Ngā utu mō te rongoā mō te pulpitis
Ko te Pulpitis he mumura o te pulpitis niho, arā, te kiko ngohengohe i roto i te pito o roto o te niho kei roto ngā io me ngā uaua toto. He maha ngā wā ka puta he mamae pupuhi, he mamae roa, tae atu ki te mamae ohorere, kāore i puta. Ki te kore e rongoatia te pulpitis, ka horapa te mate ki ngā kiko niho e karapoti ana, ka puta he whēwhe, ā, ka arahi atu ki ngā raruraru kino atu. Nō reira, he tokomaha te hunga e hiahia ana ki te mōhio me pēhea te rongoā, engari ki te utu o te rongoā pulpitis me ngā āhuatanga e pā ana ki a ia.
Te mārama ki ngā momo pulpitis me ō rātou pānga ki ngā utu
I te nuinga o te wā, e rua ngā momo o te pulpitis: te pulpitis whakahurihuri me te pulpitis kore e taea te whakakore. Ko te pulpitis whakahurihuri ka puta i ngā wāhanga tōmua, hei tauira, nā te pirau niho (ngā kōhao) kāore anō kia hohonu rawa. Ka puta pea te mamae i te kai i ngā kai reka, makariri, wera rānei, engari ka memeha haere ina tangohia te whakaohooho. Nā te mea kāore te kino i pā ki te io mō ake tonu atu, he māmā ake, he iti ake te utu o te maimoatanga e hiahiatia ana.
He rerekē, ka puta te pulpitis kore e taea te whakaora ina tino pakaru te pulpitis, ā, kāore e taea te whakaora. He maha ngā wā ka puta ohorere te mamae, ka mau tonu, ā, ka taea te whakararuraru i te moe. I tēnei wā, ko te tikanga me nui ake ngā tikanga uaua mō te maimoatanga, pērā i te maimoatanga awa pakiaka, he nui ake hoki te utu. Nō reira, ko te tere o tō tirotiro niho ka pā nui ki te utu katoa.
Ngā utu whakamātautau tuatahi me ngā utu kōrero
Ko te taahiraa tuatahi i roto i te maimoatanga o te pulpitis he tirotiro niho. I te nuinga o te wā, ka whakahaerehia e te taote niho he tango hītori (uiui mō ngā amuamu), he tirotiro haumanu, me te whakamātautau ora o te pulp. Hei tāpiri, he mea tika kia whakamahia he hihi-X niho hei aromatawai i te hohonutanga o te kōhao, te āhua o te pakiaka, me te aroaro o te mate i te pito o te pakiaka.
Ka rerekē ngā utu i tēnei wā i runga i te whare hauora. He iti ake te utu kōrero a ngā whare hauora whānui i ngā whare hauora motuhake, i ngā hōhipera tūmataiti rānei. Mena e hiahiatia ana he hihi-X, ka piki ake te utu i runga i te momo whakamātautau, ahakoa he hihi-X periapical (rohe), he hihi-X panoramic, he CBCT (Central Dentist's Composite Composite) rānei i ētahi wā. Ahakoa he utu tāpiri tēnei, mā te whakamātautau tika ka āwhina i te whakatau i te rongoā tino whai hua hei karo i ngā maimoatanga anō.
Te utu mō te maimoatanga o te pulpitis whakahurihuri
Mō te pulpitis ka taea te whakahuri, ko te whāinga o te maimoatanga he whakakore i te pūtake o te riri o te pulp me te tiaki i te pulp kia ora ai. Ko ngā maimoatanga tino noa ko:
1. Te whakakī niho (whakaora)
Mena ka taea te whakaora i te poka me te kore e whakatuwhera i te penupenu, ka horoia e te taote niho te poka, kātahi ka whakakīia te niho. He rerekē te utu i runga i te rauemi whakakī (hei tauira, te ionomer karāhe, te rauemi hiato, ētahi atu rauemi rānei) me te rahi me te wāhi o te poka.
2. Te maimoatanga taupoki penupenu
I ētahi wā, mēnā he tata rawa te pirau niho ki te penupenu engari kāore he mate kino, ka taea e te tākuta te mahi i tētahi tikanga paninga penupenu, tiaki rānei. Ko te whāinga o tēnei he pupuri i te ora o te io o te niho, me te ārai i te pokanga pakiaka.
