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October 10, 2025
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ʻO Lidocaine a me prilocaine gingival he lāʻau lapaʻau e hoʻopōʻino ana i hoʻopili pololei ʻia i kou mau ʻāʻī ma mua o nā kaʻina hana niho. Hoʻohui kēia anesthetic topical i ʻelua mau mea hoʻopōʻino ikaika e ālai i nā hōʻailona ʻeha mai ka hiki ʻana i kou lolo, e hana ana i ka hana niho ʻoi aku ka ʻoluʻolu iā ʻoe.
Inā ua makaʻu ʻoe i ka hele ʻana i ke kauka niho ma muli o ka ʻeha hiki ke loaʻa, hiki i kēia lāʻau lapaʻau ke lilo i mea hoʻololi maoli. Hoʻolālā ʻia ia no ka ʻiʻo ʻāʻī palupalu i kou waha, e hāʻawi ana i ke kōkua i manaʻo ʻia ma kahi āu e pono ai.
ʻO Lidocaine a me prilocaine gingival he lāʻau lapaʻau topical e hele mai ana ma ke ʻano he gel a i ʻole patch i hana ʻia no ka ʻiʻo ʻāʻī. Loaʻa iā ia ʻelua mau anesthetics kūloko e hana pū ana e hoʻopōʻino i ka wahi kahi i hoʻopili ʻia ai.
Hoʻokumu ʻia ka lāʻau lapaʻau e pili i kou mau ʻāʻī a hāʻawi i ka ʻoi aku ka hohonu ma mua o nā anesthetics topical maʻamau. E noʻonoʻo iā ia he lāʻau lapaʻau hoʻopōʻino kūikawā ʻoi aku ka ikaika ma mua o nā koho ma luna o ka counter āu e ʻike ai ma ka hale kūʻai lāʻau.
E hoʻopili kāu kauka niho a i ʻole ka mea hoʻomaʻemaʻe niho i kēia lāʻau lapaʻau pololei i kou laina ʻāʻī ma mua o nā kaʻina hana e like me ka hoʻomaʻemaʻe hohonu, ke ʻoki ʻana i ka ʻāʻī, a i ʻole nā lāʻau periodontal. ʻO ka hui pū ʻana o ka lidocaine a me ka prilocaine e ʻoi aku ka maikaʻi ma mua o ka hoʻohana ʻana i kekahi lāʻau.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e hoʻopōʻino i kou mau ʻāʻī ma mua o nā kaʻina hana niho e hiki ke hōʻoluʻolu. Kōkua ia i ka hana ʻana i nā lāʻau lapaʻau e like me ka unahi a me ka hoʻolālā ʻana i ke aʻa, nā biopsies ʻāʻī, a me ke ʻoki ʻana i ka periodontal.
Hoʻohana maʻamau nā poʻe loea niho iā ia i ka wā e pono ai lākou e hana ma lalo o ka laina ʻāʻī a i ʻole e hana i nā kaʻina hana i hiki ʻole i nā ʻano hana hoʻopōʻino maʻamau. Eia nā kūlana nui kahi e ʻōlelo ai kāu kauka niho i kēia lāʻau lapaʻau:
He mea kōkua nui ka lāʻau lapaʻau no nā mea maʻi i loaʻa nā ʻōpū palupalu a i ʻole ka hopohopo e pili ana i nā hana niho. Hiki nō ke hoʻohana ʻia i ka wā ʻaʻole kūpono nā anesthetics i hoʻokomo ʻia a i ʻole ke pono ka hoʻopā hou ʻana ma mua o ka mea i hāʻawi ʻia e nā injections.
Hana kēia lāʻau lapaʻau ma ka pale ʻana i nā kahawai sodium i loko o kāu mau cell nerve, kahi e pale ai i nā hōʻailona ʻeha mai ka hele ʻana i kou lolo. Ke hoʻopili ʻia i kou mau ʻōpū, komo ʻo lidocaine a me prilocaine i loko o ka ʻiʻo a hana i ka hopena numbing e hiki ke mau no kekahi mau hola.
Ua manaʻo ʻia ka hui ʻana he anesthetic topical ikaika, ʻoi aku ka ikaika ma mua o nā koho hoʻokahi-mea akā ʻoi aku ka maʻalahi ma mua o nā anesthetics injectable. Hana maʻamau ʻo Lidocaine i ka wikiwiki, ʻoiai ʻo prilocaine e hāʻawi i ka numbing lōʻihi, e hāʻawi ana iā ʻoe i ka maikaʻi o nā lāʻau lapaʻau ʻelua.
