Ngā Momo Taputapu Whakamātautau Niho
Ko ngā whakamātautau niho i roto i te whare hauora, ehara i te mea ko te tohungatanga o te tākuta niho anake te mea e whakawhirinaki ana, engari ko ngā taputapu maha hoki i hangaia hei tiro tika, hei aromatawai, hei kimi i ngā raruraru o te waha. Mā ngā taputapu whakamātautau niho ka āwhina i ngā tākuta ki te kimi i ngā pirau niho (ngā poka), te mate kapia, te hanga tartar, ngā rerekētanga o ngā kiko ngohengohe, tae atu ki ngā raruraru ngau me te kauae. Mā te whakamōhio i ngā tūroro ki ngā momo taputapu whakamātautau niho, ka taea e rātou te mārama ake ki te tukanga whakamātautau me te kaupapa o ia taputapu. Kei raro nei he whakaahuatanga katoa o ngā taputapu maha e whakamahia whānuitia ana i roto i ngā whakamātautau niho.
1. Whakaata Waha
Ko te whakaata waha te taputapu tirotiro tino mōhiotia. He whakaata iti, porowhita kei runga i te kakau. Ko tana mahi matua he āwhina i ngā tākuta niho ki te kite i ngā wāhi e uaua ana ki te toro atu, pērā i te tuara me te mata o roto o ngā niho. Hei tāpiri, ka āwhina te whakaata ki te whakaata i te māramatanga hei whakamārama i te wāhi tirotiro. He maha hoki ngā wā ka whakamahia e ngā tākuta niho te whakaata hei whakahoki i te paparinga, i te arero rānei kia mārama ake ai te tirohanga, me te kore e whara te kiko.
2. Kaitirotiro Niho (Kaitirotiro Niho)
He taputapu koi, he koi te pito o te taputapu tirotiro niho, he rite tonu te āhua ki te matau iti. Ka whakamahia tēnei taputapu hei kite i ngā pirau niho, i ngā kapiti, i ngā kapiti iti i roto i ngā niho, i ngā hapa rānei o te mata o ngā niho me ngā whakakī. Mā te whai i te mata o te niho, ka taea e te tākuta niho te rapu i ngā wāhi ngohengohe, i ngā poka rānei. Ahakoa he whai hua, me tino tupato te whakamahi i ngā taputapu tirotiro niho kia kore ai e kino te enamel, e ngoikore ai rānei te mata o te niho.
3. Pūtirotiro Periodontal (Pūtirotiro Periodontal)
He taputapu angiangi, he āhua tokotoko te taputapu tirotiro niho, he unahi (hei tauira, 1–15 mm) kei tōna taha. Ka whakamahia tēnei taputapu hei ine i te hohonutanga o ngā pute kapia, ngā āputa i waenganui i ngā kapia me ngā niho. He tohu nui te hohonutanga o te pute hei aromatawai i te hauora o ngā kapia me te kite i ngā mate niho pēnei i te gingivitis me te periodontitis. Haunga te ine i te hohonutanga, ka āwhina hoki te taputapu tirotiro ki te aromatawai i te toto o te kapia i te wā e tirotirohia ana, me te taumata o te piri o te kapia ki ngā niho.
4. Ngā Tweezers Niho (Ngā Pliers Kāreti)
Ka whakamahia ngā tīpī niho hei pupuri, hei tango, hei neke hoki i ngā mea iti i roto i te waha, pērā i ngā miro miro, ngā pōro miro, ngā mea ke rānei e whakararuraru ana i te wāhi tirotiro. He rite te āhua ki ngā tīpī roa me ngā pito koi, he kikokore rānei hei pupuri i te mau.
5. Whakakore i te Paparinga me te Ngutu
He mea nui ngā taputapu whakahoki niho me ngā ngutu hei āwhina i ngā niho me ngā kapia kia uru atu, inā koa i ngā wā tirotiro hōhonu, i ngā wā whakaahua rānei. Mā ngā taputapu whakahoki niho ka matara atu ngā paparinga me ngā ngutu i ngā niho, kia māmā ake ai te tirotiro a te taote niho i ngā niho me te kore e whakararuraru i ngā kiko ngohengohe. He maha hoki ngā whakamahinga o ngā taputapu whakahoki niho i roto i ngā tikanga whakatikatika niho me ngā maimoatanga ataahua niho.
6. Paraihe Prophy me te Kapu Prophy
Ahakoa he nui ake te whakamahinga i te wā horoi, ka āwhina anō hoki ngā paraihe ārai mate me ngā kapu whakakanapa i ngā whakamātautau mā te tango i te paraka e kapi ana i ngā mata o ngā niho. Mā ngā niho ma ka māmā ake te aromatawai a te tākuta niho mō ngā paru, ngā kohu o te enamel, ngā pirau wawe, me ētahi atu kino. Ko ngā kapu rapa iti ka piri ki ngā ringaringa, ā, ka whakamahia me te whakapiri whakakanapa.
7. Utauta Tauine
He taputapu te ine niho hei tango i te tartar (calculus) me te paraka kua whakapakeketia. I te wā e tirotirohia ana, ka taea te whakamahi i te ine niho hei horoi i ngā wāhi motuhake kia mārama ake ai te kite a te taote niho i te āhua o ngā kapia me ngā mata o ngā niho. He ine niho ā-ringa me he ine niho ultrasonic. Ka whakamahia e ngā ine niho ultrasonic ngā wiri me te rehu wai hei āwhina i te tango i te calculus me te whai hua.
