. rrr' ic MoxercnerKa cocKa6nuBarbcF ronbKo KoHqaML4 KnaMMepoBLaronbxo E npeAenax pereHquoHHbx oonacrei. 3aech !axo,aFrcF axrrBHbre nnelr,r MaMMepa, koropbre yaepxrBa/ornpore- B o6nd. 'e \ no lpyrpeHu/ . TMbh.onooHhre 3v6" . o rp" .uq lBaa L- ,pdHhe / rcd Ecnh r r ' cBce-raKx cocKao,lfBaercF 6o,1bure HeooxoA,]Morc, ro sHy-rpeHHDro cropoNy knaMMepa (3a ucKnbleHueM xoHqaknaMMepal) o6pa6arbrea6r rynbM urapoBuafEM 6opoM ,p*,iHoBbrM nonupoM. funcoBaF Moaenb nocne noca4KrlKapr(aca rqarenbHo KoHrponupyercF Ha nospexEeHuF.Bce BbrFBnelHbre Ha 6ErenbHoM npore3e noMexh AorxHblqere|anpasneHHo yAanFrbca. naiue,/e cBo6oaHon ar 6a-naHca nocaaKu tyeue npoBepFrb noa ny.on. Oco6eHHoroBHUMaNMF rpebybr oKKn|o3uoNssre HaKlaaKu u Merarnr-

Ha pereHurFx KotsqeBbx aeaeKroB, Koro-pbe AonxHb nnorHo nprnerarb K Moaen/. KraMMepd HeraK xecrKo QukcLlpyrorcF Ha3y6ax, KaK arraeMeHbrxnu renecl(onbr. 6onee Bbrcol<on co6crBeHHon noAB,xHocrrKnaMMepHofo npore3a npoDlBoAencrByer nnorHoe, 6e3BcF(oro HanpFxeHuF, npuneraHue KnaMMepa K 3y6y. npo-6neMarreHbrM FBnFercF npxnacoE(a B npenapupoBaHHbrxna3ax anF oKKno3uoHN6/x laKraaoK. KpaF HaKnaaoK, Bo,36exaHue rpaBM, AdxHH 6brrb cnerKa oKpyrneHHb MM,Ho, reM He MeHee, Mex4y HrMr. h ux noxeM HeAonxHo 66trb3a3opa. nocre np/nacoBKr4 KapKaca Heo6xoAuMo cAenarb| -a renb-dn koH-ponb c r r 'u -e (xox x a / raMu-dor j oh ! o -3r1u B aprurynnrope:B 4aearbHoM cnyqae oKOo3uoHHbrecacru knaMMepa Ne uMeor

HacbrqsHHbt 3neKrponrr re AonxeH nonaAarb s kaHa-nrcaqu|o!B oAHoMnurpe laxoAFrcF nprMepHogo r uo-HoB rFxenhx MerannoB; Herrpanu3aqrF 6yAer HeEocra,roeHoi. Snexrponuru'recKhe pacrBopbr ccuraFrcF cne-qxoueecKuMx orxoAaM4, Koropbre nprHl,1Maor Ha yrr-nrcaqu|o cn€qranb!bro npeAnpxFliF. OcHoBHon KoMno-HeHr pacrBopa, coaepxaqerccepHyro Kucnory-3rosrM-

nptnacoBKa fonh<o doqe .t Krportr4eecKon nonupoBKt!

1 1 2

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I-,raea II fia6oparopxbre oranbl

2.13.5 KoppeKrypa M 06pa6orKa pe3xHoBr,rMhnonupaM,l

:: r.knoletsreM Ayff BepxHaii eenbcrf r BNyrpeHHrx:-.poB MaMMepa KapKac nonHo.r6b nonrpyer.a pe34Ho:: riI nonhpaMh Ton hko raKr M o6pa3oM oxtsoAocrrrHyr6.? !Kor . poBHor noBepxtsa . r , Fe6onhuuu pa3Aenf r€nb.

-- r,1 arckoM I cneeeHtsb M a:,ipvor o6nacri MexAy or4ef6HE Mf snerrefraM/ Knarr

o O o " , / u " " - " i p " / ^ c: . ro fc KapKacanony laereerKf , ko ts ryp KnaMMep6L Ha

r t a p t - r u o , , p " r ' - t o p o v i 1 4 o::NHfr€nb ocropoxtso 3arnaxfEabr.F pe3ftsotsE M non,:r..i np, 3roM kotsefkf kfaMMepa rurarenb!o :arynnF

- v t a - ^ ' r a -a ,P- j , / . i F r aif 06pa6arE Ba6r.F tseoon6ufM pe3ffoBb M nonfpoBo!-" I AhcKoM CenapfpoBatstsEe rnr rpyAtsoAocrynfbe ArF

. i oBo o /poBo - a / oB 06 . d a o6pdd" dB" .ri.F non4poEo!tsBrMr cropofa ayff: : rx r€ f eenDcr f o6pa6arE Eaer .n pe3f tsoBEM/ non,

(o D o6nacrFx tse npuneraburrr- .nf3"cro'ri o6ono!Ke {Faphe palal ). Kpar npore.a oco;tstso raM |Ae ayfa rioxer o.ecrE ,n, ,Meer jenocpea-

: H.ftsE tl kotsraKr K F3br(y 3aKpyfnFbrcF .fnBtsee, ru1a

2.13 .6 nonrpoBKa H KoHe. rHbr i KoHrponb6rcrenbHoro npoTe3a nepeA npuMepKoi;

l nF nonupoBkr 6b fenrHoro npore3a y io rpe6nFor x€-r i ( fe nonfposanbfb e u rerKf f3 ra rypanEHor u rer rH6 l: i i nonupoBKf tsyxHo ucnonb3oBarb cneufanbHo npea

.3Ba!eHtsE e AnF (aOanbroxpoMoBbx cnnaBoB non ipot lonrpyor co cKopo

: -LE Bpau le ts rF np fMeptso 2 800 o0 /M,H Ocropoxro: .o6ets tso KnaMMep6 nef (o 3aq€nfFErcF 3a Bpaurao. - r ! ocF urc rKy lon fpoBo! tsu i 60K. Aonxets !Mer6 B6.x ry , 6ecre tseBoe ocBeure ts re Xopouee ocBeu leHfe

.eo6xoauMo anF ryque ' l i oqeHKf noBepxtsocrh npore:oB OrnonnpoBaHHaF noBepxtsocr6 Ne AonxHa ,Merb-L iKaKfx y rnybneNfh I uapanr r

lnF 3epKan6tso fo 6ne.ka 0epyr ry xc nonupoBo!HyE- i r . ry I cpeatsero pa3Mepa Kpyrnyo u terKy c aepeEFH.1nt .epaqeBf tso t l np ! npaBun6tsoh nphMeHetsr , nony- .e rcF Fp(o BUpaxets tsd t i sepKanEHE r i 6ne.k N4efx re:panutsb hc !e3aor nocne norapoAk, tso i i fo (oM c Be-

:JnBUf t i (o , r f !ec rDoM nacru . Tu tarenr tsan. Aocr i ri y rnoB (oHe!NaF nonhpoBKa npenf l r

. rEVer 06pa3oEats fk ) tsanera fa Merannuc€cKon Kap-r .ce TpyAfoAocrynNb e Mecra nonrpybr .F Na MuKpo

' . rope ManetsbKo, u rero !ko t i nonrpoEKa kapKaca Ha_fn .oBoM LroKone. Koropbr t i hoxHo uHAuE"ayanbBo f3 -_ . roBf r6 6e3 6on6uot i .a rparh .peNreB, npeAorparaer oco6eHtso 6o fenbfb e npor€3br Bepxtseh !enbcr ir r aerFopMaurh . lnF 3ro fo f fnc ryc ro 3aMeursaercF

t

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Page 39: Современные технологии протезирования 2

lnaea II - na6oparopHble eranbl

Cun6Hoe orpaxeHue Ha Bua14Mbrx !acrFx uaMMepa MoxHoyMeHburrh, ecnu onecKocfpyrlrb KnaMMepd creKnflHHb MunepnaMu (50 uM). AnF,rucro B/3yarh|oro 3QQeKra pereH-LrMu npore3a nepea npxMepKot MoxHo onecKocrpy/rb(250 uM). AnF 3rofo yxe or.onhpo8aHHbre o6nacrh rqa-rensHo noKpbrBabrcF noAroroBurerbHb M BocKoM. tlro66lpereHqr'4no3xeHe npocBeq Batrch!epe3 nnacrMaccy LixMoxHo nokpbrrb onaKepoM ununaKoM po3oBorc qBera. rle_peA o-rnpaBkon npor*a K Bpa\ry Ha nprMepKy ero KnaAyrHa l0 - 15 M'4Hyr B ynbrpa3ByKoByro BaNHoqKy c fopflenMpacrBopoM unx oqL4u]a€r napoM.

KoHrporbHbrn cnucoKAnF oKoHcarenbHoro KoHrponFnepea nprMepKon KapKaca

. CoorBercrBreu3roroBneHHoto npore3ana6oparopHoMy 3aKa3y

. llnorHoe, 0e3 HanpFxeHr{F npline|aHMe kapKaca K

. CoorBercrBLr'e nonoxeHuF knaMMepoB ,x '43MepeHu'o

. ToeHoe npuneEHre HaKnaaoK(HanpLr'Mep, Bnpenap,poBaHNbrxna3ax)

. HukaKMx ocrpbrx r(paeBlBepxNFF lenocr6, aopcanbHbri Kpai)

. 3aKpyrneHHb e KoHud KnaMMepoB

. lnaaKre BHyrpeHHue cropoHb KnaMMepoB

. BrcyarbHafl npoBepKan'4rbF 6e3 ae+eKroB

. HxKaKux uepoxoBarocren Ha NuxHei cropose

. OrcyrcrBre qapanuH, paBHoMePHbrx 6nec((Ha noAbF3breHon Ayrc c o6erx cropoHl)

. HxKaKrx noMex npu apruxynFutlL4

. HrKaKorc 3aBbLUeHuF fpl,rKyca t{3-34 3neMeHros

. ltroroBneHue c ro!Ku 3pe|]riF npo+ruaKruK, Kaprecau rnueHd (npoMbrBaeMbE Mex3y6!be o6nacrx,aocrarocHoe paccroFHhe K xpalo aecHbD

2.13,7 no3onoqeHre

[/No M naure|raM MeuaEr B,aaHbre, cepeopFHofo qBerannequ KnaMMepa Bo QpoFranhHon o6nacrf. AnF Hux 3ono-roi 3y6Hot npor* - 3ro npr3HaK BbrcoKoKaeecrEeHroronpore3rpoBaHuF. ranbBaHxqecKoe no3onoqeHhe aaer xe'naeMbn reinbrn 3otoro, orreHoK. Ho f3'3a noKp6r/F Mo-xer nonyexrbcF pa3Huqa norer uuuoB Bbr3brBaoqaF Kop_po3s|o, nooroMy or 3roro HyxHo orKa3arhcF flpoqHocrb

BUF M 6es rorc Ne rapaHrupo_BaNa rc'3a MexaHrsecKoii Harpy3Ku noBepxHocru. B Mec_rax, rae npore3 noaBepraercn 3nacrrqHot aeQopMaqLr'u,

cF. ToHKxt cnot noKpb[4F io_BepxHocr{ Moxer 6bnb noBpexAeH a6pa3uBHbrMr 3yoHb Mu nacraMu / r a. OcnapfBaercF u iepeHflroe rc qaco

Boi 14 |oBenuptsot npoMbruneNHocru HanEreBue NMrprlroMr/ra|a r3-3a HeaocraroeNou nnorHocrr cnoF. KpoMe rorc,orcnoeHue Moxer nporconru u3 3a 3y6Hhx nacr, c$ropaAHb Mu ao6asKaMf li npoo/naKrulecx x fener,r.

2.14 nocraHoBKa 3y6oE x 3aBepureHrepa6orbl

nepea nocraHoBKot 3y6oB Bo BpeMF npvMepKu KapKacaKoHrponxpyercF ,inu 3aHoBo onpeaenFercF nprKyc. Anfl3roro Ha pereHqof ceAnoeuAs6!x eacret npore3aycraHaB,rrBaBr npMKycNbre Ban Kl4 r43 BocKa. nocraNoBKa ,cKyccreeHfbrx3y6oB oob eHo rc nnacrMaccu - nporcxoaurcor_nacHo +yHKLrMoHanbHb M acneKraM. ,4c_KyccrBeHHbe 3y6br c HaKnoHoM 6yrpoB B 20' 25'o6neFeaor pa3Mb KaHue 3yOHbrx pFAoB. tlroobr rc6exarb no_ABr4xHocru npore3a, 3y6Not rexHrK opueHrrpyer.F Hanoaco6Nbre nuHrr. np,{ nocraf oBKe 3y60B rpeoyercF He Ha'

Qyxar6 aucrdbNyro rperb npor*a Ba KoHueBoM ae-OeKre. Bbcora ucKyccrBeHHhrx 3y6oB ao,rxHa coorBer_

nu noKpbrrs M KoPoHKaMu ollopBbrM 3y6aM. PaBHb M o6pa3oM HyxNo ye{rbrBarb Bo3pacrnaquerroB: c orKpbrrb Mu uretKaMl,l ffh co creprbrMu no_sepxHocrFMx 3y6b BbrrnFEFr crapee, ero ynyquaer uxecrecrBeHHocrb. f ocra8neHH6re 3y6br, ceanoBxaHb e !ac_ru '4 +yHKqhoNUbHb€ KpaF npore3a BnhFor Ha onrrqe-cKoe BocnprFrre HoBoro 3y6Horc npore3a. UpoBdH ureK,BbrpaxerHbre npoaonhHbre MopuruHbr or Noca K ry6aM, araKxe npoQunb ry6 MoxHo noanpaBurb coorBercrByro_urr.{M, cnequanhHhrM o$opMneHheM npore3a. 3rx MeponpuFTI.{F ynylua6r o6qri sl,lAnuqa naqueHra.

