Ukwelashwa ngokukhanya ngomlomo, ngendlela yama-lasers asezingeni eliphansi nama-LED, sekusetshenziswe amazinyo amashumi eminyaka manje.Njengelinye lamagatsha afundwe kahle kakhulu ezempilo yomlomo, ukusesha okusheshayo ku-inthanethi (kusukela ngo-2016) kuthola izinkulungwane zezifundo ezivela emazweni emhlabeni jikelele ezinamakhulu ngaphezulu njalo ngonyaka.
Izinga lezifundo kulo mkhakha liyahlukahluka, kusukela ekuhlolweni kokuqala kuya ezifundweni ezilawulwa yi-placebo eziyimpumputhe kabili.Naphezu kwalokhu bubanzi bocwaningo lwesayensi kanye nokusetshenziswa komtholampilo okusabalele, ukwelapha okukhanyayo kwasekhaya kwezindaba zomlomo akukakasakazeki, ngenxa yezizathu ezihlukahlukene.Ingabe abantu kufanele baqale ukwenza ukwelapha okukhanyayo ngomlomo ekhaya?
Inhlanzeko yomlomo: ingabe ukwelapha ukukhanya okubomvu kuqhathaniswa nokuxubha amazinyo?
Okunye okutholwe okumangaza kakhulu ekuhloleni izincwadi ukuthi ukwelashwa okukhanyayo kumaza amaza athile kunciphisa ukubalwa kwamagciwane omlomo nama-biofilms.Kwezinye, kodwa hhayi zonke, izimo ngokwezinga elikhulu kunokuxubha/ukugeza umlomo okuvamile.
Ucwaningo olwenziwe kule ndawo ngokuvamile lugxile kumagciwane avame ukuthinteka kakhulu ekuboleni kwamazinyo / emigodini (i-Streptococci, Lactobacilli) kanye nezifo zamazinyo (i-enterococci - uhlobo lwamagciwane axhumene namathumba, izifo zezimpande zezimpande nokunye).Ukukhanya okubomvu (noma i-infrared, 600-1000nm range) kubonakala kusiza ngisho nezinkinga zolimi ezimhlophe noma ezimboziwe, ezingabangelwa izinto ezimbalwa ezihlanganisa imvubelo namagciwane.
Nakuba izifundo zebhaktheriya kule ndawo zisandulela, ubufakazi buyathakazelisa.Izifundo kwezinye izindawo zomzimba nazo zikhomba kulo msebenzi wokukhanya okubomvu ekuvimbeleni izifo.Ingabe yisikhathi sokwengeza ukwelashwa kwesibani esibomvu esimisweni sakho sokuhlanzeka komlomo?
Ukuzwela kwamazinyo: ukukhanya okubomvu kungasiza?
Ukuba nezinyo elibucayi kuyacindezela futhi kunciphisa ngokuqondile izinga lempilo - umuntu ohlukumezekile akasakwazi ukujabulela izinto ezifana no-ayisikhilimu nekhofi.Ngisho nokuphefumula nje ngomlomo kungabangela ubuhlungu.Abantu abaningi abahlushwayo bazwela amakhaza, kodwa idlanzana linokuzwela okushisayo okuvame ukuba kubi kakhulu.
Kunenqwaba yezifundo zokwelapha amazinyo azwelayo (aka i-dentin hypersensitivity) ngokukhanya okubomvu ne-infrared, okunemiphumela ethokozisayo.Isizathu sokuthi abacwaningi ekuqaleni babe nesithakazelo kulokhu yingoba ngokungafani nongqimba lwamazinyo koqweqwe lwawo, ungqimba lwe-dentin luvuselela impilo yonke ngenqubo ebizwa ngokuthi i-dentinogenesis.Abanye bakholelwa ukuthi ukukhanya okubomvu kunamandla okuthuthukisa kokubili ijubane nokusebenza kwale nqubo, kusebenzela ukuthuthukisa umzimba kuma-odontoblasts - amangqamuzana emazinyweni abhekene ne-dentinogenesis.
Uma sicabanga ukuthi akukho ukugcwaliswa noma into yangaphandle engavimba noma iphazamise ukukhiqizwa kwe-dentin, ukwelashwa kokukhanya okubomvu kuyinto ethokozisayo ukubheka empini yakho ngamazinyo abucayi.
