Nā koho ʻē aʻe i ka amalgamʻO nā koho ʻē aʻe i ka amalgam me nā kēpau hui, ionomer kīʻaha, porcelain, a me ke gula, i waena o nā koho ʻē aʻe. ʻO ka hapa nui o nā mea kūʻai aku koho i nā hoʻopihapiha hoʻohui pololei no ka mea ʻo ke kala keʻokeʻo ke kūlike i ka niho a ʻo ke kumukūʻai he mea kaulike.

I ka wā i hala, he hoʻopaʻapaʻa maʻamau e kūʻē i nā hoʻopiha hiwahiwa ʻaʻole i like ka lōʻihi me ka amalgam. Eia naʻe, ua hoʻopau nā noiʻi hou i kēia hoʻopiʻi. Ua loaʻa nā kānaka noiʻi o kahi noiʻi i paʻi ʻia ma ka 2016 a ua alakaʻi ʻia ma luna o nā mea maʻi he 76,000 no nā makahiki he ʻumi a ʻoi aku ka nui o ka nui o ka hopena o ka makahiki amalgam ma mua o nā mea i hoʻohui ʻia.1ʻElua mau noiʻi ʻokoʻa i paʻi ʻia i ka makahiki 2013 i ʻike ʻia i hana ʻia nā hoʻopihapiha hoʻohui like a me amalgam ke hoʻohālikelike ʻana i nā helu kō ʻole2a me nā helu hoʻopihapiha pani.3Ua hāʻawi ʻia kahi noiʻi ʻē aʻe i kahi ʻike like: kahi noiʻi i paʻi ʻia ma 2015 i hoʻopaʻa ʻia i ka "hana maikaʻi maikaʻi" o nā resins hui pū ma luna o kahi loiloi 30 mau makahiki,4kahi meta-analysis i paʻi ʻia ma 2014 i kākau ʻia "ola maikaʻi" o nā resor hope hui pū kekahi,5ua hōʻike ʻia kahi noiʻi i paʻi ʻia i ka makahiki 2012 i kekahi mau ʻano o nā mea hoʻohui i like ka lōʻihi me ka amalgam,6a me kahi noi i paʻi ʻia ma 2011 i loaʻa ka "hana hoʻokolohua maikaʻi" o nā mea hoʻohui i loko o 22 mau makahiki.7

Ua hoʻohewa ʻia kekahi mau mea hoʻopihapiha no ka mea aia kekahi o lākou i nā mea kontroversial bisphenol-A (BPA). He ʻano like ʻole nā ​​manaʻo o nā kauka niho e pili ana i ka palekana o ʻO BPA a me nā ʻano ʻano bisphenol, e like me Bis-GMA a me Bis-DMA. Aia kekahi hopohopo e pili ana i nā ionomers aniani, nā mea āpau i loko fluoride.

ʻO nā mea maʻi e hopohopo nei e pili ana i nā mea hana i kā lākou mau mea niho niho koho pinepine lākou e kamaʻilio me kā lākou poʻe kauka niho e pili ana i ka hoʻohana ʻana i kahi mea i loaʻa ʻole kekahi mau mea hoʻohui. ʻO kahi laʻana, kahi huahana i kapa ʻia ʻO Admira Fusion8/ʻO Admira Fusion X-tra9hoʻokuʻu ʻia i Ianuali 2016 e ka hui niho ʻo VOCO i hōʻike ʻia he ceramic10a ʻaʻole i loko o Bis-GMA a i ʻole BPA ma mua a ma hope paha o ka hoʻōla ʻia ʻana.