Oco6eHNo Heo6xoar.{Ma npuMepKa c focraHoBKo, ucKyc_crBeHrbx 3y6oB Na BocKe npu npore3upoBaHux EbrpaxeH-"r !e+e-oB ,y6ro o p"aa x aederroB dpo ra "roxo6nacrM. npx He6orburux +poNranbrbix aedeKrax 3y6hlnpuralrBaErcF M nprKpennForcF K 3aurnrHoir nnacruHenpore3a nnacrMaccoi noa qBer 3y6oB. AnF ceEnoBuaHbrx,racreri npore3a nphMeHF|orcF xonoaHbre unu aBrononuMe_pu3arbr. npu ,cndh3oBaNru nnacrMaccbr ropFeen nonuMepu.J-ly va. rep-voAe 4b o66F o novae .q. np/ roroaHoinonuMeprcaquu xcKyccrBeHHbe 3y6b +ukcupyErcF c no_MoulbNr d4rrxoFoBot Marpuubr. nocne roro Kak BocK 8btsnnaBneH, pereNr.lr.{,r Moxtso ioKp6Lrh onaKepoM noa qBer 3y_608 ffu po3oBoro uBera. AnF rorc qroou ucKyccrBeHHbre3y6br He ornaMbrBarrcb, r4x HuxrFF f osepxHocrb aenaercFrlepoxoBarot u noKpbrBaercF coeaL,lHFroulL/M BeqecrBoM.Ea3rcNaF nnacrMacca non/MeprcMpyercF noA MrHuManb_HbrM AaBneHueM B 2,5 6apa, creMneparypon Boad s 42'CBpeMF no,rrMepmauux - 15 Matsyr nepexoabL Mexay Me_ran,loM ,1 nracrMaccot c HrxHei cropoHH npore3a aon_xHbr 6brb o+opMneHH eerKo | 6e3 3asopoB. raedbHocneuhabNoe coeaLr'NeHUe c nnacrMaccot (NanprMep, cuc_

Ecnu Bo BpeMF o6pa6orK, nracrMaccb noBpexaaercFMerannueecKaF noBepxHocrh, ro uapan Hb o6F3arenbHoHaao rutarenbNo aopa6orarb

.j-.

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Draea II - Ia6oparopHbre oranbl

2.15 PeMoHT 6prerbHbrx npore3oB

PeMoHr 14 yBenuleNue 6a3ucoB, ocooeHHo HoBbx npore-3oB oro noqr,4 BceEa rpeoylourun MHoro BpeMeHu / rpy-aoeMKxi npoL]ecc OrnoMaHtsbe nnequ xraMMepoB MoxHoaor ' dHoB/rb I onlKpyrnox ' e .o rHy-excF . raMMep 'ot'poBoaokot. Bo Bpev" o6pa6o k/ / no' upoBh/ oH. ra"d

,lFercF , nonylaer HeooxoAuMyo ynpyrocrb. np, nonoM-Kax Bcraer Bonpoc o npfqr|]ax. racro cunbHaF arpoeuflnpuBoa/r B o6nacr/ npuneraHuF ceAnoBraHbrx lacreqnpor€a x nonocrFM noa npore3oM. Onrpaor4utcF Ha 3y06rnpore3 HaeuHaer oanatscupoBarb eepe3 Naoaaxu, eroBneler 3a co6on nonoMKy. B 3ron cL/ryaquu peMoFrNeo6xoauM / paq/oHMeH ronbKo B co!eraHuh c repeoasr-poBKori ceAnoBr4aHbrx eacrei npore3a 143 3a tse3Halu-renhroi ronuuHb cnoMaHHbe uaMMepbr unM cnoMaHNbreayru nylLr]e caenarb noa BnuFfneMreMneparypbr Bo BpeMF natKLr'cnnaBoB. KnaMMepbr Mofyr norepFrh cBoro cra6Lr'nbNocrb,nprnof rc oenoro 3onora Bbaenf,orcF rtBeroM, a He3ar!l4qeHHE e nnacrMaccoBb e ceAnoBfAH6re qac

cropaor9a-cro AnF ycvneHrF cnoMa|Hot noalF3b.r|ot ayfu r4fl4 yBenuqeHuF 6a3uca np/MeHFor cnequdbHyo KnaMMepHyNlnpoBonoKy. tlp,l oroM qacro Bo3Ht4Ka'or oourpFbre MecracnaiKu c oonbuiuM coaepxaHreM npunoF. n$roMy nyeue

na3ep CoBpei,teHFbe rexHonoruu, ynpo-.dourue pevoH-. l ,dnp/vep re\Honorxu nd3ep-on

c8apKx) He aonxNb ucnonBoBarhcF ann roro, lroobrpe-MoHrupoBarb crapbe npore3br, yrpar'4Burue cBo'o QyHK-

nepea pa6oron npore3br ooF3arenbHo ae3uHOhqupyorl

2.16 TexHororxx coeAuHeHuF

2.16.1 na3epHaa cBapKaLASER: Liqhr Amp lcarion by Slmuraled Emssion ol Fad aioi

coeaxtseHuF MarephanoB, na3epHaF.Brp^d i p6v / renbHo pdJBuBrJc" / npo- o 060, HoBd-

nacb B 3y6Hot rexHrKe. CoeAuHFeM6re cac

Moxtso 6Ecrpo , roqHo cBap'4Earb co cxo4rbif Ao6aBaqHbtM tuarepkaroM (aononHurenbHbn cBapolHbrn Marep/an). BbrcoKaFKoBueHrpaquF aHepruu B oAHoi o,reH b ManeHbl<ot oOnacru,B orn/eae or nari(u, orpaHucuBaer h coKpaqaer repMree-cKoe BnoFNue Ha npor$ Bo BpeMfl ero peMoNra.3ro aaernperMyurecrBo B roM, ero Bocnpu,{Mer,lBbre cnnaBbr, urBbnaiK,1 ,1n,1 nnacn4acca ocratarcF HenoBpexaeHHbtMr. arcMeHeHre oKpacKh orpaHu!uBaercF. TexNonor/F na3ep-Ho/ cBapK/ rapaHrhpyer rolHhre, BbrcoKoi npo!Boc

coe-A/HeHhF MerarnreecKrx Marepfa,roB, CBapKa oA,tHa(o

c Ao6aBoeNbrM MarepaaioM haeHrreHarococraBa c$Aaer B urofe 6LiocoBMecruMoe coeArHeNfe.

Page 41: Современные технологии протезирования 2

lnaea II - fla6oparopHbre granbl

Ita3epHaF cBapKa rcpaHf ,We, npoeqoe, 6uocoaMecrtMoe

npaBrnhHo nporcBeaeHHbe na3epoM cBapoq|bre urBH ro-MoreHHbr, He uMeor ycaaoeHbx paKoBrlH u nponyckoB.

AnF nonyeeHhF na3epNoro nyea cBer or nKoHqeNrpr4pyercF qepe3 Kp14crann.' FBnFt]urr4tcn BcnoMo'a enb-oM cpFA.-Bov. Fa 6one" Bd.ok/ / ' eo u-e! .un

ypoBeNh. Bo3HrKUun na3ep|brn ny,r coAepxur c-ronbxorHFpr/ / . ro He ro46kur ao4eu ' e-KyHAbr Moxer HarpeBarbcF 3a npeaenbr MoMeNra nrasneHuF. OnrueecKu c+oKycfpoBarBbrt na3epNbrt ny! Hanpa-BnFercF B pa6oey|o KaMepy. 3apaNee ycraHaBnuBaorcfl uH-ar4Br4ayarbHbre napaMerpu AnF BapK/: NanpFxeHL4e,BpeMF BAonFx ceKyHAhr, aMaMerpOoKycaB MM. eGMoxHaaononHurenbraF ycraHoBKa SopMb nynhcaquu. HarlBbrc-uaF nnorNocrb 3Hepr// nasepHoro nyla faxoaurcF B 06-nacrh So'ryca. B 3roM Mecre ooreKr Ha,oonee cerKo Bx-AeH noa MuKpocKonoM. l4Hrerp/poBaH|bt e oKynFpe Bu-3rp. noMoraer Hairu qen6 Ha o6EKre. AnF nonyleHrF 6e3ynpeeHofo coearHefuF co6nEAeH/e oc-HoBNb x rexH4eecKL4x npaBun.' Nd, YAG = nrp,i anoMfHf$H,

TexHonorra npuMeHeHnF

ArF yMeHbueHuF nepeKoca coeauHFeMbre !acr! Bo BpeMFcBdp<u 4or {Hr p" .o! / rb c B hoHr"kr . . Tol -eo6.oauvocrLr' KoHraKr co3aaercF c noMoutbro aononHnrenhHoro Ma-repuana. B ,AedhHoM cnyeae efo cocrae coorBercrByercBapuBaeMoMy cnnaBy XapaKrepfaF OopMa cBapoeNorousa: HenpepbtsHbtt uoB aHb x orAen8B6rx cBapolHhx nyHKroB. AononHxrenbFb ncBapocHbrii Marep,1an aonxeH nprKnaahrBarbcfl K o6!eKryraK, ero6br na3ep|brn nyc Mor oecnpenFrcrBeNBo aocru-GrbnoBepxHocr/ o6r,eKra. fpf 3roM Baxtso, ero6braonon-BurenbHbrt cBaposHbrh Marephan u cnnaB pacnnaBnFnqc6oaHoEpe r',1 e H Ha. l loarorcBKa cBapoeHoro uBa cyurecrBeHHo3aBucrr or rcoMerp/M o6reKra, fo3roMy pa3nu'raorcfl oo

ao n o,s u r e t b H bt ti M ar ep u a,

BnF c6apK4 3aKph'BaefnoBep\Hocrb o6teKra

npaE nbeo: na3epqbtt tycnodaaaef sa noBePxBocfb

LljupHbe r roeecHbre KoHraKrNbre o6nacr/ / coorBer-crBeHtso ucnor$yercF oxpyxHae vrv tryboKae cBaPKa.

CBapolHbrt uoB npoBepFercr yxe Bo BpeMF ero ucnonHe-HUF Ha o6pa3oBaHre rpeu]fH, nop, oKpacKy (oK'icneH'4e) 'jnepeKoc. Ecnq ecrb ou/6Ku 3y6ron rexHuk npepbrBaernpoLrecc c3apK4 u onrxM/3Mpyer ycrarosneHHbre napaMer-pbr. 3ro ra'(xe KacaercF npaBfnbHoro no3,lquoF,lpo8aHtrF

rie3HaqurenhHac lonqhHa Mareprana:

O6reKrd He6onbuon ronrllfNbr cBapuBaorcF 6e3 ,lcnon-HeHUF V'o6pa3Bofo uBa. 3aecbna3epHbrn ny,r Moxer tny'6oKo npoHu Karb B Marepra, ,{ non Hocrso pa3BuBarb cBoe

AetcrBue. LlepeayeMoe cBaphBaHre npor/BononoxBbxcropoH yMefburaer nepekoc o6beKroB. Sror nporrecco6o3HaeaercF KaK MaccrBHaF unu rnyooKae cBapKa.

MaccrBHbre o6reKrhr:

A iF na ' -oq / . - ro r lHot i cBdphu Ma"uBHbrr o6bFt -oB

lpy . apyrov ro !o oBx e ,o-o aenae-cF V oood Hbr r iB +opMe X. 3aKpbrhe uB

np MeHeHr.F He3Hacurer8Hot 3Hepruu B o6nacr, '(oHraKrHoro nyHKra, aprl 3roM aononH,lrenbHhrt MarephanfaBapvBaercF nocneaoBarenbHo - roeKa 3a ro,rKoti. &'FooleKroB, Koropbe Nenb3F /nr He HyxHo cBapnBarbnon_Hocrbo HacKB036, npuMeHFlor rar( Na3b BaeMy|o "o(pyx-

Nylo' hnu .nycroreryF' cBapKy rlpu raKoM Meroae coe-

a/BFeMbe eacru c8apoBabrcF BoKpyf ronEko Na rny6xHy.p/MepNo B 1 MM. npu 3roM Heo6xoa Mo, qro6H oraenb-H6ie cBapoctsEe nyHKru nepeKpHBanrcb 6onbure, eeM Ha5 0 ' ! . 3 - o - d p a r r 4 p y e r n o r o . e , b n . i J t J e - - " i a -Koppo3uu cra6xnhHbrn cBapoeHbrn uio B. Kap'<acbL 6Erenb-Hbrx fporesoB Ne orHocnrcF x MaccuBHbrM ooleKraM rc-3a He3Ha! hrenbHori ron u.r,l F b Mareprana. 3aecb, KaK npa-B4ro, npuMeHFOr rny6oKyo cBapKy. t4cknoqeHue: Mac-cuBHaF foalF36rcHaF ayra! MaccuBHhrMu o6beKraM,FBnFlorcF MocroBriaHbe , 6ano!Hbe KotscrpyKqrq

| 6

Page 42: Современные технологии протезирования 2

a

lnaea II - Jla6oparopHbte eranbl

AeSeKrb, n nepexpbrrHe paccroqHrt:

npoMexyrKf 3anonNFErcF noAxaAquJtuuk KycorKaMA, Ha-npfMep, u3 nurHrxosbx KaHaroB rorcxe cnnasai nonyla-ercF npFMot (oHraKr, Koropbi csaprBaercF nocpeacrBoM

fp, cnnaBKe ,AeHrnrHbrx no cocraBy Marephanos nory,ra-8br, koropbre NaMHoro npesoc-

'rrFr napaMerpbr npocHocfu cnaFHHofo coeA4NeHUF. 9eMtelbae Bhtcfpenos nparcBoar4rcF, reM MeNhue prcK ne-peKoca |a xpynKocru uBa. B uAearbHoM cnyeae, nyHxrbr.Bapo!tsoro uBa nepeKpbrea'orcF npuMepNo, Ba B0 %. l/tH-a4BfAyanbHa8 ycraHoBKa napaMerpoB (cM. Bb!re) nGBonaer npuMetsF16 ,a3epNy6 cBapKy Bo Bcex 3y6orexHhcec-Kfx oonacrFx.AnF cBapKa rpyAHoAocryi F brx y!acrKoB rn,.!eHb rofKux o6r'eKroB (nrrbre KnaMMepb )ycraHaBnhBa,ercF Merbuuh AraMerp nyH{ra. B cBapoqHoM nyHKre KoHreBrp,rpyercF3Hepfl{F oqeHb Bb coKot nnortsocru, no3roMy-!u ronylEr BbrnonHFroLF. iopo,^r& BpeM-.eM !e7_

HanpFxenueM. rtp, no06be.roB H. pyMep noroFlbr-Hox

!yfu, ycraHaEn/BarorcF napaMerpb c MetshuuM auaMer-ooM nyNKra, Ho c BbcoxuM HanpqxequeM h c 6anee npa-iatxrfenbH6tM BpeMeNeM AeicrBt A.

