hydrodynamic siddhaantam (dantavaidyasaastram)

dantavaidyasaastramlo, hydrodynamic ledhaa dravam kadalika siddhaantam anedi dantaala hypersensitivityni vivarinchadaaniki abhivruddhi cheyabadina moodu pradhana siddhaantaalalo okati, idhi uddeepanala bahirgatam nundi utpannamayye padunaina, taatkaalika noppi. vividha rakaala uddeepanalu bahirgatamaina dantampai panicheestaayani, dantha gottala dwara dravam pravahanni penchutundani idhi perkondi. eee kadalikaku pratispandanagaa, gujju naralapai yaantrika graheetalu dantaala athi sunnitatvam yokka teevramaina, taatkaalika noppini prerepistaayi.
hydrodynamic siddhaantam venuka unna dravam pravaaha yantraangam modata 1900 loe pravesapettabadindi, taruvaata 1960 laloe martin branstram prayogaatmaka adhyayanala dwara abhivruddhi chesaaru.
appati nundi epidemiological sarvelu mariyu hypersensitive mariyu naan-hypersensitive dantaalalo dantha gottala sankhyalanu polchina prayogaatmaka dayta nundi marinta sahayaka aadharalu sekarinchabaddaayi.
pratyaamnaaya siddhaantaalalo "dentin invershation" mariyu "odontoblast transduction" siddhaantaalu unnaayi, eee rendintikee gananeeyamaina maddatu aadharalu laevu. hydrodynamic siddhaantam prastutam dantaala hypersensitivityki aamodinchabadina vivarana, dheeni meeda dantha vaidyulu aneka chikitsa mariyu roganirdhaarana vyuuhaalanu roopondinchaaru.
siddhaantam yokka avalokanam.
hydrodynamic siddhaantam dantha gottalu gujju mariyu dantha uparitalam vadda bahirgatamainappudu, bahya uddeepanalu dravam pravaahamlo maarpulaku kaaranamavutaayani pratipaadinchindi. dantha gottalu vividha kaaranaala valla bahirgatam kaavachuh udhaa.zii. dantaala kotha, enamel nashtam mariyu chigulla vyaadhulu.
bahirangamgaa unna dantha gottalu appudu uddeepanalaku lobadi unnappudu, gottala lopala dravam pravaham yokka dhisha mariyu raetu maarutundi. idhi dantaalalo ottidilo maarpulaku kaaranamavutundi, idhi gujjulo unna myelinated naraalanu prerepistundi, noppi anubhootini kaligistundi. uddeepanalaku pratispandinchadaaniki baadhyata vahinche pradhana naraala fibers ekkuvagaa eah-beata (ebiti) rakam, ivi sparsha samacharanni kaligi untaayi mariyu konni eah-delta (editi) naraalu, ivi noppi mariyu ushnograta samacharanni medaduku prasaram chestaayi.
muulam mariyu abhivruddhi.
alfred geesee-1900.
daa. gaisi (1865-1957) oka swiss dantavaidyudu, athanu davada kadalika mariyu nirmaanamtho paatu prosthodanticslo pratyekata kaligi unnadu. athanu geniva, switzerland mariyu philadelphia dantha kalasalalo dantavaidyasaastraanni abhyasinchaadu, chivariki jurich vishwavidhyaalayamlo dantavaidyasastra professor ayyadu. aaa samayamlo, dantaalalo naraala peechu uddeepana ledhaa noppi grahakaalagaa panichese odontoblast prakriyala valla dantaala athi sunnitatvam sambhavistundani ippatikee nammutaaru.
nammutaaru, gaisi modatisaarigaa dentin hypersensitivityki vivaranagaa dravam-pravaaha kadalika bhavananu british journal off dental sains kosam thana prachuranalo pravesapettaaduh "dentin yokka sunnitatvaanni vivarinche prayatnam". thana vaidya abhyaasamlo, thana rogula dantaala kuharam naela nundi dravam tolaginchadam valla dantaala athi sunnitatvam yokka padunaina, chinna noppini utpatti chestundani gaisi gamaninchaaru. kuharam dravam endipovadam valla dantha gottala lopala dravam pravaaha kadalikalo antaraayam kaligistundani ayana taruvaata nirdhaarinchaaru. idhi dantha gottala lopala, sahajamaina bahya dravam pravaham undani gaisi yokka parikalpanaku daariteesindi. uddeepanala bhouthika mariyu ushna roopaalu dravam pravaham disalo maarpunu penchutaayi, idhi palpal naraala chivaralanu sakriyam chestundi.
