Isiqephu 95: Udokotela Wamazinyo Okhulile: Gcina Amazinyo Akho Ukuphila Konke

[00:00:00 – 00:00:42] Eon Engelbrecht – eRadio SA: Siyakwamukela futhi kwesinye isiqephu se-Save Your Money, Save Your Teeth. Ngingu-Eon Engelbrecht wase-eRadio SA, futhi namuhla, njengenjwayelo, sijoyinwe nguDkt. Clifford Yudelman wase-OptiSmile eSea Point enhle eKapa. Namuhla sibhekene nesihloko esisithinta sonke njengoba iminyaka idlula: Udokotela Wamazinyo Ogugile. Abantu abaningi bacabanga ukuthi ukulahlekelwa amazinyo akho kumane nje kuyisici semvelo sokuguga, kodwa uDkt. Yudelman ulapha ukuzositshela ukuthi kungani lokho kuyinganekwane ephelelwe yisikhathi nokuthi ungagcina kanjani ukumamatheka kwakho kwemvelo impilo yonke. Dr. Yudelman, wamukelekile futhi.

[00:00:42 – 00:00:56] UDkt Clifford Yudelman – OptiSmile: Ngiyabonga. Ngiyabonga. Ngiyabonga ngokungibuyisa. Kuhle ukuzwa izwi lakho, futhi ngilangazelela ukuxoxa nawe namuhla.

[00:00:56 – 00:01:12] Eon Engelbrecht – eRadio SA: Impela. Ngifuna ukuqala ngokukubuza, Dokotela: ingabe ukulahlekelwa amazinyo akunakugwenywa njengoba sikhula, noma singawagcina impilo yethu yonke?

[00:01:12 – 00:02:37] UDkt Clifford Yudelman – OptiSmile: Ngakho-ke, uma ngikhuluma njengomdala, sengineminyaka engu-65 kakade. Angikaze ngilahlekelwe amazinyo ngaphandle kwamazinyo ami okuhlakanipha. Kodwa ngicabanga ukuthi, njengoba sithi “ukuguga”, mhlawumbe sikhuluma ngokufana neminyaka yakho yama-80, ama-90, nangaphezulu, ngoba kubonakala sengathi kulezi zinsuku abantu baphila isikhathi eside kakhulu. Ngakho-ke, ngifuna ukusho nje ukuthi ukulahlekelwa amazinyo akuyona ingxenye engenakugwenywa yokuguga nokuthi inkolelo iphelelwe yisikhathi futhi, ngokusobala, iyingozi.

Amazinyo ayalahleka ngenxa yezifo, ikakhulukazi ukubola nesifo sezinsini, hhayi ngenxa yokuguga ngokwako. Kodwa okushintshayo ngokuguga ukuchayeka engozini. Abantu baqoqa ukugcwaliswa, imithi, izimo ezingamahlalakhona, kanye nemikhuba emashumini eminyaka. Ngayinye yalezi zinto yandisa ubuthakathaka uma ingalawulwa ngenkuthalo.

Ngakho-ke, izifundo zesikhathi eside empeleni zibonisa ukuthi abantu abanakekela amazinyo njalo, abalawula i-plaque (okuwukuxubha kwakho), futhi abasebenzisa amazinyo okuxubha ane-fluoride bangagcina iningi lamazinyo abo emvelo noma ngisho nawo wonke kuze kube yiminyaka yabo yama-80 nama-90. Ushintsho olubalulekile lapha ukucabanga. Ukwelashwa kwamazinyo kubantu abadala kufanele kube okuvimbelayo nokulindelekile, hhayi okusabelayo.

Ukuqapha ukuguguleka, amazinga okunamathela ezinsinini, ukugeleza kwamathe, kanye nokulungiswa okukhona kusenza sikwazi ukungenelela ngokuqapha ngaphambi kokuba izinto eziningi ziphuke noma zehluleke. Ngokombono wezezimali, ukulondoloza amazinyo emvelo cishe kushibhile njalo kunokuwashintsha. Futhi ngokombono webhayoloji, akukho lutho olusebenza kahle njengamazinyo akho. Ukuguga akususi amazinyo; ukunganakwa nokunakekelwa okulibazisekile kuyawususa.