ʻO kahi koho ʻē aʻe no nā mea maʻi niho e hopohopo nei e pili ana i kahi Mercury-free koho ʻē aʻe e hoʻohana ma ke ʻano he mea hoʻopihapiha e hana i kā lākou noiʻi ponoʻī a / a i ʻole lawe i kahi hoʻokolohua biocompatibility niho. Inā hoʻohana ʻia ka hoʻokolohua olaola, hoʻouna ʻia kahi laʻana koko o ka mea maʻi i kahi keʻena hoʻokolohua kahi e loiloi ʻia ai ka serum no ke kūana o IgG a me IgM i nā mea ʻino i hoʻohana ʻia i nā huahana kahua niho.11 Hāʻawi ʻia ka mea maʻi me kahi papa inoa kikoʻī nona nā inoa niho inoa inoa e palekana no kā lākou hoʻohana ʻana a ʻo wai ka mea e hopena i kahi hopena. ʻElua laʻana o nā labs e hāʻawi nei i kēia lawelawe i kēia manawa Nā Laboratory Biocomp12a ELISA / Hana ʻO Biotechnologies13

Eia kekahi, e pili ana i nā allergies niho, ua hoʻolauna ʻo Kauka Stejskal i ka MELISA hōʻike ma 1994. He mana kēia i hoʻololi ʻia o ka (Lymphocyte Transformation Test) LLT i hoʻolālā ʻia e hoʻāʻo no ka ʻano metala ʻano IV hoʻolohi ʻia ka hypersensitivity i nā metala, me ka ʻike i ka mercury.14

Ma waho aʻe o ka noʻonoʻo ʻana i nā mea e hoʻohana ai no ka hoʻopihapiha niho, pono e maʻa nā poʻe maʻi niho a me nā ʻoihana hoʻohana i nā hana palekana i ka wā e hemo nei i nā hoʻopiha mercury amalgam.

E hoʻomaopopo '

1. Laske Mark, Opdam Niek JM, Bronkhorst Ewald M, Braspenning Joze CC, Huysmans Marie-Charlotte DNJM Lōʻihi o ka hoʻihoʻi pololei ʻana i nā hana niho niho Dutch. Haʻawina wehewehe mai kahi papa hana noiʻi e pili ana i ka hana. Ka Nūpepa o Dentistry. 2016. Loaʻa ke kahakaha mai: http://dx.doi.org/10.1016/j.jdent.2016.01.002. Loaʻa iā Ianuali 12, 2016.

2. McCracken MS, Gordan VV, Litaker MS, Funkhouser E, Nā Hoa JL, Shamp DG, Qvist V, Meral JS, Gilbert GH. He loiloi 24 mau mahina o ka amalgam a me ka resin-based composite restorations: Nā mea i loaʻa mai ka National Dental Practice-Based Research Network. Ka Palapala Moʻolelo o ka ʻAhahui Dental ʻAmelika. 2013; 144 (6): 583-93. Loaʻa mai: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3694730/. Loaʻa iā Kēkēmapa 17, 2015.

3. Laccabue M, Ahlf RL, Simecek JW. ʻO ka pinepine o ka hoʻihoʻi hou ʻana i nā niho o hope no nā limahana o ka US Navy a me ka Marine Corps. ʻO ka niho niho hana. 2014; 39 (1): 43-9. Loaʻa nā abstract mai: http://www.jopdentonline.org/doi/abs/10.2341/12-406-C. Loaʻa iā Kēkēmapa 17, 2015.

4. ʻO Pallesen U, van Dijken JW. 30 mau makahiki i kāohi ʻia ma hope o ʻekolu mau mele resin i hoʻohui ʻia i ka Class II restorations. Kahua niho Nā Pono Hana. 2015; 31 (10): 1232-44. Loaʻa nā abstract mai: http://www.sciencedirect.com/science/article/pii/S0109564115003607. Loaʻa iā Kēkēmapa 17, 2015.

5. Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW. ʻO ka lōʻihi o ka hoʻihoʻi hou o hope: kahi loiloi ʻōnaehana a me ka Meta-analysis. Ka Nūpepa o ke Keʻena'Oiho. 2014; 93 (10): 943-9. Loaʻa mai: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293707/. Loaʻa iā Ianuali 18, 2016.

