Izahluko
Lapho Umlomo Wembula Okungaphezu Kokulindelekile
[00:00:04 – 00:01:25]
Ukuphazamiseka kokudla kanye nempilo yomlomo kuhlobene kakhulu kunalokho abantu abaningi abakuqaphelayo. Izimpawu zokudla okungahlelekile zingavela emlonyeni ngaphambi kokuba zibonakale kwenye indawo, okwenza odokotela bamazinyo babe yingxenye ebalulekile yokutholakala kusenesikhathi kanye nokunakekelwa ngozwela.
Lesi siqephu sihlola izindlela ezithile i-bulimia kanye ne-anorexia ezithinta ngazo amazinyo nezinsini, lokho odokotela bamazinyo abakufunayo, kanye nendlela iziguli ezingayivikela ngayo impilo yazo yomlomo ngesikhathi nangemva kokululama.
Indlela i-Bulimia Elimaza Ngayo Amazinyo Ngendlela Ehlukile Ku-Acid Reflux
[00:01:25 – 00:05:04]
I-asidi yesisu ine-pH eseduze no-1 — ene-asidi eningi kakhulu kunejusi likalamula noma i-cola — futhi noma yini engaphansi kwe-pH engu-5.5 iqala ukuncibilikisa i-enamel. Ngesikhathi sokuhlanza i-bulimic, le-asidi ifakwa ngamandla emlonyeni, igeze amazinyo ngqo nangokuphindaphindiwe ngendlela i-acid reflux evamile engenzi ngayo.
Umonakalo obangelwayo uvame ukubonakala njengokuguguleka okubushelelezi, okufana nengilazi ebusweni bangaphakathi bamazinyo angaphambili angaphezulu, kanye ne-enamel encane kanye nokukhanya okwandayo. Ngokuhamba kwesikhathi, i-dentine engaphansi iyadalulwa, okuholela ekuzweleni, ebuthakathakeni besakhiwo, futhi ngezinye izikhathi kwaphuka.
Okubalulekile, umuzwa wecala uvame ukwedlula umonakalo wangempela. Iziguli eziningi ezidlulile ku-bulimia ziyamangala ukuthola ukuthi amazinyo azo asesimweni esingcono kunokwesaba. Ukuhlolwa okuyimfihlo, okungahluleli kunganikeza isiqinisekiso kanye nesithombe esicacile salokho, uma kukhona, okudinga ukwelashwa.
I-Perimolysis: Igama Lomtholampilo Lokuguguleka Kwe-Acid
[00:05:04 – 00:05:43]
I-Perimolysis yigama lezokwelapha lephethini ethile yokuguguleka kwe-enamel okubangelwa yi-asidi yesisu ezindaweni zangemuva zamazinyo angaphambili angaphezulu. Ngaphansi kokukhulisa, ubuso bunokubukeka okucwebezelayo okuhlukile kwezinye izinhlobo zokuguguleka kwamazinyo.
Kungani Kungafanele Uhlanze Isisu Ngokushesha Ngemva Kokuhlanza
[00:05:43 – 00:06:50]
Ngemva kokuchayeka ku-asidi, i-enamel iyathamba okwesikhashana. Ukuxubha amazinyo kuleli qophelo akuhlanzi amazinyo — kuyasheshisa ukuguguleka kwawo. Lesi seluleko siyasebenza nakubantu abaguliswa yisisu ngesikhathi sokukhulelwa.
Indlela enconywayo ukuhlanza ngobumnene ngamanzi noma ngesisombululo se-bicarbonate of soda ukuze kuncishiswe i-asidi, bese ulinda imizuzu engama-30 kuya kwengama-60 ngaphambi kokuxubha. Ukuhlafuna i-gum engenashukela noma ukusebenzisa ukuhlanza ngamanzi anombala oluhlaza okwesibhakabhaka okwamanje kuvuselela amathe, okusiza ekuvuseleleni ubuso bezinyo.
Indlela Odokotela Bamazinyo Ababona Ngayo Izimpawu Ngaphambi Kwanoma Ngubani Omunye
[00:06:51 – 00:08:35]
Odokotela bamazinyo bavame ukuba phakathi kwabokuqala ukuqaphela izimpawu zokuphazamiseka kokudla ngomlomo. Ukuncipha kwe-perimolysis, ukuzwela okungachazeki, ukuncipha kwe-enamel okusheshayo, kanye nezimbobo ezintsha esigulini esinokuhlanza umlomo okuhle konke kuyizindlela ezingavela ngaphambi kokuba isiguli sifune usizo noma siveze noma yini.
