Chiù-khí
Chiù-khí sī chhùi-khí pēⁿ ê 1 khoán koè-têng kap kiat-kó. In-ūi gê-khí ê kiat-kò· siū siong-hāi, chhùi-khí seⁿ chiù-khang. Chiù-khí sī put-chí-á phó·-phiàn ê pēⁿ, kan-na kám-mō· koh khah phó·-phiàn. It-poaⁿ lâi kóng, gín-á, nî-hoè khah chió ê sêng-liân-lâng hoat-seng chiù-khí ê pí-lē khah koân, chóng--sī jīm-hô lâng to̍h ū khó-lêng hoat-seng. Chiù-khí sī siàu-liân-lâng lak chhùi-khí siāng-kài chú-iàu ê goân-in.
| Chiù-khí | |
|---|---|
| Other names | Dental cavities, dental caries, cavities, caries |
 | |
| Chiù-khí kah khì-pìⁿ chō-sêng chúi-khì ê sún-siong. | |
| Pronunciation |
|
| Specialty | Gê-i-ha̍k |
| Symptoms | Pain, tooth loss, difficulty eating[1][2] |
| Complications | Inflammation around the tooth, tooth loss, infection or abscess formation[1][3] |
| Duration | Long term |
| Causes | Bacteria producing acid from food debris[4] |
| Risk factors | Diet high in simple sugar, diabetes mellitus, Sjögren syndrome, medications that decrease saliva[4] |
| Prevention | Low-sugar diet, teeth brushing, fluoride, flossing[2][5] |
| Medication | Paracetamol (acetaminophen), ibuprofen[6] |
| Frequency | 3.6 billion (2016)[7] |
Goân-in
siu-káiChiù-khí ê hoat-pēⁿ in-toaⁿ kap hoat-pēⁿ koè-têng ia̍h-bô chin chheng-chhó, m̄-koh tāi-pō·-hūn lóng jīn-ûi kah sè-khún, sng, í-ki̍p thoat-kài-hoà (decalcification) ū tī-tāi. Pêng-siông-sî lán lâng ê kháu-khiuⁿ thàu-té lo̍h-ū sè-khún tī--leh. Lán teh chia̍h mi̍h ê sî-chūn, hia ê sè-khún tio̍h ē kā carbohydrate, te̍k-pia̍t sī chià-thn̂g, siau-hoà sán-seng sng. Tī sng ê khoân-kéng chi-hā, pH-ti̍t kàng-kē, chhùi-khí hoat-seng kài lî-chú (calcium ion) kap lîn-sng-kin lî-chú (phosphate ion) ùi gê-iū-chit kái-lî chhut--lâi ê thoat-kài-hoà hiān-siōng, sûi-āu pH-ti̍t seng-koân, ah kài lî-chú kap lîn-sng-kin lî-chú ē koh-chài tîm-chek tńg--khì hêng-sêng koh-kài-hoà (recalcificatioh), ia̍h tio̍h-sī kóng tú-khí-seng ê chiù-khí sī ē-tàng hoê-ho̍k--ê, m̄-koh nā thoat-kài-hoà khah iâⁿ-bīn, chiù-khí choâⁿ lâi hoat-seng. Sè-khún, sng, lah-sap-mi̍h-á kah chhùi-nōa thàu-lām chò-hoé chiâⁿ-chò 1-khoán liâm-liâm iū-koh n̂g-n̂g, chiâⁿ-gâu liâm chhùi-khí ê bu̍t-chit, hō·-lâng hō-chò khí-khún-pan (dental plaque). Khí-khún-pan poaⁿ-ián chiù-khí kap khí-chiu-pēⁿ ê koan-kiān kha-siàu.