Ukuqaqamba kwamazinyo: ukukhanya okubomvu uma kuqhathaniswa namaphilisi ezinhlungu avamile?
Ukwelashwa kokukhanya okubomvu kufundwa kahle ngezinkinga zobuhlungu.Lokhu kuyiqiniso ngamazinyo, njenganoma iyiphi enye indawo emzimbeni.Eqinisweni, odokotela bamazinyo basebenzisa ama-laser asezingeni eliphansi emitholampilo ngale njongo.
Abasekeli bathi ukukhanya akusizi nje ngezimpawu zobuhlungu, bathi empeleni kusiza emazingeni ahlukahlukene ukwelapha imbangela (njengoba sekushiwo - okungase kubulale amagciwane kanye nokwakha kabusha amazinyo, njll.).
Izinsimbi Zamazinyo: ukwelashwa kokukhanya ngomlomo kuyasiza?
Iningi lezifundo eziphelele emkhakheni we-oral light therapy zigxile kuma-orthodontics.Akumangazi ukuthi abacwaningi banesithakazelo kulokhu, ngoba kunobufakazi bokuthi isivinini sokunyakaza kwamazinyo kubantu abanezinsimbi singase senyuke lapho kufakwa ukukhanya okubomvu.Lokhu kusho ukuthi ngokusebenzisa idivayisi efanelekile yokwelapha ukukhanya, ungase ukwazi ukususa izisekelo zakho ngokushesha futhi ubuyele ekujabuleleni ukudla nokuphila.
Njengoba kushiwo ngenhla, ukukhanya okubomvu okuvela kudivayisi efanelekile kungasiza ekwehliseni izinhlungu, okuwumphumela ohlangothini obaluleke kakhulu novamile wokwelashwa kwamazinyo.Cishe wonke umuntu ogqoka izinsimbi unobuhlungu obuphakathi nobukhulu emlonyeni wabo, cishe nsuku zonke.Lokhu kungaba nomthelela omubi ukuthi yikuphi ukudla abakulungele ukukudla futhi kungabangela ukuncika kumaphilisi ezinhlungu endabuko afana ne-ibuprofen ne-paracetamol.Ukwelashwa okukhanyayo kuwumbono othokozisayo futhi ongajwayelekile ongase usize ngobuhlungu obuvela kuma-brace.
Ukulimala kwamazinyo, izinsini namathambo: ithuba elingcono lokuphulukiswa ngesibani esibomvu?
Ukulimala kwamazinyo, izinsini, imisipha namathambo akusekelayo, kungenzeka ngenxa yezizathu ezihlukahlukene, okuhlanganisa ukubola kwemvelo, ukuhlukumezeka ngokomzimba, isifo sezinsini nokuhlinzwa kokufakelwa.Sikhulume ngenhla mayelana nokukhanya okubomvu okungenzeka kuphulukise ungqimba lwe-dentin lwamazinyo kodwa futhi kubonise isithembiso kulezi ezinye izindawo zomlomo.
Ucwaningo oluningana lubheka ukuthi ukukhanya okubomvu kungasheshisa ukuphulukiswa kwamanxeba futhi kunciphise ukuvuvukala ezinsinini.Ezinye izifundo zize zibheke amandla okuqinisa amathambo e-periodontal ngaphandle kwesidingo sokuhlinzwa.Eqinisweni, ukukhanya okubomvu ne-infrared kokubili kufundwe kahle kwenye indawo emzimbeni ngenjongo yokuthuthukisa ukuminyana kwamathambo (ngokuthi kusebenzisana namaseli e-osteoblast - amaseli abhekele ukuhlanganiswa kwamathambo).
I-hypothesis ehamba phambili echaza ukwelapha ukukhanya ithi ekugcineni kuholela emazingeni aphezulu e-ATP yamaselula, okuvumela ama-osteoblasts enze imisebenzi yawo eyinhloko ekhethekile (yokwakha i-collagen matrix futhi ayigcwalise ngamaminerali amathambo).
Ilambu elibomvu lisebenza kanjani emzimbeni?
