Ngā Momo Pūmau i Muri i te Maimoatanga Orthodontic
I muri i te otinga o te maimoatanga orthodontic, pērā i ngā whītiki, ngā whakarārangi rānei, he tokomaha e whakaaro ana ka mau tonu ngā hua mō ake tonu atu. Heoi, he āhua tūturu tō ngā niho ki te hoki ki tō rātou tūranga taketake. Ka puta pea tēnei huringa nā te "mahara" o te kiko periodontal (ngā hononga e karapoti ana i ngā niho), ngā tikanga ngau, te tipu o te kauae, te pēhanga mai i te arero me ngā ngutu, tae noa ki te koroheketanga. Koinei te wāhi e whai wāhi nui ai ngā retainer. Ko ngā retainer he taputapu e mau ana i muri i te maimoatanga orthodontic hei pupuri i te tūnga o ngā niho. Ki te kore he retainer, ka piki ake te mōrearea o te hokinga mai - te hokinga mai o ngā niho piri, neke rānei.
He nui atu i te kotahi te momo pupuri niho. He maha ngā kōwhiringa, he tikanga whakahaere, he rauemi, he painga, he ngoikoretanga hoki tō ia momo. Ko te whiriwhiri i te pupuri niho pai rawa atu ka whakawhirinaki ki te āhua o tō niho, te mōrearea o te hokinga mai, te akuaku o te waha, te momo noho, me ngā taunakitanga a te taote niho. Ka matapakihia e tēnei tuhinga ngā momo pupuri niho e whakamahia whānuitia ana i muri i te maimoatanga pupuri niho, me ngā whakaaro nui hoki hei whakarite kia roa te wā e puta ai ngā hua.
1. Pupuri Tango
Ko ngā taura pupuri ka taea te tango, he taura pupuri ka taea e ngā tūroro te whakauru me te tango atu. I te nuinga o te wā ka mauhia i muri i te tangohanga o ngā taura pupuri, i muri rānei i te maimoatanga whakamutunga o te whakahāngai niho. Ko ō rātou painga matua ko te ngāwari o te horoi me te ngāwari o te whakamahi. Heoi, ko te angitu o ēnei niho e whakawhirinaki nui ana ki te whakahaere a te tūroro. Mena ka warewarehia pinepine, ka tere te neke o ngā niho.
Kua wehea ngā pūmau tango ki ētahi momo matua:
a. He pūmau a Hawley
Ko te pupuri a Hawley tētahi o ngā pupuri tawhito, ā, kua roa nei e whakamahia ana. Ko tōna hoahoa ko:
– He pereti kiriaku e piri ana ki te waha (mō te kauae o runga) ki roto rānei o te kauae o raro.
– He waea whakarewa e rere ana i te taha o mua o ngā niho hei pupuri i ngā niho kia tū tika.
Ngā painga o ngā taura pupuri a Hawley:
1. He kaha, he pakari, ka roa mō ngā tau maha mēnā ka tiakina pai.
2. Ka taea te whakarite. Ka taea e te taote niho te whakarerekē i te waea kia pai ai te tūnga o ngā niho.
3. Kāore e kapi katoa te mata o ngā niho, nō reira he māmā ake ki ētahi te pupuri i te akuaku o ngā niho.
Ngā ngoikoretanga:
1. He māmā ake te kitea atu i ngā pupuri mārama nā te mea he waea kei mua.
2. Mō ētahi tāngata, ka taea e ngā pereti kiriaku te whakararuraru i te kōrero ina whakamahia tuatahitia.
3. Ka pakaru, ka rerekē rānei tōna āhua mēnā ka pāngia e te wera, ka taka rānei.
Ko ngā taura pupuri niho a Hawley he mea pai mō ngā tūroro e hiahia ana ki tētahi taura pupuri niho roa, ā, ka taea hoki te whakarerekē i ngā mea iti i roto i te wā.
b. Pupuri Mārama (Pupuri Essix/Mārama)
Ko ngā pēra pupuri niho mārama, e kiia ana ko ngā pēra pupuri niho Essix, he pokepoke kirihou mārama e kapi ana i te mata o ngā niho pērā i te "hipoki" angiangi. He rite te āhua ki ngā pēra whakarara niho, engari ko tā rātou mahi he pupuri i te tūranga o ngā niho, kaua e neke.
