ʻO ka lāʻau māmā waha, ma ke ʻano o nā lasers haʻahaʻa haʻahaʻa a me nā LED, ua hoʻohana ʻia i ka dentistry no nā makahiki i kēia manawa.ʻOiai ʻo ia kekahi o nā lālā i aʻo maikaʻi ʻia o ke olakino waha, ʻike ʻia kahi hulina wikiwiki ma ka pūnaewele (e like me 2016) i nā kaukani o nā haʻawina mai nā ʻāina a puni ka honua me nā haneli he nui i kēlā me kēia makahiki.
ʻOkoʻa ka maikaʻi o nā haʻawina ma kēia kahua, mai nā hoʻāʻo mua a hiki i nā haʻawina hoʻopaʻa placebo makapō.ʻOiai ʻo kēia ākea o ka noiʻi ʻepekema a me ka hoʻohana nui ʻana i ka lāʻau lapaʻau, ʻaʻole i laha ka lāʻau māmā ma ka home no nā pilikia waha, no nā kumu like ʻole.Pono nā kānaka e hoʻomaka e hana i ka lāʻau māmā waha ma ka home?
Hoʻomaʻemaʻe waha: ua hoʻohālikelike ʻia ka lāʻau ʻulaʻula me ka pulumu niho?
ʻO kekahi o nā mea kupanaha loa mai ka nānā ʻana i ka palapala ʻo ia ka hoʻomaʻamaʻa māmā i nā lōʻihi hawewe kikoʻī e hōʻemi ana i ka helu o ka bacteria waha a me nā biofilms.I kekahi, ʻaʻole nā mea a pau, ʻoi aku ka nui o nā hihia ma mua o ka holoi ʻana i ka niho / holoi waha.
ʻO nā haʻawina i hana ʻia ma kēia wahi e nānā nui ʻia i ka bacteria i hoʻopili pinepine ʻia i ka pala niho / cavities (Streptococci, Lactobacilli) a me nā maʻi niho (enterococci - kahi ʻano bacteria i pili i ka abscesses, nā maʻi aʻa aʻa a me nā mea ʻē aʻe).ʻO ke kukui ʻulaʻula (a i ʻole infrared, 600-1000nm range) hiki ke kōkua i nā pilikia alelo keʻokeʻo a i uhi ʻia paha, hiki ke hoʻokumu ʻia e kekahi mau mea me ka hū a me ka bacteria.
ʻOiai ke hoʻomaka nei nā haʻawina bacteria ma kēia wahi, hoihoi ka hōʻike.Hōʻike nā haʻawina ma nā wahi ʻē aʻe o ke kino i kēia hana o ke kukui ʻulaʻula i ka pale ʻana i nā maʻi.ʻO ka manawa kēia e hoʻohui i ka lāʻau ʻulaʻula i kāu hana maʻemaʻe waha?
Nani niho: hiki ke kōkua ke kukui ʻulaʻula?
He mea koʻikoʻi ka loaʻa ʻana o ka niho maʻalahi a hoʻemi pololei i ka maikaʻi o ke ola - ʻaʻole hiki i ka mea ʻeha ke hauʻoli hou i nā mea e like me ka hau a me ke kofe.ʻO ka hanu wale ʻana ma ka waha hiki ke hōʻeha.ʻO ka hapa nui o ka poʻe i hoʻopilikia ʻia he ʻano anu, akā ʻo ka hapa liʻiliʻi he wela wela a ʻoi aku ka koʻikoʻi.
Nui nā haʻawina e pili ana i ka mālama ʻana i nā niho koʻikoʻi (aka dentin hypersensitivity) me ke kukui ʻulaʻula a me ka infrared, me nā hopena hoihoi.ʻO ke kumu i makemake mua ai ka poʻe noiʻi i kēia no ka mea ʻaʻole like me ka papa enamel o nā niho, ʻo ka papa dentin e hoʻōla hou i ke ola a pau ma o ke kaʻina i kapa ʻia he dentinogenesis.Manaʻo kekahi he hiki i ke kukui ʻulaʻula ke hoʻomaikaʻi i ka wikiwiki a me ka maikaʻi o kēia kaʻina hana, e hana ana e hoʻomaikaʻi i ka metabolism i loko o nā odontoblasts - nā pūnaewele i loko o nā niho kuleana no ka dentinogenesis.
Ke manaʻo nei ʻaʻohe mea hoʻopiha a mea ʻē paha e hiki ke ālai a keakea paha i ka hana ʻana o ka dentin, ʻo ka mālama ʻana i ke kukui ʻulaʻula kahi mea hoihoi e nānā i kāu kaua me nā niho koʻikoʻi.