0op napaMerpoB 3aBhc/ror Marepuana ron u.tr4Hbr o6teKraL,r oonacrx cBapK,t. napaMerpb ycraHaBnrBabrcH raKqro0b fe floBpeAurb nnacrMaccoBb e ceAnoBt4aNbre !aorx,arraeMeH6r '4r4 roHKue KpaF KopoHo(

Ha Bbrbop napaMerpoB Br,FerEKxe cocrosHxe noBepx-Hocru. eeM MeHbue orpaxeHhe, reM Bbue oA+eKrLiB-Hocrb Eeicrerfl Bb6paHHon koM6uHaqh,l napaMerpoB. no3ron npu!L4He pekoMef Ayercf, csapuBaeMbE nosepxHoc,ru 3aKpacrrh QnoMacrepoM lepHoro qBera l,1nu nycuenoaBepf Hyrb FecKocrpynHon o6pa6orKe oKcrAoM anNrMu-HxF (110 uM). AnF na3epNon cBapK, rxraHa noBepxHocrhHe3aKpauuBaFr, B nporuBHoM cnyeae Moxer nocrpaaarbcra6unbHocrb cBapoqNoro uBa.

nanoMKa r,naMMepoB

1.43-3a He6onbuoro norepe! Eoro ceqeHoF kraMMepa HeB03MoxHo npor3BecrL4 X- Mnu V-o6pa3H6i uoB. Focne o6pa-6orKx noBepxHocrei nepenoMa K Hrlrv npuknaAb saEr Ao-nonHurenbHbr; MarepMan. y noroMaHHbrx KnaMrrepoB

onHocrhlo 3aHoBo Lr' nprBap4BarorcF K ManoMy coeArNrreno unu B oonacrLr' nnela KnaM-Mepa. CBapolHbre urBbr HuKofAa HenMF Aenarb Ha aK,uBHon npyxuHrcron lacru xraMMepa. B KaeecrBe aononH/-rensHorc Marepuana AnF noe'1HKu MaMMepoB Moxtso rcno,1b3o8ar6 Wiroweld ,.

3b 6op Aonon NMrenbHofo Marep/araanF cBapK op/eHru.\rercF HacnnaB c 6onee sbrco'<!4M coAepxaHueMrpa,oqef

np'a coearNeluu 6Efenb!bx KapKacoB ,3:ccr c Brop'aeHoi KopoHKori n3 6narcpoAHoro cnnaBa Anfl

2,16.2 nprMepbt npxMeHeHl, |F ra3epHoi cBapKx

aaearHeHue CaC 6naropoAHbfi cnnaB

L ,

rT,i--rc uBht ta3epEon cBap<t:

:3apK, nprMeHFor aononHrrenbry|o npoBonoKy 13 cxoa--.ro 6naropoAHoMy cnnaBy Marepuara. AonoiBurenbHo:rF Brop,leHbx KopoHoK (KapKaca oorcnbroro npor*a)

AnF nasepHoro:reAureruF. Cra6/n6Hocrb coeAuHeHf F 6yAer nylule,:rnu oHo npoxoar4r Bepr/KanbHo, aHe rop,l3oHranbHo. Bb,

nonaMKa u yBenkseHhe AyM EepxHei 'tenocru

tiro6u cBapKa nonHocrhro coeAuHFra MaccusHb|e conpuKa-ca|oq,recF noBepxHocr/, Mecra nonoMk14 crbrKyrorcF.BaxNo ero6u E csapocHoM use nyHkrH nepeKpbrBanrlcbnpuMepBo Ha 80 %. Koru,recrBo cBapoqHbx nyHkroB AnFQUKcaLr/f araKxercroBofocBapoqHorouBaypaBFoEeuo_BaercF Mexay BepxHeii / BuxHei cropoHoi o6r,eKra. 3roasroo q Bc- io t opAnoc" , ̂ o7 Arq .BoooaHoro or _a-rpFYe. /a / oqFo o& a nph-a .o8h4 oer rnb drd

1 1 7

Page 43: Современные технологии протезирования 2

l,raea l[ - Ia6oparoPrule eranbl

nonaMKa ayru HhxHe, eetF:crtt

nocne 3arnaxuBaHMFX o6pa3Hoir OopMb. lnyooKy'o cBapky npou3BoaFr c ao_.onH,lren6HhrM MarepranoM Wlrowed' Ha oeeFb Ma..fBHoi noalF3bieroi ayre 6orcnbHoro npore3a aenabroKpyxHyro cBapKy. AnF 6onhuu)( npoMexyr(oe Mexrvo6EKraMu nyeLle nphMeHFrs rBAuB4Aya,rBBbre, Nanp4-Mep, rpane4eo6pa3Hbte eacru rc noxoxerc Marepuana

vcaaaeHLte paAoBt4Hbl

Fepea cBapKot ycaao! N bre paKoB"N b unu nopbr Bbrunuoo_TPYFTcF CBaPKa nPor3Boa,lrcF

c oaNopoaHE M aononHure/rbNbrM Marep/doM

nprMeqaRrF ann na3epHon cBaPKn:

. nepea na3epHon cBapKot Na Moae,l,l npoBepFpr npa-evnbHoe nonoxeHue KopoHoK tr KapKaca o'orenbHofo

. necKocrpynFot o6pa6orKo, cBaptlBaeMbx vea.rKoB _

Korox'50hnh110' yMeHbuaercForpaxeHhenoBepx_

. 3aururHb ii ra3 (aptoH) npeaorBpauraer oKvcneN/ecBapoqHoro uBa;paccroFFre Mexay connoM aprcHa /MecroM cBapKu nPLrMePHo 1 cM

' lepeaoBa|ueM iyHKroB cBapKu ,aKpect ,36emlornepeKoca. rlpu He3NacrrenbHoii nonepeeHoii ro,r uruHeMarep ana (HanPMMep, ayra Bep(He, een6crl/, KnaM_vepr BhrnonHAerco Inyoo.dF cBdpha. Co6noDaTre

aBycropoHHee npoNLr'l(HoBeNre na3epf oro nyea Bnror5

' roMoreHHbri cBapo'rHbri uoB: na3epH6rn ny! He orpaHh-erBaor B aencrBuu. O6paqaire BHhMaHue Ha dnru_

ManhHoe paccroFNMe (!erKoe u3o6paxeF,e o6teKra)

AononHurenh|brt Marepuan tse no3MquoHrpvFr 3aqeHrp na3epHoro tyca

' OrKnoNeHuF B oKpacxe cBapoeHbrx nyHKroB FBnFercFnprcHaKoM HeaocraroeHoi noaae, aproHa unu Bb6opacnruKoM Bb coKoro napaMerpa

. O6pa3oBaHre rpeuruHbr B cBapolHoM nvHKre yka3E_Baer Ha c,rrL!KoM BsrcoKyro 3Heprro na3epHorc nvea:yMeN6uurb anurenbNocrb nynbca usMeHerh NanpFxeHue, auaMerp +oKyca, npoBeprrb ycraHoBKv con_na aprctsa, Bbr6parb*opMy ny,rbcauuu B saBt{crMocru

. CBapoeHbri uroB: cBapolNbre nyHKrbr nepeKpblBabrcFHe MeHee,reM !a 50 %, raedbHo Ha 80 %

. XpynKre unu nepeKoureHHhre Mecra nonoMKr4 Bbrpe-3arb, 3aMeHFeMb|e yeacrKtl, ec,rM Heo6xoatlMo, u3roro'Burb saHoBo / cBaprrb MeroaoM rnyooKon ceapkq

. CnaflHHbre coeauHeH/F HeBGMoxHo npaBunbHo cBa_pur6 na3epoM (np/non teobxoauMo yAanurbl)

. lrF 3aurxrb npuMerFbr ra3 aproN BbrcoM H,rMyM4 6 (coorBercrByer creneH, qucrorbr99,996)

np, AaBneHf/ 1 - 1,5 6apa unM 8 _ 10 n/MuH

,

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Page 44: Современные технологии протезирования 2

MepH npeAocropoxHocrn:

Co6noAarire HaquoHanbHbie npeAnucaHrF no rexHuke

. vcraHoBKa, BsoA B 3KcnnlaraquF l, o6cnyxueaHheron6ko ynonHoMoeeHHbrMu n|oAbMl,l

Inana II - fla6oparopHbte oranbr

I reprrar cBapKa

y,rhrbrBanre HeBrArMoe rcnyqeHre na3epa, nonaAa-Hue Ha He3aquureHHbre eacrrrena Moxer np"secv K

ll36emire onacHocru paHeHriF pacceFHHbrM rc,1yee-HueM; oorreKr ycraHaBnh8aercF rakuM o6pa3oM,lroobr na3epHbrn ,1ye nalqan noA npFMbrM yrnoMB cBapolHon kaMepe NeAonxlo HaxoarrbcF HrxaKuxu3nuuHr,1x, peQneKrrpyour'4x npeaMeroB (u.trnub,,eacbr ,yKpaueHrnuxa. lA,lF ycraHoBKu Bbbrlpanre cyxre u xopor]lo flpoBerpk-

EannoH c aprcHoM ycraHaBnrsabr s BeprMKanhHoMnonoxeHrL4 u yxpennF|or qenbp

aonbuaHcrEo 3y6orexNrlecKux cn,lasos MoxHo 6e3 npo6ieM cBapurh Apyf c apyfoM. ,lcKnbeerue cocraBnFer! Ha-- puMep, cBapka rrraHa c He6naropoAHbrM cnnaBoM. CnraBbr:rF o'orcnbNhrx npor*oB WIFON]Ut\,,t. nnoc'rWironiti LA,:rrrMu3r4poBanrcb cneqranbBo anF nasepHoi cBapKu (co<.arleHHb 14 cocras yrnepoaal.<axAaF NoBaF rexHonorrF rpe6yer coorBercrByo/4eicaKr/Kuaorex nop, noKa eNr He oBnaaeeabr 3 coBepueN-

:-Be AnF HaaexrocT'l na3eptsoi cBapKx HeooxoAxMo ycra-ra,r6 Bce napaMerpbrB npaBrnbNoM coorHouelu'4 apyr K:.vry u coorBercrBeHHo no4rcroBr4rh npeaHa3HaeerHbE

2.16,3 To,{egHaF cBapKa'.':roa rolelHoii cBapKu - 3ro 3neKrpneecKaF cBapKa c co-

Pa6ora BeAercF c Nu3KuM HanpFXeH4eM::i6r), 6on6uon MourHocrboroKa (aMnep). npu pa3pFAKe

-:.tsleHcaropa Bo3HTKaET KoporK/e. curEHb|e csapoeHBre.,...ynbcbr. Ko7opbre o6ec.eerBa@r BErcoKyb npoeFocrb:-EKoB. OAUH 3neKrpoA ycraHaBnuBaercF Ha xapKace 6/0:rbNoro npore3a. Apyrcti 3neKrpoa npLr'xhMaercF K SrKcu-

:,rcuretcF lacru r eepe3 neAanb cGAaercF KoHraKr CHa--:ia AnF roeeerot cBapKu np'4MeNF6r Nu3Kyro sNepru€ 14::risercrByEulut xtsrep8ar BME!eH'IF. 3apeKoMeHAo_::ra ce6F nepqoAucecKaF ochcrKa o(rcneHAbrx KoHr]oB: :fpoaoB HaxaaeNotr oyMarcri.--. natKu Fa annapare anF role,lHon cBapKu 6NrrenbH6r|.r3(ac ycraBaBnuBa6r B 3axuMe pylNoro 3neKrpoaa' ':

l.bi; 1ra^ | pcE Men8o ' !c y-o,""Hb.r Jd-ev Mp, I o nark,-:rorpeBaercF cHr3y, u Ao6aBnFrorcF Onbc u nprnot. no:: aDaNHbe nepeA nanKoi KycoeKM rcCoCr- npunou SnKc/-:..rcF roceqHot cBapKon. HaKanuBaHxe yronbHorc 3nek-:r:a perynrpyercF 3neKrpulecKon neAar6|o. KoHeuK_:n8Horo 3neKrpoAa npu Korrane c o6rekroM nairKu Ha

Marepnan Ha.pesaercF cHr43y ao paooeen:,'neparypb. Han/ere BbcoKot oFepflix He n€BonFeruc

. _.!rrb noBpexaeH4e HuxHer cropofd KapKaca.

1 1 9

Page 45: Современные технологии протезирования 2

lnana II - fla6oparopHbte granbl

JIa:epnar ceap<a - rexHoJrorufl npI{MeHeHI'I{:

atKctpoBaE e aonotH,fer

cgapoeqht, aoB c nyHxraMt aa 'h ,ePeKpbtga@ttltMu

CBaFocH'tt uoB c Ao"onHtrqbHh$ Mareptanoq Whowetd'

Eqynpeen'tn na3epHbtn uoB Ha rcMotE PoBaHdoM nporae nocne norupoBKt ta3epiaq csapKa H8a@rHa

120

Page 46: Современные технологии протезирования 2

lnana II - fla6oparopHbte granbl

JIa:epnar ceap<a - rexHoJrorufl npI{MeHeHI'I{:

atKctpoBaE e aonotH,fer

cgapoeqht, aoB c nyHxraMt aa 'h ,ePeKpbtga@ttltMu

CBaFocH'tt uoB c Ao"onHtrqbHh$ Mareptanoq Whowetd'

Eqynpeen'tn na3epHbtn uoB Ha rcMotE PoBaHdoM nporae nocne norupoBKt ta3epiaq csapKa H8a@rHa

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Inasa II - fla6oparopxbre eranbl

2.16,4 naixa KnaMMepHbrx 6lorerrbHbrx npore3oB

PeKoMeHAyercF nonr3oBar6cF npeuMyqecrBeHHo Mu(ponafln6BhrMu rcpenKaM/, Koropbre pa6oraEr Ba cMec/ nph-poAHoro ra3a oyraHa ,r, nponaFa c (rcnopoAoM AnFHux np /MeHF€rcF qrcnbcarbe Ha(oHe! f fK f a raMerpoM0 9 MM. I 2 MM xn, 1,6 MM Pefynrpo8Ka Ha!/NaercF c or-KpbrrrF ra3oBoro BeHrunF. To!raF ycraroBKa nnaMer/npo/38oarrcF 3a caer pefynoposaNrF npxroKa Kucno-poaa. LlrcnbHbrt FaKoFeqHuK B 0,9 MM nprMeFFercF anFroeeeHon na'jixf. HanprMep. B HenocpeacrBeHHoti 6,r,13o

rk noroM 3ra o6nacrb He 6yAer ornL,l,rarbcF no qBery naro ' .uCoC, p/ roF eppA rdu.o/ (b/ /pyk)r " oee- 07cBapKo, , pacnraBrFOrcF pe3(rM nnaMeHeM @n|oc Ha' o / r , F Bo a rd - HoM 8 /A6 V - " c r - l , n rd ' vd . oh Ao1 -xts6 nepea narlKorl flo(pb BarbcF repMo3aqL,lrHot.acrot

