I ha a chhe tawh em? Cavities chungchang hi i zir belh leh ang u!

Ha na i tuar tawh em? A nih loh leh i ei laiin tingling sensation emaw, natna tlem emaw i nei ngai em? A tam zawkah chuan ha hring vang a ni thei a, chu chu ha chhunga khur te tak te emaw, kan tih angin ``cavity'' emaw a ni thei. Chuvangin, vawiinah hian ha ro hi eng nge a nih, engvangin nge a lo awm tih leh a pumpelh dan tur kan sawi dawn a ni.

Cavity tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, cavity chu ha chunglam khur te tak te emaw, tihchhiat emaw a ni. Hei hi ha pawn lam khuhna chak tak, enamel an tih chu kan ka chhunga acid thenkhatin a tihchhiat zauh zauh a, a tihchhiat hian a thleng thin. He ha ro hi dental caries an ti bawk. Tu pawhin he natna hi an nei thei a ni. Mahse, hmui faina tha leh ha enfiah fo hian nasa takin a veng thei a ni.

Ha hring chi hrang hrang a awm em? Ni e, an awm!

Ha hring hi ha chunglam eng pawhah a intan thei. A chi hrang hrangte hi han thlir ila:

• Smooth Surface Cavities: Hei hi cavity chi khat a ni a, a lo thang chak zawk. Ha hring chhuak mek enamel a ni. I ha i silfai leh i floss tha chuan hei hi i veng thei a, a chang chuan i reverse thei bawk. Hetiang cavity hi kum 20 hnuai lam thalai zingah a awm tlangpui.
• Pit and Fissure Decay: Hei hi ha chunglama khur te tak te leh fissure-ah a lo awm a, chutah chuan chaw kan ei thin. Ha hnunglam ha hma lamah pawh a lo piang thei bawk. Hetiang decay hi thalai zingah a intan thin a, a tlangpuiin an tleirawl lai atanga tan a ni a, a darh chak hle.
• Root Decay: Kum upat deuh deuha hmul hnungtawlh (receding gums) nei te chuan he chi hi an vei tam zawk. Ha zung a hnungtawlh chuan ha zung chu a lang chhuak thin. Hei hian a zung chu plaque leh acids te a tichhe thin . Root decay hi ven leh enkawl harsa tak a ni. > Receding gums lama harsatna i neih chuan periodontist i hmuh tur em tih i dentist zawh a pawimawh.

He ha ro hi engtiang chiahin nge a awm?

Ha hring hi a takah chuan i ngaihtuah aiin a tam zawk hle. Zirchianna atanga a lan dan chuan America ang ram ah hian mi 80% aia tam chuan kum 30 bawr vel an tlin meuh chuan ha vawi khat tal an nei tawh a ni. A nihna takah chuan kum hrang hranga natna khirh tak tak, natna khirh tak tak zinga mi a ni.

Tute nge ha natna vei tam ber?

Ha ro hian kum eng pawh a nghawng thei a, mahse naupang tê têah a tam zawk.Hei hi chhan hrang hrang a awm a. Naupang tê tam tak chuan ha an silfai \ha lo va, ha an sil \hin lo va, ei leh in thlum tak tak pawh an ei nasa hle bawk.

Puitling pawhin ha a tichhe thei bawk. A châng chuan, ha pakhat chu an naupan laiin a khat a nih chuan, a filling vêlah chuan chhe thar a inṭan thei a ni. Tin, `Gum Recession` hi puitlingah a awm fo bawk. Hetiang dinhmun hian ha zung a chhuah tir thin. Tichuan, chu zungte chu plaque-ah an inhnamhnawih a, an chhe thei bawk.

Ha natna lanchhuahna chu engte nge ni? Engtin nge i hriat?

A tir lamah chuan ha enamel chunglam chauh a ro chuan natna lian tham emaw, chhinchhiahna dang emaw a awm lo tlangpui. Chu chu enamel kaltlanga a lo darh a, a hnuaia layer ``Dentin`` an tih chhungah emaw, ha ``Pulp`` thuk zawkah emaw a darh hnuah chauh symptoms i nei tan thin.

Hengte hi ha chhe tawhna chhinchhiahnate chu a ni:

• Ka atanga rimchhia lo chhuak, emaw, ka chhunga thlum lo.
• Gums thisen chhuak emaw, gum natna chhinchhiahna dang emaw a awm thei.
• Hmai a hring chhuak.
• Ha na, emaw, hmui na emaw.
• Tooth Sensitivity chu ei leh in lum emaw, vawt emaw i ei hian ha a hring chhuak tih hriatna a ni.