Indima kadokotela wamazinyo akuyona ukuxilonga inkinga yokudla ngokwayo, kodwa ukuqaphela izimpawu zomlomo nokuvula ingxoxo emnene. Umbuzo oqondile kodwa onenhlonipho — njengokubuza ukuthi isiguli sike saba ne-bulimia noma sizihlanza — awuvamile ukucasula uma sisondela ngokunakekela, futhi kungaba yisona sizathu isiguli esidinga usizo ngaso.
Izimpawu Zomlomo Zokuntula I-Anorexia Nokudla Okunemikhawulo
[00:08:36 – 00:10:51]
I-Anorexia yisimo esihlukile nesibucayi ngokwezokwelapha esibonakala ngendlela ehlukile emlonyeni. Izimpawu ezivamile zomlomo zifaka phakathi umlomo owomile, ukuphelelwa amanzi emzimbeni, ingozi enkulu yokuvuvukala kwezinsini, ukuphola okulibazisekile, izilonda, kanye nokuntuleka kwamavithamini - ikakhulukazi amavithamini B no-C - okungabangela ubuhlungu, ukopha kwezinsini kanye nezinguquko ezicutshini ezithambile.
Ukulahlekelwa ubuningi bamathambo okuhambisana ne-anorexia enzima nakho kungathinta umhlathi. Lezi zimpawu azigcini nje kwi-anorexia yezokwelapha; abantu abanokudla okuncishisiwe kakhulu kanye nokuzivocavoca umzimba okuningi kakhulu bangabonisa imiphumela efanayo, noma ngabe babonakala bephilile futhi bephilile ngaphandle.
Ukubuyisela Amazinyo Ancishisiwe Ngenxa Yokuguguleka Kwe-Acid
[00:10:52 – 00:12:11]
Ukwelashwa kugxile ekulondolozeni i-enamel esele ngenkathi kuvikelwa amazinyo ekulimaleni okuqhubekayo. Indlela yokuqala ekhethwayo ukubopha okuhlanganisiwe okunamathelayo, ikakhulukazi okubunjwe ngomjovo ukuhlanganisa okuhlanganisiwe, okubuyisela ukujiya futhi kuthuthukise ubuhle ngaphandle kokubhoboza.
Veneers futhi imiqhele ayiyona into yokuqala ekhethwayo, njengoba idinga ukususa isakhiwo samazinyo esengeziwe. Ukuvuselelwa okuhleliwe kuyathandwa kunokwakhiwa kabusha komlomo ogcwele, futhi ukuzinza kwanoma yisiphi isifo esisebenzayo kuhlala kuqala ngaphambi kokuba umsebenzi wobuhle uqale.
Ukuphatha Ukunakekelwa Kwamazinyo Lapho Isifo Sisasebenza
[00:12:11 – 00:13:09]
Ukuchayeka okuqhubekayo kwe-asidi kuphazamisa ukuhlangana kokulungiswa, kwandisa ukuzwela, futhi kusheshise ukuwohloka kwawo, ngakho-ke ukwelapha amazinyo ngendlela yobuhle akufaneleki kuze kube yilapho inkinga eyisisekelo isilawulwa. Okwamanje, izinyathelo zokuzivikela zingasetshenziswa.
I-ionomer yengilazi — into ekhipha i-fluoride ebopha ngokwemvelo emazinyweni — ingapendwa ezindaweni ezisengozini ukuze kuncishiswe umonakalo owengeziwe. Ayicwengisiswanga kahle njengenhlanganisela, kodwa inikeza isivikelo esibalulekile ngenkathi isiguli sisebenza ngokululama.
Ukusondela Engxoxweni Ngozwela
[00:13:09 – 00:14:54]
Kodokotela bamazinyo abangakaze babe nale ngxoxo ngaphambili, ukugxila ezitholweni zezokwelapha ezibonwe kunezibikezelo kuyisiqalo esiwusizo. Ukuchaza lokho okubonayo — njengephethini yokuguguleka kwe-asidi evame ukuhambisana nokuchayeka njalo kwe-asidi — kuvula ingxoxo ngaphandle kokumangalelwa noma ukwahlulela.
Ukungaqondile kakhulu kungabangela ukudideka, ngakho-ke izinga elilinganisiwe lokuqondile livame ukusebenza kangcono. Umgomo ukuqinisekisa ukuthi isiguli siyahamba ngemva kokunikezwa ithuba lokuxoxa ngokwenzekayo, nokwazi ukuthi umkhuba uyindawo ephephile, esekelayo kunokuba yindawo yokwesaba noma yokuhlazeka.
