Awọn iṣeduro ilana IAOMT fun yiyọkuro amalgam ni a mọ ni Imọ-ẹrọ Iyọkuro Amal Mercury Safe (SMART). Akiyesi pe a gbekalẹ SMART gẹgẹbi ṣeto awọn iṣeduro. Awọn oṣiṣẹ iwe-aṣẹ gbọdọ ṣe adaṣe idajọ tiwọn nipa awọn aṣayan itọju pato lati lo ninu awọn iṣe wọn. Awọn iṣeduro ilana SMART pẹlu awọn igbese wọnyi, eyiti a ṣe akojọ si nibi pẹlu iwadi ijinle sayensi: 

Griffin Cole, DDS ti o n ṣe Ọna Iyọkuro Makiuri Amalgam

Awọn iṣeduro ilana ilana imukuro amalgam ailewu IAOMT ti ni imudojuiwọn julọ ni Oṣu Keje 19, 2019. Pẹlupẹlu, ni Oṣu Keje 1, 2016, awọn iṣeduro ilana IAOMT ni a tun lorukọ ni gbangba gẹgẹbi Safe Mercury Amalgam Removal Technique (SMART), ati ikẹkọ ikẹkọ fun awọn onísègùn IAOMT lati di ifọwọsi ni SMART ti bẹrẹ.

Gbogbo awọn atunse amalgam ehin ni to iwọn 50% mercury,1 ati awọn iroyin ati iwadi wa ni ibamu pe awọn kikun wọnyi njade awọn vapors Makiuri.2-16

Iwadi ijinle sayensi ṣe afihan pe amalgam ti ehín ṣafihan awọn akosemose ehín, oṣiṣẹ ehín, awọn alaisan ehín, ati / tabi awọn ọmọ inu oyun si awọn tujade ti oru kẹmika, nkan ti o ni nkan ti o ni nkan kẹmika, ati / tabi awọn ọna miiran ti idibajẹ Makiuri.4-48

Siwaju si, oru Makiuri ni a mọ lati tu silẹ lati awọn kikun amalgam ehín ti ehín ni awọn oṣuwọn ti o ga julọ lakoko fifọ, fifọ, fifọ awọn ehin, jijẹ, ati bẹbẹ lọ,5, 14, 15, 24, 30, 49-54 ati Makiuri ni a tun mọ lati tu silẹ lakoko gbigbe, rirọpo, ati yiyọ ti awọn kikun amalgam ehín ti ehín.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60

Ni lilo awọn ẹri ijinle sayensi ti o wa, IAOMT ti ṣe agbekalẹ awọn iṣeduro aabo sanlalu fun yiyọ awọn kikun amalgam ehín ti o wa tẹlẹ, pẹlu awọn igbese aabo alaye ti o ni lati lo fun ilana naa. Awọn iṣeduro ti IAOMT kọ lori awọn imuposi imukuro amalgam lailewu gẹgẹbi lilo awọn iboju iparada, irigeson omi, ati afamora iwọn didun giga nipasẹ fifi kun awọn ilana abayọ wọnyi pẹlu nọmba awọn ọna aabo ni afikun, iwulo fun eyiti a ti mọ ni aipẹ ni iwadi ijinle sayensi.

