IAOMT inosimudzira kubatana kwemuromo
Nepo chirwere chenguva pfupi chichigamuchirwa nenzvimbo yekurapa nekuda kwechinetso chayo mumatambudziko emwoyo uye chirwere cheshuga, zvinokonzereswa nemamwe mamiriro emazino uye zvigadzirwa pahutano hwomuviri wese hazvisati zvazivikanwa zvakanyanya. Nekudaro, sezvo muromo uri mukova wekugaya, hazvifanirwe kushamisika kuti zvinoitika mukanwa zvinokanganisa muviri wese (uye zvinopesana, sezvazvakaita neshuga). Kunyangwe zvingaite sezviri pachena kuti mamiriro emazino uye zvishandiso zvinogona kukanganisa hurongwa hwese hwevanhu, pane chikonzero chiri pachena chevazhinji varapi venharaunda, vanogadzira mutemo, neruzhinji kuti vadzidziswe nezve chokwadi ichi.
Biological Dentistry uye Oral Hutano Kubatanidzwa
Biological dentistry haisi yakasarudzika hunyanzvi hwekurapa mazino, asi maitiro ekufunga uye hunhu hunogona kushanda kune ese mativi ekudzidzira mazino uye kune hutano hutano: kugara uchitsvaga yakachengeteka, isina chepfu nzira yekuzadzisa zvinangwa zvemazino mazino uye yehutano hwemazuva ano uye kuziva hukama hwakakosha pakati pehutano hwemuromo uye hutano hwakazara. Iwo maratidziro ehutachiona mazino anogona kuzivisa uye kupindirana nemisoro yenyaya dzese dzehurukuro muhutano, sezvo hupenyu hwemuromo chiri chikamu chakakosha chehutano hwemunhu wese.
Vanachiremba vemazino ehupenyu vanokurudzira maitiro e-mercury-isina uye mercury-yakachengeteka mazino uye vane chinangwa chekubatsira vamwe kuti vanzwisise kuti aya mazwi anorevei chaizvo mukushandisa kwechipatara:
- "Mercury-yemahara" izwi rine zvirevo zvakasiyana-siyana, asi rinowanzoreva maitiro emazino asingaise mazino e mercury amalgam anozadza.
- "Mercury-safe" inowanzoreva maitiro emazino anoshandisa nzira nyowani uye dzakasimba dzekuchengetedza matanho anoenderana neazvino-kutsva kwesainzi kudzikisira kuburitswa, senge muchiitiko chekubvisa aimbove mazino mercury amalgam kuzadza nekuzvitsiva neisina-mercury. dzimwe nzira.
- "Biological" kana "Biocompatible" dentistry inowanzoreva maitiro emazino anoshandisa mercury-isina uye mercury-yakachengeteka mazino panguva yekutarisa kukanganiswa kwemazino mamiriro, zvishandiso, uye kurapwa pane wemuromo uye systemic hutano, kusanganisira biocompatibility yezvinhu zvemazino uye matekinoroji. .
Pamusoro pekufungisisa kweiyo njodzi dze mercury kuzadza uye biocompatibility yezvinhu zvemazino (kusanganisira kushandiswa kweanorwisa uye kuyedzwa kwekunzwa), dentistry yemazino inoenderera mberi ichitaura nezvesimbi dzinorema detoxification uye chelation, kudya kunovaka uye muromo wemumuromo, galvanism yemuromo, njodzi dzenhepfenyuro uye systemic fluoride kuratidzwa, iyo bhenefiti yeiyo biological periodontal kurapa, simba remidzi migero kurapwa pahutano hwevarwere, uye kuongororwa uye kurapwa kweiyo neuralgia inokonzeresa cavitational osteonecrosis (NICO) uye jawbone osteonecrosis (JON).
Mukati memitezo yedu, vanachiremba vemazino veIAOMT vane nhanho dzakasiyana dzekudzidziswa mune yemekyuri-isina, mercury-yakachengeteka, uye dentistry. Dzvanya apa kuti dzidza zvakawanda nezvezvoutano mazino.
