Ngā Kōwhiringa Momo X-ray Niho
He taputapu nui ngā hihi-X niho, arā, ngā whakaahua-X niho, mō te hauora ā-waha. Mā ēnei ka taea e ngā tākuta niho te tiro i ngā hanganga o roto o ngā niho, ngā kauae, me ētahi atu kiko tautoko e kore e kitea e te kanohi tahanga. Ka tūhuratia e tēnei tuhinga ngā momo hihi-X niho rerekē e wātea ana, me te wā e whakamahia ai ia momo.
He aha te take e hiahiatia ai he hihi-X niho?
Ka āwhina ngā hihi-X i:
1. Tātarihia ngā raruraru huna pērā i ngā niho pirau, ngā whewhe, ngā mate pāwera rānei.
2. Aromatawai i te tipu me te whanaketanga o ngā niho me ngā wheua kauae.
3. Te kimi i ngā niho pakaru, inā koa ngā niho whakaaro nui.
4. Te whakamahere i ngā maimoatanga orthodontic, prosthodontic rānei.
5. Aroturukihia te āhua o ngā niho i muri i ngā tikanga pēnei i te pokanga pakiaka.
I te mea he mea nui ngā hihi-X i roto i te mahi niho, he mea nui te mārama ki ngā momo hihi-X rerekē e wātea ana. Anei ētahi momo hihi-X niho me ō rātou whakamahinga i roto i te mahi niho.
Ngā momo hihi-X niho
1. Periapical
Ko te hihi-X periapical tētahi o ngā momo hihi-X niho tino noa. Ka hoatu he tirohanga taipitopito o te niho katoa, mai i te karauna ki te pakiaka me te wheua e karapoti ana. He mea whakamahi noa hei:
– Aromatawai i te āhua o ngā pakiaka niho me te wheua e karapoti ana.
– Tātarihia ngā whewhe, ngā mate pāwera rānei e karapoti ana i ngā pakiaka niho.
– Kitea ngā whēkau, ngā pukupuku rānei.
He tino whai hua tēnei hihi-X mō te tiki kōrero taipitopito mō tētahi, e rua rānei ngā niho.
2. Te ngau
Ko tētahi atu momo hihi-X bitewing e whakamahia whānuitia ana, ā, kei roto i te nuinga o te wā ngā whakaahua o ngā wāhi molar premolar o runga me raro, inā koa ko te karauna o ngā niho. He maha ngā whakamahinga o te ngau mō:
– Ka kitea ngā pakaru, ngā kōwhao rānei i waenganui i ngā niho tata.
– Aromatawaihia te teitei o te wheua alveolar, hei āwhina i te tautuhi i te mate kapia.
He maha ngā wā ka whakamahia ngā hihi-X ngau i ngā tirotiro niho o ia rā hei kite i te pirau niho e kore e kitea.
3. Te ārai i te kanohi
Mā ngā hihi-X occlusal ka kitea he tirohanga whānui ake o te āwhata niho o runga, o raro rānei. Ko te tikanga, ka whakamahia ēnei hei:
– Te kimi i ngā niho tuturu kāore anō kia puta i roto i ngā tamariki.
– Aromatawai i te whanaketanga o te kauae me te waha.
– Kitea ngā kapiti, ngā whati rānei o te kauae.
Ka taea te whakaaro ki te occlusal hei tirohanga whānui e taea ai e te taote niho te kite i ngā wāhi maha i te wā kotahi.
4. Panoramic
Mā te hihi-X whānui ka kitea te whānui o te waha katoa, tae atu ki ngā niho o runga me raro i roto i te whakaahua kotahi, tae atu ki te kauae me ngā ihu o te ihu. E whakamahia ana hei:
– Te whakamahere i te maimoatanga orthodontic.
– Te kimi i ngā mate o te hononga temporomandibular (TMJ).
– Aromatawai i te tipu me te tūranga o ngā niho, tae atu ki ngā niho pakaru.
