In first-tier cities, the cost of orthodontics is usually tens of thousands of yuan. God, why is it so expensive to correct a tooth? This is a doubt that many people have. Isn’t orthodontics just two loops of wire or a transparent sleeve? Why is it so expensive? Thousands and tens of thousands of orthodontics, what is the difference? No.1 is related to the complexity of the teeth. The arrangement of the teeth is complicated, and the degree of misalignment is serious. The greater the difficulty of correction, the higher the cost. No.2 is related to the doctor’s technical level. The better the doctor’s technology, the higher the relative charge, just like the registration fee for ordinary doctors and experts. No.3 is related to orthodontic methods. There are many methods for orthodontic treatment, such as metal brackets, ceramic brackets, invisible bracketless correction, etc., the price of different orthotics is also different. No. 4 is related to the area. The consumption level of each place is different, so the price of orthodontics is also different. Generally, the prices in first-tier cities are higher than those in second- and third-tier cities. Orthodontics is far more than a brace. Many people think that orthodontics is not just a brace. There is something complicated. But in fact, orthodontics is not as simple as you think. In summary, the general correction process can be roughly divided into the following 6 steps: ① Various examinations, medical history investigation, oral analysis, and establishment of case files. ②Combining the patient’s chief complaint, time, beauty, and economy, formulate a plan. ③Preparation, periodontal treatment , Select the bracket. ④ go to the bracket, start the treatment, and regularly return to the clinic. ⑤ emergency treatment, adjust the plan according to the actual situation. ⑥ end the treatment, wear a retainer. Let’s start with the most overlooked initial examination. The pre-correction examination includes: previous medical history, drug history, allergy history, oral disease history, social behavior history, systemic state assessment, intraoral examination, oral hygiene status, oral pathology, Oral soft tissue examination, oral function analysis, facial soft tissue, X-ray film analysis, model analysis, etc., these are just the needs of the initial diagnosis analysis. After the preliminary analysis, it may be necessary to add some auxiliary examinations… You also think that the initial examination is not important Look at how the correction plan is designed, is it possible to swipe down with just a glance? How to customize this correction plan, which contains too many factors, in short: understand what effect the patient wants to achieve, and estimate the correction effect. Correction is not the doctor’s responsibility. Combine with the actual situation to evaluate the treatment risk. For example, after taking an X-ray film, you can see that the root of the patient’s tooth is very short, but you want to solve the problem that the front teeth are convex forward and want to close in, or if you want to press down the gums and smile, the risk is particularly high. A large number of data parameters and clinical experience are needed to support this, and no mistakes are allowed! Finally, you think of the “simplest” bracket. The bracket bonding process is not complicated, but there is another key step that the patient cannot see: bracket positioning and force application-accurate positioning according to the doctor’s experience, which directly relates to the final correction effect. Bracket positioning should be considered from the three-dimensional direction: near and far, middle, vertical, and its own angle-it needs to be accurate to millimeters, not just sticking it on. The whole process is down, it is much harder to correct than you think. Of course, we are not saying that the cost of correction is not expensive, but that it is expensive. Orthodontics is not only a restoration of dental health function, but also a way to shape the face and improve the temperament!
Preoperative notes: 1. Do not take aspirin-containing drugs for two weeks before the operation, because aspirin will reduce the function of platelet coagulation. 2. Patients with hypertension and diabetes should consult the doctor at the initial diagnosis Inform the patient in detail so that the doctor can confirm the surgical plan. 3. Make sure the body is healthy before the operation, and there is no infectious disease or other body inflammation. 4. Do not wear makeup before the operation. 5. Women should avoid the menstrual period. Post-operative notes: 1 1. Try to avoid the surgical part getting wet before removing the thread after operation. 2. Ensure that the surgical site of the double eyelid is clean and avoid infection. 3. Avoid eating irritating foods such as peppers. 4. Strictly follow the medical advice and take the medicine and follow-up after operation. Three small cards are given to the majority of beauty seekers, which need to be collectable, and it is very convenient to turn it around. For more plastic dry goods, you can also pay attention to Li Ge.