martin martin.
daa.branstrom (1922-2001) oka swedish dantavaidyudu, noti pathology mariyu dantaala sunnitatvam yokka yantraamgamlo pratyekata kaligi unnadu. unnadu, branstrom vitrolo prayogaatmaka adhyayanala dwara gaisi yokka hydrodynamic siddhaantaaniki maddatu ivvadaaniki aadhaaraalanu andinchaadu, vividha uddeepanalu dantampai dravam kadalikalo maarpulaku kaaranamavutaayani, noppini utpatti chestayani choopinchadaaniki. branstrom yokka 1965 prayogaatmaka adhyayanam hypersensitive dentin anedi naan-sensitive dentin kante ekkuva sankhyalo bahirgatamaina, patent gottalanu pradarsinchindani suuchimchimdi. dravam pravahanni nirodhinchadaaniki gottalanu uddeshapoorvakamgaa moosivesinappudu eee hypersensitivity gamaninchadagga vidhamgaa taggindi.
branstrom vividha uddeepanalanu upayoginchi trials nirvahinchindi. vividha rakaala challani ushna, aaviri sheetaleekarana, dravaabhisarana uddeepanalu mariyu hypertonic rasayana padaarthaalu dantha gottala venta bahya dravam pravaahamlo perugudalaku kaaranamavutaayani choopabadindi. dheeniki viruddhamgaa, ushna vaedi uddeepanalu antargata dravam pravaahaaniki kaaranamayyaayi. inn vitro adhyayanalu dentin-pulp complexes nundi dravam yokka bahya pravahanni kaliginche uddeepanalu, antargata pravahanni prerepinche uddeepanala kante dentin hypersensitivity yokka ekkuva teevrataku daariteesaayani suuchimchaayi. prayogaatmaka mariyu pariseelanaatmaka dayta rendinti yokka branstrom yokka bahula prachuranalu dentin hypersensitivityki kaaranamayye hydrodynamic mechanism siddhaantaaniki maddatu ivvadaaniki mukhyamaina sakshyalanu andinchaayi.
sahayaka prayogaalu.
dantha gottalu bahirgatam ayinappudu mariyu patent pondinappudu dantaala hypersensitivity talettutundani epidemiological sarvelu choopinchaayi. hydrodynamic dravam pravaham adhika sunnitatvaaniki kaaranamaite, appudu muulam yokka uparitalam vadda ekkuva sankhyalo dantha gottalu bahirgatam ayi, dantha gujjuku patent kaligi undaalani pratipaadinchabadindi. bahirgatamaina dantaalalo adhika sunnitatvam sthaayilu mariyu dantha gottala sankhya mariyu saandrata madhya balamaina saanukuula sahasambandham gurtinchabadindi.
dantha gottala patency 1987.
1987, "sunnitamaina mariyu sunnitamaina kaani garbhasaya dantaalalo dantha gottala patenseepai adhyayanam", journal off clinical periodontologylo prachurinchabadindi. eee prayogaanni e nirvahinchaaru.zii. absi, emm. adi mariyu dii.cardiff vishwavidyaalayam yokka dantha paatasaala nundi audums. idhi sunnitamaina mariyu sunnitamaina kaani garbhasaya dantaala yokka patenseeni polchindi mariyu hydrodynamic siddhaantaaniki maddatu ivvadaaniki gananeeyamaina sakshyalanu andinchindi.
dantaala hypersensitivity unna rogulu vaerla uparitalampai ekkuva sankhyalo dantha gottalanu bahirgatam chestara anie parisoedhinchadam eee prayogam yokka lakshyam. branstrom yokka inn vitro adhyayanalu minaha, eee prayogaaniki mundu eee siddhaantaaniki maddatu ivvadaaniki chaalaa takkuva aadharalu unnaayi. scanning electron microscope mariyu dye penetration technologyni upayoginchadamto, hypersensitive kaani dentin kante "hypersensitive" vargeekarinchina rogula dentinlo dantha gottala sankhya enimidi retlu ekkuva mariyu 2 retlu vedalpu kaligi unnayani kanugonnaru. hypersensitive dentin vistrutamaina, marinta bahirgatamaina dantha gottalanu kaligi undani, dantha gottala venta hydrodynamic kadalika dwara uddeepanala prasaaraaniki aadhaaraalanu andinchindani phalitaalu eee siddhaantaaniki maddatu icchaayi.
intradental naraalu mariyu dravam pravaham raetu 2007.
