Ha na tuar theih loh i nei tawh em? Tui lum i in emaw, thil thlum i ei emaw hian electric shock i nei tawh mai thei. He ha na hi cavity avanga lo awm niin kan ngai fo thin. Chu chu a dik a, mahse a chhan thuk zawk a awm. Hei hi a chhan ber chu kan ha chhunga thil pawimawh tak, sensitive tak, ‘tooth pulp’ tihchhiat vang a ni. Vawiin hian ha pakhata he thil pawimawh ber, ha nunna thisen ang chi hi kan sawi dawn a ni.
Ha pulp chu eng tak nge ni?
A awlsam zawngin sawi ila, pulp hi ha thinlung a ni. Hei hi i ha "nung" tirtu part chu a ni. Ha chhunga tissue nem tak, jelly ang maia awm chu a ni. A chhungah hian ha tana sensation pe thei nerve te , ha ei tur pe thei thisen kalna kawng te , specialized cell type te, leh connective tissue tam tak a awm a.
Kan hate hi coconut ang maiin han ngaihtuah teh.
- A chung lama ridge khauh tak tak - chu chu ha enamel a ni.
- A hnuaia pulp chu ha chhunga dentin an tih chu a ni.
- Tin, a chhunga coconut tui - chu chu a dik a ni, ha chhunga thil pawimawh tak, pawimawh tak chu pulp an ti a.
Heng pawn lam layer pahnih, enamel leh dentin te hian sensitive pulp humhim turin armor angin hna an thawk a ni. Mahse cavities, ha crack, emaw zan lama ha hrual (bruxism) pawh hian heng venhimna layer te hi a tichhia a, pulp chu a pholang thei a ni. Chutah chuan harsatna chu a intan ta a ni.
He pulp hian ha tan eng service nge a pek?
Ha pulp hian kan ha tan hna pawimawh tak tak engemaw zat a thawk a. A soft part mai a ni lo.
| Tihtur | A awlsam zawngin... |
|---|---|
| Bacteria laka invenna | Pulp chhunga immune cells te hian ha chhunga lut tur natna hrik te chu an zawng chhuak a, an do a, chu chu ha chhunga sipai tenau tak ang mai a ni. |
| Sensitive tak a ni | Pulp chhunga nerve te hian lum, vawt leh pressure an hre thin. He natna hian, "Hetah hian thil dik lo a awm a, ngaihven rawh," tih hi a ni. |
| Dentin siam chhuah | He pulp atang hian dentin, ha lai tak hi siam a ni. Enamel thlawptu leh pulp vengtu dentin a ni. |
| Ei leh in pekna | Pulp chhunga thisen kalna kawngte hian dentin hrisel taka awm theihna tura ei tur mamawh a pe a ni. |
| Moisture awm reng theihna | Thisen kalna kawngte hian ha chu a mamawh tui a pe a. Hei hian ha chu a vawt lo va, a chhe thei lo va, a tichak bawk. |
Ha pulp a lo lang chhuak a nih chuan eng nge thleng ang?
Hei hi kan fimkhur hle a ngai a ni. I ha chhungah hian khur te tak te i nei a, chu chu i ngaihven vak lo ang tih han ngaihtuah teh. Zawi zawiin he cavity hi a thuk zawk a, a chunga enamel leh dentin chak tak chu a rawn chhuah a, a chhung zawng zawngah a lut ta a ni. Tunah hian eng thil nge thleng? A chhunga uluk taka vawn pulp chu a lang chhuak thin.
Tunah chuan i ka chhunga bacteria awmte chuan inneih party an nei ta. Pulp-ah an kal nghal a, infection an siam thin. Hetiang kalphung hi hetiang hian a thleng thin:
1. Bacteria pulp chhunga lut: Bacteria hian ha chhunga cavity emaw crack emaw hmangin pulp chu a rawn lut a.
2. Inflammation of the pulp: Bacteria invasion avanga pulp hi a lo hring chhuak thin. Hei hi `(Pulpitis)` kan tih chu a ni.
3. Ha na: He hliam hian a chhunga nerve te a ti na thei a, chu chuan tuar theih loh ha na tak a thlen thei a ni.
4. Pulp Death: Infection a kal zel chuan pulp-a thisen kal chu a tawp a, pulp chu a thi tan ta a ni. Mak tak maiin hetih lai hian i ha na chu a reh nghal mai thei. Mahse chu chu thil tha a ni lo. A chhunga nerve chu a thi tawh tihna a ni.