MrHoscta HaH ocurcP 3xoHoMEo

npul atBaahe 3onoturc xtaM$epa

cru nnacrMaccoBofo ceana, anfl noKpbruF KnaMMepoB 3o-noroM a raKxe ArF npqnaKnaMMepoB. l4 ronbNb M NaKotse !HuKoM B 1 ,2 MM nphna/Ba 'o rcF npoBonoK, , r r rEe KnaMMepE,

l p d H F o l ! o ) i d r o q H b l d p d . o a / " t u H d H a u F p / 0 7

tr3 6enoro 3onora. AnF 6on6uux o6nacren nanKu, raK/x

ayr4, AnF ysen/qeHuF KapKaca u aa..nprMeHF'or /rcnbHbrn NaKotselHuK a/aMerpoM 1,6 MMn pf MeHeHhe Qn ocoB 3HaeqrenrNo 3arpyaBFer nocrynnetsue kfcnopoAa. I yxe o6pa3o8a6uqecF oKcfA6, nrdatrrcF erc aocryna. B colerats// c nprnoeM u3 6enoro 30-nora npuMerFercF +nEc N4 noxyd' AnF cocFnpvnoeB cBaxBbcLr]ei reMfeparypon nna8nets/F nprMeNFor F ux'sol'xnu nopouroK 6ypbr ]lpxnou xMeor6onee H,r3KyoreM'neparypy nnaBn€H,rF qeM cnnaBb. BbrcoKoKaeecrBeHHbre.p/no, orn/eaErcF MenKo3epHucroii crpyKrypot h xopo

!nF narK/ ycaao!Nbx paKoB/N nop/crbre o6nacru cnerKa.6pa6arbrBaorcF +pe3aMu h a6pa3uBH6rM, /Bcrpy er-iadr. noBepxHocr4 AnF nariKh Ne AonxHd o6pa6arb'BafucF pe3rtsoBbr\ru nonrlpaMu Upunoi (HanprMep. M no!yd') r atsocrrcF 3KoHoM tso u MecronaiKrl Henpepb BFo HarpeBaercFcH,r3yao pa6o!ei reMneparypbr. rlp/non u3 6e-rorc 3onora (WG 1 - 930'C) npMKnaa6rBabr nuHqeroM!Bo BpeMF o6pa6orK/ M nonfpoBku HyxHo ycfr6rBar6 Mer6uyb rBepaocrr 3onororo iprnoF B cnyeae cKEo3Hbrxrr6epcrut. af rfl+noc rpeAor apauaer n p a c f pen k BaH t erprnofl. AnF 3aKp6rrufl ycaAo!!EX pakoBuH u nop nycueipu eNFrb CoCr-np/noi, eeM npunon ,3 6enoro 3onora,

Mepbr npeaociopoxHocrr:

Fapu q n6nr KaAMaF oqe He np/MeHF'1rerpuno|4. coaepxaqxe KaaM4rl

2,17 YBenree{Ae 6a3uca

np, tseo6xoAhM6 x yBenreeHqFt6a3rca MHoroM naqueFraMHyxtso pa3rrFcH/rb. ero nocne 3KcrpaKuh/ 3y6o8 Heo6xo-AqMo AoxAarbcF paH6r. 6e33y6be

Moaenu aonxHb no4roroBurenbtso 3d,/ ruraren6Ho BbrpaBHuearbcF. TorbKo ipu

He6onbuax yBen/eeHrFx 6 npuMelFrh rex-HuKy cHErhF Backa. B oraM cnyeae Macrep-Moaenb u3onu-py€r. a 3areM Moa€nrpybr HyxNyro lacrb, KoropaF 3areMcN/MaercF. FepeA naKoBKo, o6r'eKr nokpbrBaercF Men(oarcnepctson naKoBo!Nori Maccoi. AnF ,3roroBne!/F ao-iortsfrenbfbx KnaMMepoB ,nu 6onbu/x la.reiii Ayrf AenaercF. KaK o6b !Ho, Ay6nukar MoAe,rb 3Aec6 ,lAeanbNoAnF coeArHeNfF nprMeF'lrb na3ep. lzlk MoxNo r36exarh,Naiprtuep. NaHeceNfF o6urpBoro cnoF cnnaBa oenoro 30

3onotot 6enbtn nptnot HaE

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Ilraaa III - Peaxqru Ha HecoBMecrrMocrb

TqarenbHbt noAoop Marepuana AnF oEfenbHorc npor*a(cnna8, nnacrMacca) npeaynpexaaer noFBneHxe y naqLr''eHra peaKuxn fpaBhnoM 6e3,cKroeeHut FBnFercF nprMeHeHxe BbrcoKoKaeecrBeH-Nbx, npoEepeHNbrx Marephao8 u ux.paBrnbHaF o6pa6orKa. AnF KoM6aBMpoBaNNbrx paoor 3apekoMeHAoBanace6F KoM6uHaqMF u3 onaropoAHorc cnnaea AnF BHeuH,rx(opoNoK u CooFcnnaea A,1F KapKaca 66renbHoro npor*a.KapKac oNrfenhHoro npore3a u KopoHKa rc onaropoAHoro

He3Nae4ren6H0e npeapacnonoxeNfe K peaKqrli (pa3Hrqa noreHqhanos). noreHqranH cno-KoncrBrF 3rrxcnnasoB oce!6cxoxri. KpoMe rorc, naccrB-H6rt cnon CoC rcnnaBa npeAorBpauraer nepeaaey 3neKrpo-HoB. lvlHoro,rerHut npaKrrqecKri onbrr noKa3b Baer eroAnF koM6uHupoBaHHon rex|uKu He o6F3arenhHo rcroro-BnFrb KapKac o|orenbHoro npor*a roxe u3 onarcpoAHorocnnaBa. l-lo B cBF3u c aruM !acro renalorcF ouru6oqHb|e Bbts

cKa3brBaHuFr HeKoropbp KnuHulecK e KaprxHb y naq/eH-roB HeonpasaaHHo auarHocl4pyorcF KaK peaKquF Ha He-coBMecruMocrh ,n,l anrepfliF Ha onpeaene|Hbre Marepx-d6r. [p,lMeHneMbe anF 6ErenhHoro npore3upoBaHuF Marepnand, B noAaBnFouteM 0orbuLiHcrBe cnyeaeB, xopoulonepeHocFrcF nauuetsraMu. Onpo6oBaHHbe Ko6arbroBbecnna8H anF 6|orerEHEx nporeoE o6naaaor 3aMeearen6-Hot crotKocrbNr K Koppo3ux. CoaepxaHue xpoMa rapaErupyer ebrcoKyrc nacc,BHocrh cnnaBa. Ann BhrFcNeHuF roe-Hot nprquHbr HaonoAaeMbx crMnroMoB Heo6xoAuM Aurp-OepeHquposaHHbri noAxoA. HyxHo npoaHanu3upoBarhbaKrapb , Kacalouluecq naureHra, arade rcHcrpyKuuoH-

6yc noBneBHhte M are pu at oM acneKr6r.Takon xe aHanrc rpe6yercfl, ecfu Na ioBepxHoc 6bren6Hof o npore3a Ba6nEAaorcF noreMHeHf F, npreuHblHyxflo Bb FcHFrb nocpeAcrBoM rutarerbHorc aHaMHe3a, oc-Morpa u afarHocruKr4.

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Page 49: Современные технологии протезирования 2

lnasa III - Peaxqnu na HECOBMECT'IMOCTb

3.1 OaKrop naqreHT

npx noucKe npu,liH x aHanrce KnuHxeecKot HecoBMecruMoc

Haao B nepByo oqepeah o6parvrb BNuMaHre ra pe-xuM non$oBaHuF npore3aMu, a rakxe Na yxoa 3a HhMu.CnopHon FBnFercn qenecoo6pa3Nocrb 6ecnpepbrBHoro f o'ueHuF npor4a. Ho ecn/ 3y6Hon npor$, tsanpxMep, cftr-

rh c ae+eKraMM 3y6Horo pFAaruuraercF aononNrlrenbHoi onopb, obecne,rxBaeMon 3yoHbM npor$oM. OrcyrcrBre npor*a Moxer NeonarcnpuFrHoorpa3rrhcF Na lenocrHoM cycraBe u crpyKrype NeOa,no3roMy naqreHrbr aonxHbr cHuMarb npor€ ronbko AnF,rucrK,l. O6nacru cnu3rcrotr o6onoeKq, noKpbrbre 3y6H5rMpo-e3ov.oonbue He Eoc-vn.a AnF ecrec-Be-Hot caMo-

o!ucrK4. KpaF aecHbr pearxpy'or eyBcrBurerbHee Bcerc Ha3ro uckyccrBeHHoe noKpbrrue. KpoMe ro.o, orpaHr1]uBa-e (F Vaccupy|ouepaei' rBMe F3brxa B 06, a(.x He6a u.cne-aoBarenbHo, KpoBocFa6xeHre cnLr3rcron o6ono,rKLi. naq|4'eHr AonxeF perynFpHo MaccrpoBarb MFfKon 3y6Hot urer-Kon o6nacru, nocroFNHo noKpbrbre npore3oM. npx 3roMyEanFercF Faner Ha cnf3ucrot ooorolKe u ynyluaercF

3y6Hon npore3 cGAae aoanbHyro cpeay anF pa3M8oxe-HrF rvuKpoopraHrcMoB. 5a(repuu u rpr6Ku uMe'orxopo!rreycnoBufl *r4Jtsl Bo Bna{Hot x rennox cpeE. noa o.Hosotnpore3oB. l,4x pa3Brrue ocooeHHo ycrnrBaercF Ha uep-uraEon, nnoxo ornonfpoBaNHon noBepxHocru npore3a.npaBrnhHoe nurbe Merdna u rurarenhHaF .onxpoEKayMeHbura€r o6pa3oBaHre Hanera Ha noBepxHocv kapKaca6orenhHoro npor*a. BcneacrBue saceneHxF Mr.{Kpo6oB 14HeyaoBnerBopurenbHoro yxoaa 3a nonocrbo pra, MoxerBocnanhrbcF cnrcxcraF o6ono!Ka'. nauLr'eHrbr xaryErcfiHa pa3ApaxeHre cnr3rlcron o6ono!Kri, Koropoe ucKaxaerBa.npuaaqe 60'1 , reMneparypbt h eygcrBurenbHacrh t<aa B n e H u b. " A.ob eHHo.eproeHo noKuu3rpyeMbre Mecra 6onr, noKpacHeH'.1n, o6pa-3oBaHue fy36rpEkoB, HapyueH4e sbraeneNvF ceKperacn|oHbr, cyxocrb nonocrrl pcron o6onoeKM nonocrn pra""[4earlKaMeHrdHaF repanuF, HanprMep, oFpeaeneHHbMuaHruaenpeccaHraMu lin,l cHorBopHbrMr4 cpeacBraMx MoflTyo4rrrb BbriieHa3BaHHbre cuMnroMbr u3-34 coKpaureHuFBbraeneHhfr cekpera cnloHbr.

naq{eHrd npeuMyurecr - eaqe BcexnpearrFBnFlor Bpaqy nperexeno, |4nu coBceM Ne npxcnocaonfBaprcF K HoBoMy npo're3y. nooron npheuHe HoueHue npore3aAonxHo 6brbor-noxeHo ao ucae3HoBeHuF ynoMFHyrbrx FBneH r.

l, lporesdri fddf

l43Me|eHue qBera KapKaca 66renbHoro npor$a Moxer6brb BbEBaHo ycnoBuFMu 4r3uonofl4lecKon cpeabr nono-crli pra. Heo6xoar4Mo BbrFcHr4rb Hanu,rLie BeqecrB, o6pa-3yrou.rux Narer fn, cnoco6crByrou.rrix erc noFBneHulo. Up14qhHon Moxer 6brb ynorpe6neHue KoSe, eaF (ay6',1nbHaf,Kr4crora) unu KypeHue (cMona). 9pe3Meproe norpe6neHuera6a!Hbrx npoayxroB Her36exHo npuBoahr K reMHo-Kopue-

cepPav urMFFrrbrM o noleHxFv. B oraenbHbxcnyqaFx of li raK rnyooKo BnfrbrBarcrcF, ero aaxenocpeacrBoM rpyaoeMKoi oopaoorKri u nonl,lpoBkh yaa-

cro Ne nonHocrhro. Herocraro,{-HaF r'4rueHa nonocr,r prayxyAuraercuryaquo. npueM onpe-AE,TENHbIX MEALr'KAMENTOB MOXET flP|4BECTU K IrcMEHEHIO

Bo3MoxH6rM14 nocneAcrBuFM/ MofyrPeaKqu'1 c aY0H6rM npor4oM

|4,rf cn,raBaMu. IeKapcrBa, coaepxaurLr'e cepe6po, qepo3ocaaoK cynboraa cepe6pa Moryr Bb sBarb cepbre noreMHe-NUF Ha 6lorcnbHoM npor*e. 3BecrNo raKxe noFBneHueKoou,rHeBon oKoacxu Ha noseDxNocru cnnasa. B03MoxHaFnpu!rHa ocraroK Meran,ra or reepaocnnaBHbx Qpe3 ururpuHxpyEur/x uHcrpyMeHroB raKux, KaK uapoBuaHb, 6op

qeroqKa. vcrteHHyro o(pacKy MoxHoHaonNlaarh B rex Mecrax xoropbre Ne noaeepfnrch nonr-poBKe Ao 6necKa. KpatHe peAKo Ha noBepxNocrFx KapKacanoFBnFlorcF KopuqNesbre Hanerbr oKucn xene3a, Koropb|eoob,rHo Bo3|riKaNrr Na Hu3konerrpoBaHHoi |a,rh Hene'n4poBaHHon crann. npL4 npuMeHeH'4r4 cnraBoB rcynnblWIFONIUI'l'' l4nl4 Wircnll"'3ry nprLiuHy MoxHo ucKno-

brcoKyro cronKocrb K Koppo3r4rlu Ne coaepxar xene3a.