Ha hring: zawi zawiin a chhe

Ha ro hi vawi khatah a thleng vek lo. Zawi zawiin, stage hrang hrangah a thleng thin. Chu stage-te chu eng nge ni tih hi han thlir ila:

1. Demineralization: Hei hi a hmasa ber a ni. Hetih lai hian i ha-ah hian hmun te te, var, chalky ang deuh i hmu mai thei. Hei hian i ha enamel-a mineral awmte chu a chhe zauh zauh tihna a ni.

2. Enamel Decay: Enkawl loh chuan a chhe chhunzawm zel ang a, enamel chu a chhe lehzual ang. Hei hi cavities te pawh a langsar tan hun tur a ni. A hring hringte chu zawi zawiin a rawng dum hring (light brown) a lo ni thei.

3. Dentin Decay: Ha enamel hnuaia layer awm chu Dentin a ni. Enamel aiin a nem zawk hle. Chuvangin, he layer chhunga plaque leh bacteria te an luh chuan decay hi a darh chak hle a ni. Hetih lai hian ha sensitivity ang chi thil i tawng mai thei. Ha chunga hmunte pawh a dum thei bawk.

4. Pulp Damage: Pulp hi ha chhungril ber a ni. Hei hi nerve leh thisen kalna hmun a ni. Hengte hian ha chu a chawm a, a nung reng theih nan a pui bawk. Decay chuan pulp a thlen chuan natna nasa tak i nei tan ang . Ha chhehvela hmui pawh a sen thei a, a hring thei bawk. Ha chunga hmunte chu a dum emaw, a dum emaw a lo ni thei.

5. Ha hring (Abscessed Ha):Deep decay hi rei tak enkawl loha dah a nih chuan ha chhungah natna hrik a lo awm thei a ni. Hei hian ha zung lamah hian periapical abscess an tih, pus-filled lump a siam thei a ni. Hei hian hmui leh hmaiah natna a thlen thei a ni. Kawng chhunga lymph node te pawh a hring thei bawk. Hei hi dinhmun hlauhawm tak a ni a, a chhehvel tissue-ah chauh ni lovin, a chang chuan thluak emaw thisen (sepsis) thlengin a darh thei a, chu chuan nunna a tichhe thei a ni.

Engvangin nge ha hring kan neih? A chhante chu engte nge ni?

Ha natna hi chhan hrang hrang a awm a. Hei hi han mitthla teh:

• Kan ka chhungah hian bacteria tenau chi hrang hrang tam tak an cheng a. Chaw thlum, starchy nei (e.g., thei, candy, chhang, cereal, soft drinks, milk) kan ei hian heng bacteria te hian chu ei tur a sugar leh carbohydrates te chu acid siam nan an hmang thin.
• Tichuan, heng bacteria te, acid te, kan ei tur chi hrang hrang te, leh kan ka chhunga hmui te hi an inzawm khawm a, film sticky, rawng nei lo, dental plaque an tih chu ha chungah a awm ta a ni.
• Kan ha kan silfai loh emaw, floss kan hman loh chuan he plaque-a acid awmte hian ha enamel chu a tithianghlim zauh zauh a, a chhungah khur emaw, cavities emaw a siam a ni.

Ha natna thlen thei thilte chu engte nge ni?

Thil engemaw tak chuan ha natna i neih theihna a tipung thei a ni. Hengte hi i tan a hman theih em tih en rawh:

• Kawng vawt (Xerostomia): Damdawi lam thil thenkhat (Sjögren’s Syndrome ang chi) emaw damdawi thenkhat (antidepressant ang chi) emaw hian hmui a ti vawt thei. I hmui a vawt chuan i hmui (saliiva production) a tlahniam a, chu chuan ha chhe theihna a tipung a ni.
• Chaw leh in tur thlum, starchy tak tak ei fo te, chawhmeh ei fo te.
• I chhungkuaa mi pakhat (nu leh pa, unau) ha natna nei fo a nih chuan i hlauhawmna pawh a sang deuh thei bawk.
• Gum recession vang a ni.
• Tun hmaa lu emaw, kawng emaw cancer vangin radiation therapy i lo dawng tawh a nih chuan.

Ha hring hi kai theih a ni em?

Ha natna ngei pawh hi mi pakhat atanga midang hnenah "a inthlak" lo. Amaherawhchu, ha tichhetu bacteria te hi mi pakhat atanga mi dangah a kai thei a ni. Entirnan, spoon fawh emaw, insem emaw hian heng bacteria te hi a transfer thei a ni. Chuvangin, mi dang atanga bacteria kan ka chhungah a lut a nih chuan hun kal zelah chu bacteria chuan ha natna leh hmui hriselna lama harsatna dang min thlen thei a ni.