ʻEha niho: ʻulaʻula e like me nā lāʻau ʻeha maʻamau?
Ua aʻo maikaʻi ʻia ka lāʻau ʻulaʻula no nā pilikia ʻeha.He ʻoiaʻiʻo kēia no nā niho, e like me nā wahi ʻē aʻe o ke kino.ʻO ka ʻoiaʻiʻo, hoʻohana nā niho i nā laser haʻahaʻa haʻahaʻa i nā keʻena lapaʻau no kēia kumu pololei.
Ua ʻōlelo ka poʻe kākoʻo ʻaʻole kōkua wale ke kukui i nā hōʻailona o ka ʻeha, me ka ʻōlelo ʻana he kōkua maoli ia i nā pae like ʻole e mālama i ke kumu (e like me ka mea i ʻōlelo ʻia - hiki ke pepehi i ka bacteria & kūkulu hou i nā niho, etc.).
Nā Pale niho: pono ka lāʻau māmā waha?
ʻO ka hapa nui o nā haʻawina holoʻokoʻa ma ke kula oral light therapy e pili ana i nā orthodontics.ʻAʻole ia he mea kupanaha ka hoihoi ʻana o ka poʻe noiʻi i kēia, no ka mea, aia nā hōʻike e piʻi aʻe ka wikiwiki o ka neʻe ʻana o nā niho i ka poʻe me nā pale ke kau ʻia ke kukui ʻulaʻula.ʻO ia hoʻi, ma ka hoʻohana ʻana i kahi mea hoʻomaʻamaʻa māmā kūpono, hiki iā ʻoe ke wehe koke i kāu mau pale a hoʻi hou i ka ʻai a me ke ola.
E like me ka mea i ʻōlelo ʻia ma luna nei, hiki i ke kukui ʻulaʻula mai kahi mea kūpono ke kōkua i ka hōʻemi ʻana i ka ʻeha, ʻo ia ka hopena koʻikoʻi a maʻamau o ka mālama orthodontic.ʻOi aku ka nui o ka poʻe a pau e ʻaʻahu ana i nā pale pale e loaʻa i ka ʻeha haʻahaʻa a koʻikoʻi ko lākou waha, i kēlā me kēia lā.Hiki i kēia ke hoʻopilikia maikaʻi i nā meaʻai a lākou i mākaukau ai e ʻai a hiki ke hilinaʻi i nā lāʻau ʻeha maʻamau e like me ka ibuprofen a me ka paracetamol.ʻO ka hoʻomaʻamaʻa māmā he mea hoihoi a ʻaʻole i noʻonoʻo ʻia i ka manaʻo e hiki ke kōkua i ka ʻeha mai nā braces.
Nā niho, ka ʻāʻī a me ka iwi: ʻoi aku ka maikaʻi o ka hoʻōla me ke kukui ʻulaʻula?
ʻO ka pōʻino i nā niho, nā ʻāʻī, nā ligament a me nā iwi e kākoʻo ana iā lākou, hiki ke loaʻa no nā kumu like ʻole, e like me ka pala maoli, ka ʻeha kino, ka maʻi ʻaʻa a me ke ʻoki implant.Ua kamaʻilio mākou ma luna e pili ana i ke kukui ʻulaʻula hiki ke ho'ōla i ka papa niho o nā niho akā ua hōʻike pū ʻia no kēia mau wahi ʻē aʻe o ka waha.
Ke nānā nei kekahi mau haʻawina inā hiki i ke kukui ʻulaʻula ke wikiwiki i ka ho'ōla ʻana i nā ʻeha a hoʻemi i ka ʻāʻī o ka ʻāʻī.Ke nānā nei kekahi mau haʻawina i ka hiki ke hoʻoikaika i nā iwi periodontal me ka ʻole o ka ʻoki ʻana.ʻO ka ʻoiaʻiʻo, ua aʻo maikaʻi ʻia ke kukui ʻulaʻula a me ka ʻulaʻula ma nā wahi ʻē aʻe o ke kino no ka hoʻomaikaʻi ʻana i ka iwi iwi (ma ka manaʻo ʻia e launa pū me nā cell osteoblast - nā cell i kuleana no ka hoʻohuihui iwi).
ʻO ke kuhiakau alakaʻi e wehewehe ana i ka hoʻomaʻamaʻa māmā e ʻōlelo ana e alakaʻi i ka pae kiʻekiʻe o ka ATP cellular, e ʻae ana i nā osteoblasts e hana i kā lākou mau hana kūikawā kūikawā (ʻo ke kūkulu ʻana i ka matrix collagen a hoʻopiha ʻia me ka mineral iwi).