8. Rama Whakamātautau (Rama Whakahaere Niho)
Ka taea e ngā rama tirotiro niho te whakarite i te ahunga o te mārama, ā, ka taea te whakarerekē. He mea nui te mārama pai mō te tautuhi tika, nā te mea he maha ngā tohu tōmua o ngā raruraru niho ka puta noa hei huringa ngawari o te tae, o te kakano rānei. Kua hangaia ēnei rama kia iti noa te atarangi, kia taea ai e te taote niho te mahi me te tirohanga whānui.
9. Kāmera Ā-Waha (Kāmera Ā-Waha)
He kāmera iti te kāmera ā-waha e whakaurua ana ki roto i te waha hei hopu whakaahua, hei hopu ataata rānei o ngā niho me ngā kapia. Mā tēnei taputapu ka āwhina te tākuta niho ki te tautuhi ā-kanohi i te āhua o ngā niho o te tūroro, pērā i ngā kapiti iti, ngā poka, te tartar rānei i te tuara o ngā niho. Haunga te whakaako i te tūroro, he pai hoki ngā kāmera ā-waha mō te tuhi, te aroturuki i te ahunga whakamua o te maimoatanga, me te whakawhitiwhiti kōrero i waenga i ngā tohunga hauora.
10. Whakaahuatanga Niho: X-ray
Kāore e kitea katoatia ngā raruraru niho e te kanohi tahanga. Nō reira, he maha ngā wā ka tāpirihia ngā tirotiro ki ngā hihi-X. He maha ngā momo whakaahua X-ray niho, pērā i:
– Te ngau: te kite i ngā pirau i waenganui i ngā niho me te teitei o te wheua e tautoko ana i ngā niho.
– Periapical: e whakaatu ana i te niho katoa mai i te karauna ki te pito o te pakiaka, he mea whai hua mō te aromatawai i te mate pakiaka.
– Panoramic: ka hopu i te kauae me ngā niho katoa i roto i te kotahi whakaahua, he mea whai hua mō te aromatawai i ngā niho whakaaro nui, ngā whēkau, ngā hapa rānei o te kauae.
– CBCT (Cone Beam CT): Matawai 3D mō ngā take uaua ake pēnei i te tāpiringa, te pokanga, te aromatawai rānei i te hanganga o te awa pakiaka.
He iti noa ngā horopeta irahiko ka whakamahia e ngā hihi-X o ēnei rā, ā, he maha ngā wā ka haere tahi me tētahi whakangungu rakau pērā i te eperona mata hei haumaru mō te tūroro.
11. Kaiwhakamātautau Ora o te Pulp
Mā te whakamātautau i te ora o te pulp e āwhina ki te whakatau mēnā kei te ora tonu te io (pulp) o te niho , kua pakaru rānei. Ko ngā tikanga ka uru atu ki te whakaoho makariri (whakamātautau makariri), te wera, te taputapu hiko rānei (whakamātautau pulp hiko). Mā ngā hua whakamātautau ka āwhina te taote niho ki te wehewehe i waenga i ngā mamae niho i puta mai i te pirau o te papa, te mumura o te pulp, te mate rānei o te nerve e hiahia ana kia rongoatia te awa pakiaka.
12. Pepa Whakapūmau
He pepa angiangi, he tae te pepa whakapūmau, e whakamahia ana hei tirotiro i te pa o te ngau. Ka tonoa te tūroro kia ngau ki raro i te pepa, ka waiho he tohu tae ki ngā niho. Mai i tēnei tohu, ka taea e te tākuta te aromatawai mēnā he teitei rawa te pūwāhi pa, mēnā he kore taurite te ngau, mēnā rānei ka puta he raruraru i muri i te whakatakotoranga o ngā whakakī, o ngā karauna rānei.
13. Te Whakawhiti-whakamārama me te muka whatu (FOTI)
Ka whakamahia e te transillumination te mārama kanapa hei whakamārama i ngā niho, kia kitea ake ai ngā kapiti, ngā pirau rānei mā roto i ngā rerekētanga o te tuku mārama. He maha ngā wā ka whakamahia e tēnei tikanga te muka whatu (FOTI—Fiber Optic Transillumination). He tino whai hua tēnei taputapu mō te kite i ngā kapiti iti me ngā pirau wawe e uaua ana ki te kite mā te tirotiro paerewa.
14. Utauta Ine Pāreti (Kaihoko Whakaatu)
Ko ngā matū whakakitenga he wai, he papa rānei kua taehia hei tohu i te paraki i runga i ngā mata o ngā niho. Ahakoa te āhua māmā noa iho, he mea nui ēnei taputapu mō ngā aromatawai akuaku waha me te whakaako i ngā tūroro. Mā te tae ka taea e ngā tūroro te tautuhi i ngā wāhi e ngaro pinepine ana i te wā e parai ana, ā, ka taea ai te whakapai ake i te tikanga parai kua arotahi ki te kaupapa.
Whakamutunga
Kei roto i ngā taputapu tirotiro niho he maha ngā momo taputapu, mai i ngā mea māmā pēnei i ngā whakaata waha me ngā tweezers ki ngā hangarau matatau pēnei i ngā kāmera ā-waha, ngā hihi-X panoramic, me te CBCT. He mahi motuhake tā ia taputapu hei whakarite i te tautuhi tika me te whakamahere maimoatanga tika. Mā te mārama ki ēnei momo taputapu, ka taea e ngā tūroro te noho mārie me te maia i a rātou e tirotiro ana, me te mōhio kei te whakamahia ia taputapu me te kaupapa mārama hei pupuri i te hauora niho me te waha whānui .
Mena ka tirotirohia ō niho i ia ono marama, ka taea e tō tākuta niho te whakamahi i ēnei taputapu hei kite wawe i ngā raruraru, kia māmā ake ai, kia tere ake ai, kia iti ake ai hoki te utu mō te maimoatanga.