I te nuinga o te wā, he iti ake te utu mō te pulpitis whakahurihuri i te pulpitis whakahurihuri, nā te mea he māmā ake te tikanga me te iti ake o ngā haerenga. Heoi, ka piki ake pea ngā utu mēnā he nui rawa te kōhao, he maha ngā wāhanga rānei e hiahiatia ana hei whakakī, pērā i te hanga, te hanga anō rānei i te hanganga o te niho i mua i te whakakī whakamutunga.
Te utu mō te rongoā i te pulpitis kore e taea te whakakore: te rongoā i te awa pakiaka
Mēnā kāore e taea te whakaora i te pulpitis, ko te maimoatanga e tino taunakitia ana ko te whakaora i te pakiaka niho (ROT). Ko te whāinga o tēnei tikanga he horoi i te kiko pulp kua mumura, kua pangia rānei, he whakahoromata i te awa pakiaka, kātahi ka hiritia ki tētahi rauemi motuhake hei ārai i te hokinga mai o te mate.
Ko te utu o te maimoatanga o te awa pakiaka ka pāngia e ētahi mea matua:
– Te maha o ngā awa pakiaka
He iti ake ngā awaawa o ngā niho o mua, ā, he tere ake, he iti ake hoki te utu mō te maimoatanga. He maha ake ngā awaawa o ngā niho molar, inā koa ngā niho molar o muri, ā, he uaua ake te āhua, ā, he nui ake ngā utu.
– Taumata uaua o te take
Ka nui ake te uauatanga me te utu mēnā he whaiti, he piko rawa ngā awa pakiaka, kua rongoatia kētia, kua nui rānei te mate kua pangia.
– Tākuta niho whānui, tākuta niho tiaki niho rānei
He whakangungu motuhake ā ngā tākuta niho ā-roto, ā, he taputapu matatau ake anō hoki pērā i ngā karu hiko endodontic, nō reira ka nui ake pea ngā utu, engari ka nui ake te tūponotanga ka angitu i roto i ngā take uaua.
– Te maha o ngā haerenga
Ka taea te whakatau i ētahi kēhi i te kotahi haerenga, engari he maha e hiahia ana kia rua ki te whā haerenga, inā koa mēnā he mate puku hohe, he whewhe rānei.
Nā ēnei āhuatanga, he rerekē ngā utu PSA i waenga i ngā tāone, i ngā whare hauora, me te āhua o ngā niho o ia tūroro. He maha ngā wā kāore e tika ana te whakawhirinaki ki ngā "utu toharite" anake; he pai ake te tono i tētahi whakatau tata i muri i te X-ray.
Ngā utu whakaora i muri i te pokanga pakiaka: karauna, whakakī nui rānei
Ko tētahi mea e warewarehia ana e ngā tūroro, ko te maimoatanga o te pūtake niho kāore e oti kia whakahokia rā anō te niho ki tōna kaha. I muri i te pokanga pūtake niho, he ngoikore ake ngā niho nā te mea kua tangohia te kiko o raro, ā, kua ngaro te nuinga o te hanganga niho nā te pirau. Hei ārai i te whati o te niho, ko te tikanga ka tūtohu ngā tākuta:
– Ngā whakakī nui (ngā whakakī/whakaurunga, ngā whakahoutanga hiato nui rānei)
– Pou me te matua
– Karauna niho (karauna/koti)
Ko te utu mō te whakaora i muri i te SAH he mea nui pea, inā koa mēnā e hiahia ana koe ki tētahi karauna. Ko te rauemi o te karauna (hei tauira, PFM, zirconia, te konganuku katoa rānei) me te hangarau hanga (tikanga, CAD/CAM rānei) ka pā ki te utu. Heoi, he mea nui te whakaora pai nā te mea ki te kore he tiaki tika, ka tūpono te niho he SAH ki te pakaru, ā, me tango atu - ka nui ake te utu.
Ngā huarahi kē atu mēnā kāore e taea te whakaora i te niho: te tango me te whakakapi i te niho
I ētahi wā o te pulpitis tino kino, pērā i te whakangaromanga o te hanganga niho, te horapa o te mate, te niho pakaru rānei, ka tūtohu pea tō tākuta kia tangohia. He iti iho pea te utu mō te tango niho i te karauna niho, i te tāpiringa niho rānei, engari me whakaaro koe ki te utu mō te wā roa mō te whakakapi i te niho ngaro kia tika ai te mahi ngaungau me te ataahua.