Pehea ka hana ʻana o ke kukui ʻulaʻula i ke kino?
He mea kupanaha paha ke aʻo ʻia ʻana o ka lāʻau māmā no nā pilikia olakino waha āpau, inā ʻaʻole ʻoe ʻike i ke ʻano hana.Manaʻo ʻia ka ʻulaʻula a kokoke i ke kukui infrared e hana nui i ka mitochondria o nā cell, e alakaʻi ana i ka hana ʻoi aku ka ikaika (ATP).ʻO kēlā me kēia cell i loaʻa ka mitochondria, ma ke kumumanaʻo, e ʻike i kekahi pōmaikaʻi mai ka lāʻau māmā kūpono.
He mea nui ka hana ikehu no ke ola a me ka hana/hana o na keena.ʻO ke ʻano kikoʻī, hoʻokaʻawale nā kiʻi ʻulaʻula i ka nitric oxide mai nā molekole metabolism cytochrome c oxidase i loko o ka mitochondria.ʻO ka Nitric oxide he 'stress hormone' i mea e kaupalena ʻia ai ka hana ikehu – hoʻopau ke kukui ʻulaʻula i kēia hopena.
Aia kekahi mau pae ʻē aʻe i manaʻo ʻia e hana ke kukui ʻulaʻula, e like me ka hoʻomaikaʻi ʻana i ka neʻe ʻana o ka ʻili o ka cytoplasm o ka cell, hoʻokuʻu i nā mea liʻiliʻi o nā ʻano oxygen reactive (ROS), etc., akā ʻo ka mea mua ke hoʻonui nei i ka hana ATP ma o nitric oxide. kaohi ana.
ʻO ke kukui kūpono no ka lāʻau māmā waha?
Hōʻike ʻia ka maikaʻi o nā lōʻihi hawewe like ʻole, me 630nm, 685nm, 810nm, 830nm, a me nā mea ʻē aʻe. Ua hoʻohālikelike kekahi mau haʻawina i nā lasers me nā LED, e hōʻike ana i nā hopena like (a i kekahi mau kūlana kiʻekiʻe) no ke olakino waha.ʻOi aku ka liʻiliʻi o nā LED, no ka hoʻohana ʻana ma ka home.
ʻO ke koi nui no ka lāʻau māmā waha ʻo ia ka hiki o ka mālamalama ke komo i loko o ka ʻiʻo papalina, a laila komo pū i nā ʻāʻī, enamel a me nā iwi.Hoʻopaʻa ka ʻili a me ka ʻiʻo surrace i 90-95% o ka mālamalama e hiki mai ana.No laila, pono nā kumu kukui ikaika e pili ana i nā LED.He hopena wale nō nā mea māmā nāwaliwali i nā pilikia o ka ʻili;hiki ʻole ke hoʻopau i nā maʻi hohonu, mālama i nā ʻāʻī, nā iwi a ʻoi aku ka paʻakikī o ka hiki ʻana i nā niho mola.
Inā hiki i ke kukui ke komo i loko o ka poho o kou lima i kahi nui e kūpono ia e komo i kou mau papalina.ʻO ke kukui infrared e komo i kahi hohonu ʻoi aʻe ma mua o ke kukui ʻulaʻula, ʻoiai ʻo ka mana o ke kukui ke kumu mua o ke komo ʻana.
No laila, kūpono ke hoʻohana ʻana i ke kukui LED ʻulaʻula/infrared mai kahi kumu i hoʻopaʻa ʻia (50 – 200mW/cm² a i ʻole ka nui o ka mana mana).Hiki ke hoʻohana ʻia nā mea mana haʻahaʻa, akā ʻoi aku ka kiʻekiʻe o ka manawa noi kūpono.
laina lalo
ʻulaʻula a i ʻole ke kukui infraredua aʻo ʻia no nā ʻāpana like ʻole o ka niho a me ka ʻāʻī, a e pili ana i ka helu bacteria.
ʻO 600-1000nm nā lōʻihi nalu pili.
Hōʻike ʻia nā LED a me nā laser i nā haʻawina.
He mea pono ke nānā aku i nā mea like;nā niho koʻikoʻi, ka ʻeha niho, nā maʻi maʻi, ka maʻemaʻe waha ma ke ʻano nui, ka ʻino o ka niho/puʻu…
Makemake maoli ka poʻe me nā pale pale i kekahi o ka noiʻi.
Ua aʻo ʻia nā LED ʻulaʻula a me ka infrared no ka lāʻau māmā waha.Pono nā kukui ʻoi aku ka ikaika no ke komo ʻana o ka papalina/ ʻāʻī.
Ka manawa hoʻouna: ʻOkakopa-10-2022