Hoʻomaka ka lāʻau lapaʻau e hana i loko o 5 a 10 mau minuke ma hope o ka hoʻopili ʻana a hiki i kona hopena kiʻekiʻe i loko o 15 a 20 mau minuke. Hāʻawi kēia manawa i kāu ʻoihana niho e hoʻomau me ke kaʻina hana i hoʻolālā ʻia ke loaʻa ka numbing kūpono.
Hoʻopili wale ʻia kēia lāʻau lapaʻau e nā ʻoihana niho i hoʻomaʻamaʻa ʻia i loko o kahi hoʻonohonoho lapaʻau, no laila ʻaʻole ʻoe e lawe ana ma ka home. E hoʻopili kāu kauka niho a i ʻole ka mea hoʻomaʻemaʻe niho i ka gel a i ʻole ka pā i ka wahi kikoʻī o kou mau ʻōpū e pono ai ka numbing.
Ma mua o ka noi ʻana, e hoʻomaʻemaʻe a hoʻomaloʻo kāu ʻoihana niho i ka wahi lapaʻau e hōʻoia i ka pili pono ʻana o ka lāʻau lapaʻau. E hoʻopili lākou i kahi papa lahilahi o ka gel a i ʻole e kau i ka pā ma kahi e hana ʻia ai ke kaʻina hana.
ʻAʻole pono ʻoe e ʻai a inu paha i kekahi mea kūikawā ma mua o kāu manawa, akā, ua ʻōlelo ʻia e pale i ka ʻai ʻana no kahi o 30 mau minuke ma mua o ka mālama ʻana. Kōkua kēia i ka hōʻoia ʻana i ka maʻemaʻe o kou waha a hiki i ka lāʻau lapaʻau ke hana pono.
Ma hope o ka hoʻohana ʻana, pono ʻoe e kali mālie no ka hopena o ka lāʻau lapaʻau. E hoʻāʻo kāu loea niho i ka wahi e hōʻoia i ka lawa ʻana o ka ʻeha ma mua o ka hoʻomaka ʻana i kekahi kaʻina hana.
Hoʻohana ʻia kēia lāʻau lapaʻau i ka wā o nā manawa niho hoʻokahi a ʻaʻole ia he mea āu e lawe ai no ka manawa lōʻihi. Hoʻolālā ʻia kēlā me kēia noi e hāʻawi i ka ʻeha no hoʻokahi kaʻina hana a i ʻole ka mālama ʻana.
ʻO ka maʻamau, mau ka hopena no 1 a 3 mau hola ma hope o ka hoʻohana ʻana, ma muli o ka nui i hoʻohana ʻia a me kāu pane pilikino. Hoʻopau ʻia ka hapa nui o nā kaʻina hana niho i loko o kēia manawa, no laila ʻaʻole pono nā noi hou.
Inā pono ʻoe i nā mālama niho he nui, hiki i kāu kauka niho ke hoʻohana hou i ka lāʻau lapaʻau i nā manawa e hiki mai ana. Eia naʻe, aia ka manawa kali ma waena o nā noi e ʻae i kou mau ʻiʻo e hoʻi i ka maʻamau.
ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i kēia lāʻau lapaʻau, me nā hopena ʻaoʻao maʻamau a maʻamau. ʻO nā hopena maʻamau e hana pololei ma kahi o ka noi a hoʻoponopono iā lākou iho i ka wā e pau ai ka lāʻau.
Eia nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:
ʻAʻole pono e hopohopo e pili ana i kēia mau hopena ʻaoʻao maʻamau a pono e pau i loko o kekahi mau hola. Eia naʻe, pono ʻoe e hoʻokaʻaʻike i kāu kauka niho inā e hoʻomau a ʻino paha lākou.
ʻO nā hopena ʻaoʻao maʻamau ʻole akā ʻoi aku ka koʻikoʻi e komo pū ana me nā hopena maʻi maʻi koʻikoʻi, ʻoiai he kakaikahi loa kēia. E nānā i nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka pehu nui, a i ʻole ka ʻōpala ākea, a e ʻimi koke i ka lāʻau lapaʻau inā loaʻa kēia mau mea.
Hiki i kekahi poʻe ke ʻike i ka methemoglobinemia, kahi maʻi kakaikahi kahi e lawe ʻole ai kou koko i ka oxygen. ʻOi aku ka maikaʻi o kēia inā he mau maʻi olakino kou a i ʻole e lawe i nā lāʻau lapaʻau kikoʻī, ʻo ia ke kumu e nānā ai kāu kauka niho i kāu mōʻaukala olakino ma mua.
