udokotela wamazinyo, i-IAOMT ithuthukisa ukuhlanganiswa kwezempilo yomlomo, ihhovisi lamazinyo, isiguli, isibuko somlomo, isibuko samazinyo, umlomo, uphenyo lwamazinyo, amazinyo

I-IAOMT ithuthukisa ukuhlanganiswa kwezempilo yomlomo

Ngenkathi isifo se-periodontal samukelwa umphakathi wezokwelapha ngendima yaso ezinkingeni zenhliziyo nemithambo yegazi nesifo sikashukela, imiphumela yezinye izimo zamazinyo nezinto zokwakha empilweni yomzimba wonke kusamele ibhekwe kakhulu. Kodwa-ke, njengoba umlomo uyisango lomgudu wokugaya ukudla, akumele kusimangaze ukuthi okwenzeka emgodini womlomo kunomthelela kuwo wonke umzimba (futhi okuphambene nalokho, njengakwisifo sikashukela). Noma kungabonakala kusobala ukuthi izimo zamazinyo nezinto zokwakha zingathonya lonke uhlelo lomuntu, kunesidingo esicacile sokuthi umphakathi wezokwelapha ovamile, abenzi bezinqubomgomo, nomphakathi bafundiswe ngaleli qiniso.

I-Biological Dentistry kanye ne-Oral Health Integration

Amazinyo ezinto eziphilayo akuyona into ehlukile yokwelashwa kwamazinyo, kodwa inqubo yokucabanga kanye nesimo sengqondo esingasebenza kuzo zonke izici zomkhuba wamazinyo nokunakekelwa kwezempilo ngokujwayelekile: ukufuna njalo indlela ephephe kunazo zonke, enobuthi yokufeza izinhloso zamazinyo wanamuhla futhi ukunakekelwa kwezempilo kwanamuhla futhi ukubona ukuxhumana okubalulekile phakathi kwempilo yomlomo nempilo yonke. Izinkolelo zokwelashwa kwamazinyo zebhayoloji zingazisa futhi zihlangane nazo zonke izihloko zokuxoxa ekunakekelweni kwezempilo, njengoba inhlalakahle yomlomo iyingxenye ebalulekile yempilo yomuntu wonke.

Odokotela bamazinyo begazi bakhuthaza ukwenziwa kwamazinyo aphephile e-mercury kanye ne-mercury futhi bahlose ukusiza abanye baqonde ukuthi la magama asho ukuthini empeleni ekusebenzeni komtholampilo:

  • I- “Mercury-free” igama elinemiphumela ebanzi ebanzi, kepha libhekisa kakhulu emikhubeni yamazinyo engafaki ukugcwaliswa kwamazinyo e-mercury zamazinyo.
  • “I-Mercury-safe” imvamisa ibhekisa emikhubeni yamazinyo esebenzisa izindlela zokuphepha ezintsha nezishubile ezisuselwa ocwaningweni lwezesayensi lwakamuva ukukhawulela ukuvezwa, njengasendabeni yokususa ukugcwaliswa kwamazinyo okwakukhona ngaphambili kwamazinyo bese kufakwa esikhundleni se-non-mercury ezinye izindlela.
  • Amazinyo “Biological” noma “Biocompatible” ngokuvamile abhekisa emikhubeni yamazinyo esebenzisa amazinyo angaphephile e-mercury kanye ne-mercury ngenkathi kubhekwa nomthelela wezimo zamazinyo, amadivayisi, kanye nokwelashwa kwezempilo yomlomo nohlelo, kufaka phakathi ukungahambelani kwezinto zokwelapha namasu .

Ngaphezu kokucatshangelwa kwe- izingozi zokugcwaliswa kwe-mercury nokungahambelani kwezinto zokwenziwa kwamazinyo (kufaka phakathi ukusetshenziswa kokungezwani komzimba nokuhlolwa kokuzwela), amazinyo ezinto eziphilayo aqhubeka nokubhekana nokuncishiswa kwensimbi okunzima kanye ne-chelation, ukudla okunomsoco nempilo yomlomo womlomo, i-galvanism yomlomo, ubungozi bokuchayeka kwe-topical ne-systemic fluoride, izinzuzo zokwelashwa kwe-periodontal therapy, ithonya lezindlela zokwelashwa kwezimpande empilweni yesiguli, kanye nokuxilongwa nokwelashwa kwe-neuralgia eheha i-cavitational osteonecrosis (NICO) ne-jawbone osteonecrosis (JON).

