Kahua niho kahua niho
ʻO nā ʻāhae niho he mau lua (a ʻinoʻino paha o ka hanana) i nā niho.
ʻO ka palaho niho kahi maʻi maʻamau. Kū pinepine ia i nā keiki a me nā ʻōpio ʻōpio, akā hiki ke hoʻopili i kekahi. ʻO ka palaho niho kahi kumu maʻamau o ka nalo ʻana o ka niho i ka poʻe ʻōpio.
ʻIke ʻia nā bacteria i kou waha. Hoʻololi kēia mau bacteria i nā meaʻai, ke kō a me ka starch, i mau waikawa. Hoʻohui ʻia ke koʻohune, ka waikawa, nā ʻāpana meaʻai, a me ka lawai i ka waha e hana i kahi mea hoʻopili i kapa ʻia he plake. Paʻa ka plaque i nā niho. ʻO ka mea maʻamau ma nā molars o hope, ma luna pono o ka laina gum ma nā niho āpau, a ma nā kihi o ka hoʻopiha.
ʻO ke koʻokoʻo ʻaʻole hemo aku mai nā niho a lilo i waiwai i kapa ʻia ʻo tartar, a i ʻole calculus. Hoʻonāukiuki ka plaque a me ka tartar i nā gums, e hopena ana i ka gingivitis a me ka periodontitis.
Hoʻomaka ka plaque e kūkulu i nā niho i loko o 20 mau minuke ma hope o ka ʻai ʻana. Inā ʻaʻole ia e hemo, e paʻakikī ia a lilo i tartar (calculus).
Hoʻopilikia nā waikawa i ka pā i ka enamel e uhi ana i kou mau niho. Hoʻokumu pū kekahi ia i nā lua i ka niho i kapa ʻia he lua. ʻAʻole ʻeha nā ʻōpū, ke ulu ʻole lākou a nui a pili i nā ʻalolo a i ʻole ke kumu o ka haki o ka niho. Hiki i kahi lua i hana ʻole ʻia ke alakaʻi i kahi maʻi i ka niho i kapa ʻia he niho maloʻo. Hoʻopau pū ka niho palaho ʻole i loko o ka niho (pulp). Pono kēia i ka lapaʻau ākea, a i ʻole ka hemo ʻana o ka niho.
ʻO nā Carbohidrat (nā kō a me nā starches) e hoʻonui i ka makaʻu o ka pala o ka niho. ʻOi aku ka maikaʻi o nā meaʻai lāʻau palaka ma mua o nā meaʻai palaha ʻole no ka mea hoʻomau lākou i nā niho. Hoʻonui ka ʻai pinepine pinepine ʻana i ka manawa e pili ai nā waikawa me ka papa o ka niho.
ʻAʻohe paha ʻōuli. Inā kū nā ʻōuli, pili pū paha lākou:
- Ka ʻeha ʻana o ka niho a ahea ʻole paha, keu hoʻi ma hope o nā mea ʻono a wela paha a anuanu paha
- Nā lua i ʻike ʻia a i ʻole nā lua i nā niho
ʻIke ʻia ka hapa nui o nā lua i nā wā mua i ka nānā ʻana o nā niho.
E hōʻike paha kahi hoʻokolohua niho he palupalu ka ʻili o ka niho.
Hōʻike nā niho x-ray i kekahi mau lua ma mua o ka hiki ke ʻike ʻia ma ka nānā wale ʻana i nā niho.
Hiki i ke kōkua ke pale i ka hōʻino ʻana o ka niho mai ke alakaʻi ʻana i nā lua.
Hoʻopili paha ka mālama ʻana:
- Hoʻopiha
- Nā Lei Aliʻi
- Nā aʻa aʻa
Hoʻopiha nā niho niho i ka wehe ʻana i nā mea niho palaho me kahi drill a hoʻololi iā ia me kahi mea e like me ke kēpau hui, aniani ionomer, a amalgam paha. Hoʻohui like ke kēpau hui me ka niho maoli, a makemake ʻia no nā niho o mua. Aia kekahi maʻa e hoʻohana i ka resin hui lua ikaika kiʻekiʻe i nā niho hope pū kekahi.
Hoʻohana ʻia nā lei aliʻi a i ʻole nā "pāpale" inā nui ka palaho o ka niho a he kaupalena ʻia nā hanana o nā niho, nā mea e hoʻonā i nā niho nāwaliwali. ʻO nā hoʻopihapiha nui a me nā niho nāwaliwali e hoʻonui i ka makaʻu o ka haʻi niho. Wehe a hoʻoponopono ʻia ka wahi palaho a nāwaliwali paha. Hoʻokomo ʻia kahi lei aliʻi ma luna o ke koena o ka niho. Hana pinepine ʻia nā kalaunu i ke gula, ka porselana, a i ka porselain paha i pili i ka mea hao.