Kî-thaⁿ in-sò͘
siu-kái- Chhùi-khí
Chhùi-khí ê kò͘-chō, te̍k-pia̍t sī chhùi-khí ê piáu-bīn chham chiù-khí chiâⁿ ū koan-hē. Chiù-khí ê hoat-seng-lu̍t kah chhùi-khí piáu-bīn ê hu̍t (氟), sin (鋅), iân (鉛) hâm thih (鐵) lî-chú ê liōng hêng-sêng hoán-pí ê koan-hē. Chhùi-khí ê hêng-thāi mā-sī in-sò· chi-it, sió-khut-á kap li̍h-phāng (pit and fissure) chiâⁿ iông-ī tui-chek gê-khún-pan ín-khí chiù-khí. Chhùi-khí ê ūi-tī mā-ū éng-hióng, pí-jû chhò-ūi (malposition) ê chhùi-khí, sé khah bē chheng-khì, tio̍h khah-gâu chiù-khí.
- Chhùi-nōa
Chhùi-nōa ê chē-chió tùi chiù-khí ū tiōng-tōa ê éng-hióng, chhùi-nōa nā chē tio̍h khah boē chiù-khí; chhùi-nōa nā chió tio̍h khah gâu chiù-khí.
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Chèng-thâu kah cheng-siōng
siu-káiChèng-chōng (syndrome)
siu-káiChiù-khí bô tiāⁿ-tio̍h ē thiàⁿ, phó·-lio̍k lâi kóng tio̍h tán-kàu gê-iū-chit hō· phò·-hāi kàu siong-tong thêng-tō·, chiah-ē thiàⁿ. Chiù-khí mā bô-tek-khak ē-ū chiâⁿ tōa ê chiù-khang tī chhùi-khí ê piáu-bīn hō· lâng khòaⁿ-kìⁿ, tiāⁿ-tiāⁿ sī piáu-bīn kan-tāⁿ ū sè-ka-khang-á ê khang-chhùi, lāi-té í-keng chiù kah khang-khang-khang.
Cheng-siōng (sign)
siu-kái
Gê-i-su chú-iàu sī thàu-kòe ti̍t-chiap koan-chhat, thàm-chiam thàm-chhek (probing), kap tiān-kong liap-iáⁿ (radiograph) lâi kiám-cha chiù-khí. Gê-i-su tāi-seng ti̍t-chiap koan-chhat kám-ū chiù-khí? Chiù-khí ê lîm-chhn̂g cheng-siōng siāng tāi-seng sī "pe̍h-tiám". Tī pe̍h-tiám sî-kî iah-bô chhùi-khí kò·-chō ê bêng-hián sòng-sit, chiù-khang ê chìn-hêng sī ē-tàng hôe-ho̍k--ê. Kàu--liáu khah lo̍h--bóe ū kim-sio̍k lî-chí, chhùi-nōa ê nn̄g-pe̍h-chit, he̍k-sī hun-tái tîm-chek ê sî, pe̍h-tiám tio̍h piàn-sêng n̂g-sek, ka-pi-sek, he̍k-sī o·-sek, soah--lâi chiù-chhng khai-sí chhut-hiān jî-chhiáⁿ bē-tàng koh hôe-ho̍k. Gê-i-su soah--lo̍h-lâi ē iōng thàm-chiam thàm-chhek chiù-khang. Sú-iōng tiān-kong liap-iáⁿ ē-tàng pang-chān chiù-khí ê chín-toān, m̄-koh tiān-kong-phìⁿ só· khòaⁿ--tio̍h ê chiù-khang pí si̍t-chè siōng ê chiù-khang khah sè.
Lîm-chhn̂g siōng, tùi 3 ê kak-tō· kā chiù-khí hun-chòe 6 lūi:
- Chiù-khí ê ūi-tì:
- Sió-khut-á kap li̍h-phāng chiù-khí: chiù-khí tī chhùi-khí kā-ha̍h bīn ê sió-khut-á kap li̍h-phāng.
- Pêng-ku̍t bīn chiù-khí: chiù-khí tī chhùi-khí ê pêng-ku̍t piáu-bīn.