3.2 KoHcrpyKr.lxoHHbre nprgl,rHbl

OUUOK E KoHcrpyKquu roxe Moryr npuBecru K npore-3HoMy croMarrry. laxe B rex Mecrax, rEe pacnonoxeHue3y6oB 3ro AonycKaer, onopbr ,racru! Hbrx npore3oe Ha 3y6bleacro HeaocraroeHo. Bo BpeMF nnaHrpoBaHrF 6|orenbHoronpor€a onopH6re, yaepx4Ba|oque u ypaBNoBeuhBaourxe3n€MeHrbr aonxHH pacno,rararbcF raK, eroobr np,r +yHK-quoNanhHot HarpFKecaM npor$ Kak MoxHo MeH6ure 6hrnnoaBvxeH. B pe3ynbrare noBbrueHNoro ABrxeNuF npo-re3a, B 6onbuLr'HcrBe cnyqaeB, Hacnrcrcron ooonoqKe Fa'onloaalorcF ,rerKonroMbr (ioKpacHeHxF, risMeHeHuF Mop+onofl4r). oHu06bF.HForcF -a6na o puF Ho7 Me\aHu-e.Fon iarpv3^ot.a He npueuHoi Heco8MecrhMocrx. To xe caMoe KacaercF 14nponexHeir, o6pa3yourrxcF or nepeey3Ku, BcneacrBue

HenerKo Hanrr 3onoryo cepear{Hy Mexay 143roroBneHueMWHKLruoHMbHo 6*ynpeeHo.o 3y6soro npor4a |a rpe6o-BaHrFMu naqueBra nonyeurE rcFUrHyo pa6ory 6*orpaHh-leHut ocrerrKq, no3roMy.racroOb Baer rak, ero aaxe Haxopouro BbrpaxeHHbrx,renEcrHbrx eeOBFx ceanoBuaHbrelacrx h 6a3uc npore3a aenabrcF HeaocrarolHoro pa3-Mepa. no reM xe npreuHaM orxa3brBaorcF or aua MbxMaMMepHb xsneMeHroB Bo SpoHr.nbHo, o6nacrh. Heaoc'

124

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lnasa III - PeaxqunHa HecoBMecTlrMocTb

KapKac BepxHen een@du c He6otbutM, u3qutqhtv

raroK onoptsbrx nyHKroB Herc6exHo B613b BaerycrnerByrcnoaBrxtsocrr npore3a. y3kre ceanoBuatsEe eacl/ npore3a Moryr npoceaarb cnuuKoM cun6Ho / sbBb 3arb0one3-

KpoMerorc, MHo.re naq4err6r co06qaEro ci,r6BoM orpaBMleBMu xeBaren6Bot SyHXqar. Or Bcerc

rb u noFs,rFouraflcF cyxocrb no-nocru pra. Ecnq naqMeHr Moxer rocMrb npore3 ro,rbKo Bcnyeae HeooxaEkMacrh,lo 3ro He FBnFercF anF Hero pe

uets/eM npo6,reM6r XanoOE naqreHranocne yBenrqeHrF ba3L/ca rn, /3roroBreHfF HoBoro npo' - ,d po6 oar 'vo , rpo . -d - -o / h ' ao ra oeHoT o o .

fpou3Bonrroe |paB/poBar /e Aopca,r bHoro KpaF M npeyBe-niceHroe cKenerupoBaBue 6a3uca npore3a roxe np/Bo-

aFr K nponexHflM. KpaF npore3oB eacro oaopMnFNrrcFcrfu(oMocrpbrM/, a uepuaBocru co cropoHU npMneraHuFx cnu3ucrot o6onoeke He yAanF6rcF. nocneAcrBueM

BraFbre BocnareHrfr B npeaenaxo6nacru npore3Horc noxa nepexoa Mexay Merun/eec-(uM 6a3/co

npore3a ,r ceanoBraHb Mu qacrFMr,l ao,rxeHo+opMnFrbcF raK, ero6d nnacrMacca Ne nprnerara K Me'runy ro|Kr,lM cnoeM. Mexay 3r,1M,1 MarepuanaM'l He 6b

oeauHer/fl. B cnyeae np/nea-H'F K Merarny nnacrMaccE cyureclByer

rcF 3ro Moxer nprBecfu K MexaH4cecKqM pa3apaxeHrrFM cn/3ucrof o6onoqKtl nonoc pra. OaHoBpeMeHNo 3rh uren/, HeaocrynHbre anF ercrK,3acenFrorcF Mr4KpoopaHu3MaMu Koropbe raKxe Mo.yrEbr3bBar8 pa3apaxeHuF BnorHe BepoFrHo, ero qenu' ' e r ! y v a r d n o v / n r . r v d ' , o t o ! - 7 ' B y o o 6 p a o B " -N1|o KrcnopoaHbx F.reeK.9ro Moxer Bbr3Barb noKa,rbHyrokopp03/o KapKaca 6orenbHoro nporera n@roMy Heo6xo'axMo eerKo o.popMnFrb orpaHxceHrF anfl KpaeB nnacr-Lra.cH To!Boe B8rnonHeH4e Bcex pa6or, Ha!/Bafl or noarc-roBxu Macrep Moaeneri ao oOpa60rK@ no,rfpoBkf, noMoraer ycrpaHrrb 3ru npo6neMb unu u35exarb ux BoBce.

OrlocrrenbHo ,racro naq,leHrbr xaryorcF Ha 6onb or BanpFXeH4F. KoropaF MeanefHo cruxaer nocne cHFrqF npo-re3a. BepoFrFo, 3ro npoL,lcxoAr4r f3 3a AeiicrBUF rop,l3oHrdhBhlx c/n ra 3y6 unu 3ybqai p.a. nphlMHaM/ Moryr66rrB. HanprMep, FenpaBfnbHoe u3MepeHue MoAerf (6onruoe noafyrpeNre) fnr NanpFxeB/e B Kapkace. Koropoe

/n/ u3-3a aeoopMaLr/u. flenpa-B4nb8o ycraHoBneHraF hnh cnuuKoM HeaocraroeHaF Bb-cora npuKycaraKxe Moxer npuBecrr KcnnbNb M ocnoxfe

Bpa! croMaronor AonxeH pefyrFptso npoBepFrb npoetsyEnocaaKy, nnorNoe npuneraH/e r Mecra aasneHuF npore3a.HecoorBercrB/F Mexay 6a3ucoM npore3a (Merannulec-KM, Kap(ac u/4n4 ceanoB'1aH6re cacr/ f3 nnacrMaccb) ueenbcrhro Moryr /Merb pa3n/eHbre nocneacr8u8 flo-KarbHo cunbHo orpaHuleHHbre, NecoBnaaa|ourtre o6nacr,1r,roryr np0 Nafpy3Ke npore3a noaBepfNyrbcF nprcacb Bal]3-ur "v r .s0 . . , Bor rukro , r r i i apFn i r Aas leH/o . Ao i rcrByroulfi Ha nporFxef,1u AnrrenbHoro nepuoAa, 86136Baer f3MeHetsre crpyKrypb noBepxrocru cnh3rcrou 060-noe(h noABepxetsH6rx oonacret nocneAcrBreM uepua-Bo|1 crpyKrypbr Moxer crarb ycuneHHoe o6pa3oBaHhe M,1'KpoopraHh3MoB h noKan6Hoe BocnaneNre cnu3qcro, 060-noeK/. np, KnrHulecKoM o6cneAoBalvu !a raxax yeacr-Kax cnu3ucrot Ha6noAaercF crporo noKanu30BaHHaF, no-KpacNeBUar, nynbrpucraF noBepxtsocr6 B 6onhuufcrBecnycaeB naqhefrbr He eyBcrsyror HuxaKrx 0oneu

^ tsecoorBercrBqlo ipore3a c erc noxeM Moxer npqBecr4u3Me|eHue Mopoonotuu lenocru Hanp/Mep, rc-3a ecre'. B- o t d rpo .F4 l ( / . veH ne J" ! pd luu t6onhuar norepF Beca) {//n/ 3a cler qcKyccrBeHHo Bhr3-BaNrot arpoQuu (AuHaMuKa u nponexH4 npore3a, /Hor4annoxori yxoa 3a npore3oM). 3ror npouecc Ha6noaaercFoco6eHHo B c/ryaqxFx c nporFxeHNbMx KoHqeabM, AeOeraMu B mqsaM/ c Mdoi nnouraAEo ceanoBua!bxlacrei npore3a. Fnoxo np/rera€urre npor*6 c oorEuotcoocrBefHot roaBuxHocrbro Moryr KpoMe Bcero npolero,npuBecr/ K aoBonbBo 6on*NeHHoMy BocndeBMrc cnr3uc-ron o6ono!K,1. Bce 3ro eure pa3 noAlepK,rBaer Heo6xoAr.{Mocrb BbrFBneHuF HacroFulux npr!r,1H cBepxqyBcrBrrenbts6rx peaKq'ati. npu nocneAy6ureM KoHrpone oorenbHbrxnpor*oB rpe5yercF npoBecru rurarenbNoe o6cneaoBaHueBcex noKpbrrEXyracrKoB cn6/crot 06010! K,. np, HeroeHoM f,puneraHff 6a3fca ipore3 HyxHo nepe6a3upo8ar8unu rcroroBrTb FoBbrn.

3.3 TexHonorx,recKxe x cnequox,{ecKheACNEKTH MATCOl,lATOB

Ha 3Ha!eHue npaBanbsoi 06pa6orKx np/MeHueMbrx Mare-puuoB yKa3bBuocb yxe BeoaHoKparHo npexre leMycraroBqtu6orcnBts6rt npore3 B nonocru pra ero Haao npo-Beprrb Naocrpbre Kpas uepuasocrb, 3aocrpeN N bre KnaM-Mepb. Bbcrynaoqre KpaF nnacrMaccb I npoeue He

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Page 51: Современные технологии протезирования 2

lnasa III - Peaxquu na HecoBMecTltMocTb

AocrarKu, Korophre, B cnyeae ux BbrFBneHhF, Heo6xoarMo

B o6nacrFX nprneraHrF nnacrMaccoBbx ceAnoBfaHbrx !ra-crei npor$a Moryr Bo3HuKHyrb noxpacHeHuF ,4nu xxeHuecnu3ucron o6onoqKx npf,ruHon Moxer 6brb BbAsn€HreocrarKa MoHoMepa u3 .nacrMaccb . Ecnx npore3 nepea no-caaKoii Ha an,{renbHoe BpeMF nonoxrrb B Boay, ro ocraroK

np/MeHeHre pa3Hbrx, cnuuKoM ornulaburxxcF Apyf orapyracnnas0B roxe Moxer Bbr3Barb Koppo3,1Nl. FanpuMep,B koM6Lr'HrpoBaFHbD( koHcrpykqrFx npu coqeraHL4Lr' pa6orbc uMeoquMc. Mo.roBxE-oM po e3ov, nhron s.raAxon /r. n. OcooeHHo Kpr,rru,lHbrMu clura|orcF MecracnaiKr. Bca-MoM HeonarcnpuFrHoM cnyeae 3aecb conprKacaErcF rpr4L4n/ 6onee pa3nuqHhx cfnaBa unv npunoF. Aaxe np,1 npa-B'4nbHon o6pa6orKe, ocoOeHHo np,1 ucnon63oBaHuu Henpo-BepeHNbrxunu !eqenecoo6pa3H6rx no cocraBy cnnaBoB, cy-qecrByer onacHocrb xoHrakrFon xopp03L/1r'. np|4 He6pexHoBhrnonHe8Non naiiKe Ha nopacrori noBepxHocrtl o6pa3y-rorcF Kncnopoa|hre Fqenk4. EnaropoaHbe cnnaBb, coaep-xaque cepeopo n Meab, Moryr Bb 3brBarb peakqr,, npu Ko-ropbrx Lr's cinasa o6pasy6rcF oKc4abr ll cynhQrab cepe'6pa '4 MeAu. l,lHorAa sro npuBoAirr K ,l3MeHeHu'o oKpacKr.v3MeHeHre oKpacKu usoB npunoF FBnFercF nprcNaKoMKoppo3ur. no3rfMnpf,rrHaMAnFcoeArHeNfFMerarnxee-chu), 'racre; npelnor-eH/e AonxHo o-!aBdrbcF narep roncBapKe unr rex| ke cKnerBalr0F.

XorF h peAko, Ho 66nu ycraHoBreHbr arnepruleckue peak-quu Ha xpoM,1 KoOanbr. 14M noaBepxeHH npef MyurecrBeHHoMyxcuHd HeKorophrx npoQeccuoHanhHbrx rpynn (Nanph-Mep, Marf, pbr x KaMeHU.rr,rKr).

Annepnao MoxHo c'rurarb npu!nHon KnxHr.recK,lx cuMnro'MoB ronbKo roEa, Kofaa Bce BbruenepeercneHHbre +aKropbr c yBepeHHocrhro 6yEyr acKnoeeHb. ArarHocr/KaaorxHa 6bnb npeanpr|Fra onbr|brM B 3ron o6nacru Bpa-LroM-cnequanucroM (Hanp4MeP aepMaronoroM xnx annep-.onoroM). OH pacnonaraer HeooxoArMhrM{ 3HaHuFMh anFBbr6opa annepfeHa (recroBaF cy6craHqxF), +opMbr npuno-xeHuF ,r cpoKa 3Kcno3uq,lu. Bpa!'croMaronor unu 3y6HotlrexHuK AonxHd npeAocraB'416 npoOb ucnonb30BaHHbx Ma-repaa oe.AnnauhJ vF u no4o o8,a npo6 hvaE 6onbuo.3HaqeHxe anf, p$ynbrara hcnbraHhF. KaK npaBuno, recrMarephano8 nporcxoaur B KoHraKre c Koxen, rH. "HaKox-Hbn recr" (EcT).' Ho 3ru p*yn6rarH Nen$F 6*orcBo-poeNo neperocurb Ea ycnoBqF B noroc

pra.

CnnaBbrunu ux oraenbfbre KoMnoHeHrb, Ha KoropbE np'4aepMaronorxlecKoM orpeatupoBannauheNr Heo6fl3aren6Bo B6r3oByr peaKLrMu B nonocru pra.TeM He MeHee, .o nprcuraMnyeue orKa3arbcF or nprM

Xopouo 3aKWrnF re Kpaa dpor8a!