[00:02:37 – 00:02:48] Eon Engelbrecht – eRadio SA: Ngakho-ke, Dokotela, kungani imilomo yethu yoma njengoba siguga? Futhi, lokho kubangelwa kanjani imigodi?

[00:02:48 – 00:04:47] UDkt Clifford Yudelman – OptiSmile: Ngisho ukuthi, Eon, njengoba wazi, senze ama-podcasts amaningi ahlukene athinta le ndaba, kodwa ngicabange ukuthi yindawo enhle yalo mbuzo lapha. Ngakho-ke, umlomo owomile, noma i-xerostomia (ebhalwe ngokuthi i-XEROSTOMIA; elithi “xero” lisho owomile kanye nelithi “stomia” lisho umlomo), ingenye yezinto ezibangela kakhulu izifo zamazinyo kubantu abadala. Okubalulekile, ukuguga ngokwakho akuyona imbangela eyinhloko; imithi iyiyona.

Imithi eminingi enikezwe udokotela yokucindezeleka kwegazi, ukucindezeleka, ukukhathazeka, ukungezwani komzimba, izimo ze-prostate, kanye nobuhlungu obungapheli kunciphisa ukugeleza kwamathe akho. Amathe abalulekile ekuqedeni ama-asidi, ekuhlanzeni amagciwane, nasekuhlinzekeni ngamaminerali alungisa umonakalo we-enamel kusenesikhathi. Lapho amathe ehla, umlomo uba ne-asidi kaningi futhi isikhathi eside. Lokhu kwandisa kakhulu ingozi yokubola, ikakhulukazi eduze komugqa wezinsini kanye nokugcwaliswa kwakho okukhona.

Khona-ke imigodi ezigulini ezinomlomo owomile ivame ukukhula ngokushesha kakhulu futhi ngaphandle kobuhlungu kuze kube yilapho kuba nomgodi omkhulu futhi kube nomonakalo. Sibona lokho kakhulu ku-OptiSmile ezigulini ezindala ezinomlomo owomile. Ubufakazi bubonisa njalo ukuthi i-xerostomia ihlotshaniswa kakhulu nokwanda kokubola kwamazinyo kanye nokwehla kwekhwalithi yokuphila kubantu abadala.

Ngakho-ke, ukuphatha umlomo owomile ngendlela ephumelelayo ngokuphuza amanzi anele (ukumanzisa), izinto ezithatha indawo yamathe (esikhulume ngazo), ukwelashwa nge-fluoride, kanye nokubuyekezwa kwemithi kunganciphisa kakhulu ukuwohloka kwamazinyo kanye nezindleko.

[00:04:47 – 00:04:57] Eon Engelbrecht – eRadio SA: Kulungile. Bese kuba ukubola kwezimpande? Kungani kwenzeka kaningi kubantu abadala?

[00:04:57 – 00:06:58] UDkt Clifford Yudelman – OptiSmile: Ngakho-ke, yebo, ukubola kwezimpande ukubola okwakheka ezindaweni zezimpande eziveziwe kunasekhanda le-enamel. Kuvame kakhulu kubantu abadala ngoba izinsini zakho ziyaphela ngokwemvelo ngokuhamba kwesikhathi. Lokho kuveza impande noma i-root dentine.

I-root dentine ithambile kakhulu kune-enamel, futhi iyancishiswa ngama-minerali ku-pH ephezulu, ngamanye amazwi, kuthatha i-asidi encane ukudala umonakalo. Uma uhlanganisa izimpande eziveziwe nomlomo owomile kanye nokugcinwa kwe-plaque, unesimo esihle sokubola okusheshayo. Izifundo zikhombisile ukuthi ukwanda kwe-root caries, ukuthi kwenzeka kangaki, kuyanda kakhulu ngokuguga, ikakhulukazi kubantu abanamathe ancishisiwe noma umlomo owomile, kanye nabantu abaningi njengoba bekhula benesifo samathambo noma ikhono elilinganiselwe (okusho ikhono lakho lokuxubha amazinyo akho kahle noma ukusebenzisa izandla zakho).

