Azịza nke IAOMT na Board of Sayensị Ndụmọdụ (BSC) Mmemme Toxicology nke Mba (NTP)

IAOMT Oral Comments maka NTP BSC

Ndewo, abụ m Dr. Jack Kall, onye dibia bekee maka afọ 46. Abụ m onye isi oche nke Board of Directors nke International Academy of Oral Medicine and Toxicology, ma ọ bụ IAOMT. Anyị bụ ọgbakọ anaghị akwụ ụgwọ hiwere na 1984.

Ndị otu 1500 anyị bụ ndị dọkịta ezé, ndị dibịa na ndị nyocha na-enyocha ma na-ekwurịta okwu nchekwa, ọgwụgwọ dabere na sayensị iji kwalite ahụike ahụ dum. Ebumnuche anyị bụ "Gosi m Sayensị".

Ọtụtụ n'ime ụlọ akwụkwọ agụmakwụkwọ anyị etinyela aka na toxicology nke ihe eji eme dentistry. Anyị bụ ọgbakọ kacha etinye aka na nke a. Anyị lekwasịrị anya karịsịa na ihe atọ na-egbu egbu a na-ejikarị na dọkịta eze:

1. mercury, neurotoxin, nke a na-eji emeju amalgam
2. bisphenol A, onye na-akpaghasị usoro endocrine, nke a na-eji na sealants na ihe mejupụtara
3. Fluoride na-eji rinses, ntacha eze, varnishes, ciment na ihe njuputa

A na-etinye ihe ndị a niile ozugbo n'ọnụ. Tụkwasị na nke a, a na-eji fluoride eme ihe n'ụdị ntinye aka kpọmkwem n'ụdị mmiri ọ drinkingụ drinkingụ fluoridated, nnu fluoridated, na mgbakwunye fluoride.

Ihe karịrị afọ 30 nzukọ anyị na-akwado ma na-enye ego nyocha maka nsi fluoride. Anyị nwere mmasị karịsịa ma nwee nchegbu maka ọmụmụ ihe e bipụtara na nso nso a gbasara neurotoxicity nke fluoride ya mere na-akwado nyocha nhazi nke NTP.

Anyị na-enwe nkụda mmụọ na fluoridation-akwalite eze mmasị ma n'ime gọọmenti etiti gọọmenti etiti na n'èzí ya, na-agbalị imetụta NTP nchoputa, ọ bụghị dabeere na sayensị, ma na mgbalị iji chebe ha amụma nke na-akwalite mmiri fluoridation.

Gịnị bụ isi ihe nchọpụta NTP?

1. Ihe akaebe na-efe efe mmadụ na-akwado nkwubi okwu nke "ntụkwasị obi na-agafeghị oke" na fluoride bụ neurotoxin na-eto eto. (Akụkọ BSC WG ibe 342)
2. Na ọnweghị ụzọ mkpughe dị mma ahụrụ maka mmetụta fluoride na IQ. (Akụkọ BSC WG ibe 87, 326, 327, 632, 703, 704)
3. Mkpughe fluoride ahụ nke ụmụ nwanyị dị ime na ụmụaka nwere na US taa nọ n'ime oke ebe ọmụmụ mmadụ chọpụtara na IQ belatara. (Akụkọ BSC WG peeji nke 25, 26)

Akụkọ a na-enye nkọwa zuru oke gbasara ihe ọmụmụ mmadụ karịrị 150 chọpụtara na ọ dị mkpa.

Akuko a jiri usoro siri ike, nke emebegoro wee tụọ ogo ọmụmụ ihe n'otu n'otu.

Ndị IAOMT kwenyere na nkwubi okwu NTP.

Anyị kwenyere na ekwesịrị ka ebipụta monograph ahụ n'ụbọchị ntọhapụ ọhaneze e bu n'obi bụ Mee 18, 2022. Ndozigharị NTP mere ka nkewa na-akwalite fluoridation na HHS gbochiri ya, na ngbanwe ndị otu BSC tụrụ aro agaghị agbanwe ya. isi ihe nchoputa. Oge ọ bụla agbakwunyere na ikwuwapụta akụkọ ikpeazụ ezighi ezi.

IAOMT nwere olile anya na BSC ga-akwado mbọ siri ike nke ndị ọkachamara sayensị NTP tinyegoro na nyocha usoro a. Anyị kwenyere na ndị nleba anya ndị ọgbọ si mpụga nyere nkọwa ndị a:

"Ihe ị mere bụ ihe ọgbara ọhụrụ"

"Nnyocha n'onwe ya dị mma, ị na-ekwukwa okwu nke ọma"

"Ị mere nke ọma!"