Imikhuba Yokunakekelwa Ekhaya Yokuvikela I-Enamel Ngesikhathi Sokululama
[00:14:55 – 00:16:27]
Ukunciphisa i-asidi ngokushesha, ukusebenzisa umuthi wokuxubha one-fluoride ephezulu, kanye nokuxubha ngaphandle kokuhlanza ukuze kuhlale insalela ye-fluoride emazinyweni konke kuyimikhuba ebalulekile. Imikhiqizo efana ne-Tooth Mousse, esetshenziswa kuthreyi eyenziwe ngokwezifiso, ingasekela ukuvuselelwa kwamaminerali.
Ukuvuselelwa kwamathe nge-gum engenashukela, ama-varnish e-fluoride, kanye nokusetshenziswa kwe-ionomer yengilazi konke kudlala indima. Ukukhetha ukudla nakho kubalulekile - ukunciphisa ukudla okwengeziwe okune-asidi kanye nokufaka izinketho zokunciphisa ukuvuvukala njengoshizi kungasiza ekunciphiseni umonakalo owengeziwe kanye nanoma yikuphi ukwelashwa okunconywa udokotela wamazinyo.
Ukuvuvukala Kwendlala Yamathe Nezinye Izimpawu Ezibonakalayo
[00:16:27 – 00:17:59]
Ukuhlanza okuphindaphindiwe kungabangela ukuthi izindlala zamathe ezitholakala emathunjini aphansi zikhule, okubangela ukuvuvukala kobuso okuhlukile okubizwa ngokuthi izihlathi ze-chipmunk. Lokhu kubangelwa ukucasuka kwezindlala, ukuvuvukala, kanye nokugeleza kwamathe okushintshashintshayo, futhi kuvame ukuncipha lapho ukuhlanza kuyeka, yize izinguquko ezingapheli zingaba khona.
Izinguquko zendlala yamathe zimelela esinye isibonakaliso sokuqala esingase sibonwe uchwepheshe wezempilo yomlomo, okuqinisa isizathu ukuhlolwa kwamazinyo okuvamile iwusizo ngisho noma umuntu engakakulungeli ukudalula okwenzekayo.
Okulotshiweyo
U-Eon Engelbrecht (0:04)
Sawubona futhi wamukelekile ku-Save Your Money, Save Your Teeth, i-podcast lapho sichaza khona izihloko zamazinyo ezingenza umehluko wangempela empilweni yakho, ukuzethemba kwakho, kanye nekhwalithi yempilo yakho. Ngingu-Eon, futhi namuhla sikhuluma ngesihloko esibucayi kodwa esibaluleke kakhulu: ukuphazamiseka kokudla kanye nempilo yomlomo. Lesi ngesinye salezo zihloko lapho izimpawu zingabonakala khona ngezinye izikhathi emlonyeni ngaphambi kokuba zibonwe kwenye indawo. Siphinde sisikhumbuze ukuthi impilo yomlomo ivame ukuxhunyaniswa nenhlalakahle yomuntu ngokomzimba nangokomzwelo. UDkt. Clifford Yudelman wase-OptiSmile ojoyina nathi futhi ukusisiza siqonde kangcono izimpawu eziyisixwayiso, umonakalo wamazinyo ongenzeka, kanye nendlela odokotela bamazinyo abangasabela ngayo ngokunakekela nangozwela. Dr. Yudelman, kuhle ukuba nawe futhi.
UDkt Clifford Yudelman (0:57)
Kuhle ukubuya. Ngiyabonga ngokungibona, futhi ngibheke phambili esiqeshini sanamuhla. Ngethemba ukuthi lokhu kusiza abantu abanenkinga yokudla, noma mhlawumbe umfowabo noma udadewabo womuntu, njengoba izingane zakubo zivame ukuqaphela lezi zinto ngaphambi kokuba abazali baziqaphele. Kungasiza futhi abazali abasola ukuthi ingane yabo inenkinga efana nale.
U-Eon Engelbrecht (1:25)
Dokotela, ake singene ngqo. I-bulimia ilimaza kanjani amazinyo uma kuqhathaniswa ne-acid reflux evamile?