Ko ngā kōwhiringa whakakapinga niho ko:
– Ngā niho rūpahu ka taea te tango
– Piriti niho
– Ngā whakatō niho
He rerekē te utu o ia kōwhiringa. Ko ngā whakatō niho te mea tino utu nui, engari he otinga pai mō te wā roa. Me huri ngā niho tata ki ngā piriti, ā, he tino utu nui hoki te hanga. Ko ngā niho rūpahu tango te mea tino utu nui, engari me whakatikatika me te tiaki tonu.
He rerekē ngā āhuatanga e rerekē ai te utu o te maimoatanga pulpitis
Ko ngā āhuatanga whānui e whakatau ana mēnā he utu nui te maimoatanga o te pulpitis:
1. Te kaha me te roa o ngā amuamu
Ka roa te waiho, ka uaua haere te maimoatanga.
2. Te wāhi o ngā niho
He nui ake te utu mō ngā niho niho kōhatu o muri nā te mea he uaua ake te uru atu ki ngā pakiaka me te uru atu.
3. Ngā whare haumanu me ngā hangarau
Ko ngā wāhi rongoā he nui ake te utu mō ngā taputapu whakamate huakita, ngā hihi-X mamati, ngā karu hiko, ngā pūnaha CAD/CAM rānei.
4. Te hiahia mō ētahi atu rongoā me ngā mahi
Mena he pupuhi, he whewhe, he hiahia rānei kia ringihia te wai, ka piki ake pea te utu. He iti noa iho ngā whakaaro mō ngā paturopi me ngā rongoā mamae engari he mea nui.
5. Inihuarangatia, BPJS rānei
I ētahi wā, ka hipokina pea ētahi maimoatanga niho, i runga i ngā tikanga a te whare hauora me te momo ratonga. Heoi, he maha ngā herenga o te hipoki mō ngā awa pakiaka, ngā karauna rānei.
Ngā tohutohu hei penapena moni me te kore e whakaiti i te kounga
Ko te penapena i ngā utu mō te maimoatanga o te pulpitis ehara i te mea ko te whiriwhiri i te maimoatanga iti te utu, engari ko te ārai i te kino haere o te mate me te whiriwhiri i te maimoatanga tika mai i te tīmatanga. Anei ētahi tohutohu hei āwhina:
– Tirohia tonutia ina tīmata te mamae o ō niho mō te wā roa, kaua e tatari kia kore rawa e taea te pupuri i te mamae.
– Tonoa he mahere maimoatanga tuhituhi e whakauru ana i ngā mahi me ngā whakatau tata utu, tae atu ki ngā utu whakaora i muri i te tangohanga o te awa pakiaka.
– Pātai atu mō ngā rauemi rerekē me ngā kōwhiringa whakaora me ō rātou painga me ō rātou ngoikoretanga.
– Kia mau tonu te akuaku o te waha mā te parai i ngā niho e rua i te rā, te miro niho, me te tirotiro i ngā niho i ia ono marama—he iti ake te utu mō te ārai i te rongoā.
Te Katinga
Ko te utu mō te maimoatanga o te pulpitis e whakawhirinaki ana ki te momo pulpitis, te nui o te pirau o te niho, me ngā tikanga e hiahiatia ana—mai i te whakakī noa ki te awa pakiaka me te karauna. Ko te mea nui ko te tirotiro wawe tonu. Ko te pulpitis e rongoatia wawetia ana he iti ake te uaua o ngā tikanga me te iti ake o ngā utu, engari ko ngā whakaroa ka nui ake te uaua me te utu o te maimoatanga. Mena ka pāngia koe e te mamae niho tonu, ohorere rānei, me toro atu ki te taote niho tonu mō te tātaritanga tika me te mahere utu-pai e hāngai ana ki tō āhua niho.
Ki te hiahia koe, ka taea e au te āwhina i te hanga i tētahi putanga o tēnei tuhinga e whakauru ana i ngā awhe utu e whakatauhia ana i Indonesia (hei tauira, i runga i te momo tikanga me te momo niho), me te whakatūpato ka rerekē pea ēnei awhe i runga i te tāone me te whare hauora.