Uchapupu hweKudikanwa kweMuromo Hutano Kubatanidzwa
Nhaurwa dzinoverengeka dzichangoburwa dzakanyatso simbisa kukosha kwehutano hwemukanwa kuti huve nani kupinda muhutano hweveruzhinji. Muchokwadi, Hutano Vanhu 2020, chirongwa chehurumende yeUS Hofisi Yekudzivirira Zvirwere nekusimudzira Hutano, yakaratidza nzvimbo yakakosha yekuvandudza hutano hweveruzhinji: kuwedzera kuziva kwekukosha kwehutano hwemuromo kuhutano hwese uye hutano.1
Chimwe chikonzero chekuziva kunodiwa uku ndechekuti Mamirioni evaAmerica vane mazino caries, periodontal chirwere, kurara kusagadzikana kufema nyaya, kutsemuka kwemuromo uye mukanwa, marwadzo emukanwa uye kumeso, uye kenza yemumuromo neye pharyngeal..2 Iyo ingangoitika mhedzisiro yeaya mamiriro emuromo ari kure-kure. Semuenzaniso, chirwere chenguva refu chinokonzeresa chirwere cheshuga, chirwere chemwoyo, chirwere chekufema, sitiroko, kuzvarwa nguva isati yakwana, uye huremu hwekuzvarwa hushoma.3 4 5 Pamusoro pezvo, matambudziko ehutano hwemukanwa muvana anogona kutungamira mukushomeka kwekutarisa, kunetsekana kuchikoro, uye nenyaya dzekudya nedzekurara.6 Zvakare, matambudziko ehutano hwemuromo kune vakura vakuru anogona kutungamira mukuremara uye kudzikisira kufamba.7 Iyi ingori mienzaniso mishoma yemhedzisiro inozivikanwa yeakaremara hutano hwemuromo pahutano hwakazara.
Mukati yavo 2011 report Kufambisira Oral Hutano muAmerica, iyo Institute of Medicine (IOM) yakajekesa kukosha kwekudyidzana kwehunyanzvi pakati pehunyanzvi. Kunze kwekuvandudza kuchengetwa kwevarwere, kusangana kwehutano hwemukanwa pamwe nedzimwe nzira kunoonekwa senzira yekudzikisa mutengo wehutano.8 Uyezve, IOM yakayambira kuti kupatsanurwa kwevanyanzvi vemazino kubva kune vamwe vashandi vezvehutano zvakaipa inokanganisa hutano hwevarwere.9 Kunyanya chaizvo, Sachigaro weKomiti yeOrth Health Initiative Richard Krugman akati: "Utano hwemukanwa hunongotarisana nemhando yechinyakare yekuchengeta mazino munzvimbo dzekuzvimiririra - muenzaniso usingagari uchipa zvikamu zvakakosha zvevanhu vekuAmerica. zvakanaka. ”10
Ichokwadi chevarwere vanotsungirira mhedzisiro inokuvadza semhedzisiro yehutano hwemuromo kusabviswa muchirongwa chekurapa chakasimbiswa mune mimwe mishumo. Mune chirevo chakaburitswa mu American Journal of Public Health, Leonard A. Cohen, DDS, MPH, MS, vakatsanangura kuti varwere vanotambura kana pasina kubatana pakati pachiremba wemazino nachiremba.11 Sezvineiwo, zvakataurwa kuti varwere vanoda kubatana uku, sekutsvagurudzwa kwakaitwa nevatsvakurudzi: "Sezvo kufarira kurapwa kwakabatana uye kushandiswa kwemamwe marapirwo eanowirirana nevatengi kuri kuramba kuchikura, kunetsekana kwakawedzera kuti vashandi vehutano vaziviswe zvakakwana nezve hutano hunobatanidzwa kuitira kuti vakwanise kunyatsotarisira varwere. ”12
