IAOMT protocol kurudziro yekubvisa amalgam inozivikanwa seSecurity Mercury Amalgam Removal Technique (SMART). Ziva kuti SMART inounzwa seti yemazano. Varapi vane rezinesi vanofanirwa kushandisa kwavo kutonga maererano nesarudzo yekurapa yekushandisa mune zvavanoita. Iyo SMART protocol kurudziro inosanganisira anotevera matanho, ayo akanyorwa pano nekutsvaga kwesainzi: 

Griffin Cole, DDS ichiita iyo Yakachengeteka Mercury Amalgam Kubvisa Matekiniki

IAOMT yakachengeteka amalgam kubvisa protocol kurudziro yakanyanya kuvandudzwa musi waChikunguru 19, 2019. Zvakare, musi waChikunguru 1, 2016, kurudziro yeIAOMT protocol yakapihwa zita repamutemo seSafe Mercury Amalgam Removal Technique (SMART), uye kosi yekudzidzisa vanachiremba vemazino veIAOMT kuve yakasimbiswa muSMART yakatangwa.

Ese mazino amalgam kudzoreredza ane anenge 50% mercury,1 uye mishumo uye kutsvagurana zvinowirirana kuti izvi zvekuzadza zvinoburitsa mercury vapors.2-16

Tsvagurudzo yesainzi inoratidza kuti mazino mercury amalgam anofumura mazino, vashandi vezvemazino, varwere vezvemazino, uye / kana fetus kuburitswa kwe mercury vapor, mercury-ine particulate, uye / kana dzimwe nzira dzekusvibisa kwe mercury.4-48

Uyezve, mercury vapor inozivikanwa kuti inosunungurwa kubva kumazino e mercury amalgam anozadza pamitengo yakakwira panguva yekukwesha, kuchenesa, kukwenya kwemeno, kutsenga, nezvimwe.5, 14, 15, 24, 30, 49-54 uye mercury inozivikanwa zvakare kuti inosunungurwa panguva yekuiswa, kutsiva, uye kubviswa kwemazino mercury amalgam mafillings.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60

Ichishandisa humbowo hwesainzi huripo, iyo IAOMT yakagadzira zvakadzama kuchengetedzeka kwekukurudzira kwekubviswa kwemazino emakemikari amalgam anozadza, kusanganisira nzira dzakadzivirirwa dzekudzivirira dzinofanirwa kushandiswa pakuita. Kurudziro yeIAOMT inovaka pamusoro petsika dzekare dzakabatana dzekubvisa nzira dzakadai sekushandisa mamask, kudiridza kwemvura, uye kukweva vhoriyamu yakakwira nekuwedzera aya marongero akajairwa nenhamba dzinoverengeka dzekudzivirira, kudiwa kwazvichangoonekwa mukutsvaga kwesainzi.