  • Olupilẹṣẹ adapopọ gbọdọ wa ni fifi sori ẹrọ daradara, lo, ati ṣetọju lati gba egbin amalgam Mercury ki o ma ṣe itusilẹ sinu eefi lati ọfiisi ehín.25, 61-73
  • Yara kọọkan nibiti a ti yọ awọn kikun ti Makiuri gbọdọ ni iyọkuro deede ni aye,29, 74-76 eyiti o nilo iwọn sisẹ afẹfẹ giga-giga (gẹgẹ bi orisun igbale aerosol ti oorun) ti o lagbara lati yọkuro ọfin Makiuri ati awọn patikulu amalgam ti o ṣẹda lakoko yiyọ ti ọkan tabi diẹ ẹ sii awọn ifunra mercury.45, 77
  • Ti o ba ṣeeṣe, awọn window yẹ ki o ṣii lati dinku ifọkansi mercury ni afẹfẹ.29, 77-79
  • A yoo fun alaisan ni iyọ ti eedu, chlorella, tabi iru ipolowo lati ṣan ki o gbe mì ṣaaju ilana (ayafi ti alaisan ba kọ tabi awọn itọkasi miiran ti o jẹ eyi ti ko yẹ ni itọju aarun).77, 80, 81
  • Awọn aṣọ ẹwu ati aabo fun ehín,25, 45 eniyan ehín,25, 45 ati alaisan45 gbọdọ wa ni ipo. Gbogbo awọn ti o wa ninu yara gbọdọ wa ni aabo nitori awọn titobi idaran ti awọn patikulu ti a ṣe lakoko ilana naa yoo yago fun gbigba nipasẹ awọn ẹrọ mimu.36, 45 O ti ṣe afihan pe awọn patikulu wọnyi le tan kaakiri lati ẹnu alaisan si awọn ọwọ, apa, oju, igbaya ati awọn ẹya miiran ti oṣiṣẹ ehín ati anatomi alaisan.45
  • Awọn ibọwọ nitrile ti kii-latex gbọdọ jẹ lilo nipasẹ ehin ati gbogbo oṣiṣẹ ehín ninu yara naa.Ọdun 45, Ọdun 46, Ọdun 77, Ọdun 82-83
  • Awọn asà oju ati irun ori / awọn ideri ori ni lati lo nipasẹ ehin ati gbogbo awọn oṣiṣẹ ehín ninu yara naa.45, 77, 80
  • Boya ohun ti a fi edidi di daradara, iboju boju ti atẹgun ti o ni iwọn lati mu Makiuri tabi titẹ rere kan, iboju ti a fi edidi di ti o pese atẹgun tabi atẹgun gbọdọ wa ni wọ nipasẹ ehin ati gbogbo awọn oṣiṣẹ ehín ninu yara naa.36, 45, 76, 77
  • Lati le daabobo awọ ati aṣọ alaisan, ara ti o kun, idena ti ko ni idibajẹ, bii ori / oju / idena ọrun ni kikun / yika idido, nilo lati lo.45, 77, 80
  • Afẹfẹ ti ita tabi atẹgun ti a firanṣẹ nipasẹ iboju-imu fun alaisan tun nilo lati lo lati rii daju pe alaisan ko fa simu eyikeyi iru kẹmika tabi nkan amalgam lakoko ilana naa.45, 77, 80 Cannula ti imu jẹ yiyan itẹwọgba fun idi eyi niwọn igba ti imu alaisan ti wa ni kikun pẹlu idena ti ko ni idibajẹ.
  • Idoti ehin kan74-76, 84-87 ti a ṣe pẹlu ohun elo nitrile ti kii-latex45, 77, 83 gbọdọ wa ni gbe ati fi edidi di ẹnu ẹnu alaisan.
  • A gbọdọ gbe ejector itọ kan labẹ idido ehin lati dinku ifasita Makiuri si alaisan.45, 77
  • Lakoko yiyọ iyọkuro amalgam, ehin gbọdọ lo ohun elo orisun oorun aerosol ni isunmọtosi si aaye iṣiṣẹ (ie, inṣis meji si mẹrin lati ẹnu alaisan) lati dinku ifunsi Makiuri.45, 88
  • Iyọkuro iyara to ga julọ mu iṣelọpọ ti o dara julọ nigbati o ba ni ibamu pẹlu ẹrọ Mimọ Up,45, 87 eyi ti ko ṣe dandan ṣugbọn o fẹ.
  • Omi ti o pọju lati dinku ooru45, 74, 76, 77, 86, 89-91 ati ẹrọ isasita iyara giga ti aṣa lati mu awọn ifasita Makiuri25, 29, 45, 74-77, 86, 90, 91 nilo lati dinku awọn ipele ibaramu ibaramu.46
  • Amalgam nilo lati pin si awọn ege ati yọkuro si awọn ege nla bi o ti ṣee,45, 74, 77, 80 lilo liluho kekere carbide kan.29, 86
  • Lọgan ti ilana yiyọ kuro ti pari, ẹnu alaisan yoo wa ni fọ daradara pẹlu omi77, 80 ati lẹhinna wẹ pẹlu iyọ ti ẹedu, chlorella tabi iru ipolowo.81
  • Awọn onísègùn gbọdọ ni ibamu pẹlu ijọba apapo, ipinlẹ, ati awọn ilana agbegbe ti n ṣalaye mimu to dara, afọmọ, ati / tabi didanu awọn paati ti a ti doti Makiuri, aṣọ, ohun elo, awọn ipele ti yara, ati ilẹ ni ọfiisi ehín.
  • Lakoko ṣiṣi ati itọju awọn ẹgẹ afamora ni awọn iṣẹ-ṣiṣe tabi lori ẹyọ ifa akọkọ, oṣiṣẹ ehín yẹ ki o lo ẹrọ aabo ara ẹni ti o yẹ ti a ṣalaye loke.

O ṣe pataki lati ṣe akiyesi pe bi iṣọra aabo, IAOMT ko ṣeduro yiyọ kikun kikun fun awọn obinrin ti o loyun tabi fifun-ọmu ati pe IAOMT ko ṣe iṣeduro pe oṣiṣẹ ehín ti o loyun tabi iṣẹ ihuwasi ọmu ti o fa idamu amalgam nkún (pẹlu yiyọ wọn).

Lati ni imọ siwaju sii nipa SMART ati lati wo awọn fidio ti SMART ti n lo ni iṣe, ṣabẹwo www.thesmartchoice.com

Lati Mọ awọn otitọ nipa ijẹẹri ehín lati IAOMT, ṣabẹwo:  https://iaomt.org/resources/dental-mercury-facts/

jo

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