MoHoMepa, co6paBUruncF Ha noBepxrocr4, Bbrae,rurcgryaa, a Ne B nonocrb pra. 14peHoc/Mocr6 vnv dnepruh ra MeEKpvnarbr. lbpa3aoeau.tenoFBrFrorcF npoOneMbrrrc 3a KpacFUlr4x BeqecrB nn

Ao6cBo. ie06 "o!/ vbr\ ArF ynpc BreiuF noruMep^auue;.np/ ycra|oBneHHo, annep.rM Ha MeraKprnarbr unu ApyrreBeurecrBa Haao noao6parb nnacrMaccy 6e3 srMx KoMfo-

l,lcnonBoBaNHhri cnnaB, KaK npaBuno,npulMH BeKoropbx KnrBueecKux FBneHri. npo6neMar/e-HbrM,1 MofyT 6brh, Hanpor,lropbre shraenFlorcF ,3 3y6Norc npor$a Bo speMF Koppo-3'4r. HenpoBepeHHbre cnnaBb| ,racro fMe|or KpanHe Necoor'BercrBy€urue 3,reKrpoxr4Mh,recK/e cBoicrBa. 1,13 3a 3rofoHaeuHaorcF Bb3brBa|ourue Koppo3u6 npoqeccb, p*ynb'Eru koroprx npuBoaFr K pa3nreH6rM FBIeHUFM B opra-HrcMe. npooneMH Motr ioFBurbcF B reaocry.Bbrx hntr BrpyaHoaocrynHbrx anF Bo3Byxa Mecrax, HanpLiMep, B 3a-3ope Mexay BHyrpeHH,lM r,1 EHeuNrM renecKonoM. 3aecbBo3pacraer Bo3MoxHocrh Bo3HuKNoBeHqF Koppo3ua. npo-

ayKrbr Kopposuu Moryr Bbr3sarb noKanhHo orpa|hqeNHbrepa3ApaxeNLr'F, Bnnorb ao o6o6lreHHbx criMnroMoB 60-ne3Hu. Bo3MoXHEe+opME .poFBneHrF: Bocnaner rFc06-pa3oBaHreM ny3brpbKoB, xxeHre Ha cnrcrcron o6ono.rKe,MerannxlecKxn npxBKyc rn, cyxocrb nonocrr4 pra. AaxeBbEeneHHhre B HBHaeurenbNori KoHueNrpaLrMu roKcLr',rHbreuoNU Meranna Moryr Bb3Bar6 cunbHhre noKarbHbre peaK-u / / . K / -u "er^aF ^apt / .a vo le /M. r " o . rpbrn noroc .rpbrn x xpoHu!ecr(un xapaKrep.

126

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Frara IV- Ouru6ru npx n3roroBnesnu 6prenunbtx npore3oB

4.1 npl4Me'raHuE K aHaru3y npuq{Hor!u6oK

tlcnon*oBaNf e rexHororrii. cornacoBaNHbrx c npuMeNFe-MbMu annaparaM/ u Marep/uaMq, noMoaer u36exar6npou3Bo4crBetstsEx or!u6oK. CyqecrByer MHoro pasn/e-tsbrx npu!/B Koropbre Mofyr nocraBurb noa Bonpocaocrr,-

d pd6o r ' ! d I p Ma re t / e ok,roHetsfF or pa6ocrx 4FcrpyKqrri npo/3BoaorenF eacroorprlqarenbHo BnrFor Ha p*yn6rar B 3rou rnaBe onhcb-BaErcF ocHoBNbe oux6Kr . /x Bo3Moxrbe npuef tsu / nocneacrBhF a raKxe aarcrcfl peKoMeHAau// anF yny!uer/F pe3ynbraroB pa6or6. C npaBunb4ot fexHotoruet - x npeEacxoAHoMy

1 ? 7

Page 53: Современные технологии протезирования 2

4.1.1 Oun6Kh npu ay6rlrpoBaHnu reneM

Mfi rKas noEspxHocrb orHeynopHot r$oaenlt

Aacraroetu yBnaxHRnre Boao, h co6npaanrc BpeME

Ecnu ncoBaF Moaerb nepea ay6nrpoBaHueM HsAocraroqHo nponrraNa BoAoi, ro cnuuKoM cyxafl MoAenb 6yAorBbrrFfrsarb B,rary rc ay6n poBocHoro renF!HenBF paHboeBpeMeH, rcsneKarbMoaenb 13 ay6nrpoBoqHoi OopMbr. BhFaepx BanreBpeMF sarBspaBaHr{F He MeHee40MrHyr. no-

MoAenv Ha noseprHocrr AyonrpoBo"Hoi

QopMEi He AonxNa or naKoBoqHotMaccbr. nHaee Haao ipoKoHrponxpoBarbcMecx (nopouroK - xxaKocrbl.

CBoeBpeMeHHo saMeHsnre rcnb anq ay6nrpo9aHue!3aMeHa npoucxoar,rr B 3aBrcxMocl4 or eacrord npuMeHe-rur, Ho re no3aHea. eev !epe3 6 Fe4enb. l4cnorb3osaHHbrt

cKuBaHuF QopMbr Haao xopouio

My,{Hncran noB€pxHocrb ay6rrKar-Moaen,3axatqrre ay6nrkar - Maaenh!l\,4Frkae noBepxHocrb noFsnFercf, rc'3a o6pa3oBaHuF Kpuc-rannos: He npoKaneHHaF Moaenb nocne rcbflTl{fl r,|3 renu-eBon OopMbr obrcrpo nepechrxaer CBoeBpeMeHHo nocraBbreMoaenb 3 cyuun6Hbrt urxa+ | npoKanure €e.

4.1.2 Heto,{Hocrn nprneraHrFnpoKoHrponrpytrc xpaHeHte naKoBoe4on Maccht!naKoBorHy'o Maccy I xr4aKocrb xpaHxrb npu reMneparype18 "C-20 "C B cyxoM, npoxnaaHoM Mecre, nyeure - srepMx-recKoM ukaoy. HuKoraa He xpaHxrb B xonoaxnbHrKsl TaKoexpaHeHne sHaqurensHo cNr4xaer B€ pacuupeHre B npoqecce3arBepaeHuF. OeeHb BbrcoKre reMngparypH xpaHeHuF, He-nocpeacrBeHNaF 6rBocrb K rcroqHrKy rennamKx€ rcMe-HFbr cBotcrBa naKosoeNoi Maccsr: cKopocrb cxBarbrBaHrFyBenrquBaercF, a BpeMF o6pa6orKh coorBsrcrseHHo coKpa-

nnorHo 3aKpbrBanro 0yr6rrKu c xuaKocrbo anF saMsuruBa-NuF, uHaee oHa 6yaer fcnapFrbcf, |4 KpucrannrcupoBarhcF.

Perynupynre pacaupeHre noKaBoetlot Maccbtx tqKacr htct AnE 3aMewuBaHkq !qeM 6onbue KoHqeHrpauuF Begosolo', reM 6on6ue pacuM-pefue u reM 6onbue MoAerbl KoHrponrpytre nnorfocrbKoHr]€Hrpaqn4 xraKocfu u3MepurerbHbrM npr6opoM (apeo-Merp). He npuMsHFnre 3alpffHeHH6x u3MepurenbNsrx cocy-aoB (Me*ypoK), turarenbHo npononacKr{Banre fx nocneKaxaofo rcno,r$oBaf uFl

nprAepxuBanrcch 3aaaHHoi npanoputtk cMecu

npuaepxrBatrecb cMecu nopourodxra-Kocrb. Pa3pexbre HoxHuqaMx nopquoHHbt naK€rrK u ono-poxHrre sro, KonucecrBo xuaKocru onpeaenFercf, Mspoq-

nepeE cMeuuBaHreM He AonxHo 6brrbHrKaKllx ocrarKoB Boabr B craKaHe AnF BaKyyMHofo cMecl{-renF. Cyxue craKaHd anF cMeuiusaH,rF cnerKa yBnaxNF-

Co6npaafire BpeMF raMe urcaHre !Pacu peH'4e naKoBocHon Maccu B npoqecce rBepAeHuF Li3-MeHFercf,, ecnu 6bmu orKnoHeHuF or 3aaaHHoro BpeMeH,3aMeuusaBuF: xraKoclh 14 nopouroK aonxNH nprMePHo 15ceKyHA 3aMeuhBarbcF spyeHyro ao oopdoBaHfF oaHopoa-Hoi KoHcrcreHuur, a sareM 60 ceKyHA - B BaKyyruHoM cMecu-rene. CnruiKoM KoporKoe speMF 3aMeuruBaHuF npLrBoaur KH€KoHrponupyeMoMy pacuupeHf 'o!

KoHr pon, Wrre B'lcory Moaenu !

npu HeaocrarcNoM pacurnpeHv, Moasnen BepxHen !eno-crucmy6ok/M He6oM /r, He6o"uon Bdcorb : coonoaatraMuHrMarbHyE Bbcory qokona Moaenl4 B 1 cM.

Iu.RretbHa aaanrupynre, Moaenipyrre!

BocKoBaF KoMno3rrluF He aonxHa orcraBarb or ayonuKar_Moaenx. BocKoBbre cacru aonxNbr 6hrrh xopouo nprxarblxnu npxnurbr BocKoM.

lh'eranre cunbHoi 3teKrDonrrreecxai rmtuaoEKr!O6nacrh, He noanexaqre nonxpoBKe, noKphrBaorcF 3a0rrr-HbrM ,raKoM. Ootekr QukcqpyercF Ha aocraroqHoM paccroF_Hr4u K Karoay. KnaMMepHEe cacru 6|orenbHoro npo-re3a cneayer Bceraa 3aqrurar6 nakoM or sneKrpoxr4Mxqe-cKom s$aencrBr4F.TeMneparypa pacr8opa He aonxHa npe'Bbroarb 60 'C Comacyire crny roKa, BpeMF aetcrBxF 14

F

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Page 54: Современные технологии протезирования 2

fnara IV - Ou.ru6Ku npn r3roroBrreHrr 6prensxurx npore3oB

reMneparypy pacrBopa. HaipuMep, 6€ren bHb n npore3 Hr x-Hei lenlocr,r c aByMF KnaMMepaMurreMneparypa pacrBopa40 'C, HanpFxeNue 64, BpeMr non/poBaNuF4 6 Mur. B oraen6HEx cnylaFx MoxHo r43MeHr|Tb no3rquEo6reKra eepe3 3 Muf j,Tbr CrpeM/recb co6nEAarb KoporKoeBpeMF nonrpoBKr. MaroBbre Mecra ny! ue Aopa6orarb .Dpe-3ot f13 rBepAofo cnnaBa. qpe3MepBaq sreKrponurueecKaanonupoBKa KapKacoB BepxHei lenDcv c rnyboKuM He6oMNe npxNecer ynylueHxF p*ynbrara OHa aaer 6ecKoB

nonbHbn cHoc Meranna co cropoHb. nprneraouren K Ne6yKo6nacrFM, N€Aocrynr6rM AnF noroKa 3neKrp,l!€crBa, noABearre aononNurenbNbri Karoa

U36e I air e e pe3 Me pHa ra cH oca Mare pran a !

necKocrpyire npu HhsKoM aaBneH/u (MaKc.6 6ap) unl npu-MeHF /re anF Kp/rheecK/x o6nacret MeNbuyo 3epH/crocrb

\110 -v . CooroA" / - o . ropo. ro ! ro npr eBrovcr /ce f to /necKocrpyiHon o6pa6orKe: KoHcrpyKrlr/ He aonxHb uef-nFrbcF apyf3a apym (ae$opMarr/F KnaMMepoBl). Ecnr y BacMeHbure Lrerbrpex KapxacoB, Bnoxure B 6apa6aH aofonHr-renbBo nMretNbri KoNyc.

Ay6nrpoBaHue reneM

CBaeBpeMeHHo 3aMeHf, ire rcnot*aga1\hti ay'trpaBae-Hu, renb h ca'nroaatre ,HcrpyKuka!

H-" xcnonh3y/re ay6nupoBoqHbt rcnb cnruKoM aonrol npunpaBfinbHoM oopau]eNfi,l ero MoxHo pacnnaBnFrh ao 20-rrpa3. nocne nepBo.o fcnon$oBaNuF cpoK rorNocrh'MaKcr'Manbtso6 Heaenh noroM renb craBoeurcF xpynKrM urepfler

KoHrponqpyrre ay6nfpoBocHbrii rcnE BoBp€MF q3MenBqeHrF: nepBoHaeanbHbe KalecrBa Marep/-ana orcyrcrByror ecn/ npu pa3pbrBe $opM Na6n'oaalorcFuepuaBbe noBepxrocru, r3MeNeHre uBera unl 3afpF3He-N'iF (na(oBoqraF Macca, ocrar(,1 rfnca). B3roM cnyeaenp,l-MerFire NoB6ri ay6n/poBo!H6ri ren6l

Ay6nhposaH e crnxxoHoM

AcaOeHHa ru)aretbHa naAtoraBnrEaire Macrep MoAenr!

Ha MoAenu He aonxNo 6brbH/KaKxx noaNyrpeHri B o6nacx aroB6o, Fp-oro rppD F. v "+r )6 -br - oo . d . ru rp l , p i r -

BocKoM BoccraroB/re BocKoM cKonoBUrecF ycacrK/ !a uo-rcne Moaenu o6pa6oratre Ha rp/MMepe fapdnenhHo. anyque - cnerKa noa yrnoM. Bce uepuaBbe, NepoBHbe no-BepxHocru crerKa np/rerre BocKoM.

Maaen, c Qpe3epaBaHHbtMk KaHcrpyKuuRMk cter^anaAatpenre, Ha He yEnaxHenrel(u i l .o r re 'o o -c - .e r o - .o4oAro i verar ru ,ec o i noBepxHocr/, BcneacrBue eerc o6pa3yercF 3a3op B oonacrunneca pacnpeaeneHxF cMeureHuF. n@roMy Moaenb HyxNonoaorper6 Hanp/Mep, QeroM. AnF yfpourerqF /3Bne!eH/FMacrep MoAenr. ,c.rorb3yiire crpyro cxarorc Bo3Ayxa Cra6fnr3aqaoH|6re BcraBKu u OopM6 He6a npaaaor xecr-(ocrb, Heo6xoaxMyo Bo BpeMF /3rFrxF Moaenn

Ca1taAaire kHcrpyKunt nph pabarc c crrkKoHaM k

AMeuqBaiire xoMnoHetsrb c/nuKoHa Ao o6pa30BaHuF o.qHopoaNoro qBeral BbaepxxBaire BpeMF sarBepaeN/F - 40 Mf-Nya np, cnoxHoii KoHcrpyKrtu, o6pauratreAocraroeFyE cnoco6Hocrb a4nLr'KoNoBoi OopMbr so3BpauarbcF B ucxoaHoe nonoxer re 143 3a tseB€ptsoro coorNoue-

yefrbcF KneilKaF foBepxNocrbcun,rxotsoBon OopMbr. B raKoM cnycae NyxHo ao6aB/rboonbue orBepaurenF (rony6ot KoMnoHeHr5 %). r3roroBneHts6re B crnr(oroBon +opMe orHeynopN6reMoaen/.o(p6rBaErcF ron6xooqeHbroFKrlM. paBHoMepr6rMcnoeM cnpeF.Toncrbri cnoi npuBoarr x NerolHocr/ nphneraNuF nurhrx 6a3ucoB BepxHet eenrccru.

