ʻO ka meaʻoiaʻiʻo,ʻo ka niho -ʻaʻole ia he'āpana o nā mea paʻakikī wale nō,ʻike lākou i nā mea a pau. Akā, ma kēia hapa nui o nāʻike e pau. Ma keʻano hoʻokahi, he nui nāʻano ola, nā mea pili, nā kīʻaha koko, e hūnā ma hope o ka'elepulu niho, ka mea iʻike waleʻia i nā poʻe loea e hana nei i ka hōʻailona a me ka mālamaʻana i nā maʻi pulpitis a me nā maʻi'ē aʻe.
He aha ka pulpitis, a no ke aha i hoʻomaka ai?
He pulp kēlā me kēia niho. ʻO kēia kahi hōʻailona neurovascular. Ke huhūʻia,ʻikeʻia ka pulpitis. I kēia lā, ua manaʻoʻia kēia maʻi i kahi o nā pilikia nui o caries. ʻO kaʻekeʻeke'ōlelo, nā maʻiʻeha ke kumu nui o ka uluʻana o ka'ōpū . A hiki i ka'ōpena ke lilo i mea wela keʻole e kaʻawaleʻia mai nā caries e kekahi papa maikaʻi o dentine.
Mai nā hōʻailona a me nā hōʻailona o nā maʻi'ē aʻe, uaʻikeʻia ka pulpitis e ka mea i hanaʻia ka hana hoʻopunipuni ma kahi āpau. ʻO nā kumu i hiki ke alakaʻi i kēia:
- ka maikaʻi o ka maikaʻi o ka maikaʻi o kaʻili o ke kino mai nā maʻi i hoʻopiliʻia;
- pinepine pulp ahi;
- ka mālamaʻana i nā caries hohonu;
- e hoʻomaloʻo i ka lalo o ka puka niho;
- ka lōʻihi manawaleʻa;
- ke hoʻokomoʻoleʻia o ka lei aliʻi.
Nā hōʻailona o ka pulpitis o ke akamai niho a me nā niho
ʻElua mauʻano o nā maʻi - ka lōʻihi a me ka lōʻihi. Ua hoʻokaʻawaleʻia lākou ma nāʻano he nui.
Hoʻoponoponoʻia ka pulpitis liʻiliʻi:
- kahi kikowaena (e mālama i nā leka uila);
- e hoʻopiliʻia (e hōʻikeʻia ana kaʻinoʻino o nā pulpal).
ʻOi aku ka nui o nāʻano maʻamau o ke maʻi:
- 'ōpala;
- nā mea nui;
- ke koko.
Ma muli o keʻano o ka maʻi,ʻoi iki kona mau hōʻailona:
- ʻO ka hōʻailona nui o ka maʻi he mea nui aʻoi aku paha i ka pulpitis ka paona e hōʻikeʻia ana ma muli o ke kūkāʻana me ka hoʻoulu. ʻO kahi hiʻohiʻona - he mau manaʻo maikaʻiʻole ma hope o ka weheʻiaʻana o ka hoʻoulu nui e lōʻihi. I kekahi manawa uaʻikeʻia kaʻeha i loko o nā luakini, nā pepeiao, a me nā niho.
- Ma nā'ōpala a me nā koena o ka pīpī,ʻaʻole he mau hōʻailona e like me ia. Ināʻikeʻia nāʻano leʻaleʻa, hikiʻole keʻikeʻia.
- Hoʻopiʻiʻia ka'ōpū o Hypertrophic e ke kāpiliʻana o polypic polypropic hypertrophy i loko o kaʻena. Eia kekahi, ma nā niho o kaʻaoʻao i hoʻopiliʻia, nā pōhaku niho a me ka pāpale eʻoi aʻe ka hana maʻamau.
- ʻO keʻano o nā maʻi pulpitis liʻiliʻi kekahi i manaʻoʻia heʻeha. ʻAʻole iʻike waleʻia i ka pilina me ka hoʻouluʻana, akā, me ka manawaʻole. ʻO ka nui o ka maʻi ke kumu o ka hanuʻinoʻole. ʻO ke kumu o kēia ka halaʻana o ka pulp.
ʻO keʻano o nā hōʻailona o ka'ōpū pulpitis
ʻO ka conservative therapy ka mea e hiki ai ke mālama i nā hana kūpono o ka neurovascular bundle. Heʻano like loa ia me ka mālamaʻana i nā caries. Hoʻohanaʻia kaʻahaʻeha i nā'ākoki'āpikipikiki, nā antibiotic a me nā enzymes proteolyticʻano'ē aʻe. He kūpono kēiaʻano no nā'ōpio.
ʻO kahiʻano maʻalahi o ka mālamaʻana i nā pulpitis he meaʻoihana. ʻO ke kumu nui o ia mea - ma ka laweʻana i nā'ōpū o ka pulp waiwai nui a pilina paha. ʻO ka hopena e pili ana i kahi hanana mua o ke aʻalolo. ʻO keʻano koʻikoʻi,ʻo ia ka weheʻana i ka pūpū nerve ma lalo o ka maʻi āpau āpau. I ka lua o ka manawa o keʻano kaohi, ua paniʻia ke aʻa o ke niho i kahi mea piha.
ʻO kaʻoiaʻiʻo, hiki ke paleʻia kēia mau mea a pau ma ka nānā waleʻana i ka pilikino o ka lolo, e hana mau ana i nā hoʻokolohua ma ka niho lapaʻau, me ka hōʻoloʻana i nā maʻi a pau i ka manawa. ʻO ka pulpitis kekahi o ia mau maʻi e hiki ke maʻalahi.