Unyango lokukhanya ngomlomo, ngendlela ye-laser yezinga eliphantsi kunye ne-LED, isetyenziswe kumazinyo amashumi eminyaka ngoku.Njengelinye lawona masebe afundwe kakuhle zempilo yomlomo, ukhangelo olukhawulezayo kwi-Intanethi (ukusukela ngo-2016) lufumana amawaka ezifundo ezivela kumazwe kwihlabathi liphela anamakhulu angaphezulu minyaka le.
Umgangatho wezifundo kulo mmandla uyahluka, ukusuka kwizilingo zokuqala ukuya kwizifundo ezilawulwa yi-placebo ezingaboniyo.Ngaphandle kobu bubanzi bophando lwezenzululwazi kunye nokusetyenziswa kweklinikhi ngokubanzi, unyango olulula ekhaya kwimiba yomlomo ayikabikho, ngenxa yezizathu ezahlukeneyo.Ngaba abantu kufuneka baqale ukwenza unyango lokukhanya ngomlomo ekhaya?
Ucoceko emlonyeni: ngaba unyango lwesibane esibomvu lunokuthelekiswa nokuxutyushwa kwamazinyo?
Esinye seziphumo ezothusayo ngakumbi ekuvavanyeni uncwadi kukuba unyango olulula kumaza athile lunciphisa ukubalwa kweebhaktheriya zomlomo kunye ne-biofilms.Kwezinye, kodwa kungekhona zonke, iimeko ukuya kwinqanaba elikhulu kunokuxutywa kwamazinyo rhoqo / ukuhlamba umlomo.
Uphononongo olwenziwe kule ndawo lujolise ngokubanzi kwiibhaktheriya ezidla ngokubandakanyeka ekuboleni kwamazinyo / imingxuma (Streptococci, Lactobacilli) kunye nosulelo lwamazinyo (enterococci - uhlobo lweebhaktheriya ezidityaniswe namathumba, usulelo lwengcambu kunye nezinye).Ukukhanya okubomvu (okanye i-infrared, 600-1000nm range) kubonakala ngathi kunceda kwiingxaki ezimhlophe okanye ezigqunywe ngolwimi, ezinokubangelwa zizinto ezininzi ezibandakanya igwele kunye neebhaktheriya.
Ngelixa izifundo zebhaktheriya kule ndawo zisaqalayo, ubungqina bunomdla.Izifundo kwezinye iindawo zomzimba zikwalatha kulo msebenzi wokukhanya okubomvu ekuthinteleni usulelo.Ngaba lixesha lokongeza unyango lwesibane esibomvu kwindlela yakho yococeko lomlomo?
Ubuzaza bezinyo: ngaba isibane esibomvu sinokunceda?
Ukuba nezinyo elibuthathaka kuyakhathaza kwaye kunciphisa ngokuthe ngqo umgangatho wobomi - umntu oxhwalekileyo akasakwazi ukonwabela izinto ezifana ne-ayisikrimu kunye nekofu.Nokuba ukuphefumla nje ngomlomo kunokubangela intlungu.Uninzi lwabantu abaxhwalekileyo lunovakalelo lokubanda, kodwa iqaqobana linovakalelo olushushu oludla ngokuba lubi kakhulu.
Kukho izifundo ezininzi malunga nokunyanga amazinyo abuthathaka (aka dentin hypersensitivity) ngokukhanya okubomvu kunye ne-infrared, eneziphumo ezinomdla.Isizathu sokuba abaphandi babenomdla koku kungenxa yokuba ngokungafaniyo nomgangatho we-enamel wamazinyo, umaleko we-dentin uphinda uhlaziye ubomi bonke ngenkqubo ebizwa ngokuba yi-dentinogenesis.Abanye bakholelwa ukuba ukukhanya okubomvu kunamandla okuphucula zombini isantya kunye nokusebenza kwale nkqubo, ukusebenza ekuphuculeni imetabolism kwi-odontoblasts - iiseli zamazinyo ezijongene ne-dentinogenesis.
Ukucinga ukuba akukho ukuzaliswa okanye into yangaphandle enokuthi ithintele okanye ithintele ukuveliswa kwe-dentin, unyango olubomvu luyinto enomdla ukujonga kwidabi lakho elinamazinyo abuhlungu.