Zviripachena kuti varwere nevarapi vanobatsirana kubva kune yakasanganiswa nzira yehutano hwemuromo uye hutano hweveruzhinji. Kutanga, mamiriro ehutano hwemukanwa anogona kuratidza mamwe matambudziko ehutano anosanganisira kushomeka kwehutano, zvirwere zve systemic, hutachiona hutachiona, kusagadzikana kwezvirwere mumuviri, kukuvara, uye mamwe marudzi ekenza.13 Tevere, varwere vanotsungirira zviratidzo zvakashata kubva kuhutano hwemuromo senge hutachiona, kunetseka kwemakemikari, TMJ (temporomandibular majoini ekubatana), kurwadziwa kweganiofacial, uye kusagadzikana kwekurara kunogona kubatsirwa kubva mukudyidzana kwepakati-nyanzvi. Kubatana kwakadai kwakadanidzirwawo maererano nezvekunetseka kwemumuromo kubva pakurapwa nekenza uye mimwe mishonga14 uye maererano nezvinhu zvinowirirana.15 Biocompatibility inonyanya kukosha nekuti mazino e mercury allergies anogona kukonzera ruzhinji rwekuzviisa pasi uye chinangwa chekunyunyuta kwehutano16 uye zvinokanganisa vakawanda semamiriyoni makumi maviri nemaviri eAmerica nhasi.17 Zvisinei, idzi nhamba dzinogona kunge dzakatokwirira nekuti ongororo dzichangobva kuitika nemishumo zvinoratidza kuti allergy yesimbi iri kuwedzera.18 19
Zvakakosha Kuvandudzwa kweMuromo Hutano Kubatanidzwa
Aya ese mamiriro ezvinhu uye zvimwe zvinopa humbowo hwekuti nyaya dzehutano hwemukanwa dzinofanira kuve dzakanyanya kuwanda mune dzidzo yekurapa uye kudzidziswa. Nekuti zvikoro zvemazino nedzidzo zvakaparadzana zvachose kubva kuzvikoro zvekurapa uye kuenderera mberi nedzidzo, vanachiremba, manesi, uye vamwe vashandi vezvehutano havawanzo kuziva nezve kurapwa kwemuromo, kusanganisira kuzivikanwa kwezvirwere zvemumuromo.20 Muchokwadi, zvakataurwa kuti chete 1-2 maawa pagore epurogiramu yemishonga yemhuri anogoverwa dzidzo yemazino.21
Kushaikwa kwedzidzo uye kurovedzwa kune zvakakanganisika zvakasiyana kune hutano hweveruzhinji. Pamusoro pezvese mamiriro uye zviitiko zvataurwa pamusoro, mimwe mhedzisiro inogona kunge isiri pachena. Semuenzaniso, vazhinji varwere vane zvichemo zvemazino zvinoonekwa nedhipatimendi zvekukurumidzira madhipatimendi (ED) vanowanzo kutambura nemarwadzo uye hutachiona, uye kushomeka kweruzivo rweEED nezve hutano hwemuromo zvakataurwa se inobatsira kupa opiate kutsamira uye mishonga inorwisa mabhakitiriya.22
Uku kushayikwa kwekuziva kunoita kunge kuri nekuda kwekushaya mukana. Nepo varapi vakaratidza kufarira uye kudzidziswa nezve hutano hwemukanwa, iyi nyaya yakagara isina kupihwa muzvikoro zvekurapa.23 Zvisinei, shanduko dzakakurudzirwa, sachigaro weKomiti yeOral Health Initiative zano raRichard Krugman: "Zvimwe zvinoda kuitwa kutsigira dzidzo nekudzidziswa kwevashandi vese vezvehutano mukurapa kwemuromo uye kusimudzira nzira dzakasiyana-siyana. nzira.24
Kurudziro yeshanduko dzakadai nekukurumidza inoita kunge iri kuita. Mimwe mienzaniso mitsva yemamodeli aripo uye masisitimu ari kugadzira ramangwana idzva mukubatanidzwa kwehutano hwemuromo uye neruzhinji. IAOMT chikamu chenguva yemberi iyi nyowani uye inosimudzira kushandira pamwe pakati pevanachiremba vemazino nevamwe vashandi vezvehutano kuitira kuti varwere vawane huwandu hwakanyanya hwehutano.