2007, "intradental naraala utsarga mariyu pilliloo dentin dwara dravam pravaham raetu madhya sambandham" noti jeevasaastram yokka aarkaivlalo prachurinchabadindi. eee prayogaanni bristol vishwavidhyaalayamloni sareeradharma shaastra vibhaagaaniki chendina noppakun vongsavan mariyu broose mathuse nirvahinchaaru.
hydrodynamic siddhaantaaniki sakshyalanu andinchadaaniki, intradental naralapai dravam pravaham kadalika prabhavanni parisoedhinchadam eee prayogam yokka lakshyam. mattumandu kinda pillulaloo bahirgatamaina dantaalaku hydrostatic ottidi uddeepanalu vartinchabaddaayi. phalitamgaa vachhe naraala preranala recordinglu takkuva alviolar naraalalo unna dantha mariyu tantuvula nundi teesukobaddaayi. phalitaala prakaram, bahya dravam pravaham antargata dravam pravaham kante intradental naraala yokka ekkuva utsarganu utpatti chestundi mariyu noppi grahakalanu prerepinche avakaasam ekkuvagaa untundi. idhi bahya dravam pravaahaaniki kaaranamayye uddeepanalaku (udhaa.zii. challani ushna), antargata pravaahaaniki uddeepanala kante ekkuva adhika sunnitatvaanni utpatti chestundi (udhaa.zii. ushnam).
vimarsalu mariyu pratyaamnaaya siddhaantaalu.
vimarsalanu.
dantha gottaalalo dravam pravaaha yantraamgaaniki tagina aadharalu unnappatikee, hydrodynamic siddhaantam dantaala hypersensitivity venuka unna neurosensory yantraamgaalanu taginantagaa vivarinchalekapoyinanduku vimarsinchabadindi. dantha gottala lopala dravam pravaham yokka disalo mariyu retulo bhouthika maarpulu vaastavaaniki gujju naraalalo noppi graahakaala uddeepanaku elaa kaaranamavutaayo anischitamgaa undhi.
eee siddhaantaaniki vyatiraekamgaa sakshyalu oka prayogamlo samarpinchabaddaayi, dheenilo dravam pravahanni nivaarinchadaaniki uddeshapoorvakamgaa addukunna dantha gottalu ippatikee ushna uddeepanala anuvartanampai adhika sunnitatvaanni pradarsinchaayi. adanamgaa, dantha kuharalu dantha gottalanu gananeeyamgaa naasanam chesi, dravam pravahanni asadhyamga chesina tarvaata kooda hypersensitivity marinta digajaarindani clinical kesulalo gurtinchabadindi.
hydrodynamic siddhaantam konnintiki kaaranamavutundani, conny anni rakaala uddeepanalaku kaadu anie appati nundi soochinchabadindi. phalitamgaa, dravam pravaham kadalika nundi utpannamayye vidyut sambhaavyata utpatti dwara noppi prerepinchabadutundani siddhaantaaniki adanamgaa pratipaadinchabadindi. ayithe, noppi grahakalanu vidyut dwara prerepinchadaaniki dravam kadalika taginanta hydrostatic ottidini utpatti cheyagalada anedi aspashtamgaa undhi.
dentin invershation siddhaantam.
dentin inservation siddhaantam dentin naadii vyavasthalo undani mariyu dantha gottala lopala naraala chivarala prerana hypersensitivityki kaaranamavutundane aadhaarampai aadharapadi untundi. sthaanika dantha gottalaku nashtam anedi oka charya saamarthyaanni prerepistundani, idhi naraala venta lopali dantavaidyaaniki prayaanistundani idhi perkondi. praarambhamlo, dantha gottaalalo naraala fibers unikini pradarsinchadaaniki vendini upayoginchi hystological steyn prayogam jarigindi. ayithe, tadupari prayogaalu lopali dantaalalo naraala fibers arudaina sandarbhaalu unnappatikee, vaastava gottaalalo inversion yokka suuchanalu levani suuchimchaayi. transmission electron microscopy mariyu emmune-hystochemical vislaeshanhalu dentin-enamel junction varaku lopali dentin praantaalu naadeeni kaligi undavacchani taruvaata suuchimchaayi. ayithe, hypersensitivityki pradhana praantamgaa pariganinchabade bayati dantaala yokka aavirbhaavaaniki maddatu ichhe aadharalu laevu.
odontoblast transduction siddhaantam.