UDkt Clifford Yudelman (1:34)
Inendlela ethile yokulimala, ngoba amazinyo abonakala ngqo nangokuphindaphindwayo ku-asidi enamandla esiswini ngesikhathi sokuhlanza. I-asidi yesisu ine-pH eseduze no-1. Ngokwesimo, u-7 akakhethi. Sesikhulume ngama-asidi ngaphambili. Ijusi likalamula licishe libe yi-pH engu-2 kuya ku-3, kanti isiphuzo se-cola cishe singama-3 kuya ku-3.5. Noma yini engaphansi kuka-5.5 iqala ukuncibilikisa amazinyo, kanti i-asidi yesisu ine-asidi kakhulu kunanoma yini ongayifaka emazinyweni akho ungaphandle.
Ngokungafani ne-acid reflux, ethinta ingemuva lomphimbo futhi yenzeka ngezikhathi ezithile, ukuhlanza nge-bulimic kuletha i-acid ngamandla emlonyeni, igeze amazinyo ngqo futhi njalo. Umonakalo uvame ukuba mkhulu, usheshe, futhi ube sendawo. Esivame ukukubona ukuguguleka okubushelelezi, okufana nengilazi ebusweni bangaphakathi bamazinyo angaphezulu, kanye ne-enamel encane kanye nokukhanya okwandayo, ikakhulukazi ngemuva kwamazinyo angaphambili. Kubonakala sengathi othile uthathe umshini wokubhoboza wapholisha i-enamel ngemuva kwamazinyo angaphambili, njengokungathi uyawafaka phansi ukuze abe yi-veneer, kodwa kusukela ngemuva esikhundleni sangaphambili.
Ngokuhamba kwesikhathi, lokhu kuveza i-dentine, okuholela ekuzweleni, ebuthakathakeni besakhiwo, futhi ngezinye izikhathi ukuphuka. Izifundo zibonisa ukuthi ukuvama kokuchayeka kwe-asidi yikona okuyinhloko okunquma ubukhulu bomonakalo. Ngisho namanani amancane e-asidi, aphindaphindwa kaningi ngokwanele, azonqoba izindlela zemvelo zokulungisa izinyo.
Nokho, ngifuna ukwengeza into ebalulekile. Ngibone iziguli eziningana eziseminyakeni yazo yamashumi amabili nambili ezingitshela ukuthi azikaze ziye kudokotela wamazinyo isikhathi eside. Zikhathazekile kakhulu ngamazinyo azo ngoba ekugcineni sezidlulile ekuhlungeni nasekuhlanzeni noma e-bulimia, futhi zinomuzwa wokuthi seziqede amazinyo azo ngokuphelele. Ezimweni eziningi, kunecala elikhulu kunomonakalo wangempela. Ngibone iziguli eziningana ezine-bulimia amazinyo azo angonakali kakhulu nhlobo.
Ngakho-ke uma une-bulimia, ungabi namahloni noma ube namahloni ngokubona udokotela wamazinyo ukuze nje ahlolwe njalo. Udokotela wamazinyo ngeke aqaphele inkinga bese egijima eyotshela abazali bakho. Ngisho noma besola okuthile, noma yini oyidalula kudokotela wamazinyo ngasese iphathwa kanjalo. Kuye futhi kuncike eminyakeni yobudala, okungaphezu kwamandla ale podcast, kodwa iningi leziguli engizibona kulesi simo yintsha noma abantu abadala abasebasha, futhi ngeke ngitshele abazali bazo noma yini abayabelane nami ngokuyimfihlo.
U-Eon Engelbrecht (5:04)
Futhi kuyini i-perimolysis, futhi kungani kwenzeka ngemuva kwamazinyo angaphezulu, dokotela?
UDkt Clifford Yudelman (5:11)
I-Perimolysis iyiphethini ethile yokuguguleka kwe-enamel okubangelwa yi-asidi yesisu, ebusweni bangemuva bamazinyo angaphambili angaphezulu. Empeleni yilokho ebesikuxoxa ngakho. Ngaphansi kokukhulisa, ikakhulukazi nge-microscope, singakubona ngokucacile lokho kubukeka okucwebezelayo okuhlukile. I-Perimolysis igama nje lomtholampilo layo.
U-Eon Engelbrecht (5:43)
Futhi ngikholelwa ukuthi isiguli akufanele sigeze amazinyo ngokushesha ngemva kokuhlanza. Ingabe lokho kuyiqiniso?