Ngaphakathi kobulungu bethu, odokotela bamazinyo be-IAOMT banamazinga ahlukahlukene okuqeqeshwa ngobudokotela bamazinyo obungenayo i-mercury, i-mercury-safe, ne-biological. Chofoza lapha ukuze funda kabanzi mayelana nodokotela wamazinyo webhayoloji.

Ubufakazi Bokudinga Ukuhlanganiswa Kwezempilo Ngomlomo

Imibiko eminingi yakamuva isungule ngokusobala ukuphuthuma kwempilo yomlomo ukuze ihlanganiswe kangcono nempilo yomphakathi. Eqinisweni, i-Healthy People 2020, iphrojekthi kaHulumeni wase-United States weHhovisi Lokuvimbela Izifo kanye Nokukhuthaza Ezempilo, ikhombe indawo esemqoka yokuthuthuka kwezempilo yomphakathi: ukukhulisa ukuqwashisa ngokubaluleka kwempilo yomlomo kuyo yonke impilo nempilo.1

Esinye isizathu salokhu kuqwashisa okudingekayo ukuthi izigidi zabantu baseMelika banesifo samazinyo, isifo se-periodontal, izinkinga zokuphefumula eziphazamisekile, izindebe ezivulekile nolwanga, ubuhlungu bomlomo nobuso, kanye nomdlavuza womlomo nowomlomo..2  Imiphumela engaba khona yalezi zimo zomlomo ibanga elide kakhulu. Isibonelo, isifo se-periodontal siyingcuphe yesifo sikashukela, isifo senhliziyo, isifo sokuphefumula, isifo sohlangothi, ukubeletha ngaphambi kwesikhathi kanye nezisindo zokuzalwa eziphansi.3 4 5  Ngokwengeziwe, izinkinga zempilo yomlomo ezinganeni zingaholela ekushodweni kokubheka, ubunzima esikoleni, nasezindabeni zokudla nezokulala.6  Futhi, izinkinga zempilo yomlomo kubantu abadala zingadala ukukhubazeka nokuncipha kokuhamba.7  Lezi yizibonelo ezimbalwa nje zemiphumela eyaziwayo yokungakhuli kahle kwezempilo yomlomo empilweni yonke.

Kuzo Umbiko we-2011 Ukuthuthukisa Impilo Yomlomo eMelika, i-Institute of Medicine (i-IOM) yenze kwacaca isidingo sokusebenzisana kwabezempilo. Ngaphezu kokwenza ngcono ukunakekelwa kweziguli, ukuhlanganiswa kwempilo yomlomo nezinye iziyalo kwaqashelwa njengendlela yokwehlisa izindleko zokunakekelwa kwezempilo.8  Ngaphezu kwalokho, i-IOM yaxwayisa ngokuthi ukwehlukaniswa kochwepheshe bamazinyo nabanye ochwepheshe bezempilo kabi ithonya impilo yeziguli.9  Ngokunembile, uSihlalo weKomidi Lokuqaliswa Kwezempilo Yomlomo uRichard Krugman wathi: “Uhlelo lwezempilo lomlomo lusancike kakhulu esimweni sokunakekelwa kwamazinyo esijwayelekile, esizimele — okuyisibonelo esingahlali sisebenza kakhulu kubantu baseMelika kahle. ”10

Iqiniso leziguli ezibekezelela imiphumela eyingozi ngenxa yokuthi impilo yomlomo ingafakwanga ezinhlelweni zezokwelapha liqinisekisiwe kweminye imibiko. Kwi ukuhlaziya okushicilelwe ku I-American Journal of Health Public, Leonard A. Cohen, DDS, MPH, MS, uchaze ukuthi iziguli ziyahlupheka lapho kungekho ukuxhumana phakathi kukadokotela wamazinyo nodokotela.11  Ngokuthakazelisayo, kuye kwabikwa ukuthi iziguli zifuna lokhu kuxhumeka kwenziwe, njengoba abacwaningi beshilo: “Njengoba intshisekelo ekunakekelweni kwezempilo okuhlanganisayo nasekusebenziseni izindlela zokwelapha ezihambisanayo nezinye eziqhubekayo zabathengi iqhubeka ikhula, ukukhathazeka kuye kwanda ngokuthi ochwepheshe bezempilo baziswa ngokwanele ngempilo ehlanganayo ukuze bakwazi ukunakekela iziguli ngempumelelo. ”12