  • Iyo amalgam separator inofanirwa kuiswa zvakanaka, kushandiswa, uye kuchengetedzwa kuunganidza mercury amalgam marara kuitira kuti isaburitswe mumvura inoyerera kubva kuhofisi yemeno.25, 61, 73, XNUMX, XNUMX, XNUMX-XNUMX
  • Imba yega yega iyo mercury yekuzadza inobviswa inofanirwa kuve nemafuta akakwana munzvimbo,29, 74, 76, XNUMX, XNUMX, XNUMX-XNUMX iyo inoda iyo yakakwira-vhoriyamu mweya kusefa system (senge pane sosi yemuromo eerosol vacuum) inokwanisa kubvisa mercury vapor uye amalgam zvimedu zvinogadzirwa panguva yekubviswa kweimwe kana kupfuura maekiyuri kuzadza.45, 77
  • Kana zvichibvira, mahwindo anofanirwa kuvhurwa kuti adzikise iyo mercury concentration mumhepo.29, 77, 79, XNUMX, XNUMX, XNUMX-XNUMX
  • Murwere achapihwa slurry yemarasha, chlorella, kana yakafanana adsorbent yekushambidza uye kumedza pamberi pechirongwa (kunze kwekunge murwere aramba kana paine zvimwe zvinopesana zvinoita kuti izvi zvisakodzere).77, 80, 81
  • Zvipfeko zvekudzivirira uye zvekuvhara kwachiremba wemazino,25, 45 vashandi vemazino,25, 45 uye murwere45 inofanira kunge iri munzvimbo. Zvese zviripo mukamuri zvinofanirwa kuchengetedzwa nekuti huwandu hwakawanda hwezvinhu zvinogadzirwa panguva yekuita zvinorega kuunganidzwa nemidziyo yekuyamwa.36, 45 Izvo zvakaratidzirwa kuti izvi zvidimbu zvinogona kupararira kubva pamuromo wemurwere kusvika pamaoko, maoko, kumeso, chifuva uye zvimwe zvikamu zveanoshanda mazino uye murwere maitiro.45
  • Asina-latex nitrile magurovhosi anofanirwa kushandiswa nachiremba wemazino uye vese vashandi vemazino vari mumba.45, 46, 77, 82-83
  • Kumeso nhoo uye vhudzi / misoro yekufukidzira inofanirwa kushandiswa nachiremba wemazino uye vese vashandi vemazino mumba.45, 77, 80
  • Chero rakavharwa-mushe, rakafemerwa giredhi mask rakatemerwa kutora mercury kana yakanaka kumanikidza, yakanyatsovharika-masiki inopa mweya kana okisijeni inofanirwa kupfekwa nachiremba wemazino uye vese mazino vashandi vari mumba.36, 45, 76, 77
  • Kuti udzivirire ganda remurwere uye zvipfeko, muviri wakazara, chipingaidzo chisingapindike, pamwe nemusoro / kumeso / mutsipa wakazara pasi / wakakomberedza dhamu, unofanirwa kushandiswa.45, 77, 80
  • Mhepo yekunze kana okisijeni yakaunzwa kuburikidza neye masiki mask yemurwere inodawo kushandiswa kuvimbisa murwere kuti haaburitse chero mercury vapor kana amalgam particulate panguva yekuita.45, 77, 80 Nasal cannula ndiyo imwe nzira inogamuchirwa yechinangwa ichi sekureba sekunge mhino yemurwere yakafukidzwa zvachose nechipingamupinyi chisingaperi.
  • Dhamu remeno74-76, 84-87 iyo inogadzirwa neisina-latex nitrile zvinhu45, 77, 83 inofanira kuiswa uye yakanyatsovharwa mumuromo wemurwere.
  • Iyo saliva ejector inofanirwa kuiswa pasi pemazino dhamu kuti idzikise mercury kutarisana nemurwere.45, 77
  • Munguva yemalgam yekuzadza kubviswa, chiremba wemazino anofanirwa kushandisa sosi yekumwa eerosol vhoriyamu padyo padyo nenzvimbo yekushandira (kureva, maviri kusvika mana masendimita kubva pamuromo wemurwere) kudzikisira kubuda kwemekiyuri.45, 88
  • Yekumhanyisa kumhanyisa kuburitsa inogadzira zvirinani kubatwa kana yakarongedzwa neKuchenesa mudziyo,45, 87 izvo zvisiri zvekumanikidzirwa asi zvinosarudzwa.
  • Huwandu hwemvura yekudzikisa kupisa45, 74, 76, 77, 86, 89-91 uye yakajairika yekumhanyisa mhanyisa chishandiso kutora mercury kubuda25, 29, 45, 74-77, 86, 90, 91 inodiwa kudzikisa ambient mamekyuri mazinga.46
  • Iyo amalgam inoda kuiswa muzvikamu uye kubviswa mune yakakura sezvidimbu sezvazvinogona,45, 74, 77, 80 uchishandisa diki dhayamita carbide chibooreso.29, 86
  • Kana kese yekubvisa kwapera, muromo wemurwere unofanirwa kunyatsosvinwa nemvura77, 80 uyezve yakashambidzwa neslurry yemarasha, chlorella kana yakafanana adsorbent.81
  • Vanachiremba vemazino vanofanirwa kutevedzera mitemo yemubatanidzwa, yenyika, uye yemunharaunda inotaurisa kubata kwakakodzera, kuchenesa, uye / kana kurasa zvinhu zvakasvibiswa nemekiyuri, zvipfeko, zvishandiso, nzvimbo dzechipenga, uye pasi muhofisi yemazino.
  • Panguva yekuvhurwa nekuchengetwa kwemisungo yekukweva mumashandisirwo kana pachikamu chikuru chekukweva, vashandi vemazino vanofanirwa kushandisa michina yekuzvidzivirira inokodzera yakatsanangurwa pamusoro.

Izvo zvakakosha kuti uzive kuti seyambiro yekuchengetedza, iyo IAOMT haina kukurudzira amalgam kuzadza kubviswa kwevakadzi vane nhumbu kana kuyamwisa uye kuti IAOMT haina kukurudzira kuti vashandi vemazino vane nhumbu kana kuyamwisa vanoita basa rinokanganisa amalgam kuzadza (kusanganisira kubviswa kwavo).

Kuti udzidze zvakawanda nezve SMART uye kuona mavhidhiyo eSMART achishandiswa mukuita, shanya www.neworleanscitypics.com

Kuti Udzidze izvo chokwadi nezve mazino mercury kubva kuIAOMT, shanyira:  https://iaomt.org/resources/dental-mercury-facts/

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