Litlhahiso tsa protocol ea IAOMT bakeng sa ho tlosoa ha amalgam li tsejoa e le Safe Mercury Amalgam Removal Technique (SMART). Hlokomela hore SMART e hlahisoa e le sehlopha sa likhothaletso. Basebetsi ba nang le laesense ba tlameha ho sebelisa kahlolo ea bona mabapi le mekhoa e khethehileng ea kalafo eo ba ka e sebelisang mekhoeng ea bona. Litlhahiso tsa protocol ea SMART li kenyelletsa mehato e latelang, e thathamisitsoeng mona le lipatlisiso tsa mahlale: 

Griffin Cole, DDS e etsa Leano la Tloso ea Mercury Amalgam

Litlhahiso tsa IAOMT tse sireletsehileng tsa amalgam tsa ho tlosa protocol li sa tsoa nchafatsoa ka la 19 Phupu 2019. Hape, ka la 1 Phupu, 2016, likhothaletso tsa protocol ea IAOMT li ile tsa reoa semmuso hore ke Safe Mercury Amalgam Removal Technique (SMART), le thupelo ea lingaka tsa meno tsa IAOMT ho netefatsoa ho SMART ho qaliloe.

Lits'ireletso tsohle tsa amalgam tsa meno li na le mercury e ka bang 50%,1 le litlaleho le lipatlisiso lia lumellana hore ho tlatsoa hona ho ntša mouoane oa mercury.2-16

Phuputso ea mahlale e bonts'a hore meno ea mercury amalgam e pepesa litsebi tsa meno, basebetsi ba meno, bakuli ba meno, le / kapa li-fetus ho hlahisa mouoane oa mercury, mercury e nang le likaroloana, le / kapa mefuta e meng ea ts'oaetso ea mercury.4-48

Ho feta moo, mouoane oa mercury o tsebahala hore o ka lokolloa menoaneng ea meno e kenang ka bongata maemong a holimo nakong ea borashe, ho hloekisa, ho koenya meno, ho hlafuna, jj.5, 14, 15, 24, 30, 49-54 'me mercury e boetse e tsejoa hore e tla lokolloa nakong ea ho beoa, ho nkeloa sebaka le ho tlosoa hoa meno ea mercury ea amalgam.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60

Ha e sebelisa bopaki bo fumanehang ba mahlale, IAOMT e hlahisitse likhothaletso tse pharalletseng tsa polokeho bakeng sa ho tlosa litlhare tse teng tsa meno tsa mercury, ho kenyeletsoa le mehato e hlakileng ea ts'ireletso e lokelang ho sebelisoa molemong oa ts'ebetso. Litlhahiso tsa IAOMT li thehiloe mekhoeng e tloahelehileng ea ho tlosa li-amalgam joalo ka ts'ebeliso ea limaske, nosetso ea metsi le ho monya molumo o phahameng ka ho tlatselletsa maano ana a tloaelehileng ka mehato e meng e mengata ea ts'ireletso, tlhoko ea eona e sa tsoa fumanoa lipatlisisong tsa mahlale.

