He āputa kei roto i tō ataata nā te ngaro o tētahi niho? Ka whakama pea koe i a koe e kata nui ana, e tū ana rānei mō tētahi whakaahua. Tērā pea ka uaua ki a koe te ngaungau i ō kai tino pai ki taua taha. Mena kei te pāngia koe e tēnei wero, me tūhuratia tētahi o ngā otinga pai rawa atu mō te wā roa e wātea ana i ēnei rā.
He aha ngā tāpiringa niho?
Ko te whakatō niho he pou iti, he pou uku rānei, ka whakanohoia ki roto i tō kauae hei whakakapi i tētahi niho ngaro. Whakaarohia he whakakapinga mō te pakiaka o tō niho tūturu—ka noho hei turanga pakari mō tō niho horihori hou. Nā te mea he mea hanga ki ngā rauemi hototahi ki te koiora, ka honoa maoritia ki tō tinana me te kore e whara i ō kiko waha.
E toru ngā wāhanga matua o te implant:
1. Te Whakatō (Pou miro): Ka mahi tēnei hei pūtake niho hou mōu, ā, ka whakanohoia tika ki roto i te kauae mā te pokanga.
2. Te Āpiti: He wahi hononga iti tēnei e piri ana ki te pou whakatō. Kei runga ake i tō kapia, ā, koia te turanga hei pupuri i tō niho hou kia mau tonu.
3. Te Whakaora (Prosthesis): Koinei te wāhanga e kitea ana o tō niho hou. Mena he niho kotahi, ka kiia he karauna . Mena kei te whakakapi koe i ētahi niho i te rarangi, ka whakamahia he piriti . I ētahi wā, ka taea te tautoko i tētahi huinga niho katoa e ngā whakatō, e mōhiotia ana ko ngā niho rūpahu tautoko-whakatō.
Kāore te niho ngaro e pā ki tō āhua anake; ka pā kino hoki ki tō oranga ngākau me tō whakapono ki a koe anō. Tērā pea ka mangere koe ki te kōrero, ki te whakahoahoa, ki te menemene noa rānei. Kua hangaia ngā niho tāpiri hei whakahoki mai i tō menemene ataahua me tō whakapono ki a koe anō.
Āhea koe e hiahia ai ki ngā tāpiringa niho?
He maha ngā take e ngaro ai pea tō niho. Ko ngā niho tāpiri te mea matua e whakamahia ana hei whakakapi i ngā niho ngaro nā:
- Te tango niho nā te pirau nui o ngā niho.
- He niho whati, whati rānei i puta mai i tētahi aituā, i tētahi whara rānei ohorere.
- Te marere o ngā niho, te hiahia rānei kia tangohia nā te mate kapia kua horapa haere (periodontitis).
- Ko ngā niho ngaro whānau mai, he āhuatanga ira e mōhiotia ana ko te anodontia , ko te agenesis niho rānei.
- Te pakaru nui o ngā niho me te pakaru i puta mai i te huri noa i ngā niho, e mōhiotia ana ko te bruxism , e hono pinepine ana ki ngā mate temporomandibular .
He pēhea te mahi a te tikanga whakatō niho?
Ahakoa he rerekē te mahere maimoatanga tuturu i runga i ō hiahia motuhake, he maha ngā wāhanga matua o te tukanga whānui.
1. Te Tāutanga Pokanga o te Pūtake
Koinei te wāhanga tuatahi. Anei te mahi a tō taote niho:
- Whakamoemiti: Tuatahi, ka tukuna e te tākuta niho he whakamoemiti ā-rohe hei whakangāwari i ō kapia, kia kore ai koe e mamae. Mena kei te āwangawanga koe mō te tikanga, ka taea e koe te kōrero ki tō taote pokanga mō ngā kōwhiringa whakamoemiti hei āwhina i a koe kia marino.
- Te Tapahi i te Kapia: Muri iho, ka tapahia he kiko iti ki roto i tō kapia hei whakaatu i te kauae kei raro i te wāhi e whakatakotoria ai te whakatō.