odontoblast transduction siddhaantam, odontoblast prakriyalu noppi grahakaalagaa panicheestaayani, ivi eee uddeepana preranalanu lopali dantaala yokka palpal naraala chivaralaku nirvahistaayani pratipaadinchindi. bayati gujju pora nundi dentin-enamel junctionku odontoblast pampe prakriyalanu choopinchina parisoedhana nundi eee siddhaantam udbhavinchindi. dantha odontoblast prakriyalapai acetylcholinesterase unikiki maddatu ichhe sakshyalanu ryap & averi prachurinchindi. neurotransmission mariyu synaps signalingnu muginchadaaniki acetylcholinesterase baadhyata vahistunnanduna, idhi odontoblast prakriyala nundi palpal naralaku indriya samacharanni nirvahinchadaaniki sahaayapadindani vaaru oohinchaaru. ayithe, odontoblastlu mariyu palpal naraala chivarala madhya synapses unnayani ledhaa odontoblast prakriyalalo neurotransmitter vesicals unnayani aadharalu laevu. dantha kuharalu mariyu naraala gaayaala valla odontoblast pora naasanam ayina tarvaata kooda hypersensitivity konasaagutundani soochinche clinical pariseelanala nundi marinta vimarsalu talettaayi.
applications.
dantha vaidyulu rogulalo dantaala athi sunnitatvaanni nivaarinchadaaniki mariyu chikitsa cheyadaaniki hydrodynamic siddhaantaanni vartimpajesaaru. hypersensitivitypy vividha uddeepanala prabhaavampai branstrom adhyayanalu rooga nirdhaarana mariyu nirvahana kosam kotta paddhatulaku daariteesaayi.
yaantrika uddeepanalu adhika sunnitatvaaniki pradhana kaaranamani niroopinchabadinanduna, nivaarana viewhalalo saraina parisubhrata mariyu brushing technic suuchanalu unnaayi. rapidi kaani tooth paestlanu upayoginchaalani, mruduvaina bristle tooth brushlanu enchukoovaalani mariyu dantha uparitalaanni atigaa prerepinchakundaa undaalani rogulaku suuchimchaaru. gottala patenseeni penchakunda undataaniki, dantaala kotha, dantha kshayam mariyu chigulla vyaadhini tanikhi cheyadaaniki rogulu kramam tappakunda appointmentlanu schedule cheyamani prothsahinchaaru.
rasayana uddeepana mariyu dantaala kothanu nivaarinchadaaniki, dantha vaidyulu sheetala paaneeyaalu, pandlu mariyu venigar nundi aerosive agentlu mariyu aamlaala viniyogaanni tagginchaalani suuchimchaaru. dantaala tellabadatam vanti soundarya vidhaanaala kosam konni rasayanalu ippudu nivaarinchaalani suuchimchaaru.
hydrodynamic siddhaantampai branstrom yokka prarambha adhyayanalu dantha gottala moosiveta dantaala hypersensitivity yokka teevratanu taggistundani suuchistunnaayi. idhi yaantrikamgaa ledhaa rasaayanikamgaa gottala vyasanni nirodhinchadaaniki ledhaa tagginchadaaniki aneka chikitsa paddhatulaku daariteesindi.
oka mukhyamaina naan-invasive paddhati emitante, rasayana chikitsalatho dentifriesnu upayoginchi pupal naraala yokka vidhvamsam.zii. strontium chloride mariyu potassium nitrate. sunnitatvaanni tagginche chikitsalu rendu samuhaluga vibhajinchabaddaayih mouth wash mariyu tooth payst roopamlo intlo chese vidhanalu ledhaa resin sealerlu, glass ionomerlu mariyu dentin solutions vanti kaaryaalayamloni utpattulu. dantha gottala vedalpunu bhouthikamgaa tagginchadam dwara ledhaa dentin antataa uddeepanala prasaranni rasaayanikamgaa nirodhinchadam dwara naraala preranalanu nirodhinchadaaniki eee desensitising agentlanu suuchistaaru.
iteevala, dentin hypersensitivityki chikitsa cheyadaaniki lazer chikitsanu sambhaavya paddhatigaa pratipaadinchaaru. takkuva-utpatti laejarlanu palpal naralaku uddeepanala vidyut prasaranni nirodhinchadaaniki upayoginchavacchu, ayithe adhika-utpatti laejarlanu dantha gottalanu addukune pratyaamnaaya paddhatigaa pariganistunnaaru. laejarlanu upayoginchi nirodham rendu roopaallo sambhavinchavachhuh pakshika draveebhavanam dwara ledhaa gottala lopala dravam proteinlanu gaddakattadam dwara.