  • Sekhahla sa amalgam se tlameha ho kenngoa hantle, se sebelisoe le ho bolokoa ho bokella litšila tsa mercury e le hore se se ke sa tsoa maling ho tsoa ofising ea meno.25, 61-73
  • Kamore e 'ngoe le e' ngoe moo ho tlatsoa ha mercury ho tlosoang e tlameha ho ba le karafo e lekaneng29, 74-76 e hlokang mokhoa o phahameng oa ho hloekisa moea (joalo ka mohloli oa molomo oa aerosol) o khonang ho tlosa mouoane oa mercury le li-amalgam tse entsoeng nakong ea ho tlatsoa ha mercury e le 'ngoe kapa ho feta.45, 77
  • Haeba ho khonahala, lifensetere li lokela ho buloa ho fokotsa khatello ea mercury moeeng.29, 77-79
  • Mokuli o tla fuoa slurry ea mashala, chlorella, kapa adsorbent e ts'oanang ho hlatsoa le ho koenya pele ho ts'ebetso (ntle le haeba mokuli a hana kapa ho na le litemoso tse ling tse etsang hore sena se se ke sa nepahala).77, 80, 81
  • Liaparo tsa ho itšireletsa le likoahelo tsa ngaka ea meno,25, 45 basebetsi ba meno,25, 45 le mokuli45 tlameha ho ba sebakeng. Bohle ba teng ka phapusing ba tlameha ho sirelletsoa hobane bongata ba likaroloana tse hlahisitsoeng nakong ea ts'ebetso li tla qoba ho bokelloa ke lisebelisoa tsa ho hula.36, 45 Ho bonts'itsoe hore likaroloana tsena li ka hasana ho tloha molomong oa mokuli ho ea matsohong, matsoho, sefahleho, sefuba le likarolo tse ling tsa mmele oa mosebeletsi oa meno le oa mokuli.45
  • Liatlana tsa nitrile tse seng latex li tlameha ho sebelisoa ke ngaka ea meno le basebetsi bohle ba meno ka phapusing.45, 46, 77, 82, 83-XNUMX
  • Lithebe tsa sefahleho le moriri / lihlooho tse koahelang li lokela ho sebelisoa ke ngaka ea meno le basebetsi bohle ba meno ka phapusing.45, 77, 80
  • Ebang maske e tiisitsoeng hantle, ea phefumoloho e lekantsoeng ho nka mercury kapa khatello e ntle, maske e tiisitsoeng hantle e fanang ka moea kapa oksijene e tlameha ho roaloa ke ngaka ea meno le basebetsi bohle ba meno ka phapusing.36, 45, 76, 77
  • Bakeng sa ho sireletsa letlalo le liaparo tsa mokuli, 'mele o felletseng, mokoallo o ke keng oa kenella, hammoho le mokoallo o felletseng oa hlooho / sefahleho / molala tlasa / haufi le letamo, o hloka ho sebelisoa.45, 77, 80
  • Moea o kantle kapa oksijene e tlisoang ka mask oa nko bakeng sa mokuli le eona e hloka ho sebelisoa ho tiisa hore mokuli ha a hule mouoane oa mercury kapa amalgam likaroloana nakong ea ts'ebetso.45, 77, 80 Nko ea nko ke mokhoa o mong o amohelehang bakeng sa morero ona ha feela nko ea mokuli e koahetsoe ka ho felletseng ke tšitiso e sa keneng.
  • Letamo la meno74-76, 84-87 eo e entsoe ka lintho tse bonahalang tse seng-latex nitrile45, 77, 83 e tlameha ho beoa ebe e koaloa hantle molomong oa mokuli.
  • Mochini o hlatsoang mathe o tlameha ho beoa tlasa letamo la meno ho fokotsa ho pepesehela mokuli mercury.45, 77
  • Nakong ea ho tlatsoa ha amalgam, ngaka ea meno e tlameha ho sebelisa lephaka la mohloli oa molomo oa molomo haufi le sebaka sa ts'ebetso (ke hore, lisenthimithara tse peli ho isa ho tse 'ne ho tloha molomong oa mokuli) ho fokotsa ho pepeseha ha mercury.45, 88
  • Phallo e potlakileng e hlahisa lits'oants'o tse ntle ha e kentsoe sesebelisoa sa Hloekisa,45, 87 e sa tlameheng empa e ratoa.
  • Metsi a mangata ho fokotsa mocheso45, 74, 76, 77, 86, 89-91 le sesebedisoa se tloaelehileng sa phallo e potlakileng ho ts'oara litšollo tsa mercury25, 29, 45, 74-77, 86, 90, 91 li hlokahala ho fokotsa maemo a mercury a haufi.46
  • The amalgam e hloka ho aroloa ka likarolo ebe e tlosoa ka likotoana tse ngata kamoo ho ka khonehang,45, 74, 77, 80 ho sebedisa mochini o monyane oa bophara ba carbide.29, 86
  • Hang ha ts'ebetso ea ho tlosa e felile, molomo oa mokuli o lokela ho tšeloa metsi hantle77, 80 ebe o hlatsuoa ka lesela la mashala, chlorella kapa adsorbent e tšoanang.81
  • Lingaka tsa meno li tlameha ho latela melaoana ea mmuso, ea naha le ea lehae e sebetsanang le ts'ebetso e nepahetseng, ho hloekisa le / kapa ho lahla likarolo tse silafalitsoeng ke mercury, liaparo, lisebelisoa, bokaholimo ba kamoreng le fatše ofising ea meno.
  • Nakong ea ho buloa le ho hlokomeloa ha maraba a hulang libakeng tsa ts'ebetso kapa setsing se seholo sa ho hula, basebetsi ba meno ba lokela ho sebelisa lisebelisoa tse loketseng tsa ts'ireletso ea botho tse hlalositsoeng kaholimo.

Ho bohlokoa ho hlokomela hore joalo ka tlhokomelo ea polokeho, IAOMT ha e khothaletse tlatsetso ea amalgam bakeng sa basali ba baimana kapa ba anyesang le hore IAOMT ha e khothaletse basebetsi ba meno ba imeng kapa ba anyesang ba sebetse ba sitisang amalgam ho tlatsa (ho kenyelletsa le ho tlosoa ha bona).

Ho ithuta haholoanyane ka SMART le ho bona livideo tsa SMART li sebelisoa ts'ebetsong, etela www.khethahelonp.com

Ho ithuta lintlha ka mercury ea meno e tsoang ho IAOMT, etela:  https://iaomt.org/resources/dental-mercury-facts/

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