Nang pawhin ha thenkhat i tlachham em? He 'Tooth Agenesis' chungchang hi han sawi ila!

Kan nuih mawi tak leh ei leh in tha tur chuan ha hi a pawimawh hle. Mahse, mi ṭhenkhat chu ha pakhat, ha engemaw zat, a châng chuan ha zawng zawng nei lo piang an ni tih i hria em? Hei hi damdawi lam chuan ‘Tooth Agenesis’ kan tih chu a ni. Hei hi nang pawhin i tawng tawh a ni mai thei, a nih loh leh i hriat mi pakhatin he harsatna hi a nei a ni mai thei. Chuvangin, vawiin hian he thu hi chipchiar deuhin han sawi ila?

‘Tooth Agenesis’ hi eng nge ni tak tak?

A awlsam zawngin ‘Tooth Agenesis’ tih hi pian tirh atanga ha awm lohna hi a ni. Chumi awmzia chu ha hi a lo thang lian ngai lo tihna a ni. Hetiang dinhmun hian primary teeth (nausen ha) leh permanent teeth (puitling ha) te pawh a nghawng thei a ni. Mahse, ha nghet tak a nghawng tam ber .

Ngaihtuah teh, kan ha te hi zung hnuaiah pangpar hnah te tak te ang maiin a lo thang tan ta a ni. Hei hi heng ha zungte hi a lo thang tha lo a nih chuan a thleng thin.

Hei hi eng chi hrang hrang nge ni tih i hria em?

Ha agenesis hi chi thum a awm a, ha awm zat a zirin a awm a:

1. Anodontia : Hei hi ha zawng zawng awm lohna a ni . Chu chu ha pakhat mah a lo piang lo tihna a ni. Hei hi a tlem hle.

2. Hypodontia: Hemi , ha pakhat (01) atanga paruk (06) vel a awm lo. Tooth Agenesis vei tam zawk chuan hetiang chi hi an nei thin.

3. Oligodontia: Hemi , ha paruk (06) aia tam a bo .

Tunah chuan he thil awmzia hi i hrethiam ta. Mi thenkhat chuan ha pakhat chauh an hloh a, thenkhat chuan engemaw zat an hloh a, a chang chuan a aia tam pawh an hloh bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Statistics atanga a lan dan chuan he natna, ‘Tooth Agenesis’ tia koh hian American mipui 3% leh 10% inkar a nghawng a ni. Hmeichhiaah pawh a tam deuh niin an sawi bawk . Sri Lanka-ah pawh hetiang mi hi an tam hle a, damdawi lam hming a nei tih pawh an hre lo mai thei.

Hei hian i hmel lan dan a nghawng dawn em?

Ni e, a dik tak zet. Ha agenesis hian i ka chhunga khawi hmunah pawh ha a nghawng thei a ni. Mahse ha chi tlemte a awm a, chu chu a bo mai thei ber a ni:

• Lower jaw-a molars pahnihna (hengte hi i lower jaw-a ha lian tak takte hmaa ha awmte an ni).
• Molar pahnihna (hengte hi i ha chunglam lian tak hmaa ha awmte an ni).
• Upper lateral incisors (hengte hi i upper front ha lian pahnih sir lehlama ha te te an ni).

I nuih lai khan i hmalam ha inkarah gap lian tak i nei a nih chuan han ngaihtuah teh? A nih loh leh ei tur i ei nana i hman thin ha bulpui i hloh a nih chuan? Taksa leh rilru lamah pawh a nuam lo deuh thei.

Hei hian engtin nge hmui hriselna a nghawng?

Ha bo hi aesthetic issue mai a ni lo. I hmui hriselna pawh a nghawng thei bawk .

• Chaw ei leh thusawi hi a harsa mai thei: Ha a tlakchham chuan chaw ei dik a harsa thin. Tin, ha awmna hian hawrawp thenkhat sawi dan a nghawng thei bawk a, chu chuan tawng harsatna a thlen thei bawk.
• Jawbone growth a tlahniam thei: Ha awm lohna hmunah jawbone hian a tul angin stimulation a dawng lo a, jawbone growth a slow thei. Hei hian jaw area chu a tlangpui aia te zawkin a lantir thei.
• Ha dangte chunga nghawng: Ha a awm loh chuan a sir lehlamah ha chu a inthlak emaw, chu lam hawiin a inthlak emaw a, chu chuan a hmun ruak chu a luah khat thin. Hei hian ha dangte pawh a tidanglam thei bawk.

‘Tooth Agenesis’ natna lan chhuah dan chu engte nge ni?

A symptom ber chu ha tlakchham hi a ni . Chu chu kum bithliah a lo lut tur ha a lo lut lo a nih chuan chu chu chhinchhiahna hmuh hmasak ber a ni tihna a ni. Tin, he natna vei te zingah hian symptom dang engemaw zat hmuh theih a awm bawk:

• Ha te tak te, peg ang maia awm:Ha thenkhat chu a tlangpui aia te a ni thei a, a pianzia chu a zung (pointed shape) a ni thei bawk.
• Ha inkarah gap: Ha bo hian ha la awmte inkarah gap lian tak a siam thei.
• Taurodontic teeth: Chumi awmzia chu ha chu a pangngai aia lian, square ang deuh, ha chhunga pulp chamber chu a lian hle tihna a ni.