- Hoat-pēⁿ ê sok-tō·:
- Kip-sèng chiù-khí: hoat-chok liáu chiok-kín , siâng-chāi chhut-hiān tī 20 hòe chìn-chêng, pí-jû kóng rampant caries.
- Bān-sèng chiù-khí: hoat-seng ê sok-tō· chiâⁿ bān, pí-jû kóng arrested caries, ū tang-sî-á ē chū-jiân siau-sit.
- Goân-hoat a̍h sī chài-hoat:
- Goân-hoat-sèng chiù-khí: chiù-khí hoat-seng tī goân-té bô chiù-khí ê gê-iū-chit he̍k gê-pún-chit.
- Chài-hoat-sèng chiù-khí: chiù-khí hoat-seng tī thiām-pó·-bu̍t chi-hā he̍k pian-iân.
Tī-liâu
siu-káiPhò-hāi--khì ê chhùi-khí kiat-kò· bô-hoat-tō· oân-choân koh seⁿ--chut-lâi, sui-bóng chhùi-khiuⁿ oē-seng nā î-chhî tī sek-tòng ê piau-chún, hui-siông sè ê chho·-kî chiù-khang ē koh-kài-hòa--tńg-lâi. [8] Tùi hui-siông sè ê chiù-khang, kio̍k-pō· ê hu̍t-hoà-bu̍t ē-sái chhiok-chìn koh-kài-hoà. Tùi khah-toā ê chiù-khang ē-sái thàu-koè tī-liâu lâi chiong-chí chiù-khi ê chin-tián. Tī-liâu ê bo̍k-phiau sī pó-liû chhùi-khí ê khí-chit kap phiah-bián chin-chi̍t-pō· ê phò-hāi.
It-poaⁿ lâi-kóng, chá-kî ê tī-liâu sī khah bē thiàⁿ--ê, mā khah bē khai-chîⁿ. Kio̍k-pō· bâ-chùi (anesthetic), nitrous oxide ("laughing gas"), he̍k kî-thaⁿ ê io̍h-bu̍t khó-lêng ē-sái pang-chān kiám-kheng tī-liâu ê thiàⁿ-thàng kap chiau-cho. [9] Ko-sok chhiú-ki kap boâ-chiam pī the̍h-lâi boâ-tû toā-pō·-hūn ê chiù-chhng. Thng-sî o̍·-á (spoon excavator) pī the̍h-lâi sè-jī ê î-tû chiù-khí, iû-kî sī chiù-khí chiok oá khí-chhoé ê chêng-hêng. [10] Chiù-chhng î-tû chheng-khì liáu-āu, song-sit ê chhùi-khí khí-chit su-iàu siu-ho̍k-thé lâi hui-ho̍k chhùi-khí ê kong-lêng kap bí-koan.
Siu-ho̍k ēng ê châi-liāu ū a-má-káng, ho̍k-ha̍p chhiū-chí, iù-hûi-á, kap kim-á. [11] Ho̍k-ha̍p chhiū-chí kap iù-hûi-á in-ūi hó-khoàⁿ, pī sú-iōng tī su-iàu khó-lū bí-koan ê só·-chāi. M̄-koh ho̍k-ha̍p chhiū-chí khah nńg, iù-hî-á khah chhè, tī su-iàu khah-toā ê pō· ê la̍t ê āu-piah-khí, ū-ê gê-i-su ē khó-lū kiàn-gī sú-iōng a-má-káng he̍k n̂g-kim. [12] Nā-sī chiù-khang siuⁿ-koè-toā, chhùi-khí bē-tàng kan-taⁿ iōng thiâm-pó· ê hong-sek lâi siu-ho̍k. chit-ê sî-chūn, tio̍h su-iàu khí-lông. Khí-lông sī 1 ê thò-á, kā chhùi-khí pau--khí-lâi. Khí-lông tiāⁿ-tiāⁿ sú-iōng n̂g-kim, iù-hûi-á, he̍k iù-hûi iông-kàu kim-sio̍k (porcelain fused to metal) chia ê châi-liāu chè-chō.