Kusobala ukuthi iziguli kanye nodokotela bahlomulisana ngokuhlanganyela ngendlela ehlanganisiwe yezempilo yomlomo neyempilo yomphakathi. Okokuqala, izimo zempilo yomlomo zingakhombisa ezinye izinkinga zempilo kufaka phakathi ukuswela ukondleka komzimba, izifo ze-systemic, ukutheleleka ngamagciwane, ukuphazamiseka komzimba, ukulimala, kanye nezinye izinhlobo zomdlavuza.13  Okulandelayo, iziguli ezibekezelela izimpawu ezingezinhle ezivela ezimeni zempilo yomlomo ezinjengokutheleleka, ukuzwela kwamakhemikhali, i-TMJ (ukuphazamiseka okuhlangene kwe-temporomandibular), ubuhlungu be-craniofacial, nokuphazamiseka kokulala kungazuza ekusebenzisaneni phakathi kochwepheshe. Ukusebenzisana okunjalo kuye kwabizwa maqondana nezinkinga zomlomo ezivela ekwelashweni komdlavuza nakweminye imithi14 maqondana nezinto zokwakha ezingahambelani.15  Ukuhambisana kwe-biocompatential kubaluleke kakhulu ngoba ukungezwani komzimba nokwelashwa ngamazinyo kungaholela ezinxenyeni eziningi zezikhalazo zezempilo ezizimele nezizimisele16 kanye nomthelela kubantu abaningi baseMelika abazizigidi ezingama-21 namuhla.17  Kodwa-ke, lezi zibalo zingaphakama kakhulu ngoba izifundo zakamuva nemibiko zikhombisa ukuthi ukungezwani kwensimbi kuyanda.18 19

Ukuthuthukiswa Okubalulekile Kokuhlanganiswa Kwezempilo Yomlomo

Zonke lezi zimo nokuningi kunikeza ubufakazi bokuthi izingqinamba zezempilo yomlomo kumele zande kakhulu emfundweni nasekuqeqeshweni kwezokwelapha. Ngoba izikole zamazinyo nemfundo zihluke ngokuphelele ezikoleni zezokwelapha kanye nemfundo eqhubekayo, odokotela, abahlengikazi, nabanye ochwepheshe bezokunakekelwa kwezempilo imvamisa abanalwazi ngokunakekelwa kwezempilo ngomlomo, kufaka phakathi ukuqashelwa kwezifo zomlomo.20  Eqinisweni, kubikiwe ukuthi amahora angama-1-2 kuphela ngonyaka wezinhlelo zemithi yomndeni anikezwe imfundo yezempilo yamazinyo.21

Ukuntuleka kwemfundo nokuqeqeshwa kunemithelela ebanzi kwezempilo yomphakathi. Ngaphezu kwazo zonke izimo nezimo ezibalulwe ngenhla, eminye imiphumela ingahle ingabonakali. Isibonelo, iziguli eziningi ezinezikhalazo zamazinyo ezibonwa yiminyango yezimo eziphuthumayo zesibhedlela (i-ED) zivame ukubhekana nobuhlungu nokutheleleka, futhi ukungabi nalwazi kwe-ED ngempilo yomlomo kushiwo njenge umnikeli opiate ukuncika nokumelana nemithi elwa namagciwane.22

Lokhu kushoda kokuqwashisa kubonakala kungenxa yokushoda kwamathuba. Ngenkathi abasebenza bekhombisa intshisekelo nokuqeqeshwa ngempilo yomlomo, lesi sihloko ngokwendabuko asizange sinikezwe ezifundweni zezikole zezokwelapha.23  Kodwa-ke, kukhuthazwe ushintsho, njengoSihlalo weKomidi le-Oral Health Initiative Richard Krugman: “Kuningi okusamele kwenziwe ukweseka imfundo nokuqeqeshwa kwabo bonke ochwepheshe bezokunakekelwa kwezempilo ekunakekelweni kwezempilo ngomlomo nokukhuthaza imikhakha eyahlukene, esekwe emaqenjini. kusondela.24

Isikhuthazo sezinguquko ezinjalo eziphuthumayo sibonakala sinomthelela. Ezinye izibonelo ezintsha zamamodeli nezinhlaka ezikhona zakha ikusasa elisha ekuhlanganisweni kwempilo yomlomo neyomphakathi. I-IAOMT iyingxenye yaleli kusasa elizayo futhi igqugquzela ukubambisana okusebenzayo phakathi kodokotela bamazinyo nabanye ochwepheshe bezempilo ukuze iziguli zikwazi ukuthola izinga lezempilo elilingene.

Yabelana ngalesi sihloko EMithonjeni Yezokuxhumana