“Nchọpụtara… ka akọwara ya nke ọma”

Site na nlezianya nyochaa ihe akaebe na njikọ dị n'etiti fluoride na caries eze (ire ere eze), IAOMT kwubiri na ịdị irè na-ekwupụta nke ukwuu maka ọnọdụ ahụike ọnụ nke taa. Mba ndị nwere fluoridation na ndị na-enweghị ahụ enweela otu mbelata dị egwu nke ire eze n'ime afọ 50 gara aga, dị ka egosiri na eserese a dabere na data WHO:

Ọnwụnwa fluoridation obodo kacha nso nso a, mere na England, hụrụ naanị ihe dị iche nke oghere 0.2 maka nwa ọ bụla n'ime ezé nwa. Ọ hụghị uru ọ bụla dị ịrịba ama na ezé na-adịgide adịgide. Ọ bụ Ọha na-ahụ maka ahụike England nyere iwu ọmụmụ a, onye isi na-akwalite fluoridation na England. Ma ndị na-amụ ọmụmụ kwubiri ọbụna kwubiri na uru "dị nnọọ nta karịa na mbụ nnyocha tụrụ aro" na fluoridation ebelataghị nha ahụike eze nha nha n'etiti ndị ogbenye na ndị bara ọgaranya ụmụaka.

Ọbụna US CDC kwetara na ọ dịghị ihe àmà na-egosi na fluoride prenatal na nne dị ime ma ọ bụ n'ime nwa ọhụrụ tupu ezé agbawapụta na-enye uru ọ bụla eze. Ndị a bụ kpọmkwem oge mkpughe ebe ihe akaebe maka neurotoxicity mmepe siri ike.

A ghaghị ịtụlekwa isi nkuku nke amụma ahụike ọha na eze mara dị ka ụkpụrụ ịkpachara anya. Ewubere ntọala bụ́ isi nke amụma a n'ịṅụ ọgwụ ahụ e jiworo ṅụọ kemgbe ọtụtụ narị afọ bụ́ “nke mbụ, emela ihe ọjọọ.” N'agbanyeghị nke ahụ, nkwekọrịta mba ụwa na-akwado itinye ụkpụrụ akpachara anya n'oge a.

Na Jenụwarị 1998, na ogbako mba ụwa nke metụtara ndị ọkà mmụta sayensị, ndị ọka iwu, ndị na-eme iwu, na ndị na-ahụ maka gburugburu ebe obibi sitere na US, Canada na Europe, a bịanyere aka na nkwupụta ahaziri ahazi wee bụrụ onye a maara dị ka “Nkwupụta Wingspread on the Precautionary Principle.”530 N'ime ya, akwụkwọ ozi ahụ A na-enye ndụmọdụ ndị na-esonụ: “Mgbe ihe omume na-ewelite ihe iyi egwu nke imerụ ahụ́ ike mmadụ ma ọ bụ gburugburu ebe obibi, e kwesịrị ime ihe iji kpachara anya ọbụna ma ọ bụrụ na e guzobebeghị njikọ ụfọdụ na-akpata na mmetụta nke ọma n'ụzọ sayensị. N'okwu a, onye na-akwado ihe omume, ọ bụghị ọha na eze, kwesịrị iburu ibu akaebe."

Ọ bụghị ihe mgbagwoju anya, mkpa maka itinye n'ọrụ kwesịrị ekwesị nke ụkpụrụ ịkpachara anya ejikọtawo na iji fluoride eme ihe. Ndị dere isiokwu 2006 nke isiokwu ya bụ "Gịnị Ka Ụkpụrụ Akpachara anya Pụtara maka Dentistry dabere na ihe akaebe?" tụrụ aro na ọ dị mkpa ịkọwapụta mkpokọta mkpughe sitere na isi mmalite fluoride niile yana mgbanwe ndị mmadụ, ebe na-ekwukwa na ndị na-azụ ahịa nwere ike iru ọkwa fluoridation “kachasị mma na-enweghị ị drinkingụ mmiri fluoridated. Ọzọkwa, ndị na-eme nchọpụta nke nyocha nke e bipụtara na 2014 kwuru okwu dị mkpa maka ụkpụrụ ịkpachara anya nke a ga-etinye na iji fluoride, ma ha weere echiche a otu nzọụkwụ n'ihu mgbe ha tụrụ aro na nghọta anyị nke oge a banyere caries eze "na-ebelata ọrụ ọ bụla dị mkpa n'ọdịnihu. fluoride na mgbochi caries."

M na-emechi ọnọdụ IAOMT na fluoride:

"Na nchịkọta, nyere ọnụ ọgụgụ dị elu nke isi mmalite fluoride na ọnụ ọgụgụ na-arịwanye elu nke oriri fluoride na ndị America, bụ ndị bilitere nke ukwuu kemgbe mmiri fluorid malitere na 1940, ọ dị mkpa iji belata ma rụọ ọrụ iji wepụ isi mmalite nke fluoride. ikpughe, gụnyere mmiri fluoridation, fluoride nwere ihe eze, na ngwaahịa ndị ọzọ fluoridated."