Ngā painga o ngā pūmau mārama:
1. Ataahua nā te mea e tata kore e kitea.
2. Angiangi, he whakamarie, he tere ake te urutau.
3. He māmā te hanga, he māmā hoki te whakamahi.
Ngā ngoikoretanga:
1. He nui ake te tūponotanga ka huri tōna āhua ina pāngia e te wera (hei tauira, te wai wera, te waiho i roto i te motuka, te tata rānei ki tētahi pūtake wera).
2. He tere ake te pakaru, te ngatata rānei i a Hawley, inā koa mō ngā tūroro e ngokingoki ana ō rātou niho (bruxism).
3. Ka kapi i te mata katoa o ngā niho, ā, ki te kore e pai te akuaku, ka nui ake te hanga paraka, te tūponotanga rānei o te haunga.
He maha ngā wā ka tūtohutia ngā pūmau mārama mō ngā tūroro e aro nui ana ki te āhua me te hiahia kia huna te āhua. Heoi anō, he mea nui te akuaku tika, tae atu ki te horoi auau.
c. Ngā Pūmau me ngā Wāhanga Motuhake (hei tauira, Ngā Pūmau Tūnga)
I ētahi wā, ka tūtohu pea tō tākuta i tētahi taputapu tango motuhake, pērā i te tūnga, i tētahi pupuri ngāwari rānei. Ka whakamahia ēnei ina hiahiatia he whakapai ake i te pa o te ngau, he whakaū motuhake rānei. Kāore tēnei momo i te tino kitea i ngā wā katoa, engari kei roto tonu i te kāwai pupuri tango nā te mea ka taea te tango me te whakakapi.
2. Pupuri Pūmau (Pupuri Pūmau/Tuturu)
Ko te taura pupuri he waea angiangi e piri pūmau ana (haurua-tūmau) ki muri o ngā niho, mai i te kuri ki te kuri i te kauae o raro, ā, i ētahi wā kei te kauae o runga. Ka herea tēnei waea mā te whakamahi i tētahi rauemi hiato, kia kore ai e kitea mai i mua.
Ngā painga o ngā pūmau pumau:
1. Kāore e whakawhirinaki ki te tutuki i ngā whakaritenga nā te mea kua tāutahia tonutia.
2. Ārai i te piri anō o ngā niho o raro o mua, he mea tino noa tēnei o te hokinga mai o te niho.
3. Ataahua nā te mea kāore e kitea mai i waho.
Ngā ngoikoretanga:
1. He uaua ake te horoi. Ka ngāwari te hanga o te paraka me te tātā ki ngā waea mena kāore i te horoia tika.
2. Me whakamahi i ngā taputapu horoi pēnei i te miro niho motuhake (floss threader), te paraihe niho i waenganui i ngā niho, te miro wai rānei.
3. Tērā pea ka marere te waea, ka pakaru rānei te mea hanga. Ki te kore e rongoatia wawetia, ka neke pea ngā niho me te kore e kitea.
4. Ki ētahi tāngata, ka hoha ngā taura pupuri ina ngau kaha, ina whai tikanga rānei.
Ko ngā niho pupuri pumau te mea e pai ana mō ngā tūroro he nui te mōrearea o te hoki anō ki te niho, inā koa ki ngā niho o mua o raro. Ahakoa e kiia ana he "pūmau", me tirotirohia tonutia kia kaha ai te hononga, kia mau tonu ai te akuaku.