4.1.3 nopxcrocr, (paKoBr4HbD, 3arpF3HeHuF

HenpaBMLHBtn MaMeHr nrr6q. He nepetpeBanre cnraB!Co6noaaire MoMeHrnrrbF. cofnacyrcB c rpaBhnaM/ rexNo-nor/u. Pacnonoxure AnF nnaBKtr Meranrhcec(f e urnrBAp6lcnnaBa raK, !1066r oHf Hafpe8anrc6 pa6BoMepHo. LllepuaBre noBepxHocr'18 o6nacr! nrrHr4KoBbx KafanoB ,] KoHycacBuaerenbcrBy6r o neperpeBe pacnnasneNHofo cnnaBa

AcropoxHo BcraBtenre

QopMbtrc terq E Npbtu4y

t .noth3ytle nptbopbt ataAy6nrpoBocHon Maccbt c

reMieparypa nnaBneH/F 93 'C. Tutaren6Ho olrurarire+opMb "3 renF q Ao cneAybqeroiraBretsrF xpaNnre B 3aKp6roi oprrhHanbNon yna(oBKe. BaySn/pyroutux rlocroFNHo npoBepFire npM6opb: coBna-aa€r nu +a(hcecKaF 'l yKa3aHHaF reMneparypb.

KoM6hBupoBaHr6re KoBerranFAy6n/poBatsrF /Me6rHanpaBnF€utfe KnhHbF, 3aulfuraourfe QopMy or nepeKocaL/ HaAexHo af Kc,rpyou.rue ee.He cMeurBanre /cnor63osaHNbri,ay6n/poBoeNbri rcnbc HoBbrM L4cnonBytre npu-6opbranFAy6n/poBaHuFccu-creMoi KoHrponF reMnepa-rypb. Ecn/uxtser cneaxre 3areM, !1066r AyOnrpoBo!H6rtrenb Bo speMF HarPeBa Ne 3a-Krnar. ^opouro rcMenbeets-HbrLi rerb AorxeH pacnraBrFrbcH np, nocroFfHoM no'MEUIBAHL/! MAKC4MANbHAF

Mera n n AonxeH no n Hocrbb Ikatpo6exqoe tnbe BaFotna\'G npot3Boatrcq

npoBepatre rrrcnh AnR nnaaxh!O!/uratre ero nocne kaxAofo nurbn, yaansF unaKf hcfycrKui cBoeEpeMeNBo3aMeNfltrer/rnu

7

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Page 55: Современные технологии протезирования 2

fnasa IV - Oru n6rn npu r3roroBneHru 6torensxrtx npore3oB

Pe3tthrar nocne cA n baoro H. donaocf'E ofrrfbtiKapKac: qtwKo4 Paq4tt

l436erctre B@tuqeHti naKoEoeHat tutacc6r!,luret8bre KaHanb rutarenbHo nprruBatre BocKoM K cMoAe-rhpoBaHNbrM ooreKraM u x sopoHKe rirerHoro KoHycai3aKpyrnrre ocrpbre fepexoatsbre Mecra. nepeA nporpesoMnpoKoHrponupyire orBepcrhF nrrenNhrx KaHaros (Bopotsok)

He ocran/cb nu raM qacrxltbrnaKoBo!Hoi Macc8r. CraBbreonoK/ anF npeaBapLr'renbHoro nporpesa orBepcruFM Bne'p a/naB-u3.yevftieei-eper /v ra pFBo Myder or ot neq/unr cneAynre coorBercrBy|ourxM peKoMeNAaqhFM npou3Bo-a/renF (NanprMep, 5 'C 7 'c B MrHyry).

He paeaate .oaca, a) rh MAn^aaq.FeDcrai na^aaa-.on

MenKoar.{cnepcNyro naKGolHyrc Maccy NyxHo HaBocnrsron6xo roHK/M cnoeM u cpa3y xe (eqe BnaxHoi)naKoBarb.3ro BaxHo anF nonyqeFuF HaaexHofo coearHe|r{F Mexayf akoBoe!oii r Men(oatrcnepcHon Maccoil Tqar€nbNo 3anon-

Hfre pereHurr. Cneaure 3a reM ero6br noa MetKoafcnep-croir naKoBoeFot Maccoi Ne cKannrBdMcb ny3brpbKu Bo3

Ayxa. He HaHocure ee Ha noBepxNocru, o6pa6oraNNbre xha-KOCTbO ANF CNFTLr'F FANPFXEHqF

aeaHrqbre noercpHae rcnanLjoBaHte CocrcnnaBoB!

noBropsoe npfMeBeNue nrreiHbx KoNycoB Bo3Moxtso, Hoo3HuKHoBeNvF paKoBur q nop.

no3rotuy: rutarenbHo ornecKocrpytre nrre'4H6|e (oryc6r,

o6pex6re u 6onbue He xcnonb3yire. BoBpeMr noBropNon nnaBKrl cnnaBa oco6eHNo eaxeH paBNo-

MepHbri HarpeB Ornurhri Merdn ucnonb3yire ro,rbKo oArHpa3. Kon/lecrBo Brop/!Noro Meranna n€ aotxNo nPeBb-uarb 50 %l CoorBercrBeHNo ao6aBbre NoBbrt Merann.

A36erctre BMaeeHrF aueroHa np, nnaBKe orKpbtrbtM

PacrBoperH6ii B auerhneHe aqeroH Moxer noBne!3 3a co6on B€HrkHoBetsue crnbNot noprcrocru o6!e6a. PeKoMeHAyercF np/MeNFrbaqeruneH B 6onbuxx6unoHax eMKo-

1 3 0

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I

4.1.4 EeOeKTbr B ornurbrx o6beKlax

np, MoAetrpoBaHb, 6a3rca BepxHeh eetqcfu caan@aatreBacr arosHy E r anqhHy M ar e pu an a lBocK np xnaabrBaire, rurarenbHo aaanrfpya, tse caa8nuBaFAocnruKoM ronxoro cnoF. HhxHr4ii cnot HaHocurcF rc rnal-Koro nurenNoro BocKal PenE€OBbri BocK npu my6oKoM HeoHoM cBoae Naap*aercF unn HaKnaabrsaercF ,r3 aByx eac_rei. l,,lhFuManbHaFronurrHanxrbx6a3rcoB BepxHeieeno-cr/ - 0,35 MM

npuMeHFnre rrrHhK@bte KaHanb! onrrMatLHux pa3MepoB!

L/l36emtre cunbHofo rl3rr6a h 6on6uot an/Hb nhrHqKoBBrxKaBanoB. TuarenbHo npunrBaiire nurHhKoBbe KaNanb, Hecyxas /r B M€crax npucoeaur€HrF.

-E

Page 56: Современные технологии протезирования 2

fnasa IV - Oru n6rn npu r3roroBneHru 6torensxrtx npore3oB

Pe3tthrar nocne cA n baoro H. donaocf'E ofrrfbtiKapKac: qtwKo4 Paq4tt

l436erctre B@tuqeHti naKoEoeHat tutacc6r!,luret8bre KaHanb rutarenbHo nprruBatre BocKoM K cMoAe-rhpoBaHNbrM ooreKraM u x sopoHKe rirerHoro KoHycai3aKpyrnrre ocrpbre fepexoatsbre Mecra. nepeA nporpesoMnpoKoHrponupyire orBepcrhF nrrenNhrx KaHaros (Bopotsok)

He ocran/cb nu raM qacrxltbrnaKoBo!Hoi Macc8r. CraBbreonoK/ anF npeaBapLr'renbHoro nporpesa orBepcruFM Bne'p a/naB-u3.yevftieei-eper /v ra pFBo Myder or ot neq/unr cneAynre coorBercrBy|ourxM peKoMeNAaqhFM npou3Bo-a/renF (NanprMep, 5 'C 7 'c B MrHyry).

He paeaate .oaca, a) rh MAn^aaq.FeDcrai na^aaa-.on

MenKoar.{cnepcNyro naKGolHyrc Maccy NyxHo HaBocnrsron6xo roHK/M cnoeM u cpa3y xe (eqe BnaxHoi)naKoBarb.3ro BaxHo anF nonyqeFuF HaaexHofo coearHe|r{F Mexayf akoBoe!oii r Men(oatrcnepcHon Maccoil Tqar€nbNo 3anon-

Hfre pereHurr. Cneaure 3a reM ero6br noa MetKoafcnep-croir naKoBoeFot Maccoi Ne cKannrBdMcb ny3brpbKu Bo3

Ayxa. He HaHocure ee Ha noBepxNocru, o6pa6oraNNbre xha-KOCTbO ANF CNFTLr'F FANPFXEHqF

aeaHrqbre noercpHae rcnanLjoBaHte CocrcnnaBoB!

noBropsoe npfMeBeNue nrreiHbx KoNycoB Bo3Moxtso, Hoo3HuKHoBeNvF paKoBur q nop.

no3rotuy: rutarenbHo ornecKocrpytre nrre'4H6|e (oryc6r,

o6pex6re u 6onbue He xcnonb3yire. BoBpeMr noBropNon nnaBKrl cnnaBa oco6eHNo eaxeH paBNo-

MepHbri HarpeB Ornurhri Merdn ucnonb3yire ro,rbKo oArHpa3. Kon/lecrBo Brop/!Noro Meranna n€ aotxNo nPeBb-uarb 50 %l CoorBercrBeHNo ao6aBbre NoBbrt Merann.

A36erctre BMaeeHrF aueroHa np, nnaBKe orKpbtrbtM

PacrBoperH6ii B auerhneHe aqeroH Moxer noBne!3 3a co6on B€HrkHoBetsue crnbNot noprcrocru o6!e6a. PeKoMeHAyercF np/MeNFrbaqeruneH B 6onbuxx6unoHax eMKo-

1 3 0

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i , ! '

I

4.1.4 EeOeKTbr B ornurbrx o6beKlax

np, MoAetrpoBaHb, 6a3rca BepxHeh eetqcfu caan@aatreBacr arosHy E r anqhHy M ar e pu an a lBocK np xnaabrBaire, rurarenbHo aaanrfpya, tse caa8nuBaFAocnruKoM ronxoro cnoF. HhxHr4ii cnot HaHocurcF rc rnal-Koro nurenNoro BocKal PenE€OBbri BocK npu my6oKoM HeoHoM cBoae Naap*aercF unn HaKnaabrsaercF ,r3 aByx eac_rei. l,,lhFuManbHaFronurrHanxrbx6a3rcoB BepxHeieeno-cr/ - 0,35 MM

npuMeHFnre rrrHhK@bte KaHanb! onrrMatLHux pa3MepoB!

L/l36emtre cunbHofo rl3rr6a h 6on6uot an/Hb nhrHqKoBBrxKaBanoB. TuarenbHo npunrBaiire nurHhKoBbe KaNanb, Hecyxas /r B M€crax npucoeaur€HrF.

-E

Page 57: Современные технологии протезирования 2

ftasa IV - Oru u6xu npn [3roroBneHr]t 6prenuxulx npore3oB

BepxNFF !enDcr6: 2 4 nto.K6x nxrHuxa pa3MepaM,2,0 MM x 4,5 MM Lanu 2,0 MM x 6,5 MM

2 3 Kpymbx nurHxKa AuaMerpoM2.5 MM 3.5 MM (ipu HeooxoAuMocru cnuren|]brM aenot)

He ycfaHaBnraarfe nrrheByp eapaHky crkukaM ny6oka!,nurbeBy€ BopoBky ycraHaBnxBaire lerKo Bb ue (MrFuMyMI cM) HafBbcuet roeKu MoAenupyeMoro Kapkaca.IrrtsuKo3be (aHaru AonxHr foAtsrMarbcF BBepx K nurbesot Bo-

n paBhn bHo Ebt1rp ai re r e Mn e pary py n peaB a p, rc n L Horc

BaxHd Bce napaMerpb: ,/reisaF ycraHosKa, 06beKr ror-utrHa creHo( onoKu. BpeMF 3aaepx(r. nursF |4 ra. enoK4craBFrcaBnrHetHoM/nr rocecHoMKoHra( reKKepaMxcecKor noacra8(e MyeenbNor ne!r. reMreparypa npeABapu-renbBorc HarpesaAnF o0hrlH6rx raKoBo!Hbrx Macc:9OO oC _1.050'C BpeMF BbaepxKr4 KoN€!Hoi reMneparypb _ Ne MeH€e 20 MdHyr AocrarolHo npoiperbe onoK, sbffNAFr pas-NoMepHo npoKareHr6rMh (KpacHoe Kdetsre). nph Heo6xoA,Mocrr nepeaH/e onoku MoxBo nepecrae/rb Bmy6d

CoKpauaire speM1 3aaepxK, trrLF![4oMeHr nurbF onpeAenFirroAa ,l,rrbF, cornacHo r4HcrpyKqu/ no o6pa6or(e aa|HofocnnaBa. Eonbuoi ocraroK Br/rne cBuAerenbcrByero npexaeBpeM€HHoM nur6e. MexayMy.bensHor re!b|o / nurentsorjiycraHoBKoi AonxNo 6brrb oeeHb KoporKoe pau! oflH,e,u !a !e ono.c cnxLrov 6o , r rpo o ro re- :_ top .Bap/ .Fr "Hbu.pofpe8 Meranna coKpauraer EpeMF 3aAepxk,. nrrbF. pac-nonaatre onoK" B My$en 69oii rcev B yao'HoM an+ 3axBaraabnuaM, nara\eNuu.

npk ueHrpaAexHaM nhrbe DpoBepatrc nuk4un urnF!no3/u/r rfrnF Bo BpeMF spaureHuF He AonxHa ,3Meff,rhcF!nnoxo BXoaFUr4e r/ru npolHo ShKcupyire B crasKe.

npaKoHr porapytire nycKoBon MaMeHr(4eHrpabexHae nrfbe)!nycko6on MoMefr uetsrpudryru F BnFercF pedaour,lM aj fl xo,pouerc pe3ynbrara nrrbFt aaenarr€ npo6Hoe nur6e peujer-la ro i i pereNqr | ( r1 MM x 1B MM):pereHqr rc nocrasu,6 Bep-

CneAure 3a HanpaBneHheM rceeHba cnnaBa!np/ q€Hrpo6exHoM nrrbe cnoxHot KorcrpyKrru, o6pa-uradre BHhMaNue Ha HanpaBneHxe ioroKa Meranna HyxNo

Myeerb u pacnonoxur6 o66eKrunx ero KpurdcecKuecacv npor14B HanpaBneH/F BpaqeHxFqeHrpo6exNoro nneqa.