Ngokungafani nokubola kwe-enamel, ukubola kwezimpande kuyesabeka kakhulu; kungasakazeka ngokushesha kakhulu futhi kaningi, njengodokotela wamazinyo, uma uthola eyodwa, uzothola ezingaphezu kweyodwa. Kulimaza ubuqotho bezinyo, ikakhulukazi eduze noma ngaphansi kwensini emiqheleni emidala. Yilapho okubi kakhulu khona, futhi kunzima kakhulu ukukuthola ngoba akubonakali ku-X-ray ngoba imiqhele emidala ngokuvamile ayibonakali ku-X-ray.

Ngakho-ke, ngokuvamile kuba nguchwepheshe wezempilo oyitholayo. Uhlanza izinyo bese kuthi uhlobo lwethuluzi lungene emazinyweni. Yingakho kubaluleke kakhulu ukubona udokotela wezempilo.

Ukutholwa kusenesikhathi kanye nokuvimbela kubalulekile, ikakhulukazi ukusebenzisa umuthi wokuxubha one-fluoride. Kunezindlela zobuchwepheshe zokusebenzisa i-fluoride kanye nezinye izinto ongazithenga kudokotela wamazinyo ongazisebenzisa ukuvimbela ukubhoboka. Bese usebenza ngempela ekuhlanzeni umlomo wakho njengokungathi usemusha noma useyingane. Futhi yebo, lokho kungagwema umsebenzi omkhulu wokuvuselela noma ngisho nokukhipha.

[00:06:58 – 00:07:22] Eon Engelbrecht – eRadio SA: Futhi uma usukhulile, uthola izinto ezifana ne-arthritis, futhi lokho kusezandleni zakho, futhi ekugcineni kuthinta ukuxubha kwakho. Ngakho-ke, kukuthinta kanjani ukuxubha kwakho, futhi yimaphi amathuluzi angasiza abantu abadala ukuba balondoloze inhlanzeko ngisho noma bengenakukwazi ukubamba lelo xubha njengoba bejwayele?

[00:07:22 – 00:09:08] UDkt Clifford Yudelman – OptiSmile: Yebo, ngakho-ke isifo samathambo sithinta amandla esandla sakho, ukubamba kwakho, ukulawula kahle imisipha yakho, okwenza ukuxubha nokuhlikihla nge-floss kube nzima kakhulu. Futhi akuyona inkinga yokushukumisa ngempela; kuyinto yomshini. Futhi uyazi, lapho ukuxubha kuba nzima ngokomzimba, ukulawula i-plaque kuya kuba kubi kakhulu, ngisho nakubantu abakhathalela kakhulu impilo yabo yomlomo. Futhi ngokuhamba kwesikhathi, kuholela ekuvuvukeni kwezinsini, ukubola, kanye nokulahlekelwa amazinyo.

Ngakho-ke amathuluzi aguquguqukayo enza umehluko omkhulu. Amabhulashi amazinyo kagesi adinga amandla amancane okubamba futhi enza umsebenzi omningi ngokuzenzakalelayo. Ngicabanga ukuthi kulezi zinsuku leyo yindlela okufanele uhambe ngayo. Ungathola izibambo ezijiyile, noma ungathola izinto ongazibeka, njengepulasitiki, ongazifaka ebhulashini elivamile. Ama-water flosser angasiza kancane; Angiyena umlandeli omkhulu wama-water flosser, ngicabanga ukuthi kusadingeka uwaxube.

Futhi, uyazi, bonke ubufakazi bukhomba kulezi zibhulashi zamazinyo zikagesi, ikakhulukazi kubantu abangakwazi ukusebenzisa izandla zabo kahle, abantu asebekhulile abane-arthritis, njll. Futhi umgomo awukona ukuphelela, kodwa ukuhambisana. Ukukhetha amathuluzi afanele kulondoloza ukuzimela kwakho, isithunzi, kanye nempilo yakho yomlomo kuze kube sekupheleni kokuphila.

[00:09:08 – 00:09:20] Eon Engelbrecht – eRadio SA: Kulungile. Ake sixoxe ngokufakelwa kwamazinyo. Ingabe lokhu kuyindlela ephephile ngempela kubantu abangaphezu kweminyaka engu-70 noma engu-80, Dokotela?