Lizinyo eliqaqambayo: ukukhanya okubomvu xa kuthelekiswa nezithomalalisi zeentlungu eziqhelekileyo?
Unyango olubomvu lufundwa kakuhle kwiingxaki zentlungu.Oku kuyinyani kumazinyo, njengayo yonke enye indawo emzimbeni.Enyanisweni, oogqirha bamazinyo basebenzisa iilaser ezikwinqanaba elisezantsi kwiikliniki ngale njongo kanye.
Abaxhasi babanga ukuba ukukhanya akuncedi nje kwiimpawu zentlungu, besithi ngokwenene kunceda kumanqanaba ahlukeneyo ukunyanga unobangela (njengoko sele kukhankanyiwe - ezinokuthi zibulale ibhaktheriya & ukwakha amazinyo, njl.).
Iibrayisi zamazinyo: unyango olulula ngomlomo luluncedo?
Uninzi lwezifundo ezipheleleyo kwicandelo lonyango lokukhanya ngomlomo zijolise kwi-orthodontics.Akumangalisi ukuba abaphandi banomdla kule nto, kuba kukho ubungqina bokuba isantya sokuhamba kwezinyo kubantu abanezithinteli sinokunyuka xa kusetyenziswa ukukhanya okubomvu.Oku kuthetha ukuba ngokusebenzisa isixhobo esifanelekileyo sonyango lokukhanya, unokukwazi ukulahla iibrayisi zakho ngokukhawuleza kwaye ubuyele ukonwabela ukutya kunye nobomi.
Njengoko kukhankanyiwe ngasentla, ukukhanya okubomvu kwisixhobo esifanelekileyo kunokunceda ukunciphisa intlungu, eyona nto ibalulekileyo kunye neyona mpembelelo iqhelekileyo yonyango lwamathambo.Kakhulu wonke umntu onxibe izihlangu zezilima ezidityanisiweyo uneentlungu eziphakathi ukuya kweziqatha emlonyeni, phantse yonke imihla.Oku kunokuchaphazela kakubi ukutya abakulungele ukukutya kwaye kunokubangela ukuxhomekeka kwiipilisi zentlungu zesintu ezifana ne-ibuprofen kunye ne-paracetamol.Unyango olulula luyinto enomdla kwaye ayiqhelekanga kucingwa ngengcamango enokuba luncedo kwiintlungu ezivela kwiibrayisi.
Amazinyo, intsini kunye nomonakalo wamathambo: ithuba elingcono lokuphiliswa ngesibane esibomvu?
Ukonakaliswa kwamazinyo, iintsini, imigqa kunye namathambo axhasayo, kunokwenzeka ngenxa yezizathu ezahlukeneyo, kubandakanywa ukubola kwendalo, ukwenzakala ngokomzimba, isifo seentsini kunye notyando lokufakela.Sithethe ngasentla malunga nokukhanya okubomvu okunokuthi kuphilise umaleko we-dentin wamazinyo kodwa ikwabonise isithembiso kwezinye iindawo zomlomo.
Izifundo ezininzi zijonga ukuba ukukhanya okubomvu kunokukhawulezisa ukuphiliswa kwamanxeba kunye nokunciphisa ukuvuvukala kwiintsini.Ezinye izifundo zide zijonge amandla okuqinisa amathambo e-periodontal ngaphandle kwesidingo sotyando.Ngapha koko, ukukhanya okubomvu kunye ne-infrared zombini zifundwe kakuhle kwenye indawo emzimbeni ngenjongo yokuphucula ukuxinana kwamathambo (ngokucingelwa ukuba zisebenzisana neeseli ze-osteoblast - iiseli ezinoxanduva lokwenziwa kwamathambo).
I-hypothesis ehamba phambili echaza unyango olukhanyayo ithi ekugqibeleni ikhokelela kumanqanaba aphezulu e-ATP yeselula, ivumela i-osteoblasts ukuba yenze imisebenzi yazo ekhethekileyo (yokwakha i-collagen matrix kunye nokuyizalisa ngethambo leminerali).
Isibane esibomvu sisebenza njani emzimbeni?
