Kahua niho x-ray
ʻO nā kukuna niho x kekahi ʻano o ke kiʻi o nā niho a me ka waha. ʻO nā kukuna X kahi ʻano o ka radiation electromagnetic radiation kiʻekiʻe. Hoʻopili nā kukuna x i ke kino e hana i kiʻi ma ke kiʻi ʻoniʻoni a i ʻole ka pale. Hiki i nā kukuna X ke hoʻokele a i hoʻomohala ʻia ma kahi kiʻi ʻoniʻoni.
Nā hanana i paʻa (e like me ka hoʻopihapiha kālā a me ka hoʻihoʻi hao ʻana) e ālai i ka hapa nui o ka ikehu mai ka x-ray. Hōʻike lākou i keʻokeʻo i ke kiʻi. E ʻeleʻele nā hanana i loaʻa i ka ea a me nā niho, nāʻiʻo, a me nā wai e ʻike ʻia e like me nā aka o ka hina.
Hana ʻia ka hoʻāʻo ma ke keʻena o ka dentist. Nui a hewahewa nā ʻano niho o nā niho x. ʻO kekahi o lākou:
- Bitewing. Hōʻike pū i nā lei kalaunu o ka niho luna a me lalo i ka wā e nahu ai ke kanaka ma ka ʻaoʻao nahu.
- Periapical. Hōʻike i 1 a i ʻole 2 mau niho piha mai ke kalaunu a i ke aʻa.
- Palatal (i kapa ʻia hoʻi ʻo occlusal). Hoʻopaʻa i nā niho o luna a i lalo paha i hoʻokahi pana ʻoiai ke kiʻi ʻoniʻoni e kau ana i ka niho.
- Panorama. Koi aku i kahi mīkini kūikawā e huli a puni ke poʻo. Lawe ka x-ray i nā ā ā āpau a me nā niho i hoʻokahi pana. Hoʻohana ʻia ia e hoʻolālā i ka mālama ʻana no nā implants niho, e nānā no nā niho naʻau i hoʻopili ʻia, a ʻike i nā pilikia āpau. ʻAʻole kahi x-ray panoramic ke ʻano ʻoi loa no ka ʻike ʻana i nā hakahaka, ke ʻole ke kiʻekiʻe a hohonu loa ka palaho.
- ʻO Cephalometric. Hōʻike i ka ʻaoʻao ʻaoʻao o ka helehelena a hōʻike i ka pilina o ka iwi ā i kekahi me kekahi a me ke koena o nā hale. He mea kōkua ia e kuhi i nā pilikia āpau.
Ke lawe nei hoʻi nā kauka niho he nui i nā kukuna x me ka hoʻohana ʻana i ka ʻenehana uila. Holo kēia mau kiʻi i loko o kahi kamepiula. ʻO ka nui o ka radiation i hāʻawi ʻia i ka wā o ke kaʻina hana ma mua o nā hana kuʻuna. Hiki i nā ʻano ʻāpana kukuna niho ʻē aʻe ke hana i kahi kiʻi 3-D o ka iwi ā. Hiki ke hoʻohana ʻia ka tomography computer cone beam (CBCT) ma mua o ke kauka niho, e like me ke kau ʻia ʻana o kekahi mau implants.
ʻAʻohe hoʻomākaukau kūikawā. Pono ʻoe e hemo i nā mea hao ma kahi o ka hōʻike x-ray. Hiki ke kau ʻia i kahi pale pale ma luna o kou kino. E haʻi i kāu kauka niho inā hāpai ʻoe.
ʻAʻohe kumu o ka hōʻoluʻolu x-ray ponoʻī. ʻO ka nahu ʻana i ka ʻāpana o ke kiʻi ʻoniʻoni e hana ai kekahi poʻe. Hoʻomaha māmā, hanu hohonu ma o ka ihu i kēia manaʻo. ʻAʻole koi nā CBCT a me nā cephalometric x-ray i nā ʻāpana nahu.
Kōkua nā niho x niho i ka hōʻoia ʻana i ka maʻi a me ka ʻeha o nā niho a me nā gum a me ke kōkua ʻana i ka hoʻolālā ʻana i ka lāʻau kūpono.
Hōʻike nā kukuna x maʻamau i kahi helu maʻamau, ke ʻano, a me ke kūlana o nā niho a me nā iwi iwi. ʻAʻohe lua a me nā pilikia ʻē aʻe.
Hiki ke hoʻohana ʻia nā kukuna x e ʻike i ka mea aʻe:
- Ka helu, ka nui, a me ke kūlana o nā niho
- Nā niho āpau a i ʻole hopena paha
- Ke kū a me ke koʻikoʻi o ka pala o ka niho (i kapa ʻia ʻo nā cavities a i ʻole nā niho niho)
- Iwi poino (e like me mai gum maʻi i kapaia periodontitis)
- Nā niho pau ʻole
- ʻĀhaʻi haʻi
- Nā pilikia i ke ala o ka pili o nā niho o luna a me lalo (malocclusion)
- ʻO nā mea ʻē aʻe ʻole o nā niho a me nā iwi iwi
Aia kahi hōʻike radiation haʻahaʻa loa mai nā kukuna x niho. Eia naʻe, ʻaʻohe mea e loaʻa i nā radiation hou aʻe ma mua o ka mea e pono ai. Hiki ke hoʻohana ʻia kahi pale apron e uhi i ke kino a hōʻemi i ka pāhawewe. ʻAʻole pono nā wahine hāpai e lawe i nā kukuna x ke ʻole pono.
Hiki i nā kukuna x niho ke hōʻike i nā lua niho ma mua o ka ʻike pono ʻia ʻana, ʻo ia hoʻi i ka kauka niho. Lawe nā kauka niho he nui i nā makahiki bitewings e nānā no ka hoʻomohala mua ʻana o nā lua ma waena o nā niho.
X-ray - nā niho; Radiograph - niho; Bitewings; Kiʻi kiʻi periapical; Kiʻi Panoramic; Cephalometric x-ray; Kiʻi kikohoʻe
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ʻO Dhar V. Diagnostic radiology i ka loiloi 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 343.
Gula L, Williams TP. ʻO nā tumo Odontogenic: nā lāʻau lapaʻau a me ka hoʻokele. I: Fonseca RJ, hoʻoponopono. ʻOki kino waha a me Maxillofacial. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap18.