UDkt Clifford Yudelman (5:51)
Yebo, futhi lokhu kusebenza nakubantu abahlushwa kakhulu ukucasuka kwasekuseni ngesikhathi sokukhulelwa. Akufanele usheshe ukuxubha, ngoba ngemva kokuchayeka ku-asidi i-enamel iba thambile impela. Ukuxubha indawo ethambile akuhlanzi amazinyo, kuyawagugisa. Ugcina uguga amazinyo akho ngokushesha.
Isincomo ukuthi ugeze kancane ngamanzi, noma nge-bicarbonate encane yesoda emanzini ukuze unciphise i-asidi, bese ulinda imizuzu engama-30 kuya kwengama-60 ngaphambi kokuxubha. Ungahlafuna futhi i-gum engenashukela, noma ugeze ngamanzi ane-mint ugeze bese uxubha i-gum, evuselela amathe asiza ekuvuseleleni ubuso bezinyo. Leso seluleko esisodwa kuphela okufanele silalele le podcast. Uma kusiza abantu ukuthi bagweme ukuxubha i-enamel yabo, ngiyajabula.
U-Eon Engelbrecht (6:51)
Udokotela wamazinyo angazibona kanjani izimpawu zesifo sokudla ngaphambi komunye umuntu? Ubungabonani? Ufunani?
UDkt Clifford Yudelman (7:00)
Sivame ukuqaphela lezi zimpawu phambi kweziguli, odokotela bazo, noma abazali bazo. Izinkomba yi-perimolysis engiyichazile, amazinyo azwelayo, ukuncipha kwe-enamel okusheshayo, kanye nomuntu ohlanzekile ngomlomo kodwa oqhubeka ethola imigodi. Lezi yizindlela ezingavela ngaphambi kokuba isiguli sifune usizo noma sidalule inkinga yokudla. Udokotela wamazinyo oqeqeshiwe angazibona.
Akukhona ukwahlulela ukuziphatha komuntu siqu. Kuyisifo. Indima kadokotela wamazinyo akuyona ukuxilonga inkinga yokudla ngokwayo, kodwa ukuqaphela izimpawu zomlomo. Lokho kunikeza ithuba lokungenelela kusenesikhathi nangozwela. Ungabuza ngobumnene, “Ingabe unenkinga ngesisu sakho?” noma ungaba oqondile kakhudlwana.
Ngemva kweminyaka engama-43, ngivame ukubuza iziguli ngqo. Ngingathi, “Ingabe uke waba ne-bulimia, noma wake waba nayo?” Uma bengazi ukuthi ngikhuluma ngani, ngizobabuza, “Ingabe uyazihlanza?” ngoba yilokho isithombe esibukeka ngakho ngokwezokwelapha. Uma kungelona iqiniso, bazomane bathi cha, futhi ngeke bavame ukucasuka uma usondela kuso ngenhlonipho. Udokotela wamazinyo akanalutho angalulahlekelwa ngokubuza, yize udinga ukwahlulela ukuthi umuntu ubuthakathaka kangakanani nokuthi ngabe kukhona yini okunye ukucabanga kwengqondo okuhilelekile.
U-Eon Engelbrecht (8:36)
Kulungile. Uma kukhulunywa ngezimpawu zomlomo ze-anorexia, yini enye ekhona? Ukuntuleka kwamavithamini noma umlomo owomile?
UDkt Clifford Yudelman (8:45)
I-anorexia ihlukile ngokuphelele ku-bulimia. I-anorexia yilapho ubona khona abantu ababa nesisindo esiphansi kakhulu, ngezinye izikhathi baze babonakale benomzimba oqinile ezigabeni ezithuthukile, okuyinto edabukisa kakhulu ukuyibona. Angazi okuningi ngesici sengqondo, kodwa laba ziguli bavame ukuzibona bekhuluphele kakhulu uma bezibuka esibukweni futhi befuna ukwehlisa isisindo kakhulu. I-bulimia ivame ukuba yisimo esiqhubeka iminyaka eminingi, esihilela ukudla ngokweqile okulandelwa ukuhlanza, futhi kunezinhlobo ezahlukene. I-anorexia yisifo esihluke ngokuphelele futhi esibucayi ngokwezokwelapha.
Izimpawu ezivamile zomlomo zifaka phakathi umlomo owomile, ukuphelelwa amanzi emzimbeni, ngezinye izikhathi okubangelwa imithi, ukwanda kwengozi yokwakheka kwezinsini, ukuvuvukala kwezinsini, ukuphola okulibazisekile, izilonda, kanye nokuntuleka kwamavithamini, ikakhulukazi i-B ne-C, okungabangela ubuhlungu bezinsini, ukopha, kanye noshintsho lwe-mucosal. Abantu abane-anorexia bangabukeka begula kakhulu, sengathi badlula ku-chemotherapy.
