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Tires Tigershtedta - Tooth wire bus
05-09-2009
Tires Tigershtedta. For more than 80 years of successfully using bent wire Tooth tires developed further during the First World War, a dentist in Kiev Military Hospital Tigershtedtom S. (1915). They were asked a number of different designs of tires: a simple clamp (now called the smooth tire-clamp), bearing clamp (tire with a hooked pallet hinges), distention clamp (tire with rasporochnym curve), various versions of staples from planes, buses with ramps and hinges , with the levers of different principles of action to move the bone fragments with chronic fractures, fixation plombochki, anchor shackles, etc. As stated by the author himself, his system allowed «... quickly, without wax, without models, without rings, nuts and screws, no soldering and stamping, with no cure to all that is necessary ».
Tires Tigershtedta made a real revolution in domestic and foreign traumatology. This was due to the fact that this method of treatment of immobilization differs relatively little traumatic, simplicity, high efficiency and low cost of materials used.
Eventually, in the process of clinical screening, preserved and used successfully the following wire bent to-Tooth Tires: smooth-tire bracket, tire with rasporochnym bending bus hooked pallet hinges and very rarely - a bus with an inclined plane.
To produce tooth tires need the following materials: aluminum wire diameter of 1,8-2 mm and a length of 12-15 cm (in the case of high stiffness it needs to be ignited and slowly cooled), bronze, aluminum wire diameter 0,5-0,6 mm or wire, stainless steel diameter 0,4-0,5 mm; tools: Crampon forceps, dissecting forceps, hemostat Billroth (without teeth) or Kocher (with teeth), dental scissors for cutting metal file. General rules for the imposition of tooth tires:
• subcutaneous injection to 0.5 ml 0.1% solution of atropine for convenience in connection with a decrease in salivation;
• comply with local anesthesia, better wiring;
• start bending tires on the left side of the jaw the patient (for left - right), some authors recommend starting bending tires from a fracture;
• tire bend the fingers of his left hand, hold the wire in the right hand Crampon tongs (for left-handed - vice versa);
• Crampon forceps positioned at the border wire (blanks) and the curved section of the tire, preventing it from deformation;
• After fitting the tire to bend her teeth just outside the mouth;
• Manufacturing tire must necessarily adjacent to each tooth at least one point and placed mezhdudesnevym edge of the tooth and the equator;
• tire to fix each time you turn it zubuligaturnoy wire;
• tighten the ligature wire only napravleniidvizheniya clockwise (as agreed by all doctors).
This ensures continuity in the care of the tire, moving up and weakening the ligatures.
Begin manufacturing tires with large deformation hooked pallet hook or hooked pallet spines. When bending aluminum tire wire fixed Crampon tongs and bend her fingers clutching the wire to the cheeks forceps to avoid the strain adapted to the teeth section of the tire. In the mouth, try on the bus, and bent it out of the mouth of the patient. For fitting the curved section of tire it is applied to the teeth of the patient and record the fingers of his right hand in a large hooked pallet hook or spike hooked pallet, ie in the area have already made tires. This condition is very important. You can not try on the bus, holding her for the speaker wire from the mouth area, as it leads to incorrect placement of tires on the teeth. After making the tire on one half of the jaw, moving to its bending in the other half. In this case the long end of the wire piece should bend at 180 °, leaving her a piece, enough to make the second half of the tire.
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