Engtin nge ha natna i nei tih i hriat theih ang? (Diagnosis) tih a ni.

Ha hring hi a tir lamah, a nasat hmaa man theihna tha ber chu kum khatah vawi hnih tal ha enkawltu hnenah ha enfiahna neih hi a ni.Ha enkawltu chuan hmanraw hrang hrang hmangin i ha a enfiah ang. Ha chhe tawh chu hmanraw te tak te ``probe`` an tih hmanga khawih chuan a nêm deuhin a lang ang.

I ha enkawltu chuan i ha ha X-ray pawh a la thei bawk. Heng X-ray te hian i ha hmun hmuh theih loh, a chhe tanna hmun te chu a hriat theih nan a pui thei a ni.

Ha hring hi engtin nge i enkawl?

Ha hring enkawl dan chu a chhe nasat danah a innghat a, chu chu eng chen nge a darh tawh tih a ni. Enkawl dan tlangpui engemaw zat a awm a:

• Fluoride hmanga enkawlna: Ha hring hmasa ber, enamel-a chhiatna tlemte chauh a awm laiin, fluoride hmanga enkawlna hian enamel chhia chu a siam ṭha leh thei a, chu chu remineralization an ti a ni. Hei hian a chhe tawhna chhinchhiahna hmasa berte chu a tidanglam thei a ni. Hei hian i doctor-in a pek tur toothpaste leh hmui silna bik a ngai thei a, chubakah ha enkawlna hmuna fluoride hmanga enkawlna pek a ngai thei bawk.
• Ha Fillings: Ha pakhatah cavity a lo awm hnuah ha enkawltu chuan a chhe lai chu a la chhuak ang a, a hmun ruak chu a luah khat ang. Heng ha filling te hi ha rawng, composite resin, silver amalgam, a nih loh leh rangkachak an tih atanga siam a ni.
• Root Canal Therapy: Root Canal Therapy hi a chhe lai hian ha pulp a thlen tawh a, natna nasa tak a thlen chuan tih thin a ni. He enkawlna hian ha natna chu a ti reh a ni. He enkawlna hi endodontist, dentist, zung lama harsatna enkawlna lama tui, tih thin a ni tlangpui. Hetianga enkawlnaah hian ha pulp chhia chu lakchhuah a ni a, a chhunga canal awmte chu tihfai a ni a, Gutta-Percha tih hming pu filling material bik dah a ni a, a then phei chuan ha chungah ha lallukhum dahin a tichak lehzual thei bawk.
• Ha lakchhuah: A châng chuan, a root nasat lutuk a, root canal therapy tih theih loh a nih chuan, ha enkawltu chuan ha chu a la chhuak a ngai mai thei. Ha nghet tak lakchhuah a nih chuan ha bridge emaw, dental implant emaw dah a ni ang. I dentist chuan eng option nge i tan a tha ber tih a hrilhfiah ang che.

Engtin nge ha chhe lo tur ven theih ang? Hei hi a pawimawh ber a ni!

Ha a lo awm hnua enkawl ai chuan ha a lo awm loh nan a tha zawk hle. Oral hygiene tha neih hi a solution tha ber a ni. Nitin ha silfai leh flossing hmang hian i ka atanga plaque, acid leh bacteria te chu i paih chhuak thei a ni. Ha leh ha hriselna tha tak vawng reng tur chuan a hnuaia mite hi i tih a ngai a ni:

• Ni khatah vawi hnih talI ha chu minute hnih tal (zing leh mut hmain) silfai la, a theih chuan chaw ei ber apiangah ha hmin nêm tak leh fluoride toothpaste hmangin silfai bawk ang che.
• Chaw thlum, starchy (sugary drinks, chocolate, leh biscuit ang chi) i ei tam thei ang ber tihtlem rawh.
• Ni khatah vawi khat tal dental floss hmang la, i ha inkar atanga ei tur chi hrang hrang leh plaque te chu paih chhuak thin ang che.
• Kum khatah vawi hnih tal ha enfiah turin kal rawh (i doctor chuan ha natna emaw, ha natna emaw i neih duh chuan tlawh tam zawk turin a rawt mai thei).
• I ha chewing surface-a pit leh fissures-ah hian dental sealant i hnawih thei a, chu chuan a chhe lo thei a ni. Hemi chungchang hi i ha enkawltu hnenah zawt rawh.

Ha hrisel hi nuihzatthlak tak tan chauh ni lovin, i hriselna zawng zawng atan pawh a pawimawh tih hre reng ang che!

Ha hring i neih chuan eng nge thleng? Enkawl loh a nih chuan...