- Te Whakarite i te Wheua: Ka whakamahia ngā taputapu niho motuhake hei poka i tētahi kōhao iti, tika ki roto i te kauae. Ka whakawhanuitia haeretia tēnei kōhao kia uru ki te rahi o te pou whakatō.
- Te Whakatakoto i te Whakatō: Ka mirohia marietia te pou whakatō titanium, ka mau ki roto i te pūtu kua whakaritea.
- Te Tuitui: Hei whakamutunga, ka kapi te kiko kapia i te wheua, ka herea ki ngā tuitui rewa, ki ngā tuitui tuku iho rānei hei whakahaere i te whakaora.
Mena kei te whakakapi koe i tētahi niho o mua e kitea nuitia ana, ka whakaratohia pea e tō tākuta niho tētahi niho rangitahi hei mau i te wā e ora ana te wāhi kia kore ai koe e manukanuka ki tētahi āputa. Mō ngā niho o muri, kāore e hiahiatia he whakakapinga rangitahi.
2. Te Wāhanga Whakaora (Osseointegration)
Koinei te wāhanga tino hira o te tukanga katoa. I roto i ngā marama torutoru e whai ake nei, ka tipu haere tō kauae, ka honoa ki te pou whakatō hou. Ko te osseointegration te ingoa o tēnei tukanga koiora. Ka hangaia he hononga kaha, pumau, e taea ai e te whakatō te whai i te pakiaka niho tūturu. Ko te tikanga, e 3 ki te 9 marama te roa o tēnei wāhanga, i runga i te tere whakaora o tō tinana.
3. Te Whakatakoto i te Abitment me te Whakaora Whakamutunga
Kia honoa pai te wheua ki te mea tāpiri, ka tāpirihia e tō tākuta niho te wahi hononga, te abutment rānei. Hei whakamutunga, ka whakapirihia pai tō niho tuturu kua hangaia kia rite ki te hiahia (karauna, piriti, niho rūpahu rānei) ki runga. He mahi poto, he mahi iti te whakatakotoranga o te abutment, ā, e tata ana ki te haora te roa.
He mamae te tikanga whakatō niho?
Kāo, kāore rawa. I te wā e pokangahia ana , mā te rongoā whakamoe ā-rohe koe e kore e pāngia e te mamae. Kia memeha haere te rongoā whakamoe, he mea noa te pāngia e te mamae me te pupuhi. He wā poto noa iho ēnei tohu, ā, ka taea te whakahaere ngāwari mā te whakamahi i ngā rongoā whakamamae mamae e hokona ana i runga i te kaute, i ngā rongoā rānei kua tohua (pērā i te paracetamol , i te ibuprofen rānei) i tūtohutia e tō tākuta.
He aha ngā painga o te tāpiringa niho?
Ki te whakaritea ki ētahi atu kōwhiringa whakakapinga niho, he nui ngā painga ka puta mai i ngā whakatō niho, ā, he mea whakarerekē i te ao. He mea hanga ēnei kia rite ki ō niho tūturu te āhua, te ahua, me te mahi.
| Painga | Whakaahuatanga |
|---|---|
| Ngaungau whakamarie | Nā te mea he rite te mau o ngā whakatō ki ngā niho tūturu, ka taea e koe te ngaungau me te pārekareka ki ō kai tino pai katoa me te kore e manukanuka. |
| Āhua Tūturu | He mea hanga motuhake ēnei kia ōrite ki te tae me te āhua o ō niho tata, kia tino rerekē ai i ngā niho tūturu, ā, kia ataahua ai hoki te whakahoki mai i tō ataata. |
| Te Tiaki i te Iwi Kauae | Ina ngaro te niho, ka tīmata te pirau o te wheua e karapoti ana i roto i te wā. Ka whakaohokia e ngā mea tāpiri te kauae, ka ārai i te ngaronga o te wheua, ā, ka tiakina hoki te hanganga o tō kanohi. |
| Te pakari tino pai | Mā te akuaku tika o te waha me te tirotiro niho auau, ka roa te mau o ngā tāpiringa niho mō te wa katoa, ā, he kōwhiringa tino whai hua te utu. |
| Te Tiaki i ngā Niho Tata | He rerekē tēnei i ngā piriti niho, e hiahia ana kia hurihia ngā niho tata hauora hei tautoko i te karauna, kāore ngā whakatō niho e whakarerekē, e tūkino rānei i ngā niho tata. |
He Tūponotanga, he Āhuatanga Whakararuraru rānei?
