Niho ʻeha

ʻO kahi niho i hoʻopili ʻia he niho e haki ʻole i ka gum.

Hoʻomaka ka niho e hele i waena o nā gums (e kū) i ka wā pēpē. Hana hou kēia ke pani nā niho paʻa i nā niho mua (pēpē).

Inā ʻaʻole komo kahi niho, a i ʻole puka wale i kahi ʻaoʻao, manaʻo ʻia ua hoʻopili ʻia. Hana pinepine kēia me nā niho akamai (ʻo ke kolu o nā molara). ʻO lākou nā niho hope loa e hū. Hele mai lākou ma waena o nā makahiki 17 a 21.

Paʻa ka niho pili i kaʻiʻo gum a iwi paha no nā kumu like ʻole. Piha paha ka wahi, ʻaʻole e waiho i kahi no ka puka ʻana o nā niho. ʻO kahi laʻana, ʻuʻuku paha ka iwi ā i kūpono i nā niho akamai. Hiki paha i nā niho ke wili, kuli, a neʻe paha i ko lākou hoʻāʻo ʻana e puka. ʻO kēia nā hopena i nā niho i hoʻopili ʻia.

ʻO nā niho naʻaupō ka hopena. ʻAʻohe o lākou ʻeha a ʻaʻole kumu pilikia. Eia nō naʻe, manaʻo kekahi mau loea i ka pā ʻana o ka niho i ka niho aʻe, kaomi i ka niho aʻe. ʻO ka hopena, hiki i kēia ke kumu i kahi nahu misaligned. Hiki i kahi niho i puka i waho ke hopu i ka meaʻai, pākaʻi, a me nā ʻōpala ʻē aʻe i loko o nā mea palupalu a puni ia, kahi e alakaʻi ai i ka mumū a me ka palupalu o nā kāʻei a me ka pilau waha ʻoluʻolu ʻole. Kapa ʻia kēia pericoronitis. Hiki i nā ʻōpala paʻa ke alakaʻi i ka palaho ma ka niho akamai a i ʻole ka niho kokoke, a i ʻole ka nalo ʻana o ka iwi.

ʻAʻohe paha ʻōuli o kahi niho pili pono. ʻO nā ʻōuli o kahi niho ʻāpana i hoʻopili ʻia e hoʻopili pū ʻia paha:

• Hanu ʻino
• ʻO ka paʻakikī e wehe i ka waha (i kekahi manawa)
• ʻEha a palupalu paha o ka gum a me ka iwi ā
• ʻAche ʻeha ke poʻo me ka ʻeha
• ʻO kaʻulaʻula a me ka pehu ʻana o nā gum a puni ka niho pili
• Pehu nā lymph node o ka ʻāʻī (i kekahi mau manawa)
• ʻIno ʻoluʻolu ʻole ke nahu ma a ma kahi o ka wahi
• ʻIke i ʻike ʻole ʻia kahi niho ʻole

E nānā kāu kauka niho no nā mea pehu ma luna o ka wahi kahi i puka ʻole ai ka niho, a i ʻole kekahi hapa wale nō i kupu. Kaomi ʻia paha ka niho i pili i nā niho kokoke. Hōʻike nā gum a puni ka wahi i nā hōʻailona o ka maʻi e like me ka ʻulaʻula, ka hoʻokahe ʻana, a me ka palupalu. I ke kuʻi ʻana o ka gum ma luna o nā niho naʻau a hopena a laila kahe a paʻa hoʻi, manaʻo paha paha ua hele mai ka niho a hoʻi hou i lalo.

Hoʻopaʻa nā niho x-ray i ka loaʻa ʻana o hoʻokahi a ʻoi paha nā niho i kū ʻole.

ʻAʻole pono ka mālama ʻana inā ʻaʻole pili ka niho naʻauao i ka hopena. Inā ma mua kahi o ka niho mea i hoʻopili ʻia, e pono paha i nā mea paʻa e kōkua i ke kau ʻana i ka niho i kahi kūpono.

Hiki ke kōkua i nā mea hōʻoluʻolu over-the-counter inā he niho ʻeha ka hopena. ʻO ka wai paʻakai mehana (hoʻokahi hapalua teaspoon a i ʻole 3 gram o ka paʻakai i loko o hoʻokahi kīʻaha a i ʻole 240 milliliter o ka wai) a i ʻole nā ​​holoi waha over-the-counter e hōʻoluʻolu i nā gums.

ʻO ka hemo ʻana o ka niho ka lapaʻau maʻamau no ka niho akamai i pili. Hana ʻia kēia i ke keʻena o ka dentist. ʻO ka hapanui, e hana ʻia e kahi mea haʻi waha. Hiki ke kuhikuhi ʻia nā lāʻau antibiotic ma mua o ka unuhi inā maʻi ka niho.

ʻAʻole pilikia nā niho i hiki i kekahi poʻe a ʻaʻohe pono e mālama ʻia. Kūleʻa pinepine ka mālama ʻana ke hana ka niho i nā ʻōuli.

ʻO ka hemo ʻana o nā niho akamai ma mua o ka piha ʻana o nā makahiki 20 he mau hopena maikaʻi aʻe ma mua o ke kali ʻana a ʻelemakule ʻoe. ʻO kēia no ka mea ʻaʻole i hoʻomohala piha ʻia nā aʻa, kahi mea maʻalahi e hemo i ka niho a e ʻoi aku ka maikaʻi. I ke kanaka e ʻelemakule ana, lilo nā aʻa i lōʻihi a ʻōwili. E ʻoi aku ka paʻakikī o ka iwi, a hiki i nā pilikia ke ulu.

Hiki i nā pilikia o kahi niho i hoʻopili ʻia ke hoʻopili:

• Loaʻa kahi o ka niho a me ka wahi gum
• Hoʻomaha iki ʻole i ka waha
• Maʻi kīnā
• Malocclusion (maikaʻi maikaʻi ʻole o nā niho)
• Paʻa ka plaque ma waena o nā niho a me nā niho
• ʻO ka maʻi Periodontal ma ka niho kokoke
• Poino ke nerve, inā kokoke ka niho i hoʻopili ʻia i kahi ʻāʻī i ka iwi ā i kapa ʻia ʻo ke aʻalolo mandibular

Kāhea i kāu kauka niho inā loaʻa iā ʻoe kahi niho unemerged (a i ʻole niho ʻāpana i puka hapa ʻia) a loaʻa iā ʻoe ka ʻeha ma nā gum a i ʻole nā ​​hōʻailona ʻē aʻe.

Niho - unemerged; Niho unemerged; Dental impaction; Niho paʻa ʻole

Campbell JH, Nagai MY. ʻOki kino dentoalveolar Pediatric. I: Fonseca RJ, hoʻoponopono. ʻOki kino waha a me Maxillofacial. ʻEkolu huaʻōlelo. Louis, MO: Elsevier; 2018: chap 20.

Hupp JR. Nā loina o ka mālama ʻana i nā niho i hoʻopili ʻia. I: Hupp JR, ​​Ellis E, Tucker MR, eds. ʻOki kino waha a me Maxillofacial Contemporary. ʻEpekema 7 Louis, MO: Elsevier; 2019: chap 10.