際際滷

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INDEKS
Indeks
 Det er n淡dvendig for tannlegen 奪 studere modellane i sambit i
samband med behandlingsplanlegginga.
 Til dette form奪let kan ogs奪 ein artikulator (eit apparat som
modellane kan stillast inn i) brukast. (Sj奪 yrkesut淡ving, kapittel
3, labarbeid)
For 奪 kunne slipe studiemodellar p奪 gipsmodellar m奪 ein
kunne plassere modellane i same relasjon til kvarandre
som kjevane har i verkelegheita i munnhola til pasienten.
Vi m奪 derfor ta indeksavtrykk av tennene i tillegg til
alginatavtrykk av dei enkelte kjevehalvdelane.
Det er viktig at registreringa blir gjort i korrekt posisjon, og at
indekset er stabilt og tydeleg.
Vi snakkar om to typar registreringsposisjonar for indeks
 RP-indeks:
Ein passiv registreringsposisjon, der tennene har occlusal
kontakt s奪 langt bak som r奪d. Som regel er det tannlegen som
tar avtrykk i RP-indeks.
 IP-indeks:
Pasienten bit saman i det vanemessige samanbitsforholdet.
N淡dvendig utstyr:
 platevoks, f.eks. Tenax voks, ev. Alminax voks
 varmt vassbad
 ev. spritflamme
 vokskniv
 rett kronesaks
INDEKS MED ALMINAX VOKS
Klippogvarm
Klipp Alminax til
passeleg storleik.
Bruk gjerne
studiemodellen
som mal.
Varm Alminax.
Alminax-platablir
f淡rtinnimunnen
ogtryktmot
overkjevetennene.
Detskalvere
tydelegavtrykk
avtennenei
voksen,men
ikkjes奪hardtat
detblir
gjennomslag.
A) Voksbitt justeres med saks
B) Justert bitt p奪 studiemodell
C) Modeller i sambitt med
voksbitt p奪 plass
Tilpassing
Kontroller at du
har f奪tt med alle
occlusalflatene.
Klippbort
buccalecuspari
overkjeven.
Vedkryssbitsnur
vip奪indeksetog
klipperbort
buccalecuspari
underkjeven.
Kontroller
indekseti
munnentil
pasienten.
Indeksetskal
ikkjedekkeden
buccaleoverflata
tiltennene.Etter
atdetertattut
avmunnen,skal
detskyljastikaldt
vatn.
Indeks nyn
INDEKS MED TENAX VOKS
Ei halv voksplateblir varma i varmt vatn eller over
spritflamma.
Rull saman voksplata til ein rull. Brett til ca. 15 mm brei og 4 mm tjukk.
Varmrullen.
Voksrullenskalbli
formbar.
Voksstrimmelen
skalb淡yasti
hesteskoformog
plasserastmot
incisal-og
occlusal-flatenei
overkjeven.
Bepasientenbite
samanganske
hardt.Detskal
veretydeleg
avtrykkav
tennenei
voksen,men
ikkjes奪hardtat
detblir
gjennomslag.
Klippbortdei
buccalecuspane
ioverkjeven.
Voksindeksetskal
kj淡lastgodtmed
kaldtvatnog
takastutav
munnen.Detskal
s奪settastinni
munnenp奪nytt,
og
bitregistreringa
blirgjentattfor奪
sj奪omtennene
trefferdeisame
punktaivoksen.
Kontroller indekset i munnen til
pasienten. Etter at det er tatt ut av
munnen, skal det skyljast godt i kaldt
vatn.
Tenax voks-indeks  p奪 venstre side
har ein ikkje trimma tilstrekkeleg.
Kvalitetskontroll
 Occlusalflata til tennene skal vere med.
 Indekset skal ikkje st淡yte mot mjukvevet.
 Voksavtrykket skal trimmast slik at ingen buccalflater er inkluderte.
 Sjekk om tennene har penetrert voksen, og at alle occlusalflater er med.
 Avtrykket skal skyljast under rennande vtan.
 Voksindekset m奪 ikkje bli utsett for varme, for da kan fasongen endrast.
 Ved 淡nske om stabiliseringsskinne skal lukkebevegelsen stoppast f淡r
gjennomslag av voksen.
 Ved faste protetiske konstruksjonar skal voksen ha gjennomslag av tennene.
 Avtrykket skal vere desinfisert f淡r sending til laboratoriet.
 Pass p奪 at voksindekset blir pakka og sendt sk奪nsamt. Det blir anbefalt 奪
legge det i ei plateeske for 奪 hindre deformasjon.
息 Forlaget Vett & Viten 2017
Tekst og bilder: Elin Wilhelmsen
Bilde side 10: InDevelop
Det m奪 ikke kopieres fra denne presentasjonen i strid med 奪ndsverkloven eller avtaler inng奪tt med KOPINOR,
interesseorgan for rettighetshavere til 奪ndsverk.

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Indeks nyn