I kekahi manawa ua ʻike paha ʻoe, a i ʻole ua hiki paha iā ʻoe, he hoʻokahi a ʻoi aku paha kou mau niho ma mua o ka mea e pono ai i loko o kou waha. Hiki ke hana ʻia kēia ke puka mai nā niho pēpē i ka wā kamaliʻi a i ʻole ke puka mai nā niho paʻa ma hope o ke ola. ʻO kēia ka mea a mākou e kapa nei he hyperdontia i ka lāʻau lapaʻau. Ke lohe ʻoe e pili ana i kēia, e hoihoi iki paha ʻoe, a makaʻu iki paha. Akā , mai hopohopo , e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.
He aha ka Hyperdontia?
I ka ʻōlelo maʻalahi, ʻo ka hyperdontia ke ʻano o ka loaʻa ʻana o hoʻokahi a ʻoi aku paha mau niho i loko o kou waha i ʻoi aku ma mua o ka helu maʻamau. Ua kapa ʻia kēia mau niho keu he "niho supernumerary." Pehea e hana ai kēia?
- Loaʻa paha iā ʻoe hoʻokahi niho keu , a i ʻole he nui paha ou niho keu.
- Hiki ke ʻike ʻia kēia mau niho keu ma kekahi ʻaoʻao o ka waha, a i ʻole ma nā ʻaoʻao ʻelua .
- ʻIke pinepine ʻia ia ma ka ʻāwae luna , akā hiki nō hoʻi ke loaʻa ma ka ʻāwae lalo. I kekahi manawa hiki ke loaʻa ma nā ʻāwae ʻelua.
- Hiki i kēia mau niho keu ke komo wale mai, a i ʻole hiki iā lākou ke komo mai ma ke ʻano he hui o kekahi mau niho .
- Ua ʻike ʻia kekahi mau niho keu a ua "pahū" . Akā, ua hūnā ʻia paha kekahi i loko o nā ʻāʻī a ua "pā ʻia" . ʻO ia hoʻi, ʻaʻole lākou e puka mai ana akā aia nō i loko o ka ʻāwae.
ʻO ka maʻamau he 20 wale nō niho pēpē i ko kākou wā ʻōpiopio. He 32 niho paʻa ko ke kanaka makua. No laila, inā ʻoi aku ma mua o 20 niho o ke keiki, a ʻoi aku ma mua o 32 niho o ke kanaka makua, ua kapa ʻia kēlā he hyperdontia.
He mea kēia e hana ʻia ana e nā kānaka he nui?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē, he mea maʻamau kēia?" ʻAʻole maʻamau ka Hyperdontia. ʻO ia ma waena o 1% a me 3% o nā ʻano niho āpau i ʻike ʻia e nā kauka niho.
Hiki i kēia kūlana ke hoʻopilikia i kahi 3.8% o nā niho paʻa i nā pākeke. ʻIke ʻia ia ma kahi hapa liʻiliʻi loa, ma kahi o 0.6%, o nā niho pēpē i nā keiki ʻōpio. Eia kekahi, i waena o nā pākeke, ʻelua ka nui o ka loaʻa ʻana o kēia kūlana i nā kāne ma mua o nā wahine .
He aha nā ʻano niho i kaulana loa?
Hiki ke hoʻokaʻawale ʻia kēia mau niho supernumerary ma nā ʻano like ʻole. Hoʻokumu ʻia kekahi ma kahi o ka waha e loaʻa ai lākou.
Nā ʻano ma ka wahi:
- ʻO Mesiodens: ʻO kēia ke ʻano maʻamau. Loaʻa iā ʻoe ʻelua niho mua ma kou ʻāwae luna, a hele pololei kēia mau mea ma hope o kēlā mau niho ʻelua.
- Nā Paramolars: ʻO kēia nā niho nui i loko o ko kākou mau ʻāwae e ulu ana ma ʻō aku o nā molars, ʻo ia hoʻi, i ke alelo a i ʻole ka papālina.
- Nā Distomolars: Hele mai kēia ma hope o ka lālani hope o nā niho ma ka ʻāwae.
Nā ʻano ma ke ʻano:
Eia kekahi, hiki ke ʻokoʻa ke ʻano o kēia mau niho keu:
- Conical: Hiki ke loaʻa kahi ʻano ʻoi, e like me ka cone. ʻO kēia nā ʻano maʻamau.