[00:09:20 – 00:11:27] UDkt Clifford Yudelman – OptiSmile: Indlela engithanda ngayo ukuthi “100%!” 100%. Ubudala bodwa abuyona into evimbela ukufakwa kwezimila. Okusho ukuthi, abantu abaningi abanempilo abaseminyakeni yabo yama-70 nama-80 bangabantu abahle kakhulu abafaka izimila. Ubaba wami ongasekho wayefake izimila lapho eneminyaka engama-87, waphila eminye iminyaka eyisishiyagalombili futhi wayejabule kakhulu ngokuba namazinyo akhe futhi engenawo amazinyo okufakelwa.

Eqinisweni, esimweni sakhe, waze waba nemisebe emhlathini wakhe ngenxa yomdlavuza, futhi akufanele uthole noma yiluphi uhlobo lokufakelwa noma ukukhishwa uma lokhu sekwenzekile. Futhi ochwepheshe abathile abahle eJoburg bakwazile ukufaka izimila, futhi zasebenza kahle. Wayenokwelashwa okukhethekile komoya-mpilo lapho ephulukiswa, futhi kwaphola kahle. Futhi yebo, wawagcina lawo mazinyo evukile kwaze kwaba yilapho eshona eneminyaka engu-95.

Ngakho-ke, umuntu ocabanga ukuthi uneminyaka engu-70, “O, ngineminyaka engu-70, ngizofa maduze” noma “Ngineminyaka engu-70, sengimdala kakhulu ukuba ngifake izimila”, lokho kuyindaba emnandi yomuntu siqu lapho. Umuntu ocabanga ukuthi, “O, cha, ngineminyaka engu-70, sengimdala kakhulu”, ubudala ngokwako akuyona into ebalulekile. Okwenzeka kakhulu impilo yakho iyonke, ikhwalithi yethambo endaweni (hhayi ngokujwayelekile), inhlanzeko yakho yomlomo, isimo sakho sokubhema, kanye nekhono lokuya ekunakekelweni okulandelayo.

Ucwaningo lubonisa ukuthi amazinga okusinda kwezimila kubantu abadala ayafana nalawo ezigulini ezincane uma zonke lezo zici zikuvumela. Izimila azinazo izilungiso; zidinga inhlanzeko yomlomo enhle kakhulu kanye nokuqapha okuqhubekayo.

Futhi ngezinye izikhathi izixazululo ezilula, njengokungenzi lutho ngezinye izikhathi, noma ipuleti elingakhishwa linakekelwe ngosizo lomnakekeli (kuleso simo, uma umuntu enekhono noma ukuqonda okulinganiselwe, okusho ukuthi uma umuntu ethola i-dementia noma i-Alzheimer's, uyazi, ngeke uye kofaka i-implant angeke akwazi ukuyinakekela, noma ukuthi othile angeke akwazi ukumsiza ukuyinakekela).

Futhi nezimo zezokwelapha eziyinkimbinkimbi, isifo sikashukela esingalawulwa, njll. Isifo sikashukela siyinkinga enkulu; uma silawulwa, khona-ke isifo sikashukela asiyona imbangela. Futhi isinqumo kufanele ngaso sonke isikhathi senziwe ngabanye. Izimila zingathuthukisa kakhulu ikhwalithi yokuphila, kodwa kufanele zikhethwe ngezizathu ezifanele kanye nokuqonda okungokoqobo kwezidingo zokunakekelwa kwesikhathi eside.

Ngicabanga ukuthi enye yezinsizakalo ezinhle kakhulu umuntu oneminyaka engu-70 noma engu-80 angazithola iwukuba umuntu obene-denture isikhathi eside, ikakhulukazi i-denture ephansi, abantu babonakala behlupheka ngalokho. Uma i-denture engezansi ishelela ngoba ingasenawo amathambo asele, futhi uma ingenayo imali (ngoba kubiza kakhulu ukuthola, ake sithi, ama-implant amane noma amahlanu engezansi bese uboshelwa ibhuloho elihlala njalo), ngisho nokufaka i-implant eyodwa noma ezimbili engezansi nge-clip encane i-denture engayifaka kuyo kwenza leyo denture isebenze kangcono kakhulu. Umuntu angabe esedla inyama futhi abe nokudla okungcono, futhi ukhombisile ukuthi uphila isikhathi eside ngoba ungahlafuna ukudla kwakho futhi awudli nje ukudla okungenamsoco.

