Ekusebenziseni igama amazinyo egazi, asizami ukukhipha okukhethekile okusha kodokotela bamazinyo kepha kunalokho sichaza ifilosofi engasebenza kuzo zonke izici zomkhuba wamazinyo kanye nokunakekelwa kwezempilo ngokujwayelekile: Njalo funa indlela ephephe kakhulu, enobuthi yokufeza umsebenzi wokwelashwa, yonke imigomo yokwelashwa kwamazinyo kwanamuhla, futhi ukwenze ngenkathi unyathela kancane ngangokunokwenzeka endaweni yesiguli yezinto eziphilayo. Indlela ehambelana kakhudlwana nempilo yomlomo iluphawu lwe amazinyo egazi.
Ngokwenza umehluko - okunye okusobala, futhi okucashile - phakathi kwezinto nezinqubo ezitholakalayo, singanciphisa umthelela ezimpendulweni zeziguli zethu. Umuzwa wethu wesibopho sokukhuthaza inhlalakahle yeziguli zethu kufanele wenze ukuhambelana kokusebenza kwezinto eziphilayo kube yinto ebaluleke kakhulu, futhi iqiniso lokuthi manje kunezindlela eziningi kakhulu zokwenza amazinyo asebenze kangcono kusinikeza ithuba lokwenza lokho kanye.
I-International Academy of Oral Medicine and Toxicology (IAOMT) iyinhlangano yalelo qembu lodokotela bamazinyo, odokotela, nabacwaningi ababambisene ababheka ukungahambelani kwezinto eziphilayo njengokuyinto yokuqala abayikhathalelayo futhi abafuna ubufakazi besayensi njengemigomo yabo esemqoka. Amalungu aleli qembu, kusukela ngo-1984, ahlole, alanda umlando, futhi asekela ucwaningo ngokuhlukaniswa okungenza ukwenziwa kwamazinyo kwamukeleke ngokwendalo. Lesi simo sengqondo "samazinyo emvelo" singazisa futhi sihlangane nazo zonke izihloko zengxoxo ekunakekelweni kwezempilo lapho inhlalakahle yomlomo iyingxenye ebalulekile yempilo yomuntu wonke.
IMercury Yamazinyo
Ubufakazi besayensi buveze ngaphandle kokungabaza iziphakamiso ezimbili: 1) I-Amalgam ikhipha i-mercury ngobuningi obukhulu, idala ukuvezwa okungalinganiseka kubantu abagcwaliswayo, kanye no-2) Ukuvezwa okungapheli kwi-mercury ngobuningi obukhishwe yi-amalgam kwandisa ingozi yokulimala komzimba.
Odokotela bamazinyo abangena esikhundleni sokukhetha ukufakwa kwe-amalgam bagxekwe ontanga yabo ngokubeka iziguli zabo ngokungadingekile kwi-mercury eyengeziwe ngesikhathi senqubo yokugaya ukugcwaliswa okudala. Kodwa-ke, odokotela bamazinyo “abangenayo i-mercury” yibo abazi kakhulu ngale nkinga. Sethula izinqubo eziqinisekiswe ngokwesayensi zokunciphisa kakhulu nokunciphisa ukuvezwa kwe-mercury okufanele bonke abasebenzi basehhovisi lamazinyo bakufunde futhi bakulandele ukuze bavikeleke futhi bavikele neziguli zabo.
Ngaphezu kwalokho, iziphathimandla zamanzi angcolile emhlabeni wonke zisezindleleni zamazinyo. Amahhovisi amazinyo ahlonziwe ngokuhlanganyela njengomthombo omkhulu wokungcola kwe-mercury emanzini angcolile omasipala, futhi abathengisi izaba zokuthi i-amalgam izinzile futhi ayonakalisi. Izinyathelo zokulawula zikhona ezindaweni eziningi ezidinga amahhovisi amazinyo ukuthi afake abahlukanisi be-mercury emigqeni yabo yamanzi angcolile. I-IAOMT ihlolisise umthelela wezemvelo we-mercury yamazinyo kusukela ngo-1984 futhi iyaqhubeka nokwenza kanjalo manje.