- Pākuʻi: He niho keu kēia e like loa me ka niho maʻamau. ʻO ia hoʻi, ua like kona ʻano me nā niho ʻē aʻe.
- ʻŌpū: He ʻano ʻano barela me kahi ʻili ʻāwili iki, e like me kahi barela liʻiliʻi. ʻOi aku ka nui o kēia mau mea maʻamau.
- ʻOdontoma: He puʻupuʻu liʻiliʻi kēia a ʻinoʻino ʻole e like me ka niho, akā ʻaʻole ia he maʻi kanesa. Hiki ke like me ka niho ʻano ʻē. He "(Odontoma)" kēia e hana ʻia i ka wā e hui pū ʻia ai nā ʻiʻo niho pākahi.
He aha nā hōʻailona o Hyperdontia?
ʻO ke ʻano nui o Hyperdontia, ʻae, ua kuhi ʻoe, he hoʻokahi a ʻoi aku paha nā niho keu i loko o ka waha!
ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau niho keu e hoʻoulu i ka ʻoluʻolu ʻole a i ʻole ka ʻeha. Loaʻa paha iā ʻoe me ka ʻike ʻole. Eia nō naʻe, i kekahi manawa, inā hoʻoulu kēia mau niho keu i ke kaomi ma kou ʻāʻī a i ʻole kou ʻāwae, a i ʻole e hoʻopilikia i kou mau niho ʻē aʻe, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:
- ʻEha
- Pehu ʻana
- Ka palupalu
- Manaʻo e like me nā niho ʻē aʻe e hui pū ana (overcrowding)
- ʻO ka maʻi , me ka ʻulaʻula a me ka pehu paha i loko o nā ʻāʻī.
No ke aha e nui ai nā niho e komo mai ana? He aha nā kumu?
ʻAʻole maopopo i nā kauka ke kumu pololei e ulu mai ana nā niho hou aʻe. Akā, aia kekahi mau mea a lākou e manaʻo nei e kōkua paha i kēia:
- ʻIke Hoʻoilina: ʻO ia hoʻi, hiki ke hoʻoilina ʻia. Inā ua loaʻa i kekahi o kou ʻohana, loaʻa paha iā ʻoe kahi manawa kūpono e loaʻa pū kekahi.
- ʻO ka lamina niho overactive: He papa kēia o nā cell e kōkua i ko mākou mau niho e ulu. Inā lilo kēia mau cell i mea hana nui loa, hiki ke hana ʻia nā niho hou aʻe.
- Atavism: He huaʻōlelo ʻano ʻē kēia, ʻeā? I ka ʻōlelo maʻalahi, ʻo ia ka hoʻi hou ʻana mai o kahi ʻano genetic i loaʻa i ko kākou mau kūpuna a nalowale i ka hala ʻana o ka manawa. E noʻonoʻo e pili ana i ia mea, malia paha ua pono ko kākou mau kūpuna mai ka wā kahiko i nā niho keu e nau ai i nā meaʻai maka, nā nati, a me nā ʻuala. Malia paha ke hoʻi hou mai nei kēlā ʻano genetic.
- Kekahi mau kūlana olakino: Hiki i nā poʻe me kekahi mau maʻi ke hoʻomohala i nā niho keu ma kēia ʻano.
Nā kūlana ʻē aʻe e pili ana me ka hyperdontia
ʻOiai ʻaʻole maopopo ke kumu e hiki ai kēia i kekahi poʻe a ʻaʻole i kekahi poʻe, ʻoi aku ka maʻamau o nā niho supernumerary i waena o ka poʻe me kekahi mau maʻi. Eia kekahi mau laʻana:
- ʻO ka maʻi Gardner
- No nā keiki me ka lehelehe māwae a me ka palale māwae
- No ka poʻe me Down syndrome
- ʻO ka maʻi ʻo Ehlers-Danlos
- ʻO ka dysplasia Cleidocranial (kahi kūlana e hoʻopilikia ai i ka ulu ʻana o ke poʻo a me ka iwi ʻāʻī)
- Maʻi Fabry
ʻAʻole kēia manaʻo e loaʻa i nā kānaka a pau me kēia mau kūlana nā niho keu, akā ʻoi aku ka nui o ka ʻike ʻia ʻana i waena o lākou.
He aha nā pilikia e hiki ke kū mai ma muli o nā niho keu?