Ha agenesis hi genetic disease thenkhat symptom a ni thei bawk . Entirnan, ``Ectodermal dysplasia`` tih hming pu genetic condition nei te pawhin ha hloh an nei thei bawk. Tin, a hnuaia symptoms te hi an nei thei bawk.

• Sam tihthianghlim .
• Nail a dik lo.
• Thawmhnaw a tlahniam emaw sweat glands awm lohna emaw .
• Mitdelna nei lo .
• Hriatna lama harsatna nei.

A pawimawh ber chu nangmah emaw, i fain emaw ha a bo nia i rinhlelh chuan a rang thei ang bera ha enkawltu i pan a ngai a ni.

Tooth Agenesis awm chhante chu engte nge ni?

Hei hi a chhan ber chu ha lamina a thil danglam vang a ni . Dental lamina hi kan hmui hnuaia tissue layer awm, ha siamtu a ni. Hei hian hna a thawk tha lo a nih chuan ha a lo piang lovang. Statistically chuan chhungkaw history, chu chu genetic influence , hi ha agenesis awm chhan ber a ni . Mahse, thil dangin a thlen thei bawk.

Chhungkaw chanchin leh genetics

Nu leh pate hian hetiang dinhmun hi an neih chuan an fate pawhin an rochun a rinawm. Kan ha siam chhuahnaah hian gene engemaw zat a awm a. Entir nan:

• `(EDA)` tih a ni
• `(EDAR)` tih a ni
• `(EDARADD)` tih a ni
• `(WNT1OB)` tih a ni

Heng genes-ah hian inthlak danglamna emaw, chhiatna emaw a awm chuan ‘Tooth Agenesis’ a awm thei a ni. Heng genes te hi an rochun dan pawh a inang lo hle. A awlsam zawngin, kan nu hnen atanga gene copy leh kan pa atanga gene copy inzawmkhawm atang hian trait zawng zawng kan hmu vek a ni. Heng genes te hi rochun dan tlangpui pali a awm a:

1. Autosomal dominant: Hetah hian ha agenesis hi a awm thei a, chu chu nu emaw, pa emaw atanga rochun a nih pawhin, gene dik lo copy khat chu rochun a ni .

2. Autosomal atanga chhuak (autosomal recessive) te: 1.1 .Chutiang a nih chuan, ha agenesis a awm theih nan nu leh pa pahnih hian gene copy pangngai lo chu an rochun a ngai a ni .

3. X-linked dominant: Hemiah hian X chromosome-ah hian gene pangngai lo dominant a awm a (hmeichhiain XX an nei a, mipain XY an nei). Chuvangin, X-linked Tooth Agenesis nei mipa chuan chu gene chu a fanu zawng zawng hnenah a pe chhuak vek ang.

4. X-linked recessive: Hemi ah hian X chromosome ah hian recessive abnormal genes pakhat emaw pahnih emaw a awm a. Chuvangin, hmeichhia he gene kengtu hian ha agenesis nei fa neih theihna chance 50% vel a nei a ni.

Heng genetic issues te hi a buaithlak deuhin lang mahse, doctor chuan a sawifiah belh thei a ni.

Hriselna lama harsatna dangte

Hetiang dinhmun, ‘Tooth Agenesis’ tia koh hi hriselna lama harsatna dang nen a awm thei bawk. Entirnan:

• Cleft lip emaw cleft palate emaw ang chi dinhmun .
• Genetic natna `(Ectodermal dysplasia)` emaw `(Down syndrome)` emaw ang chi te.
• Pian tirh atanga taksa rihna hniam tak neia piang .
• Natna hrik kai thei , rubella emaw candida (nuin naupai laiin a neih) ang chi.

Damdawi lam enkawlna thenkhat

Mak ti suh, ha agenesis hi damdawi thenkhata side effect angin a awm thei bawk. A bik takin naupang cancer enkawl dan : .

• Chemotherapy hmanga enkawl a ni
• Radiation hmanga enkawlna a ni

Heng enkawlnate hian ha tipungtu cell te a tichhe thei a ni.

Engtin nge hei hi kan hriat theih ang?

Hei hi ha enkawltuin i ha a enfiah hian a hriat hmasak ber thin. I kum nena inmil ha zawng zawng i nei em tih an enfiah thin. ‘Tooth Agenesis’ chungchangah rinhlelhna a awm a nih chuan ha X-ray hmangin finfiah a ni. Heng X-ray te hian eng ha nge gums chhunga thup leh la chhuak lo tih chiang takin a tarlang thei a, eng ha nge bo tak tak tih a tarlang thei bawk.