ʻOiai palekana kēia lāʻau lapaʻau no ka hapa nui o nā kānaka, pono kekahi poʻe e pale aku a hoʻohana paha me ka akahele kūikawā. E nānā kāu kauka niho i kāu mōʻaukala olakino a me nā lāʻau lapaʻau i kēia manawa e hoʻoholo ai inā kūpono ia iā ʻoe.
ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau lapaʻau inā he maʻi ʻoe i ka lidocaine, prilocaine, a i ʻole nā anesthetics kūloko like. Pono paha ka poʻe me kekahi mau maʻi koko, ʻo ia hoʻi ka poʻe e pili ana i ka hemoglobin, e pale i kēia lāʻau lapaʻau.
Eia nā kūlana nui kahi e kūpono ʻole ai kēia lāʻau lapaʻau:
Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, ʻo ia hoʻi nā mea no nā maʻi puʻuwai a i ʻole ke koko, pono paha kāu kauka niho e hoʻoponopono i ka dosage a i ʻole ke koho ʻana i kahi ʻē aʻe. E hoʻomaopopo mau i kāu hui niho e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.
Hiki i nā keiki a me nā maʻi ʻelemakule ke loaʻa i kēia lāʻau lapaʻau, akā pono paha lākou i nā dosages i hoʻoponopono ʻia a me ka nānā pono ʻana i ka wā o ka mālama ʻana.
Loaʻa kēia hui lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole, ʻo Oraqix ka mea i hoʻohana nui ʻia i nā keʻena niho. Hele mai ʻo Oraqix ma ke ʻano he gel i hoʻopili pololei ʻia i nā ʻeke ʻāʻī me ka hoʻohana ʻana i kahi mea noi kūikawā.
Hiki ke loaʻa nā formulations ʻē aʻe ma ke ʻano he generic versions a i ʻole ma lalo o nā inoa inoa like ʻole, akā loaʻa nā mea hana like. E koho kāu kauka niho i ka formulation kūpono loa e pili ana i kāu kaʻina hana a me nā pono.
ʻAʻole pili nui ka inoa inoa i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau, akā ʻokoʻa paha nā formulations like ʻole i nā ʻano noi a i ʻole nā concentrations.
Inā ʻaʻole hiki iā ʻoe ke hoʻohana i ka lidocaine a me ka prilocaine gingival, he nui nā koho ʻē aʻe a kāu kauka niho e loaʻa ai. ʻO nā anesthetics kūloko injectable e like me ka lidocaine wale nō a i ʻole articaine he mau koho maʻamau e hāʻawi i ka numbing maikaʻi loa no nā kaʻina hana niho.
Hiki ke hoʻohana ʻia nā anesthetics topical i loaʻa wale ka lidocaine a i ʻole benzocaine no nā kaʻina hana liʻiliʻi, ʻoiai ʻaʻole lākou e hāʻawi i ka hohonu like o ka numbing. No nā kaʻina hana nui, hiki i kāu kauka niho ke ʻōlelo aku i ka sedation ʻike a i ʻole ka anesthesia maʻamau.
Pōmaikaʻi kekahi poʻe maʻi mai ka nitrous oxide (ke kinoea ʻakaʻaka) i hui pū ʻia me nā anesthetics topical, ʻoiai inā he hopohopo niho ko lākou. E hana pū kāu kauka niho me ʻoe e ʻimi i ke koho ʻoluʻolu a maikaʻi loa no kāu kūlana.
He nui nā pōmaikaʻi o ka lidocaine a me ka prilocaine gingival ma mua o ka lidocaine maʻamau wale nō, ʻoiai no nā kaʻina hana e pili ana i ka ʻāʻī. Hāʻawi ka hui pū i ka ʻeha nui no ka mea hana iki nā lāʻau ʻelua a hoʻopili kekahi i kekahi.
Hana wikiwiki ka lidocaine maʻamau akā ʻaʻole paha e lōʻihi, ʻoiai hāʻawi ka prilocaine i ka ʻeha lōʻihi. Hui pū, hana lākou i kahi hopena anesthetic ʻoi aku ka maikaʻi a me ka lōʻihi ma mua o ka lāʻau lapaʻau hoʻokahi.
No nā kaʻina hana ʻāʻī, ʻoi aku ka maikaʻi o kēia hui ʻana no ka mea ua hana ʻia e pili i ka ʻiʻo ʻāʻī a komo i loko o nā ʻeke periodontal kahi e hiki ʻole ai i nā anesthetics topical maʻamau ke hiki.