I kekahi manawa, ʻaʻole kēia mau niho keu e hoʻoulu i kekahi pilikia a i ʻole pilikia. Eia nō naʻe, ma muli o kahi o kēlā mau niho, hiki ke kū mai kekahi mau pilikia. He aha kēia mau pilikia?
- Ka paʻi ʻana o ka niho: Hiki i kahi niho i paʻi hapa ʻia a piha paha e paʻa i loko o ka iwi ā a ʻaʻole hiki ke puka i waho.
- Paʻakikī ke nau ʻana i ka meaʻai: ʻAʻole paha ʻoe e hiki ke nau pono i ka meaʻai.
- Ka Piha Loa: Hiki i nā niho ke piʻi a piha, e hoʻopili ai iā lākou a hana i kahi ākea no nā niho ʻē aʻe. ʻO kēia ka mea e paʻakikī ai ka hoʻomaʻemaʻe pono ʻana i ka wā e palaki ai.
- Niho kekee: Hiki i nā niho ke kekee a kū ʻole ke ʻano.
- Malocclusion: ʻO kahi kūlana kahi i kūpono ʻole ai nā niho ma ka ʻāwae luna a me nā niho ma ka ʻāwae lalo (he "nahu maikaʻi ʻole").
- Pala niho / lua: ʻO ka nui o nā niho hiki ke hiki ʻole ke hoʻomaʻemaʻe pono i kekahi mau wahi, e ʻoi aku ai ka maʻalahi o ka pala niho.
- Maʻi ʻāʻī: Hiki ke ulu aʻe nā maʻi ʻāʻī.
- Nā cysts waha: ʻO nā cysts wai ʻole, ʻaʻole hiki ke hana i loko o ka waha, ʻoiai a puni nā niho i pā. Hiki i kēia mau mea ke hōʻino i nā aʻa o nā niho ʻē aʻe.
Pehea e ʻike ai ke kauka i kēia?
ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ke hele ʻoe i ke kauka niho no ka nānā ʻana i ke kino.
- Inā ua nui aku nā niho i puka mai, e hiki i ke kauka ke ʻike iā lākou ma ka nānā ʻana i loko o ka waha.
- Akā, no ka ʻike ʻana i nā niho i pā ʻia (a i ʻole "i pā ʻia"), pono nā X-ray niho a i ʻole, no ka nānā kikoʻī ʻana, nā CT scan (computed tomography scans). Hiki i kēia mau X-ray ke hōʻike i ke kūlana pololei o ka niho a me kona pilina me nā niho ʻē aʻe.
Pehea e mālama ʻia ai ka Hyperdontia?
ʻAʻole pono nā kānaka a pau i ka lāʻau no kēia. Inā ʻaʻole pilikia kou mau niho keu, e haʻi aku paha kāu kauka iā ʻoe e makaʻala iā lākou.
Eia nō naʻe, inā ke hoʻopilikia nei kou mau niho keu i kou olakino waha a i ʻole kou hiki ke nau i ka meaʻai, e ʻōlelo paha kāu kauka niho e wehe i kēlā mau niho ('tooth extraction`). I ka manawa hea e wehe ʻia ai nā niho?
- Inā pilikia ʻoe i ka nau pono ʻana i ka meaʻai.
- Inā ʻoe e hoʻomau i ka ʻeha a i ʻole ka pilikia.
- Inā ʻo ka niho keu e hōʻino ana i nā niho ʻē aʻe a i ʻole ke kumu o ka nalowale ʻana o ka niho.
- Inā pilikia ʻoe i ka palaki ʻana a me ka flossing pono ʻana, i kekahi manawa ʻaʻole hiki iā ʻoe ke hoʻokomo i ka palaki i nā kihi ma muli o ka nui o nā niho, hiki ke alakaʻi i ka pala niho a me ka maʻi ʻāʻī.
- Inā hilahila a ʻoluʻolu ʻole paha ʻoe i ke ʻano o kou mau niho keu.
I kekahi manawa, inā he wahi ʻoluʻolu ʻole a ʻeha paha, hiki i ke kauka ke kuhikuhi i kahi lāʻau hoʻopau ʻeha, no ka laʻana, he NSAID (nonsteroidal anti-inflammatory drug) e like me ibuprofen (Advil®) a i ʻole naproxen sodium (Aleve®). Eia nō naʻe, pono e hoʻoholo ʻia kēia ma hope o ke kamaʻilio ʻana me ke kauka.
Pehea ke koʻikoʻi o kēia kūlana?