4.1.5 O6nox, 3aTeKUhe pereHqrrt

U36ercnre otuu6oK npk 3aMetuuBa\rh, npeABaprrerbHoM

rlaKo8o,rNyb Maccy o6pa6arb Barb np, reMneparype NeNuxe 18'C I xopouo 3aMeurBarh: 15 ceKyHA BpyqHy6 u 60ce(ytsA B BaKyyMHoM cMecrrene. Onoxy craBEre ts rEeh Hepaf6ue, ceM eep* 30 MfHyr, np, reMneparype Ne B6rue250'c. rvy.ber6Hyo necb HarceBatre He cnuuKoM 6srcrpo:5'C 7'C B M,rtsyry, (oHelHaF reMneparypa He AonxHa ipeBbrraru 1050'C, a B6r4epxKa oA|oro qacat np, Heo6xoAu-Mocr, nposepurb peryrsrop reM ieparypu ,r repMmneMeNrI puMeHFF obrcrpoNarpeBaeMyo iaKoBoeHyro Maccy, npr-aepxuBatrec6 uNcrpy(qrll

O6paqanre sBhMaH4e Ha AocrarosHyo rcnurHy uaKanl

H/3Kqe Moaen, BepxHei qen€fiu (rny6oKrr cBoA He6a) u33a NeAocraro!Hoi Bbcorb| qoKonF rMeor cKnoNHocrb K 06-pa3osaN1|o rpeqr| Bo BpeMF npofpeBa lenaiire qoKonhMacrep-MoEenx Be Nrxe oAHoro caHrxMerpa qoKonr c oc-rpb Mr4 kpaFM4 roxe Moxer6rrb np/e/Hoi noFBneFuF rpeurrH. OcrpBre KpaF HyxHo 3aKpyfnur6 eure !a Maciep Mo,

Ay6n hx ar-MaAe n h I aarcn bH o BLtcyu rr B, 3 aKar u ft !f pyxHoro orBepaxrerF cnoco6-

crByNrr o6pa30BaHut] o6noeB u 3areKaNuo pereHLtu, Ha nr_r6e. Ay6nuKar-MoAenu cyuarcF noKa KpaF MoAen, He cra-Nyr Koph!HeBarbrMu. ttpon/ru BaFue orBepaxrenerr arinrcsnpL46nu3/renbHo 5 I ceKyfAt 3areM rcsnekhre Mo/ren" ,jpacrBopa u yaanr.re /3n4uK/ norcyx|oro orBepafrenF.rocraB6re Moaenb Ha 10 MxHyr B cyunrfbrii u(a+. noKa

orBeparrenb nontsocrbro He Bf"raercF. Ay6nuKar Moae, ,/3 cun4KoHoBE x rDopM fe o6pa6arbrBaorcF orBepAf reIeM,a lonbKo onpbrcKuBa|orcF cnpeeMl

r ,KanbHo,n | l rH /KoBb|xKaHa,(2,5 MM) noaBefia u3orHyrbMo6pa3oM c3epxy, 3anakoEarb,nporperb / orn/rb. trocchranreornrr6reFeetKh. UrHrMyM 75 %KneroK AorxHB 66rb orn/rb6e3 AegeKroB, B nporrsHoMcnyLrae HyxHo npoEep/r8 cKo-pocrb 3afycKal npoBepbre nprBoatsoi peMeN6 npu Neooxoau-Mocr, 3aMer/re erot npoBepsreBpaqefue ocet B ueHrpo6exHbrx ycraHoBKax c npyxfHHbrMnprBoAoM m 3a oonbuot onac,tsocl, nonyceH,lF rpaBMd 3aMeHa npyxhHb npor3BoahrcF

(2,s MN) ro,bKo cBep\yl

MaaenLHun cnpen HaHocrrL eKaHoMao!He BnfraBuuii.F B xonoAHyrc .oBepxHocrb MoAen,r cnpetnp/Boad K o6pa3oBaHfro o6noeB Ea MerannxeeckuM KapKace Bo /36exaH/e 3rorc nporpexre orHeynopHbre Mo/ren,

Oopv t0 vx ry r rou evnepar lpp 60 c .80'C rlo . p ro,o rcp^un crav . ,p-F A-

t 3 t

Page 58: Современные технологии протезирования 2

6etaf, o6pasoBaHrF aneHKv. flaKoM anf, nprKne BaHuFnyque He nonb3oBarbcF.

Co6n pa afi r e p rcw a K xo\ cr py K qh u !npu MoaenxpoBaHru He HaHocxre BocKsa KoHrypH prcyH(alKnaMMepd npunrBatre Boc

tlaHeckre MenkoAhcnepcHyn Maccy t4 cpa3y naKyurerCnuuiKoM cyxaF MenKoarcnepcHaF naKoBoqxer norpecKarhcF hia npr Bv6pauvu

4.1.6 YcaAo,{Hbre paKoBl,rHbl

flnhe ar MaccuBHarc K rcHKoMy!vcaaoqHb e pakoBr4HH qacro noFsnf,lorcF Bo6nacrFxcrbrrcMarepuanoB pa3Hoi roruruH6r. npqHu/nxanbNo Meratn Ao,r-xe! r€lbor MaccuBlbx oonacren o6eKra kroHKrM. qenb-HoMerannuqecKrs npoMsxyrolHbE eacT,r, 3aqrrHhre nnac-rxHH |4 r:a. cHa6xa€rcF a"nporuBoycaaocHon My$roi' (Ha paccroFHfi npuMepHo 2MM or o6r€Kra). ocHoBHo€ npaBrno: nfrHrir(l4 o$opMnFnreronure, qeM o6beKr anF n,rrbF!

4.1.7 lllepuaEaF noBepxHocrb t|lrxHeicropoH6r KapKacoB BepxHeiqer|ocrn

Ca6npAatre BpeMa oxnaxaeHre aydnrpogoeHarc rcts!

AyonupoBocHbrt renb oxnaxAarb Ha BGAlael HruKaf, reM-nsparypa (norpyxsHr4s s soaj4 xonoaHbri norok Bo3ayxa)npoansBaer BpeMu 3arBepaeBaHuF orHeynopHoi Macchr xipenFrcrByel nonHoMy orBepaeHxo MoaenL, B o6nac

KoH-ra(Ta c ay6nrpoBo,rHhrM rcneM. BbraepxuBatrre BpeMF ox-naxaeHrFo\oi o nonyropa,racos, a c s€Hr nFruoiHon u/p-KynFrruet Bo3ayxa nprMepHo I qac,

Co6npAarire npequcaHwe BpeME rBepaeHts

l&BneKanre orHeynopHy'o Moaenh "3 OopMH He pa|]bure,eeM eepe3 40 MuHyr Ecn'a K ay6nrpyNrqen $opMe npun'4-naer roHKrn cnon naKoBoeFon Maccbr 3ro 3Hacrr, ero fpo-qecc aarBepaeHfiF eqe Ne 3aBepoeH norHocrbric, groobr 3ronpoBepurh, pa3pexbre ay6nrpoBoqHhrnhPyr uohonF: ecnu Ha HeM He B,,eFo ocrarrcB nahoBorHo;Maccbr, ro MoAenbMoxHo u3lFrb rs+opMbr. C,rruKoM npo'aonxurenbHoe rBepaeHre (Ha nporFxeHfr4 Ho,rr) npuBoA'4rK MyrHucroi noBepxHocru Moaenxl orHeynopHyro Moaenb'rcBneKarh 'rc OopMbrHe no3xe,,reM qep€3 2'l" eaca.

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npaBepenre KaeecrBo ay6nupoBaqHorc rcna!OEHaxabr ricnon*oBaHH6rn Marepuan H€ np/MeHFrbAonbue 6-ru HeAenb. 3MeHeHre uaera x noAHrMaoutuecFB KEsere nyshrpb(r4 Bo3ayxacBra€renbcrByoro norepe Ka-

KaHrponrpyite rcMneparypy aarpeaa aybnt|poBoeHarc

TeMfeparypa HarpeBa aonxHa 6brh He Huxe 92 'C h HeBbroe 96 'C, uHa,re ay6nrpoBo,rfbrir rcnh lTpaexBaer cBor4xenupylorlrx€ cBoncrBal

He ononacKhBarre Ay6nkpaBoeHyto ckopMy Boaor!Ecnr ero cnyefnocb, ro ee Haao xopouo Bhrcyuurbl l&-saocrarKa Boahr oopa3oBarhcF uepo(oBa-

Pa3MeauBanrc naKaBo' lyp Maccy B reqeHre Heooxoau'

To,rNo co6roaarre 3aaaHHoe BpeMn o6pa6orKrl naKoBo,r-Nyo Maccy Haao 3aMeuhBarb 15 csKyHA Bpyefyo x 60 ce-KyHAB BaKyyMHoM cMecrrene. O6pauranre BH MaHT€HauH-r€HcuBroe iep€v€urBaHue. yclr6rBaire pa3Hx.tv Bo3!€i.crBuF HeKorophrx QaKropoB (cKopocrb 3aMeBuBaHrf,, urna-renb u ra.). nocyaa anF 3aMeurBaruF aonxHa coorBercrBo-Earb KonuqecrBy Maccbrl

lb6ennre HrcKon reMneparypd Marepuata!He noaBepranre cunbHoMy oxnaxaeNuo nopouioK naKoso!'Hoi Maccbr.r xraKocrbanF 3aMeuuBaHrFI XpaHur6 x o6pa'6arb Barb npM reMneparype oKono 18 "C 20'C.

nonHacrha yaananre oKcraHbt, cnon!l4cnonbsynre anf, necKocrpynHoi oopaoorKu oKxcb anoMr-HnF 250 Ur, c pa6oeuM AaBneFuev oKono 4 6ap EonburenoBepxHocl, 8er$p oeen6 4orro necKocrpyr4rb aBroMary-!ecKu, ny!ue Aopa6orarb rx ueneH an paBne HBo. ruar enb1anpoBepbre KapKacd Ha Hdxere ocrarKa orcraa B rpyaHo-aocrynHbrx Mecrax HanpuMep, noa

4.1.8 lllepuaBaF noBepxHocrb KapKacoB

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MenKoArcnepcHyp Maccy Hawcure 6btcrpa, HsaMeanu-

Sbrcrpo HaHocL4re Ha BocKosyro KoMno3xqu|o roHKut cnotMe,rKoarcn€pcNot Maccbr u eqe Bo BndHoM Bxae 3ana-

OcropoxHo n pot peBarrc onoxi !npeBbiueHHaF reMneparypa npoesBa , cnuukoM aonroeBbaepxxBaNue KoHeqHot rsMreparypH Moryr nprBecrx KuepuaBbrM .oBepxHocrFM B nrrbe. OnoKn AotxHbr uMerbronhKo nfHeiHbn KoHraKr Ko aHy MyQenbHon neerl

Page 59: Современные технологии протезирования 2

ftana IV- Ou u6xn npn r3roroBneHlru 6prenunrrx npore3oB

CteAhrc 3a MoMeHrcM thr64!

TutarerbEo nokpoire cMoaenupoBaHFhri KapKac MerKoa/c-nepcBot Maccon. Ha rpyAHoAocryn HbE Mecra, raKre KaK pe-reHq/u, o6parure oco6oe BNhMaHqe. natHocrLp naKpoheKoMfo3rrla€. np, oneMeHrd AonxHsrnnorHo np/nefarb ( MoAen/l

nptKpenkre a7eynopHytu MoAenL 6* 3a3opoB K AHyQAPMOBA|HA' KDBETB]

Xopouo npuneire BocKoM orNeynopHyro Moaenb K aHy (roBerbrao /s6exaHqe a6xoAa Bo3Ayra Bo BpeMF iakoBKf Hasi6pocronrke Konbqo KoBer6r nnorHo npucrasnFercF KAHy h AonorHrrenhHo np/ruBaercF cHu3y BocKoM. BMecraxBcrpecu noroKoB naKoBoqHoi Maccr ip|1 3anonHeru, Bo3MoxHo Bo|oeeHue Bo3ayuHrx ny3hrpbKo8. n€roMy 3anr-Baire naKoBocHy6 Maccy ronbKo c oAHoii cropoHr

Ca6tloAanre BpeME 3aveuhsaHte noA BakyyMaMl

hepaBHoMepHoe 3aMeu/8aHhe BpyeNyo u crhukoM Kopor-Koe BpeMF cMeLluBaHrF naKoBolHoi MaccE noA BaKyyMoM

qy61/,a -\oAenv B Aa, oHetLevF snForcF np/! rHo, noFBnepukoB Ha NuxHei cropoHe ayrl. 3aMeuuBaHre noA BaKyy-MoM npeaoxpaHFer or BKnNrleHrF Bo3ayurHbx ny36rp6KoBlHo npu reAocrarolHot MourHocr,] BaKylMa (3a6"rbre +/nrrpbD o6pa3yorcF M,]kpo-fy33ipbK'l, fipoFBnFoqrecF B BnaeMxKpo'uapoKo8 Na Kapkace.

He neperpeBanre cnnaB Bo BpeMF nnaBKrt OeeHb crnbB6rinepeeeB cnnaBa nprBoa/r K peaKqrl4 (oKc/aupoBaHre) cnaKoBo!Hot Maccot. BcneAcrBue 3roro. B 3oHeconpuKocHo-

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. 1ehnrc o6pa.aB"hrF tctopoq M4 rt a'Fe,nappa,'Daenho t aacKoBai KoMna3r\rei!

anylaercF ,rro BbxoAFur,le ny3bpbKu Bo3Ayxa yAepxuBa-.rcF np/ naKoBKe Ha KnaMMepax u ra., a noroM 3r, nonoc-

qro66 ,36exarb 3roro, HyxHo-rrarenbHo aAanrupoBarh BockoEoii Kap(ac k MoAenu, a-!xNu, Kpa, ay

MoxHo npurrr6 BocKoM.

ucnansy tre Met kaAkc ne pcHy@ M acc y !

4,1.10 AeQopMaqMF (nepeKoc) KapKaca

ly6nrpaBaeHbtn renL: w1erchre aebapva4u, rcnhesat

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Iy6r, poBaq Ha, c r t, KoH : N6enire aegap MaurucatrKaHaBaa QopMhr!,r3BneKatre MoAen h u3 cfn uKoNaBo', 6op!'h BeprhKanhHo.ll€ repeKaurBaiiirel Cra6/nu3,rpyroq/e BcraBKr rl KoNdrq-rypauu, HeOa 3aurruraror +opMy or AeoopMaqr/. yMepeNNo ucnon*yire cxarb i Bosayx np, orAereHx, Moaenq

He oxnaxAatre onak, B BoAelOnoKq oxnaxaanre Ee B Boae a Ha BGAyxe Ao reMnepa-rypbr Koropy'o repnfr py(a. AocraroeNaF ronurrNacretsoKo.o]<, co3aaer .peanocbnky anu paBNoMepfo.o x, reM ca-

r33

Page 60: Современные технологии протезирования 2

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u 8o3Fu(tsoBeN/o B

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Page 62: Современные технологии протезирования 2

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