5. Infection darh zel: Pulp thi hi bacteria chinna hmun tha tak a ni. Chuta tang chuan ha zung thlengin an kal thei a, chu natna chu hmui ruh leh a chhehvel tissue-ah an darh thei a ni. Hei hi ha hring (dental abscess) thlentu a ni.
Ha pulp a infect chuan ha chauh a ni lo. Enkawl that a nih loh chuan natna hi natna khirh takah a kal thei a, thisen kaltlangin taksa pum a nghawng thei a ni.
Enkawl loh chuan thil awm lo tak tak, mahse nunna atana hlauhawm thei thil engemaw zat a awm a:
- Oral Sepsis natna (Oral Sepsis) a awm
- Thluak (Brain Abscess) a awm
- Meningitis natna (Meningitis) a awm
- Sinus Infection (Purulent Sinusitis) avanga natna hrik kai theihna .
Hengte hi thil thleng tlem hle mah se, hei hian ha natna hi thil awlsam tak a ni lo tih min hriattir a ni.
Pulp tichhe thei natna tlanglawn tak takte chu engte nge ni?
Pulpitis: Pulp a hring chhuak thin
Hei hi natna hrik ang chi thil pulp chhunga a luh avanga inflammation, a nih loh leh swelling a ni. Hei hian ha na leh sensitivity tihpun ang chi symptom a thlen thin. `(Pulpitis)` hi chi hnih a awm a.
- Reversible Pulpitis: Hei hi inflammation na lo tak a ni. Enkawlna awlsam tak hmanga tihdam theih a ni a, chu chu a chhe tawhte paih chhuah leh ha tihkhah te hi a ni. Pulp chu a normal leh ang.
- Irreversible Pulpitis: Hei hi inflammation na tak a ni a, a tichhe nasa hle. Enkawlna hmanga tihdam theih a ni lo. Pulp hian chhanchhuah theih lohna hmun a thleng tawh a ni. Hetiang dinhmun hian a tawpah chuan pulp thihna (Pulp Necrosis) a thlen thin.
Pulp Necrosis: Pulp thihna
Chumi awmzia chu ha pulp chu a thi vek tawh tihna a ni. Chutiang a lo thlen chuan i ha natna chu i rilru a hahdam mai thei. Mahse, bum suh. Infection hian chhungril atangin hna a thawk mek a ni. Hei hi enkawl loh chuan ha zungah hnim hring (pus) a awm khawm thei a, abscess a siam thei bawk.
Pulp-a calcium awm zat (Dental Pulp Calcification) .
Mi thenkhat chuan an ha pulp-ah calcium deposit te te (calcifications) an nei thin. Hei hi a chhan ber chu tar leh ha trauma te hi a ni. A tam zawkah chuan hei hi enkawl a ngai lo. Amaherawhchu, heng calcium awmna ha hi a kai chuan chhanchhuah nan root canal treatment a ngai mai thei.
Engtin nge doctor hian pulp hriselna a enfiah thin?
I ha enkawltu chuan test engemaw zat hmangin pulp dinhmun a hriat theih nan a hmang thin.
- Pulp Testing: Hei hian cotton wool te tak teah thil lum tak hnawih a, i ha chungah dah a ni. Chumi hnuah chuan i natna hriat dan te, eng chen nge a awm tawh tih te, leh chu natna chu a reh theih nan eng chen nge a ngaih tih te zawh che a ni ang a, chu chuan pulp chu "a nung" nge "thi" tih hriat theih a ni.
- Ha X-ray: X-ray examination hian ha ro thukzia leh hri kai chu ha zung emaw, ha ruh emaw thlenga darh a nih leh nih loh chiang takin a hriat theih.
Pulp chhiatna hi eng enkawl nge ni ang?