[00:11:27 – 00:11:42] Eon Engelbrecht – eRadio SA: Bese kuthi ezigulini ezindala, siphatha kanjani impilo yomlomo uma kukhona i-dementia noma kubanakekeli?

[00:11:42 – 00:13:58] UDkt Clifford Yudelman – OptiSmile: Yebo, shame. Empeleni, ngikubonile lokho kakhulu, ikakhulukazi ngesikhathi ngizijwayeza eMelika ngawo-80, kusukela ngo-'86 kuya ku-2002. Ngachitha iminyaka eyi-16 eMelika, futhi iziguli zami zase zivele, ngalezo zinsuku, uma uneminyaka engu-70 noma engu-75, wawusuqala lapho. Kodwa ngesikhathi zifika eminyakeni engu-80, kwakune-dementia eningi kakhulu. Ngicabanga ukuthi kwakungaphambi kokuba sazi okuningi nge-Alzheimer's.

Futhi ungabona iziguli ebezinamazinyo amahle kakhulu impilo yazo yonke, bese kuthi ngokuzumayo zifike zingawanakekeli kahle amazinyo azo, bese ukunakekelwa kuba okungaguquki noma okucindezelayo. Futhi ukugxila kuyashintsha kusuka ekwelashweni kwamazinyo okuhle kuya ekuvimbeleni okusebenzayo: izinqubo ezilula.

Kukhona umuthi wokuhlanza umlomo okhethekile one-chlorhexidine; ongasebenza kahle. Ungawufaka ngisho nasesifuthweni. Ukusebenza nabanakekeli nabanakekeli kubaluleke kakhulu, nokusebenzisa isikhathi esilinganayo, ukuqinisekisa ukuthi ikakhulukazi ngaphambi kokulala amazinyo abo ahlanzwa kahle.

Ucwaningo luhlobanisa ukuhlanzeka komlomo kwalezi ziguli nobuhlungu obandayo, ukutheleleka, ukungondleki kahle, kanye nezinye izinkinga zomzimba. Futhi abanakekeli bavame ukungawunaki ubuhlungu bamazinyo ngoba ngezinye izikhathi iziguli azikwazi ukukhuluma kahle noma ukuzitshela.

Ngakho-ke ukuhlela kusenesikhathi kubalulekile: ukulungisa noma yikuphi ukugcwalisa noma imiqhele engasebenzi kahle, ukushelela noma yikuphi ukugoba okuqinile, nokususa amazinyo angenathemba ngaphambi kokuba isifo sokuwohloka komqondo siqhubeke. Futhi kusobala ukuthi ngeke wenze i-implant uma umuntu esevele enesifo sokuwohloka komqondo okubi.

[00:13:58 – 00:14:14] Eon Engelbrecht – eRadio SA: Dokotela, nami ngifuna ukukubuza: kungani amazinyo ebonakala eba mnyama noma ephuzi kakhulu njengoba ekhula? Ingabe kumane nje kuwukuguguleka?

[00:14:14 – 00:15:44] UDkt Clifford Yudelman – OptiSmile: Cha, akugugi futhi kudabuke. Ngokuvamile, kuba mnyama ngokuguga ngezizathu eziningana. I-enamel yakho iyancipha kancane kancane ngenxa, angisho ukuthi igugile futhi idabuke, kungenxa yokuguguleka. Sikhulume ngokuguguleka kwe-asidi, ikakhulukazi, nokuvumela ukuthi i-dentine emnyama engaphansi ibonakale. I-dentine yingxenye ephakathi yezinyo emnyama impela. Futhi, i-dentine iyaqhubeka nokuqina futhi imnyama ngokuhamba kwesikhathi.

Iminyaka eminingi yokuchayeka ezintweni ezidayayo njengetiye, ikhofi, iwayini, kanye nogwayi iqoqana ngaphakathi kwesakhiwo samazinyo. Futhi eminye imithi ingaguqula umbala wamazinyo akho.