Pērā i ngā mahi pokanga katoa, he iti noa ngā tūponotanga kei roto. Heoi, ina mahia e te tohunga niho mātau, he tino iti te auau o ngā raruraru.
- Te mate pāwera huri noa i te wāhi i whakatōkia ai.
- He kino iti ki ngā niho, ki ngā io rānei e karapoti ana.
- Te whakaroa i te whakaora wheua (te puhoi o te whakauru wheua).
- I ētahi wā tino onge, ka pāngia koe e te mate pāwera ki te titanium (kei te wātea ētahi atu kōwhiringa pērā i ngā tāpiringa uku i ēnei wā).
He mea noa te puta o ētahi toto iti me te pupuhi i muri i te pokanga. Heoi, ki te pāngia koe e tētahi mea rerekē, kino rānei, whakapā atu ki tō whare niho tonu.
| Whakapā atu ki tō tākuta niho tonu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei: | |
|---|---|
| He āhua wetekina, he nekeneke rānei te whakatō. | Te toto tonu mai i ngā kapia. |
| Te kirika, te makariri rānei. | He rerenga wai, he pūhā rānei huri noa i te wāhi i whakatōkia ai. |
| Te pupuhi o ngā kapia, te pupuhi rānei o ngā kōpū waikura i roto i tō kaki. | Te mamae me te pupuhi nui, te kino rānei. |
Ko wai kāore pea e pai mō te tāuta i ngā tāpiringa niho?
Ahakoa he tino angitu ngā whakatō niho, kāore pea e pai mō te katoa. Ko ētahi o ngā āhuatanga ka kore e pai te whakatō niho ko:
- Ngā tāngata kei raro iho i te 18 tau te pakeke: Kāore e whakatakotoria ngā mea tāpiri kia oti rā anō te tupu o te kauae.
- Ngā kaipaipa nui: Ka whakaitihia te rere o te toto e te kaipaipa, ka whakaroa i te whakaora, ka whakanui ake i te tūponotanga o te mate, ā, ka arahi atu ki te korenga o te whakatō.
- Ko te hunga he mate hauora mau tonu pēnei i te mate huka kāore e taea te whakahaere, ka whakararu pea i te whakaora.
- Te mate kapia kaha, kino hoki (me rongoā katoa, me whakatau hoki i mua i te whakaurunga o ngā tāpiringa).
- Ngā tikanga akuaku waha ngoikore.
- Kāore i te rawaka te mātotoru o te kauae hei tautoko i te pou whakatō (ahakoa ka taea te whakatika i tēnei mā te tikanga honohono wheua i mua).
He motuhake te hauora waha me te hītori hauora o te katoa. Ko tō tākuta niho anake te tangata ka taea te whakatau mēnā he tika ngā tāpiringa niho māu. Whai muri i te tirotiro ā-waha me te hihi-X auau, ka āwhina rātou ki te hoahoa i te mahere maimoatanga whaiaro pai rawa atu mō tō ataata.
Ngā Kaupapa Matua (Karere hei Whakahoki ki te Kāinga)
- He otinga tino angitu, pumau, ā, he āhua taiao te āhua mō te wā roa ngā tāpiringa niho hei whakakapi i ngā niho ngaro.
- Kei roto i te tikanga he pokanga iti, ā, i muri mai ka roa te wā whakaora mō ētahi marama kia taea ai te whakauru i te wheua.
- He mea nui te pupuri i te akuaku o te waha kia angitu ai tō whakaurunga mō te wā roa. He mea tino taunaki kia paraihia ia rā, kia mirohia ngā niho, kia tirotirohia hoki ō niho i ia wā .
- Kia mōhio ai koe mēnā he pai tēnei maimoatanga māu, me kōrero tonu ki tētahi tohunga niho whai tohu.