Ha pulp a infect chuan ha lakchhuah loha chhanchhuah theihna tur treatment engemaw zat a awm a. Hengte hi general dentist leh endodontist, ha chhanchhuahna lama tui tak takte pawhin an ti thin.
| Tihdamna | Hei hi engtin nge i tih? | Tuin nge ti tlangpui? |
|---|---|---|
| Pulpotomy tih a ni | Ha chunglam (crown)-a natna hrik awm pulp chauh lakchhuah a ni a, chu chu ha chhe tawh nen chuan lakchhuah a ni. Ha zung chhunga pulp hrisel tak chu a hnutchhiah a ni. Chumi hnuah ha chu filling material hmangin an khat leh thin. | Nausen ha enkawlna atan hman a ni fo a, mahse a chang chuan ha nghet tak chhanchhuah nan hman a ni. |
| Pulpectomy tih a ni | Ha lallukhum leh zung chhunga pulp zawng zawng chu lakchhuah a ni a, a chhung chu uluk takin tihfai a ni a, chutah chuan taksain a hip theih thilin a khat a ni. | Hei hi naute ha chungah pawh tih a ni tlangpui. Ha nghet tak a nih chuan hei hi root canal enkawlna atana hmalakna hmasa ber a ni. |
| Root Canal hmanga enkawlna a ni | Hei hi pulpectomy nen a inang hle. Ha chhunga infected pulp zawng zawng chu lakchhuah a ni a, a chhunga cavity (canal) chu uluk takin tihfai a ni a, shaped a ni a, disinfected a ni a, filling material bik hmanga khat a ni a, sealed a ni. | Ha nghet (ha puitling) pulp natna hrik emaw thi emaw chhanchhuahna atana enkawlna. Vawi tam tak chu he enkawlna hnuah hian ha venhim nan lallukhum an dah thin. |
Kawng eng emaw ti takinHeng enkawlna hmanga chhanchhuah theih loh khawpa chhe emaw chhiatna emaw a nih chuan a hnuhnung ber chu ha lakchhuah hi a ni. Chutiang a nih chuan, i doctor chuan chu hmun ruak luah khat tûra duhthlanna, ha bridge emaw, ha implant emaw ang chi chu a hrilhfiah ang che.
Engtin nge kan ha pulp hi kan hrisel theih ang?
Heng harsatna zawng zawng laka invenna tha ber chu hmui hriselna tha neih hi a ni.
- Ni khatah vawi hnih tal fluoride toothpaste leh soft-bristled toothbrush hmangin ha silfai thin ang che.
- Ni khatah vawi khat tal ha inkar hi dental floss emaw interdental brush emaw hmang la .
- Hun ruat saah dentist tlawh la, i ha enfiah leh tihfai tir rawh.
- Zanah i ha hrual thin i neih chuan i doctor-in a tih angin mouth guard vuah thin ang che.
- Tui tam tak in thin ang che.
Zawhna pahnih mi tam takin an neih
Pulp lakchhuah chu a lo thang leh ang em?
No. A nihna takah chuan root canal treatment hnuah pulp hi a lo thang leh lo. Chu ai chuan doctor chuan a hrui hring chu special filling hmangin a rawn luah khat zawk a ni. Mahse tunah chuan scientist-te chuan ``dental pulp stem cells`` hmanga pulp tihpun theih a nih leh nih loh an zirchiang mek a ni.`` Hlawhtling a nih chuan nakin lawkah ha hri kaiah pulp thar tihpun theih a ni thei ang.
Ha hi pulp tel lovin a awm thei ang em?
Awle. Ha pakhatin thisen a hloh chuan "thi" anga ngaih a ni. Hei hi infection vangin a pianphungah a thleng thei a, a nih loh leh root canal treatment kan neih laiin pulp kan lakchhuah hian a thleng thei bawk.
Pulp nei lo ha chu "nung" lo mah se, harsatna awm lovin a pangngaiin a thawk thei a ni. Chu chu ha zung chu jawbone-ah a la nghet tlat avangin a hmang hian chaw ei ang chi thil i la ti thei tihna a ni.
Take-Home Thuchah a ni
- Ha pulp hi ha ‘nunna’ leh ‘vital’ part a ni. A humhalh a pawimawh hle.
- Ha na leh sensitivity tlemte pawh ngaihthah suh. I taksa atanga vaukhânna a ni.
- Ha pulp a chhia a nih pawhin, rang taka enkawl a nih chuan ha lak chhuah ngai lovin a chhanhim thei a ni.
- Root canal enkawl hi hlauh tur a ni lo. I ha pianpui chhanchhuahna atana enkawlna hlu tak a ni.
- Heng zawng zawng pumpelh dan tha ber chu hmui faina dan dik zawm a, a hun taka ha enkawltu pan hi a ni.
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