Niho - nā kala ʻokoʻa

ʻO ke kala o ka niho maʻamau kahi ʻano ʻē aʻe ma mua o ke keʻokeʻo i keʻokeʻo melemele.

Hiki i nā mea ke hoʻonā i nā niho e lilo i kala. Hiki paha i ka loli i ke kala ke hoʻopili i ka niho holoʻokoʻa, a i ʻole he hiʻohiʻona a laina paha i ka enamel niho. ʻO ka Enamel ka paakiki waho o ka niho. Hiki ke loli a paʻa paha ka discoloration. Hiki ke ʻike ʻia ma nā niho he nui a i ʻole hoʻokahi wale nō ʻāpana.

Hoʻopili kāu mau gen i kou kala niho. ʻO nā mea ʻē aʻe e hiki ke hoʻopili i ke kala o ka niho:

• Nā maʻi i loaʻa i ka wā hānau
• Nā kūlohelohe
• Nā maʻi ʻino

Hiki i nā maʻi hoʻoilina ke hoʻopili i ka mānoanoa o ka enamel a i ʻole ka puna a me nā protein i loko o ka enamel. Hiki i kēia ke kumu i nā loli kala. Hiki i nā maʻi Metabolic ke hoʻololi i ke kala a me nā kinona niho.

ʻO nā lāʻau a me nā lāʻau i lawe ʻia e ka makuahine i ka wā hāpai a i ʻole ke keiki i ka manawa o ka ulu ʻana o ka niho hiki ke hoʻololi i ke kala a me ka paʻakikī o ka enamel.

ʻO kekahi mau mea i hiki ke hoʻoliʻiliʻi nā niho ʻo:

• Hoʻohana ʻia ka lāʻau tetracycline Antibiotic ma mua o ka makahiki 8
• ʻO ka ʻai ʻana a i ʻole nā ​​mea inu e hoʻomāinoino i nā niho no ka manawa pōkole, e like me ka tī, kope, waina ʻulaʻula, a me ka hao i piha i nā wai
• Puhi paka a me ka nau ʻana i ka paka
• Nā kīnā genetic e hoʻopili i ka enamel niho, e like me dentinogenesis a me amelogenesis
• ʻO ke kuni kiʻekiʻe i ka makahiki ke hana nei nā niho
• Mālama waha maikaʻi ʻole
• Poino ʻino nā niho
• ʻO Porphyria (kahi hui o nā maʻi i hoʻokumu ʻia e kahi kūkulu ʻana o nā kemika maoli i loko o ke kino)
• ʻO ka jaundice neonatal koʻikoʻi
• Nui loa ka fluoride mai nā kumuwaiwai kūlohelohe (kū i ke kiʻekiʻe o ka wai fluoride wai) a i ʻole ka ʻai ʻana i nā holoi fluoride, ʻāpala niho, a me nā nui o nā mea kōkua fluoride

E kōkua ka hoʻomaʻemaʻe waha maikaʻi inā ʻike ʻia nā niho mai ka meaʻai a wai ʻole, a inā e hoʻoliʻiliʻi ʻia no ka hoʻomaʻemaʻe maikaʻi ʻole.

E kamaʻilio me kāu kauka niho e pili ana i ka pena niho ʻole. Eia nō naʻe, inā pili ke kala i kahi ʻano olakino, pono ʻoe e kamaʻilio pū me kāu kauka olakino maʻamau.

Kāhea i kāu mea hāʻawi inā:

• ʻO kou mau niho kahi kala ʻokoʻa me ke kumu ʻole
• Kū mau ke kala o ka niho maʻamau, ʻoiai ma hope o ka hoʻomaʻemaʻe maikaʻi ʻana o kou mau niho

E nānā kāu kau niho i kou mau niho a nīnau e pili ana i kāu mau hōʻailona. Pili paha nā nīnau i:

• I ka hoʻomaka ʻana o ka hoʻoliʻiliʻi
• Nā meaʻai āu e ʻai nei
• Nā lāʻau lapaʻau āu e lawe nei
• ʻO ka moʻolelo olakino pilikino a me ka ʻohana
• Hōʻike i ka fluoride
• Nā hana mālama waha e like me ka palaki ʻole ʻana a palaki ikaika loa paha
• Nā hōʻailona ʻē aʻe āu e loaʻa ai

Hiki ke hoʻopau ʻia ka discoloration e pili ana i ka papaʻai a me ka discoloration e kau wale ʻia ma luna o ka ʻili me ka hoʻomaʻemaʻe waha pono a i ʻole nā ​​ʻōnaehana whitena niho. Pono e uhi ʻia i ka discoloration ʻoi aku ka nui me ka hoʻopiha, veneers, a me nā lei aliʻi.

ʻAʻole pono paha ka hoʻāʻo ʻana i nā manawa he nui. Eia nō naʻe, inā kānalua kāu mea lawelawe e pili paha ka discoloration i kahi ʻano olakino, pono paha e hoʻāʻo e hōʻoia i ka ʻike.

Lawe ʻia nā x-ray niho.

Niho ʻino ʻole; Hoʻololi niho; Pigmentation niho; Pākuʻi niho

ʻO Dhar V. Hoʻolālā a me nā anomalies ulu o nā 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 333.

Neville BW, Damm DD, Allen CM, Chi AC. Nā maikaʻi ʻole o nā niho. I: Neville BW, Damm DD, Allen CM, Chi AC, eds. ʻ Pathlelo a me Maxillofacial Pathology. ʻEhā ed. St Louis, MO: Elsevier; 2016: chap 2.

Regezi JA, Sciubba JJ, ʻO Jordan RCK. Nā maikaʻi ʻole o nā niho. I: Regezi JA, Sciubba JJ, ʻO Jordan RCK, eds. ʻOlogylelo Pili ʻallelo. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 16.