Tī chi̍t-kóa chêng-hêng hā, kin-kńg tī-liâu sī su-iàu ê. [13] Kin-kńg tī-liâu koh kiò-chò khí-lāi tī-liâu. Chhùi-khí nā in-ūi chiù-khí he̍k goā-siong tì-sú khí-chhoé kám-jiám hoat-iām, tio̍h su-iàu kin-kńg tī-liâu. Tī khí-lāi tī-liâu, sîn-keng kap hoeh-kńg chia-ê khí-chhoé kap chiù-khí lóng hông î-tû chheng-khì. Kin-kńg pī iōng endodontic file lâi chheng-kiat kap sok-hêng, lō·-boé koh iōng chhiūⁿ chhiūⁿ-ni ê gutta-percha lâi thūn. [14] Tī-liâu soah, chhùi-khí ài iōng khí-lông kā khàm--khí-lâi.
Chiù-khí nā hûi-siông giâm-tiōng, tio̍h ài kā chhùi-khí bán-tiāu. Bô tùi-kā-khí (opposing tooth), he̍k lâu--lo̍h-lâi ē ín-khí chin-chi̍t-pō· ê būn-tê, he̍k tì-hūi-khí lóng-sī bán-chhùi-khí ê sek-èng-chèng. [15] Pēⁿ-lâng nā-sī bô-hoat-tō· he̍k m̄-goān hù siu-ho̍k ê hùi-iōng, he̍k siu-ho̍k ū khùn-lân, bán-chhùi-khí khó-lêng mā-sī kiàn-gī ê soán-tek.
Hiān-tāi siâng-chāi sú-iōng ê thiâm-pó· châi-liāu ū:
- a-má-káng (amalgam)
- Ho̍k-ha̍p chhiū-chí (composite resin)
Khah-tōa ê chiù-khang nā sú-iōng ti̍t-chiap thiâm-pó· ê hong-sek khah-bô thò-tòng, pit-su keng-kòe kā-bô· (impression taking), koàn-bô· (pouring cast), tih-la̍h (waxup), hoan-soa (investing), kap chù-chō (casting) téng-téng kòe-têng, chòe-aū chò-sêng kham-thé (inlay), koan-kài-thé (onlay), he̍k-sī khí-lông (crown), chiah-koh iōng liâm-ha̍p-che (dental cement) liâm tī chhùi-khí, án-ne chiah ē-tàng hoe-ho̍k chhùi-khí ê gōa-hêng kap kong-lêng. Kham-thé, koan-kài-thé, kap khí-lông só· sú-iōng ê châi-liāu ū :
- Khe-kim (gold alloys)
- Phó·-thong kim-sio̍k (base metal)
- Iù-hûi-á (porcelain)
- Ho̍k-ha̍p chhiū-chí (composite resin)
Ī-hông
siu-káiChia̍h-mi̍h khòng-chè
siu-káiSiāng ū-hāu ê ī-hông hoat-to· chi-it sī chīn-liōng mài chia̍h cheng-chè ê thn̂g-lūi chia̍h-mi̍h. Nā-beh chia̍h tit hoaⁿ-hí, koh bē chhùi-khí-thiàⁿ, tû-liáu ióng-sêng liông-hó ê kháu-khiuⁿ chheng-kiat koàn-sì í-gōa, koh-ài phòe-ha̍p chia̍h-si̍t koán-lí, soán-tek sek-tòng ê chia̍h-mi̍h, kap khòng-chè gâu chiù-khí ê chia̍h-mi̍h ê liap-chhú-liōng.
It-poan lâi-kóng, liâm-sèng koân, hâm thn̂g chē, cheng-chè ê piáⁿ-koaⁿ tiám-sim sī siāng-gâu chiù-khí ê chia̍h-mi̍h. In-chhú teh chia̍h tiám-sim ê sî-chūn, tio̍h-ài chim-chiok soán-tek.