Ushintsho lungokwemvelo; alubonisi isifo. Kodwa ukwenza mhlophe, ukupholisha, nokubopha kungavuselela ukubukeka kwamazinyo asebekhulile ngokuphephile. Akukaze kube sekwephuzile ukwenza mhlophe amazinyo akho. Ngike ngenza mhlophe kubantu abaneminyaka engu-70 kanye nengu-80. Angikhumbuli ukuthi ngake ngenza mhlophe yini umuntu oneminyaka engu-90. Eqinisweni ngikwenzile! Ubaba wami ongasekho wayesebenzisa amathreyi akhe okwenza mhlophe futhi afake mhlophe amazinyo akhe aze afike eminyakeni yakhe yokuqala engu-90. Wayegqoka amathreyi akhe nejeli yakhe ye-peroxide. Senze i-podcast yonke ngalokho. Ngakho-ke, ubudala abuyona into evimbelayo.

Ukwelashwa ngezimonyo kubantu abadala kuyasiza abantu bazizwe bengcono uma bebukeka bengcono. Ukuthi nje uneminyaka engu-80 akusho ukuthi awusabuki esibukweni. Futhi umgomo uwukuthuthukisa, hhayi ukwelashwa okunolaka. Besingeke siphinde senze inqwaba yama-veneers, yize sesenze ukubumba ngemijovo kubantu abaneminyaka engu-80 lapho sishintshe khona i-enamel engekho, futhi isikhathi esiningi iyasebenza futhi iyizimonyo.

[00:15:44 – 00:15:58] Eon Engelbrecht – eRadio SA: Kulungile. Futhi yini isixhumanisi phakathi kwe-aspiration pneumonia kanye nokungahlanzeki komlomo kubantu asebekhulile?

[00:15:58 – 00:17:39] UDkt Clifford Yudelman – OptiSmile: Yebo, ngisho ukuthi ngawo-90 ngakha umshini wokuklwebha ulimi engawuthengisa kulo lonke elaseMelika, futhi ngathola ilungelo lobunikazi kulokho, futhi ngangikuthanda kakhulu lokhu mayelana nokuhlanzeka komlomo, ikakhulukazi ulimi kanye ne-aspiration pneumonia. Futhi kungenye yezixhumanisi ezibaluleke kakhulu kodwa ezingaqondakali kahle phakathi kwempilo yomlomo nempilo ejwayelekile.

I-Aspiration pneumonia yenzeka lapho amabhaktheriya avela emlonyeni ephefumulwa emaphashini ezigulini ezibuthakathaka noma ezilaliswe esibhedlela, ikakhulukazi uma zinenkinga yokugwinya. Ibizwa ngokuthi i-dysphagia, lapho ungakwazi ukugwinya kahle. Le ngozi iyanda kakhulu, futhi izifundo eziningi zikhombisile ukuthi ukuhlanzeka komlomo okuthuthukisiwe kunciphisa ukwanda kwe-aspiration pneumonia kubantu asebekhulile, ikakhulukazi ezindaweni zokunakekelwa.

Umlomo usebenza njengendawo yokugcina amagciwane, ikakhulukazi olimini. Uma i-plaque emlonyeni ingalawulwa, uthola i-plaque eningi olimini lwakho, bese kuba lula ukuminyana kuleyo plaque. Ingahamba ngendlela engafanele.

Ngakho-ke ukunakekelwa komlomo okuhle akukhona nje ngamazinyo; kumayelana nokungenelela okusindisa impilo kubantu abadala abasengozini.

Futhi engikuthakasele kakhulu futhi ngenza ucwaningo oluningi ngakho, futhi lokhu kungaphambi kwe-ChatGPT futhi, uyazi, i-Google yayisesencane kakhulu, futhi ngangivame ukuya kulabhulali yezokwelapha, ukuthi uma uphefumula okunye kwalokhu kuba njengokushaqeka okunobuthi. Futhi ukushaywa yisifo sohlangothi okuningi, ngikholwa, kubangelwa yilokhu ngoba abantu bafika esibhedlela benomkhuhlane, banesifo sohlangothi, kodwa futhi kwenzeka ukuthi babe nomkhuhlane. Bese kuthi ngemva kosuku olulodwa noma ezimbili basesibhedlela benesifo sohlangothi, bese into elandelayo bathola lokho okubizwa ngokuthi “i-pneumonia etholakale esibhedlela”, kodwa empeleni bathola i-pneumonia ngaphambi kokuba babe nesifo sohlangothi ngoba baphefumula lo kungcola okuselulwimini lwabo futhi okwakhayo ngoba amazinyo abo ayengahlanzekile. Ngakho-ke kuyinto eyehla kancane.