Ubuningi bamathambo nakho kuyindaba ekhathazayo. Ubuningi bamathambo obuphansi kakhulu bungathinta umhlathi. Umlomo ubonakalisa lonke uhlelo. Lokhu akusebenzi nje kuphela kubantu abane-anorexia yezokwelapha kodwa nakubantu abadla ukudla okulinganiselwe kakhulu kanye nokuzivocavoca umzimba okuphezulu kakhulu, ngezinye izikhathi abachazwa njengabantu abanesifo sokungadli kahle. Bangase babukeke bephilile futhi beqinile, kodwa bangaba nezimpawu zomlomo ezifanayo, futhi lokhu kuyinto esiyibonayo emtholampilo wamazinyo.
U-Eon Engelbrecht (10:52)
Impela, inzima impela. Dokotela, uwabuyisela kanjani amazinyo asebe mancane futhi acwebezelayo ngenxa ye-asidi?
UDkt Clifford Yudelman (11:00)
Sigxila ekulondolozeni okusele ngenkathi sivikela amazinyo ekulimaleni okuqhubekayo. Ukungenelela okuncane kubalulekile, ngoba i-enamel esele iyigugu kakhulu. Indlela yethu yokuqala ukubopha okuhlanganisiwe okunamathelayo, ikakhulukazi ukubopha okuhlanganisiwe okubunjwe ngomjovo. Sesikhulume ngakho kaningi ngaphambili. Kubuyisela ukujiya, kuvikele amazinyo, futhi kuthuthukise ubuhle ngaphandle kokubhoboza ngamandla. Eqinisweni, akukho ukubhoboza nhlobo.
Kwezinye izimo emazinyweni angemuva singasebenzisa ama-overlays, kodwa ama-veneer nama-crown akuvamile ukuba ukukhetha kokuqala ngoba akhipha izinyo eliningi. Sithanda ukulungiswa okuhleliwe kunokwakhiwa kabusha komlomo ogcwele. Uma umuntu enenkinga esebenzayo noma esanda kusebenza, ukuzinza kuhlala kuza ngaphambi kwanoma yiziphi izimonyo. Ukulungisa amazinyo ngaphandle kokulungisa ukuchayeka okuqhubekayo kwe-asidi kumane kuholela ekuhlulekeni kokulungiswa.
U-Eon Engelbrecht (12:11)
Kulungile. Futhi kuphephile yini ukwenza umsebenzi wobuhle ngenkathi inkinga yokudla isasebenza?
UDkt Clifford Yudelman (12:18)
Sibhekana nakho ngendlela ehlukile. Ukuchayeka okuqhubekayo kwe-asidi kuphazamisa ukubopha, kwandisa ukuzwela, futhi kusheshise ukuwohloka kokubuyiselwa. Okubaluleke kakhulu ukuvikela nokuzinza. Ukubuyiselwa kwesikhashana, okuvikelayo kungasetshenziswa. Singapenda ezintweni ezibizwa ngokuthi i-ionomer yengilazi, equkethe i-fluoride futhi ibophe ngokwemvelo emazinyweni, futhi empeleni engaqinisa ubuso bezinyo. Kuyizinto zokugcwalisa ezimhlophe, kodwa aziyona into yokuhlobisa njengenhlanganisela futhi azikwazi ukupholishwa zikhanye ngendlela efanayo. Kunezindlela zokuyibeka emazinyweni ukuze kuncishiswe umonakalo owengeziwe kuze kube yilapho inkinga eyisisekelo isixazululiwe, bese siqala ukwakha kabusha amazinyo kahle.
U-Eon Engelbrecht (13:09)
Futhi dokotela, singabhekana kanjani nale ndaba ebucayi neziguli ngozwela?
UDkt Clifford Yudelman (13:16)
Siqale ukukhuluma ngalokhu ngaphambilini. Kumuntu ongakaze abe nengxoxo enjalo nesiguli, nginezeluleko ezimbalwa.
Gxila ezitholweni zezokwelapha ezibonwe kunokucabangela noma amalebula. Ungathi, “Ngibona iphethini yomonakalo we-asidi lapha esivame ukuyibona ngokuchayeka njalo kwe-asidi,” okumema ingxoxo ngaphandle kokusola. Ukuxhumana okunesihawu nokungahluleli kwakha ukwethembana.