Ha hring hi rei tak enkawl loha awm a nih chuan i ha hmun tam tak i hloh thei a, a tawpah chuan lakchhuah tir a ngai a ni. A ro a nasat chuan ha chhung leh ha hnuaiah natna khirh tak (Tooth Abscess) a lo awm thei a ni. He natna hi taksa pum puiah a darh thei a ni. A tlem hle nachungin ha natna hian thihna a thlen thei a ni. Chuvang chuan ha natna i rinhlelh chuan a rang thei ang bera Doctor pan a pawimawh hle.

Ha natna nei te tan hmalam hun eng nge awm?

Mi tam takin ha ruh an nei a, mahse a enkawl dan tha a nih chuan hun rei tak chhung harsatna a thlen lo. Ha ro hi zawi zawiin a lo awm tlangpui. Chuvang chuan ha enfiah fo a pawimawh hle. Ha hring hi a tir lamah fluoride hmanga enkawlna ang chi thil hmangin tihtawp theih a ni. Amaherawhchu, a roin ha zung a thlen chuan ha hloh emaw, natna hrik (abscess) na tak a thlen a rinawm zawk.

Engtik hunah nge doctor ka hmuh ang?

A hnuaia symptoms te hi i neih chuan dentist pan hmasa phawt ang che:

• I hmuiah thisen a chhuak a nih chuan.
• Chaw ei harsa a nih chuan.
• Infection chhinchhiahna (e.g. swelling, fever, pus) a awm chuan.
• Hmai chu a sir khatah a hring a nih chuan.
• Ha na emaw, hmui na emaw i neih chuan.

Doctor hnenah eng nge i zawh tur?

I ha enkawltu i hmuh hian i harsatna, i enkawl dan leh hmalam pan zel tur i ha enkawl dan tur chungchangah hetiang zawhna hi i zawt thei ang:

• Engvangin nge he ha na hi ka neih?
• He chhiatna hi eng nge enkawlna tha ber?
• Nakin lawkah ha natna nasa zawk tihziaawmna turin eng nge ka tih theih ang?
• Hetiang dinhmunah hian eng harsatna nge ka ngaihtuah tur?
• Oral health product (toothpaste, toothbrush, hmui silna ang chi) eng nge i rawt?

Ha chhe tawh chu a mah chauhin a dam ang em? Ha a na hian a tlai tawh em?

A tir lamah chuan, enamel hmun tlemteah chauh chhiatna a lo intan tawh chuan, a ni, chhena engemaw zat chu tihdanglam theih a ni. Ha enamel hian eng emaw chen chu a insiamtha thei (remineralize) thei a ni. A chhe hi a tlem hle a, enamel atanga a darh loh chuan fluoride hmanga enkawlna leh hmui faina tha tak hmangin a tidanglam thei a ni.

Mahse, hei hi hriat reng a pawimawh: Decay hian enamel chhungah a lut a, a hnuaia layer (Dentin) ah a lut a nih chuan a mah chauhin a dam lo ang. Filling, crown, emaw ha enkawlna dang emaw a mamawh ngei ang.

Ha na tih awmzia chu a chhe tawhna chu ha layer thuk zawk, dentin emaw pulp emaw a thleng tawh tihna a ni. Hei hian a tlai tawh tihna a ni lo. Mahse, tun dinhmunah chuan a chhe tawh siamthat nan ha enkawltu i pan ngei tur a ni. I enkawl vat chuan i ha enkawltu chuan i ha chu a chhanhim thei fo ang. Ha enkawltu tam zawk chuan i ha pianphung chu a rei thei ang bera vawng reng turin an pui duh che a ni.

A tawp berah chuan thil hriat reng tur

Ha enkawltu hnena kal hi mi thenkhat tan chuan a hlauhawm deuh a, lungkhamna a thlen thei a, a bik takin beisei tur dik tak i hriat loh lai hian. Mahse, ha enkawltu i rintlak leh i biak nuam tak nen inzawmna tha tak i siam chuan ha enkawltu chair-a awm hlauhna leh lungkhamna chu nasa takin i tihziaawm thei a ni.

I ha enkawltu chuan ha thar hring lo tur venna tur leh kum tam tak chhung chu nuihzatthlak leh hrisel tak nei reng turin i ha sil leh floss dan dik tak a zirtir ang che. Chutiang thupek zawm chu nangmah ah a innghat.

Ha hrisel leh hmui hrisel hi i hriselna zawng zawng tan chakna leh puihna ropui tak a ni tih theihnghilh ngai suh!

`Ha hring, ha hring, ha hriselna, ha na, ha filling, ha venna, hmui hriselna