Futhi uyazi, izinyathelo ezilula njengokuhlanza njalo, ukuhlanzeka kwamazinyo okufakelwa (ukugcina amazinyo okufakelwa ehlanzekile), kanye nokunakekelwa kochwepheshe kunganciphisa kakhulu izinkinga ezinkulu zezokwelapha. Futhi uma umuntu esesikhungweni sokunakekelwa kwasebekhulile, uvame ukuba nodokotela wamazinyo ozofika ahlole amazinyo abantu noma anakekele ekhaya futhi afundise abanakekeli.

[00:17:39 – 00:17:51] Eon Engelbrecht – eRadio SA: Kulungile. Futhi uma sesibuyela emazinyweni okufakelwa futhi, abantu abasebenzisa amazinyo okufakelwa kufanele baye kangaki kudokotela wamazinyo, noma ngabe abanawo amazinyo?

[00:17:51 – 00:18:59] UDkt Clifford Yudelman – OptiSmile: Ngisho ukuthi, isincomo siwukuthi kanye ngonyaka. Amazinyo okufakelwa ayashintsha ngokuhamba kwesikhathi njengoba ithambo lakho liphinda ligcwale futhi izicubu, izicubu ezithambile, ziphinde zivuselelwe. Amazinyo okufakelwa angalingani kahle angabangela izilonda kanye nokutheleleka futhi asheshise ukulahleka kwamathambo. Umdlavuza womlomo ungakhula kumuntu ogqokile amazinyo okufakelwa futhi ungase ungabonwa ngaphandle kokuhlolwa njalo.

Futhi yilokho ebengizokusho: isikhathi esiningi lapho abantu abadala bethola umdlavuza womlomo, kungenxa yokuthi empeleni abakaze baye kudokotela wamazinyo iminyaka emibili noma emithathu. Ngakho umdlavuza awubonakali, kanti uma usele namazinyo ambalwa futhi uya kudokotela wamazinyo ukuyonakekela lawo mazinyo bese uthola indawo encane esolisayo, udokotela wamazinyo angase akuthumelele i-biopsy bese uyibamba kusenesikhathi (ngokuthi “yibambe”, angisho ukuthi igciwane lithelelekile, ngisho ukuthi lithole kusenesikhathi bese uliphatha lisesencane).

Futhi uyazi, amazinyo okufakelwa ngokwawo azoba ne-plaque kanye ne-fungus eziphilayo uma zingahlanzwa kahle. Kukhona into ebizwa ngokuthi “i-denture stomatitis”, evame ukungabi buhlungu; kuvamile, ikakhulukazi uma abantu belala namazinyo okufakelwa, futhi lokho kubeka engcupheni induduzo nempilo.

Ukuvakashelwa njalo kwamazinyo kusenza sikwazi ukuhlola ukuthi amazinyo afanele yini, sihlole umdlavuza womlomo, siqinise inhlanzeko, futhi senze ushintsho noma ukulungiswa ngesikhathi esifanele. Futhi uyazi, ukungabi namazinyo emvelo akusho ukuthi awusadingi ukunakekelwa kwamazinyo.

[00:18:59 – 00:19:15] Eon Engelbrecht – eRadio SA: Kulungile. Bese kuba nombuzo owodwa nje wanamuhla: sisengakwazi yini ukwenza izinqubo zobuhle njengokubopha amazinyo amadala?

[00:19:15 – 00:20:31] UDkt Clifford Yudelman – OptiSmile: Yebo, futhi ngokuvamile kuphumelela kakhulu, kodwa ngokuqapha. Benginomuntu ogulayo ekuqaleni kwanamuhla esizokwenza ezinye izindlela zokuvula ukuluma kwakhe, amazinyo akhe angemuva agugile kakhulu, futhi sizokwenza i-injection molded composite bonding ukuze simnike ukumamatheka okuhle. Ubelokhu efuna lokho. Futhi isikhathi esiningi yilapho abazukulu bethi, “Gogo, kungani amazinyo akho ensundu kangaka?” noma “Kungani amazinyo akho ephukile?” Lokho kuyimbangela enkulu.

