Prognathism

Prognathism kahi hoʻolōʻihi a bulging paha i waho (protrusion) o ka iwi ā lalo (mandible). Hiki ke hoʻopili ʻole ʻia nā niho ma muli o ke ʻano o nā iwi alo.

Hoʻokumu paha ka Prognathism i ka malocclusion (misalignment o nā ʻāpana nahu o nā niho o luna a lalo). Hiki iā ia ke hāʻawi i kahi kanaka i ka huhū, a i ʻole ka helehelena o ka mea koa. Prognathism paha he hōʻailona o nā syndrome a i ʻole nā ​​kūlana.

Hiki ke lilo kahi iwi ā lōʻihi (protruding) i ʻāpana o ke alo o ke kanaka maʻamau i kū i ka wā hānau.

Hiki iā ia ke kumu ʻia e nā kūlana hoʻoilina, e like me Crouzon Syndrome a i ʻole basal cell nevus Syndrome.

Hoʻolālā paha ia i ka manawa o nā keiki a i ʻole nā ​​mākua ma muli o ka ulu nui ʻana o nā kūlana e like me gigantism a i ʻole acromegaly.

Hiki paha i kahi kauka niho a i ʻole orthodontist ke mālama i ka hoʻopili kaulike ʻole o ka iwi ā a me nā niho. Pono e hoʻopili ʻia kāu mea mālama ola mua e nānā no nā maʻi olakino i hiki ke hoʻopili ʻia me ka wānana.

Kāhea i kahi mea hāʻawi inā:

• Pilikia ʻoe a i ʻole paha i kāu keiki i ke kamaʻilio ʻana, ke nahu ʻana a i ʻole ka nau ʻana e pili ana i ka hoʻopili iwi ʻokoʻa.
• He hopohopo kāu e pili ana i ka hoʻopili ʻana o ka iwi ā.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mōʻaukala. Hiki i nā nīnau ke komo pū me:

• Aia kekahi mōʻaukala ʻohana o kahi ʻano iwi ʻokoʻa?
• Aia kekahi paʻakikī i ke kamaʻilio ʻana, ke nahu ʻana a me ka nauʻu ʻana paha?
• He aha nā hōʻailona ʻē aʻe āu?

Hoʻokomo ʻia paha nā hōʻike diagnostics:

• Kiwi x-ray (panoramic a me cephalometric)
• Kahua niho x-ray
• Nā hiʻohiʻona o ka nahu (hana ʻia kahi niho puna i nā niho)

Hiki ke mālama ʻia kēia ʻano me ke ʻoki kino. ʻO kahi kauka lūlū, kaukiko ʻalā ea, a i ʻole he loea ENT ke hana i kēia ʻoki.

ʻUmi hoʻonui ʻia; Kahului

• Prognathism
• Maloccusion o nā niho

ʻO Dhar V. Malocclusion. 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 335.

ʻO Goldstein JA, Baker SB. ʻOki a me ka craniofacial orthognathic ʻoki kino. I loko o: Rodriguez ED, Losee JE, Neligan PC, eds. ʻOki kino: Volume 3: Craniofacial, ʻoki poʻomanaʻo poʻo a me nā ʻāʻī a me nā ʻoki lula pediatric. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 28.

Koroluk LD. Nā mea maʻi ʻōpio. I: Stefanac SJ, Nesbit SP, eds. ʻIke a me nā hoʻolālā hoʻomaʻamaʻa ʻana ma Dentistry. ʻEkolu huaʻōlelo. St Louis, MO: Elsevier; 2017: chap 16.