Isenokubonakala ingaqhelekanga into yokuba unyango olulula lufundelwa phantse zonke iingxaki zempilo yomlomo, ukuba awuyazi indlela yokusebenza.Ukukhanya okubomvu kunye nokufutshane kwe-infrared kucingelwa ukuba kusebenze ngokuyinhloko kwi-mitochondria yeeseli, ekhokelela kwimveliso yamandla amakhulu (ATP).Nayiphi na iseli ene-mitochondria iya kuthi, ngokwethiyori, ibone inzuzo ethile kunyango lokukhanya olufanelekileyo.
Imveliso yamandla ibalulekile kubomi nakwisakhiwo/umsebenzi weeseli.Ngokukodwa, ukukhanya okubomvu photodissociates nitric oxide ukusuka kwi-cytochrome c oxidase iimolekyuli zemetabolism ngaphakathi kwe-mitochondria.I-nitric oxide 'yihomoni yoxinzelelo' kuba inciphisa ukuveliswa kwamandla - ukukhanya okubomvu kuyayigatya le mpembelelo.
Kukho amanye amanqanaba ekucingelwa ukuba ukukhanya okubomvu kusebenze kuwo, njengokuphucula ukuxinezeleka komphezulu we-cytoplasm yeseli, ukukhulula ixabiso elincinci leentlobo ze-oksijini esebenzayo (ROS), njl., kodwa eyona iphambili ikwandisa imveliso ye-ATP nge-nitric oxide. isithintelo.
Ukukhanya okufanelekileyo kunyango lokukhanya komlomo?
Ubude obuhlukeneyo buboniswa ukuba busebenza, kubandakanywa i-630nm, i-685nm, i-810nm, i-830nm, njl. Izifundo ezininzi zithelekisa i-lasers kwii-LED, ezibonisa iziphumo ezilinganayo (kwaye kwezinye iimeko eziphezulu) kwimpilo yomlomo.Ii-LED zitshiphu kakhulu, zifikeleleka ukuba zisetyenziswe ekhaya.
Imfuneko ephambili yonyango lokukhanya komlomo kukukwazi ukukhanya ukungena kwizicubu zehlathi, kwaye emva koko kungene kwiintsini, i-enamel kunye namathambo.Ulusu kunye neebhloko zezicubu ze-suurace ze-90-95% zokukhanya okungenayo.Imithombo enamandla yokukhanya ke ngoko iyimfuneko ngokubhekiselele kwii-LEDs.Izixhobo zokukhanya ezibuthathaka zinokuba nefuthe kuphela kwimiba engaphezulu;ayikwazi ukuphelisa usulelo olunzulu, ukunyanga iintsini, amathambo kunye nobunzima bokufikelela kumazinyo e-molar.
Ukuba ukukhanya kunokungena entendeni yesandla sakho ukuya kwinqanaba elithile kuya kufaneleka ukungena ezidleleni zakho.Ukukhanya kwe-infrared kungena kubunzulu obungaphezulu kancinci kunokukhanya okubomvu, nangona amandla okukhanya ehlala eyiyona nto iphambili ekungeneni.
Ngoko ke kuya kubonakala kufanelekile ukusebenzisa ukukhanya kwe-LED ebomvu/ebomvu ukusuka kumthombo ogxininisiweyo (50 – 200mW/cm² okanye ubuninzi bamandla angaphezulu).Izixhobo zamandla asezantsi zinokusetyenziswa, kodwa ixesha elisebenzayo lesicelo liya kuba phezulu kakhulu.
Okukwintsusa
Ukukhanya okubomvu okanye i-infrarediphononongwa kwiindawo ezahlukeneyo zezinyo neentsini, kunye nokubalwa kweebhaktheriya.
Ubude obufanelekileyo bungama-600-1000nm.
Ii-LED kunye ne-laser zibonakaliswe kwizifundo.
Unyango olukhanyayo lufanelekile ukujonga izinto ezifana;amazinyo abuthathaka, amazinyo abuhlungu, usulelo, ucoceko lomlomo ngokubanzi, umonakalo wezinyo/iintsini...
Abantu abanezibophelelo ngokuqinisekileyo baya kuba nomdla kolunye lophando.
Ii-LED ezibomvu kunye ne-infrared zombini zifundelwa unyango lokukhanya ngomlomo.Izibane ezinamandla ziyafuneka ukuze kungene isidlele/iintsini.
Ixesha lokuposa: Oct-10-2022