Before and after clinical treatment of multiple myeloma, patients may have different degrees of symptoms. If they are not treated in time and preventive measures are taken, the quality of life of patients may be affected. The occurrence of these four conditions will further affect the quality of life of myeloma! The common clinical manifestations of multiple myeloma have four main symptoms, namely bone pain, renal impairment, anemia and hypercalcemia. The relevant analysis is made below. 【Bone pain bone disease】 This is one of the important features of MM. Bone pain can be seen in more than 70% of patients. It is often the first symptom, of which the lumbosacral region is the most common, followed by the sternum, ribs and other parts. Early pain is mild and can be intermittent or wandering, and late pain is severe and persistent, which can increase with activity and weight. Bone mass is a focal bulge formed by myeloma cell hyperplasia and extramedullary infiltration. It is mainly found in the sternum, ribs, skull, clavicle, spine and distal limbs. The masses vary in size, the local mass is hard, elastic or loud, and sometimes the cortical bone may have a wavy feeling, often accompanied by tenderness, and pathological fractures are prone to occur. Some patients can also develop extramedullary masses. Pathological fractures can be seen in up to 40% of patients, often in the vertebrae, especially the thoracolumbar spine, followed by the ribs and long bones of the extremities. Most studies have shown that pathological fractures are a poor prognostic factor in MM. [Organ damage] 50% to 70% of myeloma patients have proteinuria, hematuria, tubular urine and even renal insufficiency. Most patients were treated with edema and low back pain. Examination revealed positive urine protein and / or abnormal renal function. The causes of kidney damage are: a large number of light chains are reabsorbed by the proximal renal tubules after filtration through the glomeruli, resulting in cell degeneration and renal tubule damage; the deposition of M protein in kidney tissue leads to the destruction of renal units; hypercalcemia, Hyperuricemia leads to stone formation and affects renal function; amyloid deposition; tumor cell infiltration, etc. [Hematological abnormalities] Multiple myeloma can appear hematologically related manifestations, the most common is anemia, one of the most common symptoms of myeloma, seen in 50% to 70% of patients. The main causes of anemia are tumor cell proliferation and suppression of bone marrow hematopoietic function, renal insufficiency leading to insufficient secretion of erythropoietin, shortened red blood cell life span, bleeding and chemotherapy inhibition. The degree of anemia has a certain correlation with tumor burden. Myeloma bleeding is seen in 10% to 20% of newly diagnosed patients, mainly manifested as mucosal bleeding and skin purpura. In severe cases, visceral bleeding and intracranial bleeding can occur. The main cause of bleeding is thrombocytopenia and coagulopathy. [Hypercalcemia] Blood calcium greater than 2.58nmol / L is hypercalcemia, which can be seen in 10% to 30% of newly diagnosed patients with multiple myeloma. The clinical manifestations are nausea, vomiting, headache, anorexia, polydipsia, polyuria, dehydration, and even lethargy, coma, and arrhythmia. The cause of elevated blood calcium is mainly due to the binding of M protein to calcium, which leads to an increase in the combined calcium in the blood. Secondly, extensive osteolytic damage leads to the release of bone calcium and the increase of blood calcium. Other clinical manifestations include infection, hyperviscosity syndrome, amyloidosis, and nerve damage. Infection is a common first-diagnosis manifestation in patients with multiple myeloma, and it is also a serious complication during treatment and one of the main causes of death in patients with MM. Mainly caused by the disease caused by the body’s humoral and cellular immune function. In addition, there are neurological damage, and 5% to 15% of myeloma patients have neurological symptoms at the first diagnosis. Manifested as limb numbness, pain, movement disorders, etc. In severe cases, the sphincter is out of control or paralyzed. The main reasons are myeloma, pathological fractures that cause compression of the spinal cord or nerve roots; peripheral neuropathy caused by tumor infiltration, amyloidosis, or hyperviscosity; rare infiltration of the central nervous system leads to related cerebral nerve symptoms. In summary, there are corresponding treatment measures for these conditions. It is found in time that targeted prevention and treatment measures can achieve a good remission effect, thereby improving the patient’s quality of life and survival period. WeChat Sou Yisou will pay attention to multiple myeloma patients will know more: jjgs120