Eia naʻe, hiki nō i ka lidocaine injectable ke kūpono no nā kaʻina hana hohonu a i ʻole ke pono e hoʻolōʻihi ʻia ka ʻeha ma mua o ka ʻili ʻāʻī. E koho kāu kauka niho i ke koho maikaʻi loa e pili ana i kāu pono lapaʻau.
Hiki ke hoʻohana palekana ʻia kēia lāʻau lapaʻau i ka poʻe me ka maʻi puʻuwai, akā pono kāu kauka niho e nānā mua i kou kūlana a me nā lāʻau lapaʻau. ʻO ka hoʻohana topical ʻana, he liʻiliʻi loa ka lāʻau lapaʻau e komo i loko o kou kahe koko i hoʻohālikelike ʻia me nā anesthetics injectable.
Inā he pilikia nui kou puʻuwai a i ʻole e lawe i kekahi mau lāʻau puʻuwai, hiki i kāu kauka niho ke koho i kahi koho ʻeha ʻē aʻe a i ʻole e hoʻoponopono i ka dosage. E hōʻike mau i kāu hui niho e pili ana i kou maʻi puʻuwai a lawe mai i kahi papa inoa o kāu mau lāʻau lapaʻau a pau i kāu manawa.
ʻAʻole pōʻino nā mea liʻiliʻi o kēia lāʻau lapaʻau āu e ʻai ai i ka wā o ka mālama ʻana. Ua hoʻolālā ʻia ka lāʻau lapaʻau e hoʻohana ʻia i loko o ka waha, no laila ua manaʻo ʻia a palekana ka liʻiliʻi o ka absorption ma o ka ʻai ʻana.
Akā, inā ʻoe e ale i ka nui, e ʻike paha ʻoe i ka ʻehaʻeha no kekahi manawa ma kou ʻāʻī a i ʻole ke alelo, hiki ke hoʻopilikia i ka ale ʻana. E kelepona i kāu kauka niho a i ʻole ke kauka lapaʻau inā ʻoe e ʻike i ka pilikia o ka ale ʻana, nā pilikia o ka hanu ʻana, a i ʻole e ʻoluʻolu ʻole ma hope o ka ʻai ʻana i ka lāʻau lapaʻau.
Hele pinepine ka hopena o ka ʻehaʻeha i loko o 1 a 3 mau hola, akā i kekahi manawa e lōʻihi paha ia i kekahi poʻe. ʻAʻole pilikia ka ʻehaʻeha lōʻihi, akā pono ʻoe e makaʻala ʻaʻole e nahu i kou alelo, nā lehelehe, a i ʻole nā papalina i ka wā e ʻehaʻeha ana ka wahi.
E pale i ka ʻai ʻana i nā meaʻai wela a i ʻole nā mea inu a hiki i ka hoʻi ʻana mai o ka manaʻo i ka piha ʻana e pale ai i nā wela ulia. Inā mau ka ʻehaʻeha no nā hola ʻoi aku ma mua o 6 a i ʻole e loaʻa iā ʻoe nā hōʻailona ʻē aʻe e pili ana, e kelepona i kāu kauka niho no ke alakaʻi.
Pono ʻoe e kali a hiki i ka pau ʻana o ka ʻehaʻeha ma mua o ka ʻai ʻana, e lawe pinepine ana i 1 a 3 mau hola ma hope o ka mālama ʻana. ʻO ka ʻai ʻana i ka wā e ʻehaʻeha ana kou waha e hoʻonui i ka pilikia o ka nahu ʻana i kou alelo, nā lehelehe, a i ʻole nā papalina.
Ke hoʻomaka hou ʻoe e ʻai, e hoʻomaka me nā meaʻai palupalu, mehana a nau pono. E pale i nā meaʻai wela a i ʻole nā mea ʻala no nā hola mua, no ka mea, ʻaʻole paha e ʻike pono kou mau ʻiʻo ʻeha i ka mahana a hiki ke hōʻeha.
ʻAe, hiki iā ʻoe ke kalaiwa ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau, no ka mea, pili wale ia i ka wahi i hoʻopili ʻia a ʻaʻole ia e hōʻeha i ka hiamoe a i ʻole e hoʻopilikia i kāu mau mākau kaʻa. ʻAʻole like me kekahi mau koho sedation niho ʻē aʻe, ʻaʻole pili nā anesthetics topical i kou hiki ke hana i kahi kaʻa.
Akā, inā ua loaʻa iā ʻoe nā lāʻau lapaʻau hou no ka hopohopo a i ʻole ka mālama ʻana i ka ʻeha i kāu manawa, pono ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home. Ke kānalua, e nīnau i kāu kauka niho e pili ana i kāu kūlana kikoʻī ma mua o ke kalaiwa ʻana.
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