Indlela efanele incike eminyakeni kadokotela wamazinyo, iminyaka yesiguli, kanye nesimo. Kulezi zinsuku abantu bavame ukusho ngqo, futhi uma ubheka phansi, bangase bazibuze ukuthi uthini. Ngingase ngisho ngqo bese ngithi, “Ngibona ukuguguleka okukhulu ngemuva kwamazinyo akho. Sivame ukubona lokho ezigulini ezihlanza kakhulu. Ngike ngaba neziguli ezine-bulimia ezinamazinyo afana ncamashi nawakho. Ingabe lokhu kungaba yimbangela?”
Ukhuluma ngezinkinga zempilo. Awufuni isiguli sishiye umtholampilo singakawuphakamisi okungenani kanye. Uma uphatha ingxoxo kahle, kwandisa amathuba okuthi sizofuna usizo. Udokotela wamazinyo kufanele abe yindawo ephephile, hhayi indawo yokwesaba noma yokwahlulela.
U-Eon Engelbrecht (14:55)
Kuyiqiniso impela. Dokotela, yimiphi imikhuba yokunakekelwa ekhaya engavikela i-enamel ngesikhathi sokululama?
UDkt Clifford Yudelman (15:04)
Ukunciphisa i-asidi ngemva kokuchayeka, ukusebenzisa i-toothpaste ene-fluoride ephezulu, kanye nokuxubha nokukhafula ngaphandle kokuhlanza ukuze insalela yamazinyo ihlale emazinyweni. Ama-toothpaste ane-fluoride ephezulu kungaba nzima ukuwathola eNingizimu Afrika. Kukhona nomkhiqizo obizwa ngokuthi i-Tooth Mousse, esixoxe ngawo ngaphambili. Ungafaka i-Tooth Mousse kuthreyi yokwenza mhlophe noma kuthreyi yemithi ukusekela ukuvuselelwa kwamaminerali.
Ukusekelwa kwamathe kubalulekile. I-chewing gum engenashukela ivuselela ukugeleza kwamathe. Kukhona ama-varnish e-fluoride, kanye ne-ionomer yengilazi ependiwe engikhulume ngayo ekuqaleni. Iseluleko sokudla sibalulekile futhi, ukuze kuncishiswe ukuvezwa okwengeziwe kwe-asidi. Uma umuntu one-bulimia edla nolamula omningi noma okunye ukudla okune-asidi, lokho kuyayandisa inkinga. Ushizi namafutha anempilo kungenzeka kakhulu kusize ekunciphiseni i-asidi. Kuyisimo esiyinkimbinkimbi, kodwa udokotela wakho wamazinyo angakusiza ukuthi usindise amazinyo akho, ukuze uma usudlula enkingeni eyisisekelo, njengoba abantu abaningi benza nge-bulimia, usenamazinyo anempilo angeke abize mali enkulu ukuwanakekela.
U-Eon Engelbrecht (16:27)
Futhi ingabe izindlala zakho zamathe zingavuvukala, dokotela? Izihlathi zeChipmunk, uma singazisho, ngenxa yokuhlanzwa?
UDkt Clifford Yudelman (16:34)
Yebo. Ukuhlanza okuphindaphindiwe kungandisa izindlala ze-parotid salivary, okuyizo ezisezihlathini ezingezansi, futhi lokho kungabangela ukuvuvukala kobuso okufana nezihlathi ze-chipmunk. Kubangelwa ukucasuka kwezindlala, ukuvuvukala, kanye nokushintsha kokugeleza kwamathe. Ukuvuvukala kuvame ukuncipha lapho ukuhlanza kuphela, kodwa izinguquko ezingapheli zingenzeka. Ukushintsha kwezindlala ze-saliva kuyisibonakaliso esingase sibonwe uchwepheshe wezempilo yomlomo kusenesikhathi, okuqinisa ukubaluleka kokuhlolwa kwamazinyo njalo. Uma ngikhuluma iqiniso, angikaze ngikubone lokhu mathupha eminyakeni engu-43 yokusebenza, kodwa ngifunde ngakho izikhathi eziningi ezincwadini.
U-Eon Engelbrecht (17:30)
Ngicabanga ukuthi okuwukuphela kwezihlathi ze-chipmunk engingazicabanga yilapho usususwe amazinyo akho okuhlakanipha.
UDkt Clifford Yudelman (17:37)
Yebo, ngamaphesenti ayi-100. Khona-ke uqinisekisiwe ukuthi uzozijabulisa.
