ngaka ea meno, IAOMT e khothaletsa kopanyo ea bophelo bo botle ba molomo, ofisi ea meno, mokuli, seipone sa molomo, seipone sa meno, molomo, lipatlisiso tsa meno, meno

IAOMT e khothaletsa kopanyo ea bophelo bo botle ba molomo

Le ha lefu la periodontal le amoheloa ke sechaba sa bongaka bakeng sa karolo ea lona mathateng a pelo le lefu la tsoekere, litlamorao tsa maemo a mang a meno le lisebelisoa ho bophelo bo botle ba 'mele ha li so tsejoe haholo. Leha ho le joalo, kaha molomo ke tsela e kenang tšilong ea lijo, ha hoa lokela ho makatsa hore se etsahalang molomong oa molomo se ama 'mele oohle (ka lehlakoreng le leng, joalo ka tabeng ea lefu la tsoekere). Le ha ho ka utloahala ho hlakile hore maemo a meno le lisebelisoa li ka susumetsa sistimi eohle ea motho, ho na le tlhoko e hlakileng ea sechaba sa bongaka se tloaelehileng, baetsi ba melao le sechaba ho rutoa ka nnete ena.

Likokoana-hloko tsa likokoana-hloko le ho kopanya bophelo ba molomo

Bongaka ba meno ha bo khethehe ka ho khetheha, empa ke mokhoa oa ho nahana le boits'oaro bo ka sebetsang likarolong tsohle tsa boits'oaro ba meno le tlhokomelo ea bophelo ka kakaretso: ho lula u batla tsela e bolokehileng ka ho fetesisa e nang le chefo ea ho fihlela sepheo sa bongaka ba meno ba sejoale-joale. ea tlhokomelo ea bophelo ea sejoale-joale 'me ho amohela likhokahano tsa bohlokoa lipakeng tsa bophelo bo botle ba molomo le bophelo bo botle ka kakaretso. Lithuto tsa bongaka ba meno li ka fana ka tsebo le ho hokahana le lihlooho tsohle tsa moqoqo tlhokomelong ea bophelo, kaha boiketlo ba molomo ke karolo ea bohlokoa ea bophelo ba motho ea felletseng.

Lingaka tsa meno tsa likokoana-hloko li khothaletsa mokhoa oa ho phekola meno ntle le mercury ebile li ikemiselitse ho thusa ba bang ho utloisisa hore na mantsoe ana a bolelang molemong oa ts'ebeliso ea bongaka:

  • "Mercury-free" ke lentsoe le nang le litlamorao tse fapaneng, empa hangata le bolela litloaelo tsa meno tse sa beheng meno a meno.
  • "Mercury safe" hangata e bua ka litloaelo tsa meno tse sebelisang mehato e metle le e matla ea polokeho e ipapisitseng le lipatlisiso tsa morao-rao tsa mahlale ho fokotsa ho pepeseha, joalo ka ha ho tlosoa meno a neng a le teng nakong e fetileng a mercury le ho a nkela sebaka eseng a mercury mekhoa e meng.
  • Bongaka ba meno bo "Biological" kapa "Biocompatible" hangata bo bua ka litloaelo tsa meno tse sebelisang meno e sa sebeliseng mercury le mercury e bolokehileng ha li ntse li nahana ka litlamorao tsa maemo a meno, lisebelisoa le kalafo bophelong ba molomo le ba sistimi, ho kenyeletsoa ho tsamaellana ha lisebelisoa tsa meno le mekhoa .

Ntle le ho nahaneloa bakeng sa likotsi tsa ho tlatsoa ha mercury le tšebeliso ea biocompatibility ea lisebelisoa tsa meno (ho kenyeletsoa ts'ebeliso ea liteko tsa ho kula le kutlo), lingaka tsa meno li tsoela pele ho sebetsana le ho tlosoa ha tšepe e matla le chelation, phepo e nepahetseng le bophelo bo botle ba molomo, galvanism ea molomo, likotsi tsa ho pepeseha ha lihlooho tsa lihlooho le tsa tsamaiso ea fluoride, melemo ea kalafo ea nako ea tlhaho, tšusumetso ea kalafo ea methapo ea bophelo bo botle ba mokuli, le tlhahlobo le kalafo ea neuralgia e hlohlelletsang cavitational osteonecrosis (NICO) le jawbone osteonecrosis (JON).