Tooth Agenesis hi eng enkawlna nge ni?

Thu lawmawm tak chu Tooth Agenesis enkawlna tur a awm tih hi a ni. Ha enkawltu te hian orthodontic treatment emaw ha thlak emaw an hmang tlangpui . Enkawlna dik ber chu i dinhmun, ha bo zat leh i kum a zirin a ni. Enkawlna hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Ha lem: Hengte hi ha siam chhuah (artificial teeth) lakchhuah theih a ni. Ha pum pui emaw, ha lem kimchang emaw, ha lem thenkhat emaw, ha tlemte emaw atanga siam an ni thei.
• Ha bridge: Hetah hian ha bo leh a sir lehlama ha hrisel inkar gap-ah chuan ha siam (artificial tooth) chu bridge ang deuhin an inzawm a ni.
• Ha dahna: Hei hi tunlai solution hmasa ber leh awm reng tur a ni. Hemiah hian titanium atanga siam pin ang chi te tak te chu surgery hmangin jawbone-ah dah a ni a, a chungah chuan artificial tooth siam a ni. Hei hi ha natural ang chiah hian a awm a, a hmel pawh a lang chiang hle.
• Orthodontic treatment: A chang chuan braces hmangin ha inkar gap tihtlem leh ha align theih a ni.

Naupang Tooth Agenesis nei te hi an puitlin hma leh an jawbones te a lo thanglian kim hma loh chuan partial dentures pek an ni tlangpui . An thanlenna a tawp tawh chuan ha dahna ang chi permanent solution lam an pan thei ta a ni.

Hei hi ven theih a ni em?

Ha agenesis hi chhungkuaah a kal fo thin a, chuvangin a venna tur engmah kan ti thei lo . Amaherawhchu, he natna hi i nei a nih pawhin i fate'n an rochun dawn tihna erawh a ni lo. I genes inherit danah a innghat a ni.

Hetiang dinhmun nen hian eng nge i beisei tur?

Ha agenesis hi nunna atana hlauhawm a ni lo . Amaherawhchu, i nitin hnathawh, a bik takin ei leh in leh thusawi te a tibuai thei a ni. Hei hian i nunphung a nghawng thei a ni.

Ha agenesis enkawlna zawng i tum a nih chuan i ha enkawltu nen inbia . I duhthlan turte chipchiar takin an sawiho thei a, i mamawh leh duhzawng nena inmil ber solution zawng turin an pui thei bawk che a ni.

I fain Tooth Agenesis a neih chuan i dentist nen enkawl dan tur chungchang sawipui rawh. Naupang tam tak chuan an ruh a lo thanlen kim thlengin ha lem (partial dentures) an vuah thin. An upat deuh deuh chuan ha dahna emaw, permanent solution dang emaw an dawng thei bawk.

Engtik hunah nge ha enkawltu ka hmuh ang?

Ha bo emaw, i nuihzatna gap emaw i ngaihtuah chuan ha enkawltu hnenah enkawl dan tur sawipui rawh. Ha thlak nan hian solution hrang hrang a awm a, i tana tha ber tur i hmuh theih nan a pui thei bawk. Ngaihtuah buai suh, engkim tan hian solution a awm vek.

I ha enkawltu hnenah eng zawhna nge i zawh tur?

Tooth Agenesis i neih chuan i dentist hnenah hetiang hian zawhna i zawt thei ang:

• "Doctor, ha engzat nge ka neih ?"
• " Eng treatment option nge ka neih?"?”
• " Eng chen nge a enkawl ang?"
• " Heng ha te hi ka bo hian ka ei leh in leh chaw ei dan a nghawng dawn em ni ?"
• " Kei emaw ka fa emaw hian pianpui natna dang a neih leh neih loh genetic testing kan nei tur em ni ?"

Hêng zawhnate hi zawh hian thil awm dân hriatthiamna ṭha zâwk i nei thei a, a hnua i tih tûrte chu chiang zâwkin i hre thei bawk.

Take-Home Thuchah hnuhnung ber

Tooth agenesis hi pian tirh atanga ha thenkhat bo a awm thin a ni . Chumi awmzia chu ha hi a lo thang lian ngai lo tihna a ni. Enkawl loh chuan hei hian ei leh in, thusawi, leh i nunphung zawng zawng a nghawng thei a ni.

Nangmah emaw i fa emaw hian Tooth Agenesis i nei a nih chuan hlauthawng suh . I ha enkawltu hnenah i hmel leh i hmui hriselna siam\hatna tura pui thei tur enkawlna chungchang sawipui ngei ang che. Anni chuan an pui thei ang che.

I nuihza mawi leh hrisel taka awm reng tur chuan hmui hriselna hi a pawimawh hle tih hre reng ang che.

` Ha agenesis, Ha awm lohna, Ha tlakchham, Ha thang lo, Ha lama harsatna, Ka hriselna, Genetic natna, Anodontia, Hypodontia, Oligodontia