3. Pūmau Whakakotahi (Pūmau + Tangohia)
I ngā wā maha, ka tūtohu ngā tākuta niho kia whakakotahihia: he pupuri pūmau kei roto i ngā niho o mua (ko te kauae o raro te tikanga) me tētahi pupuri tango (pēnei i te Essix) ka mau i te pō. Ko te whāinga kia tino pumau: ka tiakina e te pupuri pūmau ngā niho o mua tino ngoikore, ko te pupuri tango ka āwhina ki te pupuri i te tūnga whānui o ngā niho me te pupuri i te whanaungatanga ngau.
Ngā painga o ngā pūmau whakakotahi:
– He parenga whānui ake mō te hokinga mai ki te mate.
– Mena he raruraru tētahi o ngā pupuri niho, ka taea e tētahi atu pupuri te "pupuri" i te whakawhiti niho mō tētahi wā poto.
Whakaaroaro:
– Me nui ake te whakapau kaha ki te tiaki me te whakahaere.
– Me whakapai ake te ma, nā te mea he taura pupuri pumau, he taura tango hoki.
4. Me pēhea te whiriwhiri i te pupuri tika
Kāore he mea pupuri kotahi e pai ana mō te katoa. Ka whakaarohia e tō tākuta ēnei āhuatanga e whai ake nei:
1. Te taumata o te mōrearea o te hokinga mai: Ko ngā take e kikī ana ngā niho, e nui ana rānei te hurihuri o ngā niho, me pupuri kaha ake.
2. Te āhua o te kapia me te akuaku o te waha: Mena he ngawari te hanga o te tartar i roto i te tūroro, me ata whakaaro ake ki ngā mea pupuri niho pumau.
3. Ngā whanonga a te tūroro: Ka taea e te bruxism te whakatere i te pakaru me te haehae o ngā retainer mārama.
4. Ngā hiahia ataahua me te whakamarie: He tino pai ngā pupuri mārama ki te ataahua, engari he māmā ake te whakarite i ngā pupuri Hawley.
5. Te Whakatutuki i ngā Ture: Mena ka wareware ngā tūroro ki te mau i ngā taura pupuri tango, he otinga pea ngā taura pupuri pumau.
5. Ngā Tohutohu mō te Pupuri i tētahi Pūmau kia Mau ai, kia Whai Hua ai hoki
Ahakoa te momo, ka whai hua anake ngā pūmau ina tiakina tika:
– Horoia te taura pupuri tango i ia rā mā te whakamahi i te paraihe ngohengohe me te hopi ngawari; kaua e wai wera.
– Kaua e kai i a koe e mau ana i te whitiki pupuri mārama (ki te kore e tohua e te tākuta).
– Penapena ki roto i te pouaka pupuri ina kore e whakamahia hei ārai i te ngaronga, i te takahanga rānei.
– Mō ngā taura pupuri niho pumau, whakamahia he miro niho motuhake, ā, me mahi te tātari niho auau mēnā e taunakitia ana.
– Tirohia tonutia mēnā kua wetekina te pupuri, kua whati rānei, kua tangohia rānei te pupuri pumau.
– Whāia te rārangi whakamahinga: he maha ngā wā ka whakamahia mō te wā katoa i te tīmatanga, kātahi ka neke haere ki te whakamahinga mō te pō, e ai ki ngā tohutohu a te tākuta.
Te Katinga
He mea nui ngā pupuri niho hei pupuri i ngā hua o te maimoatanga niho whakatikatika. Ko ngā momo pupuri niho noa ko ngā pupuri niho tango pērā i a Hawley me ngā pupuri niho mārama (Essix), ngā pupuri niho pumau e piri ana ki muri o ngā niho, me te whakakotahitanga o ngā mea e rua hei pupuri i te pumau. He painga me ngā ngoikoretanga o ia niho, nō reira me kōrero tō whiringa ki tētahi tākuta niho whakatikatika. Mā te pupuri niho tika, te whakamahinga tonu, me te tiaki tika, ka roa te wā e mau ai te ataata ataahua mai i te maimoatanga niho whakatikatika.