6. Heintze SD, Rousson V. Ka hopena pono o ka hoʻihoʻi papa II pololei - kahi meta-analysis. ʻO J Adhes Dent. 2012; 14 (5): 407-31. Loaʻa mai: http://www.osteocom.net/osteocom/modules/Friend/images/heintze_13062.pdf. Loaʻa iā Kēkēmapa 17, 2015.

7. Rodolpho PAD, Donassollo TA, Cenci MS, Loguércio AD, Moraes RR, Bronkhorst EM, Opdam NJ, Demarco FF. 22-Makahiki loiloi loiloi o ka hana o nā hui hope ʻelua me nā ʻano mea hoʻopihapiha ʻokoʻa. Kahua niho Nā Pono Hana. 2011; 27 (10): 955-63. Loaʻa mai: https://www.researchgate.net/profile/Rafael_Moraes6/publication/51496272.pdf. Loaʻa iā Ianuali 18, 2016.

8. E ʻike iā Admira Fusion ma ka pūnaewele VOCO ma http://www.voco.com/us/product/admira_fusion/index.html. Loaʻa iā Ianuali 18, 2016.

9. E ʻike iā Admira Fusion X-tra ma ka pūnaewele VOCO ma http://www.voco.com/us/product/admira_fusion_xtra/index.html. Loaʻa iā Ianuali 18, 2016

10. E ʻike i ka Nūhou Admira / Admira Fusion X-tra ma ka pūnaewele VOCO ma http://www.voco.com/en/company/news/Admira_Fusion-Admira_Fusion_x-tra/index.html. Loaʻa iā Ianuali 18, 2016.

11. Koral S. Kahi alakaʻi kūpono i ka hoʻāʻo kaulike no nā mea niho. 2015. Loaʻa mai ka pūnaewele IAOMT.  https://iaomt.wpengine.com/practical-guide-compatibility-testing-dental-materials/. Loaʻa iā Kēkēmapa 17, 2015.

12. Pūnaewele ʻO Biocomp Laboratories ʻo https://biocomplabs.com/

13. ELISA/ACT Biotechnologies https://www.elisaact.com/.

14. Stejskal VD, Cederbrant K, Lindvall A, Forsbeck M. MELISA — he mea hana in vitro no ke aʻo ʻana i ka allergy metala. Toxicology ma vitro. 1994; 8 (5): 991-1000. Loaʻa mai: http://www.melisa.org/pdf/MELISA-1994.pdf. Loaʻa iā Kēkēmapa 17, 2015.

Pūnaewele MELISA ʻo  http://www.melisa.org/.

ʻO ka niho i ka waha me ka lihi a me ka amalgam niho kala e hoʻopiha ana i ka mercury
Kahakaha Amalgam kahua niho: Hoʻopiha i ka Mercury a me ke olakino kanaka

Aia ka pilikia ʻo amalgam kahua niho no ka mea pili nā hoʻopiha mercury me kekahi mau pilikia olakino kanaka.

Kahakaha Amalgam kahua niho: Hoʻopiha i ka Mercury a me ke olakino kanaka
ʻO ka Mercury Amalgam Removal Technique (SMART) palekana

E aʻo e pili ana i nā ʻanuʻu i hiki ke lawe ʻia e pale aku i nā mea maʻi, nā kauka niho, a me ke kaiapuni i ka wā o ka hemo ʻana o amalgam mercury.

Palekana ʻo Mercury Amalgam Removal Technique
pepa kūlana iaomt amalgam
ʻO ka pepa hoʻonohonoho IAOMT e kūʻē iā Dental Mercury Amalgam

Aia i loko o kēia palapala piha kahi puke puke puke nui e pili ana i ke kumuhana o ka mercury niho ma ke ʻano he 900 mau kaha puanaʻī.

ʻO ka pepa hoʻonohonoho IAOMT e kūʻē iā Dental Mercury Amalgam