Ukudla Okunomtholampilo kanye Nokukhishwa Kwezinsimbi Ezisindayo Kwe-Biological Dentistry
Isimo sokudla okunomsoco sithinta zonke izici zekhono lesiguli lokwelapha. Ukuxoshwa kwe-biological kuncike kakhulu ekusekelweni kokudla okunempilo, njengoba kwenza i-periodontal therapy noma yikuphi ukuphulukiswa kwesilonda. Yize i-IAOMT ingakhuthazi ukuthi odokotela bamazinyo babe ngabelaphi ngokwabo, ukwazisa ngomthelela wokondleka kuzo zonke izigaba zamazinyo kubalulekile ekwelashweni kwamazinyo. Ngakho-ke, wonke amalungu kufanele azijwayele izindlela nezinselelo zokunciphisa ubuthi besistimu obutholakala ekuvezweni kwe-mercury.
Ukuhambisana kwe-Biocompact kanye ne-Oral Galvanism
Ngaphezu kokusebenzisa okokusebenza kwamazinyo okunobuthi obuncane ngokweqile, singakhuphula isilinganiso se-biocompatibility quotient somkhuba wethu ngokubona iqiniso lokuthi abantu bayahluka ekuphenduleni kwabo kwamakhemikhali nokwelashwa komzimba. I-IAOMT ixoxa ngokuzimela ngamakhemikhali kanye nezindlela ezizwakalayo zokuhlolwa kwe-immunological ukusiza ukuthola izinto ezisetshenziswayo ezingasetshenziswa nesiguli ngasinye. Lapho isiguli sihlushwa ukungezwani nezinto ezithile, ukuzwela kwemvelo, noma izifo ezizimele, kulapho kubaluleke kakhulu le nsizakalo. Ngaphandle kwamandla abo okuvuselela ukusebenza komzimba, izinsimbi nazo zisebenza ngogesi. Kukhulunywa nge-galvanism yomlomo iminyaka engaphezu kwengu-100, kepha odokotela bamazinyo ngokuvamile abayinaki nemiphumela yayo.
Fluoride
Isayensi yezempilo yomphakathi ejwayelekile yehlulekile ukuqinisekisa ukuthi umthelela wokuvikela ukufudumeza kwamanzi emazinyweni ezingane ukhona ngempela, yize kunezitatimende eziqhubekayo zobudlelwano bomphakathi kanye nemiphumela edale inkolelo kubantu abaningi. Okwamanje, ubufakazi bemiphumela eyingozi yokuqongelelwa kwe-fluoride emzimbeni womuntu buyaqhubeka nokukhula. I-IAOMT isebenze futhi isazoqhubeka nokusebenza ukuhlinzeka ngezilinganiso ezibuyekeziwe zobungozi bokuchayeka kwe-fluoride ngokuya ngokutholwe yisayensi kanye nasemibhalweni yokulawula.
Ukwelashwa Kwe-Biological Periodontal
Ngezinye izikhathi kubonakala sengathi izinyo elinohlelo lwayo lomsele wezimpande nezinsini ezivuzayo kuyithuluzi lokujova amagciwane ezindaweni ezingaphakathi lapho kungezona ezakho. I-IAOMT inikela ngezinsizakusebenza ezibheka kabusha i-tubule yamazinyo kanye nephakethe le-periodontal ngokombono wamazinyo emvelo. Izindlela ezisetshenziselwa ukuthola amagciwane kanye nokuqapha izinombolo zazo phakathi nohlu lokwelashwa kusuka ekuhlolweni okuyisisekelo komtholampilo kuya ekusetshenzisweni okudala kwemicroscope yesigaba esihlukile ekuhlolweni kwe-BANA nase-DNA probes. Kunezinqubo ezingezona izidakamizwa zokuqeda ukutheleleka, kanye nokusetshenziswa okuhlakaniphile ngezikhathi ezithile kwemithi elwa namagciwane. Ukwelashwa nge-Laser, ukwelashwa kwe-ozone, ukuqeqeshwa kokunakekelwa ekhaya ekuniseleni ephaketheni, kanye nokwesekwa kokudla okunempilo konke kuhambelana nezingxoxo ze-IAOMT mayelana nokwelashwa kwe-periodontal therapy.