U-Eon Engelbrecht (17:41)
Yebo, kuhle kakhulu. Nokho, lowo kwakunguDkt. Clifford Yudelman wase-OptiSmile, futhi wabelana ngemininingwane ewusizo kakhulu yokuthi izinkinga zokudla zingathinta kanjani impilo yakho yomlomo, nokuthi kungani ukwesekwa nokuqonda kwasekuqaleni kubaluleke kangaka. Dr. Yudelman, ngiyabonga kakhulu futhi.
UDkt Clifford Yudelman (18:00)
Ngiyabonga, futhi kuhle ukuxoxa nawe. Ngilangazelela ukukhuluma nawe ngesikhathi esizayo.
U-Eon Engelbrecht (18:08)
Impela. Ngicabanga ukuthi umyalezo omkhulu ovela engxoxweni yanamuhla ulula. Umlomo ungaveza izimpawu ezibalulekile zalokho okwenzekayo emzimbeni wonke, futhi ukunakekelwa kwamazinyo kufanele kubhekwe ngozwela ngaso sonke isikhathi, hhayi ngokwahlulela, njengoba uDkt Yudelman eshilo. Ukuze ufunde kabanzi noma ukubhuka i-aphoyintimenti, vakashela i-OptiSmile.co.za. Like bese ubhalisela. Siyabonga ngokulalela i-Save Your Money, Save Your Teeth, futhi sizophinde sikubambe ngesikhathi esizayo.
Ummemezeli (18:55)
Thola umhlaba wobuhle bamazinyo nge-OptiSmile. Hlanganyela nathi nge-podcast yamasonto onke ehlanganisa uDkt Clifford Yudelman, uchwepheshe ongumakadebona oneminyaka engama-40 yolwazi lwamazinyo kuwo wonke amazwekazi amane. Thola ulwazi oluyingqayizivele kanye nezeluleko zamazinyo ezingochwepheshe ngokuvakashela i-OptiSmile.co.za ukuze uthole izindatshana ezikhanyisa indlela eya empilweni yomlomo ephelele. Uma ufuna ukunakekelwa kwamazinyo okungenakuqhathaniswa eKapa, thintana ne-OptiSmile noma ubhukhe ngokuqondile ku-inthanethi ku-OptiSmile.co.za. I-OptiSmile, lapho ubuchwepheshe bomhlaba wonke buhlangabezana nokunakekelwa kwasendaweni.
Umshwana wokuzihlangula: Okuqukethwe okuhlinzekwe kule podcast, “Yonga Imali Yakho Yonga Amazinyo Akho” ngeMisombuluko Yezokwelapha, okwezinjongo zolwazi nezemfundo kuphela. Akuhloselwe ukusebenza njengeseluleko samazinyo noma sezokwelapha. Imibono nemibono evezwe uDkt. Clifford Yudelman kanye nanoma yiziphi izihambeli zenzelwe ukugqugquzela ukuqonda kangcono impilo yamazinyo, izinyathelo zokuvimbela, kanye nempilo enhle evamile, kodwa akufanele kuhunyushwe njengezincomo zamazinyo ezichwepheshile noma zezokwelapha.UDkt. U-Clifford Yudelman akahloli, akalaphi, noma anikeze ngamasu okuvimbela anoma yiziphi izimo zezempilo ngokuqondile ngale podcast. Le nkundla ayithatheli indawo yokunakekelwa komuntu siqu nezeluleko ezinikezwa udokotela wamazinyo onelayisensi noma uchwepheshe wezokunakekelwa kwezempilo. Sikhuthaza kakhulu abalaleli bethu ukuthi baxhumane nabahlinzeki babo bamazinyo ukuze babhekane nezidingo zempilo yamazinyo ngabanye kanye nezinto ezibakhathazayo.Ulwazi olwabiwe lapha luhlose ukunika abalaleli amandla olwazi mayelana nempilo yamazinyo kodwa akufanele lusetshenziswe njengesisekelo sokwenza izinqumo ezihlobene nempilo ngaphandle kosizo lwezempilo. isiqondiso sochwepheshe. Umhlinzeki wakho wokunakekelwa kwamazinyo ungumthombo ongcono kakhulu weseluleko mayelana namazinyo akho kanye nempilo yakho iyonke. Sicela uhlale ucela iseluleko sikadokotela wakho wamazinyo noma abanye ochwepheshe bezempilo abaqeqeshiwe mayelana nanoma yimiphi imibuzo noma okukukhathazayo mayelana nempilo yakho yamazinyo.