He maha ngā wā ka tūtohutia ngā hihi-X panoramic mō ngā tūroro e hiahia ana kia aromatawaihia whānuitia ngā hanganga katoa o te waha.
5. CBCT (Tomography Rorohiko Hiko Kone)
He hangarau whakaahua-3D matatau ake te CBCT e whakarato ana i ngā whakaahua taipitopito o ngā hanganga ā-waha i roto i ngā āhuatanga e toru. E whakamahia whānuitia ana mō:
– Te whakamahere i ngā tikanga whakato niho.
– Te tautuhi i ngā mate o te kauae me ētahi atu hanganga kanohi.
– Arotakehia ngā ara io me ngā ara ihu i mua i te pokanga.
Ahakoa he tino taipitopito ngā mōhiohio e tukuna ana e te CBCT, he nui ake te horopeta irahiko e whakamahia ana i ngā irahiko-X tuku iho, nō reira he tino motuhake ake, he arotahi ake hoki tōna whakamahinga.
6. Te ine i te puku
He mea noa te whakamahi i ngā hihi-X cephalometric i roto i ngā mahi tiaki niho, ā, ka taea te tiro taha o te pane, tae atu ki te kauae me te angaanga. He mea noa te whakamahi mō:
– Te whakamahere i ngā maimoatanga whakatikatika niho mā te tātari i te whanaungatanga i waenga i ngā niho, ngā kauae, me te angaanga.
– Aromatawai i te tipu me te whanaketanga o te kanohi o ngā tamariki me ngā taiohi.
He mea nui ēnei hihi-X hei āwhina i te whakamahere i ngā whitiki niho me ētahi atu maimoatanga orthodontic.
Me pēhea te whakahaere i te tikanga hihi-X niho?
He māmā noa iho, he tere hoki te tikanga hihi-X niho. Ko ngā mahi whānui ko:
1. Te Whakarite: Ka hoatu he whakangungu rakau ki te tūroro hei tiaki i te tinana mai i te pānga o te irahiko.
2. Te Whakanohonga o te Kiriata, te Pūoko rānei: Ka whakanohoia te kiriata matihiko, te pūoko rānei ki roto i te waha o te tūroro i te wāhi hei tirotiro-X.
3. Hopu Whakaahua: Ka tukuna te mīhini hihi-X ki te wāhi hei tango whakaahua, ā, ka oti te whakaahua i roto i te hēkona kotahi.
Nā ngā whanaketanga o te hangarau matihiko ināianei ka taea te tiki i ngā hua o te hihi-X i roto i ngā hēkona ruarua, ā, ka taea hoki te penapena ki te rorohiko.
Ngā Tūponotanga me ngā Painga o ngā X-ray Niho
Painga
Ko te painga nui o ngā hihi-X niho ko tōna kaha ki te kite i ngā raruraru e kore e kitea e te kanohi tahanga. Mā tēnei ka taea te rongoā wawe me te ārai i ngā mate kino ake.
Rorokoro
Ahakoa he iti noa te horopeta o te irahiko e whakamahia ana e ngā hihi-X niho, he tūponotanga kei reira hei tūponotanga, inā koa mō ngā wāhine hapū me ngā tamariki. Mā te whakamahi i te pare mata me te whakaiti i te pānga ka āwhina i te whakaiti i ēnei tūponotanga.
Whakamutunga
He taputapu tātaritanga nui ngā hihi-X niho i roto i ngā mahi niho hou. Nā te maha o ngā momo hihi-X e wātea ana, ka taea e ngā tākuta niho te whiriwhiri i te tikanga tino tika hei kimi me te rongoā i ngā raruraru ā-waha. Mai i ngā hihi-X periapical taipitopito ki te CBCT matatau, he painga motuhake tō ia tikanga, e āhei ai te tātaritanga me te maimoatanga whai hua ake. Mā te mārama ki ngā momo hihi-X niho me te wā e whakamahia ai, ka āwhina i a koe ki te mārama ki te tiaki e whiwhi ana koe me te hiranga o te whakaahua-X hei pupuri i tō hauora ā-waha.