ʻAʻole ia he mea weliweli a hoʻoweliweli paha i ke ola ka loaʻa ʻana o nā niho keu. ʻAʻole pono ka hapa nui o ka poʻe e hana i kekahi mea e pili ana i ia mea. Eia nō naʻe, i kekahi manawa, inā waiho ʻole ʻia, hiki iā ia ke hoʻonui i ka pilikia o ka loaʻa ʻana o nā pilikia olakino waha, e like me ka pala o ka niho, ka maʻi ʻāʻī, a me ka hōʻino ʻana i nā niho ʻē aʻe, e like me ka mea i ʻōlelo ʻia ma mua.
Inā manaʻo ʻoe he mau niho keu kou, he manaʻo maikaʻi ke ʻike i kahi kauka niho no ka nānā ʻana. Inā ke hoʻopilikia nei ka hyperdontia i kou olakino waha a i ʻole nā hana o kēlā me kēia lā, e kūkākūkā kāu kauka i kāu mau koho lapaʻau.
Hiki ke pale ʻia kēia?
ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hyperdontia. ʻO kēia no ka mea pinepine ia e nā kumu genetic a i ʻole kekahi mea ʻē aʻe e hana ʻia i ka wā o ka ulu ʻana o ka niho. ʻOiai ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i kāu keiki mai ka loaʻa ʻana o nā niho keu, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke kōkua i ka hōʻemi ʻana i nā pilikia e hiki mai ana ma hope. No laila, he mea nui e lawe i kāu keiki i nā nānā niho maʻamau (e pale i ka Gujarati, e hoʻohana iā Sinhala: mau) mai ka manawa e hoʻomaka ai lākou e niho.
Āhea wau e ʻike ai i ke kauka?
- E kipa pinepine i kāu kauka niho, ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, no nā hoʻokolokolo niho a me nā hoʻomaʻemaʻe. I kēia mau manawa , hiki i kāu kauka niho ke nānā inā he mau niho keu kou a ʻike inā he mau pilikia me lākou.
- Eia kekahi, inā loaʻa iā ʻoe kekahi ʻeha, pehu, a ʻoluʻolu ʻole paha i kou waha a i ʻole nā niho, e hoʻomaopopo koke i kāu kauka niho. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia lōʻihi.
Nā nīnau hiki iā ʻoe ke nīnau i kāu kauka
Inā loaʻa iā ʻoe ka hyperdontia, eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:
- "Aia kekahi kumu kūikawā no koʻu nui ʻana i kēia mau niho, e Kauka?"
- "Pono anei au e hana i kahi mea e like me ka hoʻāʻo ʻana i ka genetic e ʻike ai inā he mau kūlana ʻē aʻe e pili ana i kēia?" (He mea nui paha kēia inā loaʻa i kekahi o ka ʻohana ke kūlana, a inā he mau hōʻailona ʻē aʻe).
- "Pono maoli anei iaʻu e wehe i kēia mau niho keu? ʻAʻole anei hiki iaʻu ke nānā wale aku iā lākou?"
- "Inā ʻoe e hana pēlā, he aha nā pono e lawe mai ai? He aha nā pilikia e kū mai ana inā ʻaʻole ʻoe e hana pēlā?"
ʻO ka hope loa, e hoʻomanaʻo
Ua ʻike paha ʻoe no ka manawa lōʻihi he mau niho keu kou i loko o kou waha. A i ʻole ua ʻike wale ʻoe ma hope o ka lawe ʻana o ke kauka i kahi X-ray. Eia naʻe, ʻaʻole maʻamau kēia ʻano, i kapa ʻia ʻo hyperdontia, a ʻaʻole ia e hōʻeha nui.
Inā ʻaʻole e hōʻeha kou mau niho keu iā ʻoe, ʻaʻole e hoʻopilikia iā ʻoe i ka nau ʻana, a i ʻole ʻaʻole e hoʻopilikia i kou mau niho ʻē aʻe, ʻaʻole paha ʻoe e hana i kekahi mea. Eia nō naʻe, inā ʻike ʻoe i ka hōʻailona mua o kahi pilikia, mai kānalua e kāhea koke i kāu kauka niho. E hoʻomanaʻo, ʻo ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi ma hope. He mea kūpono ka minoʻaka olakino i nā mea a pau!
ʻO Hyperdontia, nā niho keu, nā niho supernumerary, olakino niho, nā pilikia niho, olakino waha, mālama niho











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