Kungase kubonakale kuxakile ukuthi ukwelashwa okulula kufundelwa cishe zonke izinkinga zempilo yomlomo, uma ungawazi umshini.Ukukhanya okubomvu nokuseduze kwe-infrared kucatshangwa ukuthi kusebenza ngokuyinhloko ku-mitochondria yamaseli, okuholela ekukhiqizeni amandla amakhulu (ATP).Noma yiliphi iseli eline-mitochondria, ngokombono, lizobona inzuzo ethile ekwelapheni ukukhanya okufanele.
Ukukhiqizwa kwamandla kuyisisekelo empilweni kanye nesakhiwo/umsebenzi wamaseli.Ngokukhethekile, ukukhanya okubomvu kwesithombe kuhlanganisa i-nitric oxide kumamolekyuli e-cytochrome c oxidase metabolism ngaphakathi kwe-mitochondria.I-nitric oxide 'iyi-hormone yokucindezeleka' ngoba ikhawulela ukukhiqizwa kwamandla - ukukhanya okubomvu kuyawuchitha lo mphumela.
Kunamanye amazinga okucatshangwa ukuthi ukukhanya okubomvu kuyasebenza kuwo, njengokuthi mhlawumbe ngcono ukushuba kwesimo se-cytoplasm yeseli, ukukhulula amanani amancane ezinhlobo zomoya-mpilo osebenzayo (ROS), njll., kodwa eliyinhloko likhulisa ukukhiqizwa kwe-ATP nge-nitric oxide. ukuvimbela.
Ukukhanya okufanelekile kokwelashwa kokukhanya ngomlomo?
Ubude obuhlukahlukene bamaza buboniswa busebenza kahle, okufaka phakathi u-630nm, 685nm, 810nm, 830nm, njll. Ucwaningo oluningana luqhathanisa amalaser nama-LED, abonisa imiphumela elinganayo (futhi kwezinye izimo ephakeme) yempilo yomlomo.Ama-LED ashibhile kakhulu, akwazi ukusetshenziswa ekhaya.
Isidingo esiyinhloko sokwelashwa kokukhanya komlomo yikhono lokukhanya lokungena emathangeni esihlathini, bese liphinde lingene ezinsini, koqweqwe lwawo namathambo.Isikhumba kanye nezicubu ze-surance zivimba u-90-95% wokukhanya okungenayo.Ngakho-ke imithombo yokukhanya enamandla iyadingeka ngokuphathelene nama-LED.Imishini yokukhanya ebuthakathaka ingaba nomthelela kuphela ezindabeni ezingaphezulu;ukungakwazi ukuqeda izifo ezijulile, ukwelapha izinsini, amathambo kanye nobunzima bokufinyelela amazinyo e-molar.
Uma ukukhanya kungangena entendeni yesandla sakho ngezinga elithile kuzofaneleka ukungena ezihlathini zakho.Ukukhanya kwe-infrared kungena ekujuleni okukhulu kunokukhanya okubomvu, nakuba amandla okukhanya ehlala eyisici esiyinhloko ekungeneni.
Ngakho-ke kungabonakala kufanelekile ukusebenzisa ukukhanya kwe-LED okubomvu/okubomvu okuvela emthonjeni ogxilile (50 – 200mW/cm² noma ukuminyana kwamandla amaningi).Amadivayisi wamandla aphansi angasetshenziswa, kodwa isikhathi sohlelo lokusebenza esisebenzayo singaba phezulu kakhulu.
Umugqa ongezansi
Ukukhanya okubomvu noma kwe-infraredkuhlolwa izingxenye ezihlukahlukene zezinyo nezinsini, futhi mayelana nokubalwa kwamagciwane.
Amaza afanele angama-600-1000nm.
Ama-LED nama-lasers afakazelwa ezifundweni.
Ukwelashwa okukhanyayo kufanelekile ukubheka izinto ezifana;amazinyo azwelayo, amazinyo abuhlungu, izifo, inhlanzeko yomlomo ngokuvamile, ukulimala kwamazinyo/izinsini...
Abantu abanama-braces bazoba nentshisekelo kolunye ucwaningo.
Ama-LED abomvu nawe-infrared womabili afundelwa ukwelapha ukukhanya komlomo.Kudingeka izibani ezinamandla ukuze kungene isihlathi/izinsini.
Isikhathi sokuthumela: Oct-10-2022