Izimpande Imisele
Kukhona impikiswano futhi lapho umphakathi wazi mayelana nokwelashwa kwezimpande. Umsuka ulele embuzweni wezinsalela zamagciwane asezindlini zamathambo wamazinyo nokuthi amasu e-endodontic awabulala amagciwane ngokwanele yini noma awagcine enamagciwane. I-IAOMT isebenza ukuhlola ukuthi lawo mabhaktheriya nezidalwa zefungal angayiguqula kanjani i-anaerobic futhi akhiqize imfucumfucu enobuthi kakhulu esakazeka izinyo, nge-cementum, nasekujikelezeni kwegazi.
Umhlathi we-Osteonecrosis
Umsebenzi wakamuva emkhakheni we-syndromes yezinhlungu zobuso ne-Neuralgia Inducing Cavitational Osteonecrosis (NICO) sekuholele ekuboneni ukuthi amathambo emihlathi ayindawo ejwayelekile ye-ischemic osteonecrosis, eyaziwa nangokuthi i-aseptic necrosis, efanayo naleyo etholakala ekhanda lesifazane. Ngenxa yalokhu, izindawo eziningi zokukhipha ezibonakala sezipholile empeleni azikalapheki ngokuphelele futhi zingadala ubuhlungu kwezinye izingxenye zobuso, ikhanda, nezitho ezikude zomzimba. Noma iningi lalezi zingosi likhona empeleni lingenazo nhlobo izimpawu, ukuhlolwa kwe-pathological kuveza inhlanganisela yethambo elifile kanye namagciwane akhula kancane e-anaerobic esobho lemikhiqizo kadoti enobuthi lapho besingacabanga ukuthi kube khona ukuphulukiswa okuhle.
Ukwelashwa Kwamazinyo Kwekhulu Lamashumi amabili Nanye
Ezinsukwini zakudala, lapho okuwukuphela kwento yokubuyisela esimeni kwakuyi-amalgam noma igolide futhi okuwukuphela kwento yobuhle kwakungamazinyo okufakelwa, umsebenzi wethu kwakunzima ukufeza umsebenzi wawo futhi ubandlulula ngesikhathi esisodwa. Namuhla, singenza amazinyo angcono, ngendlela enobuthi obuncane, eyehlukile, enobungani bemvelo kunanini ngaphambili. Sinezinqumo eziningi ngaphambi kwethu njengoba senza amasu nezinto zokwakha. Lapho udokotela wamazinyo ekhetha ukubeka ukungalingani kuqala, lowo dokotela angabheka phambili ekwenzeni amazinyo asebenzayo ngenkathi azi ukuthi iziguli zinikezwa ulwazi oluphephe kakhulu empilweni yazo yonke.
Vakashela Isikhungo Sethu Samahhala Sokufunda ukuze Uthole Okwengeziwe Ngamazinyo Ebhayoloji:
UDkt. Jack Kall, i-DMD, i-FAGD, i-MIAOMT, ungomunye we-Academy of General Dentistry kanye noMongameli odlule wesahluko saseKentucky. Uyi-Accredited Master ye-International Academy of Oral Medicine and Toxicology (IAOMT) futhi kusukela ngo-1996 usebenze njengoSihlalo weBhodi Yabaqondisi. Uphinde asebenze ebhodini labacebisi leBioregulatory Medical Institute (BRMI). Uyilungu le-Institute for Functional Medicine kanye ne-American Academy for Oral Systemic Health.