Ka hare ho litho tsa rona, lingaka tsa meno tsa IAOMT li na le maemo a fapaneng a koetliso lithutong tsa meno tse se nang mercury, tse sireletsehileng ka mercury le tsa tlhaho. Tlanya mona ho ithute haholoanyane ka bongaka ba meno.

Bopaki ba Tlhokahalo ea Khokahano ea Bophelo bo Botle ba Molomo

Litlaleho tse 'maloa tsa haufinyane li netefalitse ka ho hlaka ho potlaka ha bophelo bo botle ba molomo hore bo kenngoe hantle bophelong bo botle ba sechaba. Ebile, Batho ba Phetseng Hantle 2020, e leng projeke ea Ofisi ea Thibelo ea Mafu le Khothaletso ea Bophelo ea mmuso oa Amerika, e supile karolo ea bohlokoa ea ntlafatso ea bophelo bo botle ba sechaba: ho eketsa tlhokomeliso mabapi le bohlokoa ba bophelo bo botle ba molomo ka kakaretso bophelo bo botle le boiketlo.1

Lebaka le leng la tlhokomeliso ena e hlokahalang ke hore Ma-Amerika a limilione a na le caries ea meno, lefu la periodontal, mathata a ho phefumoloha a boroko, ho petsoha ha molomo le mahalapa, bohloko ba molomo le sefahleho, le mofets'e oa molomo le oa pharyngeal..2  Liphetho tse ka bang teng tsa maemo ana a molomo li hole haholo. Ka mohlala, lefu la periodontal ke sesosa sa kotsi sa lefu la tsoekere, lefu la pelo, lefu la ho hema, setorouku, ho beleha pele ho nako le boima bo tlase ba tsoalo.3 4 5  Ntle le moo, mathata a bophelo bo botle ba molomo ho bana a ka lebisa khaellong ea tlhokomelo, bothata ba sekolo, le litaba tsa lijo le tsa boroko.6  Hape, mathata a bophelo bo botle ba molomo ho batho ba baholo a ka baka bokooa le phokotso ea motsamao.7  Ena ke mehlala e 'maloa feela ea litla-morao tse tsebahalang tsa bophelo bo botle ba molomo bo holofetseng ka kakaretso.

Ho bona tlaleho 2011 Ho ntšetsa pele Bophelo bo Botle ba Molomo Amerika, Setheo sa Bongaka (IOM) se hlakisitse tlhokeho ea ts'ebelisano 'moho le litsebi. Ntle le ho ntlafatsa tlhokomelo ea bakuli, kopanyo ea bophelo bo botle ba molomo le likarolo tse ling e ile ea ananeloa e le mokhoa oa ho fokotsa litšenyehelo tsa tlhokomelo ea bophelo.8  Ho feta moo, IOM e ile ea lemosa hore karohano ea litsebi tsa meno le litsebi tse ling tsa tlhokomelo ea bophelo hampe e susumetsa bophelo bo botle ba bakuli.9  Ka nepo, Molula-setulo oa Komiti ea Leano la Bophelo bo Botle ka Molomo Richard Krugman o itse: “Sistimi ea bophelo bo botle ba molomo e ntse e ipapisitse le mokhoa oa setso oa tlhokomelo ea meno o ikemetseng - mohlala o sa sebeliseng likarolo tse ngata tsa batho ba Amerika khafetsa. hantle. ”10

Netefatso ea bakuli ba mamelletseng litlamorao tse mpe ka lebaka la bophelo bo botle ba molomo ba qheleloa ka thoko mananeong a bongaka e netefalitsoe litlalehong tse ling. Ka tlhaloso e phatlalalitsoeng ho Journal ea Amerika ea Bophelo ba Sechaba, Leonard A. Cohen, DDS, MPH, MS, o hlalositse hore bakuli ba utloa bohloko ha ho se na kamano lipakeng tsa ngaka ea meno le ngaka.11  Ho khahlisang ke hore ho tlalehiloe hore bakuli ba batla khokahano ena hore e etsoe, joalo ka ha bafuputsi ba hlokometse: "Ha thahasello ea tlhokomelo ea bophelo bo botle le ts'ebeliso ea litlhare tse tlatselletsang le tse ling tsa bareki e ntse e tsoela pele ho hola, ngongoreho e eketsehile hore litsebi tsa bophelo bo botle li tsebisoe ka ho lekana mabapi le bophelo bo kopanetsoeng e le hore ba tsebe ho hlokomela bakuli ka katleho. ”12