Khòng-chè chia̍h-si̍t ê chò-hoat
siu-kái- Ióng-sêng tha̍k si̍t-phín piau-chhiam ê koàn-sì tāi-seng, m̄-thang kò·-bé hâm thn̂g siuⁿ chē ê si̍t-phín.
- kā gâu chiù-khí ê si̍t-bu̍t chīn-liōng hān-chè tī 3 tǹg pn̄g-chêng he̍k pn̄g-āu 1 tiám-cheng lāi lâi chia̍h，jî-chhiáⁿ pn̄g-āu ài sé-chhùi bín-chhùi-khí, sé liáu bē-sái koh chia̍h mi̍h-kiāⁿ.
- Chim-chiok soán-tek 3 tǹg chi-kan ê tiám-sim.
- Khah mài chia̍h chē thn̂g gâu liâm chhùi-khí ê chia̍h-mi̍h, soán-tek kî-thaⁿ sek-ha̍p ê tāi-iōng-phín.
- Soán-tek sú-iōng chheⁿ-chhài kóe-chí lâi chò 3 tǹg chi-kan ê tiám-sim.
- Pē-bú he̍k-chiah sī-tōa mài iōng thn̂g-kó lâi chiáng-lē kap phiàn gin-á.
- Chhù-lāi ê lâng ê li̍p-tiûⁿ tio̍h-ài siāng-khoán, chiah-bē kā gin-á ê koan-liām chhòng--loān-khì.
Chia̍h-mi̍h ê soán-tek
siu-kái- Chīn-liōng phiah-bián ê chia̍h-mi̍h:
chi-ku-la̍t (chi-ku-la̍t gû-leng), chhiū-ni-thn̂g, ngē ê thn̂g-kó, thn̂g-á-chhiám (棒棒糖), thô·-tāu-thn̂g, toffee thn̂g (太妃糖), peng-kî-lîm, tiⁿ-kho͘-pháng (甜甜圈), lìn-gò͘-phài (phông-kó-phài; 蘋果派), chó-á-ko (棗糕), hâm-thn̂g ê piáⁿ-koaⁿ, kho͘-khó͘-ah (可可), khì-chúi, ka-thn̂g ê kó-chiap, phô-tô-koaⁿ, kóe-chí koàn-thâu, kó-chiùⁿ, phang-bi̍t, thô·-tāu-chiùⁿ (花生醬) téng-téng. - Ē-ēng-tit khó-lū ê chia̍h-mi̍h:
So·-tá piáⁿ , bô-thn̂g ê chhiū-ni-thn̂g, thô͘-tāu, he̍k-thô, koe-chí, bán-thô, pau-á, po̍h-piánn (烙餅), pe̍h-kún-chúi, chió-thn̂g he̍k-chiá bô-thn̂g ê liâng-chúi, bô ka-kang--kòe ê chhài-se hām kóe-chí, ke-bah-kak, bah-so͘, hî-so· kah liû-hî-si.
Kháu-khiuⁿ ōe-seng
siu-káiLiông-hó ê kháu-khiuⁿ ōe-seng sī ī-hông chiù-khí ê tē-2 ê hoat-tō͘, te̍k-pia̍t sī pêng-hôa bīn ê chiù-khí. 1 kang siāng-chió 1 kái sú-iōng khí-bín-á sé-chhùi kap khí-sòaⁿ chheng chhùi-khí-phāng sī chiâⁿ tiōng-iàu ê chheng-kia̍t khang-khòe. Sú-iōng ū lām chlorhexidine ê lo̍k-chhùi-chúi sui-jiân ê-tàng ek-chè gê-khún-pan lâi hêng-sêng, m̄-koh gê-i-su bô chàn-sêng tn̂g-kî sú-iōng.
