Nā Valerie Kanter, DMD, MS, BCN, Heamana o te Komiti Endodontics IAOMT Nā te tukunga o tētahi kiriata kiriata a Netflix ko Root Cause te taitara, kua tae te tautohetohe mō te maimoatanga o te awa pakiaka ki tētahi wā tino nui. Concerns about this dental procedure and its potential impact on the rest of the body are being raised by patients, providers and dental schools and organizations.Many patients worry when they hear their dentist mention a root canal treatment.With over 15 million root canal treatments performed each year, we have a responsibility to look at all of the scientific evidence available to us when forming and sharing opinions on such an important issue.Root Canal Treatment and Whole-Body HealthThere is growing evidence that dental conditions and the health of the rest of the body are inter-connected. E whakamārama ana tēnei i te hiahia mō tētahi pūnaha tiaki hauora-niho whakauru. Hei tauira, e rua ngā rangahau hou i whakaputaina i te Hui-tanguru 2019 i roto i te Journal of Endodontics kua arotakehia e ngā hoa, e tūhura ana i tēnei hononga ā-waha-pūnaha. E ai ki ngā kaituhi o tētahi o ngā rangahau, he hononga kei waenganui i ngā mate urutā e tata ana ki te pito o te pūtake o te niho me ngā mate pūnaha toto. Waihoki, e hono ana ngā kaituhi o te rangahau tuarua i ngā mate o te awa pakiaka ki te pikinga o te mumura me te mōrearea ngakau ngawari ki te teitei. He aha te Maimoatanga o te Awa Pūtake? E whakaatu ana tēnei whakairoiro ko te whāinga o te maimoatanga awa pakiaka he tango i te kiko pangia me te horoi i ngā awa. He mea nui kia mārama ko te endodontics te peka o te mahi niho e arotahi ana ki te maimoatanga o te penupenu niho, ngā kiko ngohengohe rānei i roto i te niho (ngā io me ngā uaua toto). Ko te whāinga o te rongoā endodontic, arā, te maimoatanga awa pakiaka, he ārai me te rongoā rānei i ngā mate o ēnei hanganga. He maha ngā āhuatanga kua honoa ki te whai huatanga o te maimoatanga awa pakiaka, pērā i te whakamahinga o ngā ārai niho, ngā karu tirotiro pokanga, te āhua o te periodontal, te whakahohenga o ngā wai whakamakuku me te kounga o te whakaora whakamutunga. Ko ngā āhuatanga o te korenga o te niho ko te toenga o te kiko penupenu necrotic, te mate peri-radicular, te mate periodontal, ngā whati pakiaka, ngā taputapu pakaru, ngā poka ā-ringa, ngā whakakī nui o te awa pakiaka, ngā whakakī iti o te awa pakiaka, ngā awa ngaro, ngā awa kāore anō kia whakakīia. Hangarau Hou me te Rangahau mō te Maimoatanga o te Awa Pūtake He waimarie, kei te piki haere te hangarau ka taea te whakakore i ēnei ngoikoretanga i roto i ngā tikanga tuku iho mō te tātaritanga endodontic me te maimoatanga awa pakiaka. Ko te whakamahinga o ngā mīhini CBCT (cone beam computed tomography) hei tātaritanga i te mate endodontic kei te puta hei taputapu nui hei whakapai ake i te kounga o te tiaki. Kua tino kaha haere hoki te whanaketanga o ngā hangarau e whakarei ake ana i te patu huakita 3D mā te whakamakuku i whakamahia ai te laser me te whakamakuku maha-oro. He nui te tūmanako ka puta mai i te whakamahinga o te ozone kounga hauora hei rongoā tāpiri. He mea nui anō hoki kia mōhio ki te tūranga nui o te urupare ārai mate i roto i te maimoatanga o te awa pakiaka, tae atu ki te whanaungatanga whakapoauau i waenga i ngā mate waha, te mumura pūnaha iti (te mumura pūnaha iti), me ngā ira. Ina koa, ka taea e ngā momo ira motuhake te awe i te urupare a te tinana me te whakarei ake i ngā tauhohenga mumura, ka whakapiki ake i te ngawari ki te periodontitis apical pumau, kua honoa hoki ki ngā mate pūnaha. He Paerewa Hou mō te Maimoatanga o te Awa Pūtake Kua roa te wā e tika ana mō te tauira hou i roto i te endodontics. He mea nui kia mārama ki ngā rangahau hou me ngā tikanga matatau ake mō te maimoatanga o te awa pakiaka: Ko te whakamahinga o te karu hiko, te CBCT, ngā tikanga whakamakuku me te patu huakita matatau me te aroturuki koiora hei paerewa tiaki hou. Meanwhile, the following statement written in a status report by IAOMT in 2001 still rings true:The IAOMT cannot take the position that all non-vital teeth must be extracted. I tētahi atu taha, e mārama ana ko ngā niho kore-ora — ahakoa he rongoā endodontic, kāore rānei — ka pā he mōrearea hauora ā-tinana ki ētahi tūroro. Me arotake takitahi ia tūroro, me te whakaaro ki te āhua hauora me ētahi atu āhuatanga. E akiaki ana te IAOMT i ngā hapori niho, hauora, me te pūtaiao kia aro nui ki tēnei kaupapa. Me whakapau kaha ki te whakarato i ngā tikanga tika hei whakatau i te mōrearea hauora pūnaha mai i ngā niho kore-ora, me te whakarato i ngā tikanga rongoā endodontic hei whakakore, hei whakaiti rānei i te mōrearea. PĀWHIRIA KI KONEI MŌ TE PUTANGA TAIPITOPITO AKE O TĒNEI TUHINGA ME NGĀ TOHUTORO PŪTAIAO