Paipai ʻia kahi aʻa aʻa inā make ke aʻalolo i kahi niho mai ka pala a ʻeha paha. Lawe ʻia ke kikowaena o ka niho, me nā aʻa a me nā aʻa koko (pulp), me nā ʻāpana pala o ka niho. Hoʻopiha nā aʻa i kahi mea sila. Hoʻopiha ka niho, a pono ka lei aliʻi i ka nui o nā hihia.
Mālama pinepine ka mālama ʻana i ka niho. ʻOi aku ka hōʻeha a me ka liʻiliʻi o ka mālama ʻana inā hana wawe ia.
Pono ʻoe i ka lāʻau numbing a me nā lāʻau ʻeha e kuhikuhi i ka ʻeha i ka wā a ma hope paha o ka hana niho.
ʻO Nitrous oxide me nā lāʻau anesthetic kūloko a i ʻole nā lāʻau ʻē aʻe he koho inā makaʻu ʻoe i nā mālama niho.
Hiki i nā lua niho ke alakaʻi iā:
- Hōʻoluʻolu a ʻeha paha
- Niho haʻi
- Hiki ʻole ke nahu ma ka niho
- Niho abscess
- Nānā niho
- ʻO ka maʻi o ka iwi
- Lilo iwi
Kāhea i kāu kauka niho inā loaʻa iā ʻoe kahi ʻeha o ka niho, hōʻoluʻolu a ʻike paha i nā kiko ʻeleʻele i kou mau niho.
E ʻike i kāu kauka niho no kahi hoʻomaʻemaʻe maʻamau a me ka hoʻokolohua inā ʻaʻole āu i loaʻa i nā mahina 6 i hala iho nei.
Pono ka hoʻomaʻemaʻe waha e pale ai i nā lua. Loaʻa kēia i ka hoʻomaʻemaʻe ʻoihana maʻamau (i kēlā me kēia 6 mahina), palaki ma ka liʻiliʻi i ʻelua mau manawa i ka lā, a me ka flossing ma ka liʻiliʻi i kēlā me kēia lā. Lawe ʻia nā kukuna X i kēlā me kēia makahiki e ʻike i ka hoʻomohala ʻana o ka hakahaka ma nā wahi kiʻekiʻe o ka waha.
ʻOi aku ka maikaʻi e ʻai i nā meaʻai momona, nā mea pā (e like me nā hua maloʻo a i ʻole nā kanakē) ma ke ʻāpana o kahi pāʻina ma mua o kahi meaʻai māmā. Inā hiki, palaki i kou mau niho a holoi paha i kou waha me ka wai ma hope o ka ʻai ʻana i kēia mau meaʻai. Palena i ka meaʻai māmā, no ka mea hana ia i kahi lako mau o ka waikawa i kou waha. Hōʻalo i ka huki mau ʻana o nā mea inu kō a i ʻole ka omo pinepine ʻana i ka candy a me nā mineta.
Hiki i nā mea hōʻailona niho ke pale i kekahi mau lua. ʻO nā Sealants he lahilahi like me ka pale lole palolo e hoʻopili ʻia i nā papa nau o nā molala. Pale kēia pale i ke kūkulu ʻia ʻana o ka pāka i nā ana hohonu o kēia mau papa. Hoʻopili pinepine ʻia nā sila ma nā niho o nā keiki, ma hope koke iho o ka hiki ʻana mai o kā lākou molara. Pōmaikaʻi paha ka poʻe ʻelemākule i nā sila niho.
Paipai pinepine ʻia ʻo Fluoride e pale aku i ka pala o nā niho. ʻO ka poʻe i loaʻa ka fluoride i loko o kā lākou wai inu a i ʻole i ka lawe ʻana i nā mea kōkua fluoride he emi ka pala o ka niho.
Paipai ʻia ka fluoride kumuhana e pale i ka ʻili o nā niho. Pākuʻi paha kēia i ka toothpaste fluoride a i ʻole ka holoi waha. Hoʻopili ka nui o nā kauka niho i ka noi o nā hopena fluoride kumuhana (hoʻopili ʻia i kahi wahi o nā niho) ma ke ʻano he mahele o nā kipa maʻamau.
Karies; Palaho niho; Nā lua - niho
- Anatomi niho
- Pepe niho ʻōmole pēpē
ʻO Chow AW. Nā maʻi o ka waha waha, ka ʻāʻī, a me ke poʻo. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 64.
ʻO Dhar V. Nā niho niho. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 338.
ʻO Rutter P. Gastroenterology. I: Rutter P, ed. Hale kūʻai lāʻau kaiāulu. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 7.