Ho totobetse hore bakuli le lingaka ba thusana ka mokhoa o kopaneng oa bophelo bo botle ba molomo le bophelo bo botle ba sechaba. Taba ea mantlha, maemo a bophelo bo botle ba molomo a ka supa mathata a mang a bophelo bo botle a kenyeletsang bofokoli ba phepo e nepahetseng, maloetse a sistimi, tšoaetso ea likokoana-hloko, mathata a boits'ireletso ba mmele, likotsi le mefuta e meng ea mofetše.13  Ka mor'a moo, bakuli ba mamellang matšoao a bohloko a tsoang maemong a bophelo bo botle ba molomo a kang ho tšoaetsoa, ​​ho hlaseloa ke lik'hemik'hale, TMJ (mathata a kopaneng a temporomandibular), bohloko ba craniofacial le mathata a ho robala a ka una molemo ka ts'ebelisano 'moho le litsebi. Tšebelisano 'moho e boetse e bile teng mabapi le mathata a molomo a tsoang kalafong ea mofets'e le meriana e meng14 le mabapi le thepa e lumellanang habeli.15  Ts'ebetsong ea biocompatibility e bohlokoa haholo hobane meno ea meno a meno e ka baka litletlebo tse ngata tse ikhethileng tsa bophelo bo botle16 le tšusumetso ho batho ba Amerika ba limilione tse 21 kajeno.17  Leha ho le joalo, lipalo tsena li kanna tsa ba tsa phahama le ho feta hobane lithuto le litlaleho tsa morao-rao li bontša hore alejiki a tšepe a ntse a eketseha.18 19

Lintlafatso tsa Bohlokoa Bakeng sa Khokahano ea Bophelo bo Botle ba Molomo

Maemo ana kaofela le a mang a fana ka bopaki ba hore litaba tsa bophelo bo botle ba molomo li tlameha ho ata haholo thutong ea bongaka le koetlisong. Hobane likolo tsa meno le thuto li arohane ka ho felletseng le likolo tsa bongaka le thuto e tsoelang pele, lingaka, baoki le litsebi tse ling tsa tlhokomelo ea bophelo hangata ha ba na tsebo mabapi le tlhokomelo ea bophelo bo botle ba molomo, ho kenyelletsa le ho amohela mafu a molomo.20  Ebile, ho tlalehiloe hore ke lihora tse 1-2 feela ka selemo tsa mananeo a meriana ea malapa a abeloang thuto ea bophelo bo botle ba meno.21

Khaello ea thuto le koetliso e na le litlamorao tse pharalletseng bakeng sa bophelo bo botle ba sechaba. Ntle le maemo le maemo a boletsoeng kaholimo, litlamorao tse ling li kanna tsa se hlake. Mohlala, bakuli ba bangata ba nang le litletlebo tsa meno tse bonoang ke mafapha a tšohanyetso a sepetlele (ED) hangata ba na le bohloko le ts'oaetso, mme ho haella ha tsebo ea ED mabapi le bophelo bo botle ba molomo ho boletsoe e le tlatsetso ho opiate ho itšetleha le lithibela-mafu.22

Khaello ena ea tlhokomeliso e bonahala e bakoa ke khaello ea monyetla. Le ha litsebi li bontšitse thahasello le koetliso mabapi le bophelo bo botle ba molomo, taba ena ka tloaelo ha e so fanoe mananeong a thuto ea bongaka.23  Leha ho le joalo, liphetoho li khothalelitsoe joalo ka Molula-setulo oa Komiti ea Morero oa Bophelo bo Botle ba Molomo Richard Krugman: atamela.24

Khothatso ea liphetoho tse joalo tse potlakileng e bonahala e na le phello. Mehlala e meng e mecha ea mefuta e teng le meralo e ntse e theha bokamoso bo bocha kopanong ea bophelo bo botle ba molomo le ba sechaba. IAOMT ke karolo ea bokamoso bona bo bocha mme e khothaletsa tšebelisano 'moho lipakeng tsa lingaka tsa meno le litsebi tse ling tsa bophelo bo botle e le hore bakuli ba ka ba le boemo bo botle ba bophelo bo botle.

Arolelana sehlooho sena liphatlalatsong tsa sechaba