Ngakho-ke senza ukwelapha amazinyo amaningi okuhlobisa kubantu abadala, ikakhulukazi abesifazane asebekhulile. Ukubopha okuhlanganisiwe kuwukususa okuncane isakhiwo samazinyo, futhi singalungisa ukubukeka kwamazinyo agugile noma aqhephukile noma aguqukile. Ukuze kuguqulwe umbala, sivame ukwenza amazinyo abe mhlophe kuqala bese sisebenzisa ukubopha okuhlanganisiwe ukushintsha usayizi noma ukuma noma ubude, futhi silondoloze konke okusele kwamazinyo emvelo. Asibhobozi izinyo. Ngimelene kakhulu nama-veneer noma imiqhele, kungakhathaliseki ukuthi isiguli sineminyaka emingaki; sihlala sizama ukugwema ama-veneer noma imiqhele.

Futhi isihluthulelo ukukhetha ngokucophelela amazinyo. Amazinyo amadala angase abe nokuqina okunciphile, imifantu, noma ukugcwalisa okukhulu okusho ukuthi kufanele silungise indlela yethu yokwenza izinto. Ukwelashwa ngezimonyo kufanele kuthuthukise ukusebenza kanye nenduduzo futhi kungagcini izinyo elimele kakhulu. Futhi uma kwenziwa ngokucabangela, ukwelapha amazinyo ngezimonyo kubantu abadala kungathuthukisa kakhulu ukuzethemba, ikhono lokuhlafuna, kanye nekhwalithi yokuphila ngaphandle kokwelashwa okunamandla.

[00:20:31 – 00:21:05] Eon Engelbrecht – eRadio SA: Dkt. Yudelman, ngiyabonga kakhulu ngokuqonda kwakho okuhle futhi. Kusobala ukuthi amathuluzi afanele kanye nomqondo wokuvimbela, ukumamatheka okunempilo akunawo usuku lokuphelelwa yisikhathi ngalokho. Uma ungathanda ukufunda okwengeziwe noma ukubhuka ukubonisana kwa-OptiSmile, khumbula ukuthi ungavakashela i-OptiSmile.co.za. Ngiyabonga kakhulu, Dkt. Yudelman.

[00:21:05 – 00:21:38] UDkt Clifford Yudelman – OptiSmile: Ngiyabonga. Futhi ngibheke phambili kwiPodcast inombolo 96 ngesonto elizayo, lapho sesiqedile khona ngentsha kanye nedada elibi kanye nezingane ezincane kanye nabesilisa. Senze konke kusukela emazinyweni ezinsana kuze kube manje kuya kudokotela wamazinyo asebekhulile. Futhi ngesonto elizayo sizokhuluma ngokulingisa imvelo: udokotela wamazinyo we-biomimetic. Ngakho-ke lalela ngesonto elizayo.

[00:21:38 – 00:21:55] Eon Engelbrecht – eRadio SA: Lokho kuzwakala kuthakazelisa kakhulu. Ngikubheke ngabomvu, Dokotela. Ngiyabonga kakhulu. Futhi ungakhohlwa ukulalela ngesikhathi esizayo ukuthola amanye amathiphu okuthi ungonga kanjani imali yakho namazinyo akho. Sizokubona esiqeshini esilandelayo.

[00:22:04 – 00:22:31] Ummemezeli: Thola umhlaba wobungcweti bamazinyo nge-OptiSmile. Joyina nathi kwi-podcast yamasonto onke equkethe uDkt. Clifford Yudelman, uchwepheshe onolwazi oneminyaka engu-40 yesipiliyoni samazinyo emazwenikazi amane. Thola ukuqonda okuyingqayizivele kanye neseluleko samazinyo sochwepheshe ngokuvakashela i-OptiSmile.co.za ukuze uthole izihloko ezikhanyisa indlela eya empilweni yomlomo engcono kakhulu. Uma ufuna ukunakekelwa kwamazinyo okungenakuqhathaniswa eKapa, ​​​​xhumana ne-OptiSmile noma ubhukhe ngqo ku-inthanethi ku-OptiSmile.co.za. I-OptiSmile: lapho ubuchwepheshe bomhlaba wonke buhlangana khona nokunakekelwa kwendawo.