Kái-piàn chhùi-khí piáu-bīn he̍k chhùi-khí kò·-chō
siu-káiHu̍t lî-chí tn̂g-sî-kan tiāⁿ-tiāⁿ kap khí-iū-chit chiap-chhiok ē-tàng sú-ti̍t chá-kî ê chiù-khí koh-chài kài-hòa, lēng-gōa koân lông-tō· ê hu̍t mā ē-tàng ek-chè gê-khún-pan sán-seng sng. Só·-í hu̍t-hòa-bu̍t ē-tàng kiám-chió chhùi-khí kài-chit ê liû-sit, pang-chō· chá-kî chiù-khí ê hôe-ho̍k, sú-ti̍t chhùi-khí tùi chiù-khí koh-khah ū té-khòng-la̍t. Gê-i-su siâng-chài kiàn-gī lī-iōng hu̍t-hòa-bu̍t ê hoat-tō· ū:
Kî-thaⁿ ê pō͘-sò͘
siu-kái- Tī lim ê chúi chham-ji̍p hu̍t (飲水加氟)
- Chia̍h hu̍t ê io̍h-á (口服氟錠)
- Hâm hu̍t khí-ko kap lo̍k-chhùi-chúi
- Kio̍k-pō͘ chhat hu̍t (局部塗氟)
Kái-piàn chhùi-khí piáu-bīn he̍k chhùi-khí kò·-chō ê lēng 1-ê hó hoat-tō· sī:
- Sió-khut-á kap li̍h-phāng hong-pì
Sú-iōng liû-tōng-sèng chiâⁿ-hó ê chhiū-chí kā chhùi-khí ka-ha̍p bīn siāng-gâu chiù-khang ê sió-khut-á kap li̍h-phāng hong-pì--khí-lâi sī ī-hông sió-khut-á kap li̍h-phāng chiù-khí siāng-hó ê hoat-tō·.
Chham-khó chu-liāu
siu-kái- ↑ 1.0 1.1 Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīLau2014 - ↑ 2.0 2.1 Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīWHO2012 - ↑ Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīTaber2013 - ↑ 4.0 4.1 Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīPeads2014 - ↑ Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīOli2017 - ↑ Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīSilk2014 - ↑ Ín-iōng chhò-gō͘: Bû-hāu ê
<ref>tag; chhōe bô chí-miâ ê ref bûn-jīWHO2016Epi - ↑ Dental Cavities, MedlinePlus Medical Encyclopedia, page accessed August 14, 2006.
- ↑ Oral Health Topics: Anesthesia Frequently Asked Questions, hosted on the American Dental Association website. Page accessed August 16, 2006.
- ↑ Summit, James B., J. William Robbins, and Richard S. Schwartz. "Fundamentals of Operative Dentistry: A Contemporary Approach." 2nd edition. Carol Stream, Illinois, Quintessence Publishing Co, Inc, 2001, p. 128. ISBN 0-86715-382-2.
- ↑ "Aspects of Treatment of Cavities and of Caries Disease" from the Disease Control Priorities Project. Page accessed August 15, 2006.
- ↑ Oral Health Topics: Dental Filling Options, hosted on the American Dental Association website. Page accessed August 16, 2006.
- ↑ What is a Root Canal?, hosted by the Academy of General Dentistry. Page accessed on August 16, 2006.
- ↑ FAQs About Root Canal Treatment, hosted on the American Association of Endodontists website. Page accessed August 16, 2006.
- ↑ Wisdom Teeth Archived 2006-04-18 at the Wayback Machine., packet in pdf format hosted by the American Association of Oral and Maxillofacial Surgeons. Page accessed on August 16, 2006.
Iân-sin oa̍t-tho̍k
siu-kái- Nanci, A. (2013). Ten Cate's Oral Histology. Elsevier. ISBN 978-0323078467.
- B. A. Burt et S. Pai, Sugar consumption and caries risk : a systematic review, 2001
- M Woodward & A. R. Walker, Sugar consumption and dental caries : evidence from 90 countries, 1994
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