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ZNACZENIE
WITAMIN
dla narządu żucia
mgr Agnieszka Czarnota-Nastały
W
ĤŹØłĤŅƛŰì̀ŅĤăƤòĔûŅă
ûŎ̀ŨŬØƕĤûŁŎƕăęŎŨŬƤăòĤăęƀ
ƕĤĔķŰƤŎűõĤŨŬŎõăŰŏƕłăŹØ-
òŎĺĤõƤŅƛõĠ̖Ã̀ŰŹŎłØŹŎĺŎęĤĤ
ƤØĴłƀĴìŰƤõƤăęŏĺŅăłĤăĴ-
Űõă̏ƤŅØĴûƀĴìƤØŰŹŎŰŎƕØŅĤăƕằƕŰŨŎłØęØŅƛł
ĺăõƤăŅĤƀõĠŎŬŏòŨŬƤƛƤĔòĤØ̐õĠŎŬŏòòŁŎŅƛűĺƀƤŎ-
ƕăĴõƤƛŨŎ̀ƤØòĤăęØõĠõĠĤŬƀŬęĤĤŰŹŎłØŹŎĺŎęĤõƤŅăĴ̖
NĤŨŎƕĤŹØłĤŅŎƤØ̦ŅĤăûŎòŏŬƕĤŹØłĤŅ̧ûŎŹƛ-
õƤƛŰƤăŬŎķĤăęŎęŬŎŅØŨØõĴăŅŹŏƕĤ̀ĴăŰŹƤƕĤì-
ƤØŅØęŁŏƕŅĤăƤ̀ŅĤăŨŬØƕĤûŁŎƕƛłĴØķŎűõĤŎ-
ƕƛłĤ̀ĤĺŎűõĤŎƕƛłŨŬƤƛĴłŎƕØŅĤăłŨŎķØŬłŏƕ̐
ŅĤăŨŎŨŬØƕŅƛłŨŬƤƛęŎŹŎƕƛƕØŅĤăłŨŎŰĤŁ-
ķŏƕ̦ŅĤăƕŁØűõĤƕØŎòŬŏòķØŹăŬłĤõƤŅØ̧õƤƛŹăƧ
Ƥ̀õĠŎŬŎòØłĤ̐ķŹŏŬăƀŅĤăłŎƧĺĤƕĤØĴìƕõĠŁØŅĤØŅĤă
ƕĤŹØłĤŅŅØ̀ûŬŎûƤăŨŎķØŬłŎƕăĴ̖NĤŨŎƕĤŹØłĤ-
ŅŎƤØƕ̀ĴØłĤăƀŰŹŅăĴłŎƧăŰĤĔŎòĴØƕĤØö̏ŰŹØŅØłĤ
ƤØŨØĺŅƛłĤ̐õĠŎŬŎòØłĤŨŬƤƛƤĔòĤØ̐ŎƕŬƤŎûƤă-
ŅĤØłĤ̐Ø̀ŅØƕăŹƀòƛŹķØłĤŨŬŏõĠŅĤõŎƕƛłĤ̖
'Ŏ̀ƕĤŹØłĤŅŎûęŬƛƕØĴìõƛõĠęŁŏƕŅìŬŎĺĔƕ̀ŨŬØ-
24
ƕĤûŁŎƕƛłėƀŅķõĴŎŅŎƕØŅĤƀƀķŁØûƀŰŹŎłØŹŎ-
ęŅØŹƛõƤŅăęŎŅØĺăƧìł̖ĤŅ̖̏ƕĤŹØłĤŅØ̐̀ƕĤŹØ-
łĤŅƛƤ̀ęŬƀŨƛ̐̀ƕĤŹØłĤŅØ'̀ŎŬØƤƕĤŹØłĤŅØ̀!̖
qØĺăƧƛƤƕŬŏõĤöŰƤõƤăęŏĺŅìƀƕØęĔ̐ØòƛŅĤă
ƤØòŬØķŁŎĤõĠƕ̀ƧƛƕĤăŅĤƀŎŰŏòûŎŬŎŰŁƛõĠ̐
ØĺăķĺƀõƤŎƕìŬŎĺĔŎûęŬƛƕØĴìƕ̀ŰŹƛłƀĺŎƕØ-
ŅĤƀŬŎƤƕŎĴƀŅØĴłŁŎûŰƤăĴŨŎŨƀĺØõĴĤ̖ŹŬƀķŹƀŬƛ
ķŎŰŹŅăŹƕŎŬƤìŰĤĔûŎ̀ŎķŎŁŎ˘˟̖ŬŎķƀƧƛõĤØ̐ûĺØ-
ŹăęŎŹØķƕØƧŅăĴăŰŹûŎŰŹØŬõƤØŅĤăƕĤŹØłĤŅƕŬØƤ
ƤằƤûŬŎƕì̐ƤŬŏƕŅŎƕØƧŎŅìûĤăŹìŰƤõƤăęŏĺŅĤă
ƕ̀ŹƛłŎķŬăŰĤă̖ƤƛòķĤă̐ŨŬƤăŹƕŎŬƤŎŅăĴăûƤăŅĤă̐
ŰŁŎûƛõƤăĤ̀ŅĤăûòØŁŎűöƕ̀ûŎŰŹŎŰŎƕØŅĤƀŨŎŰĤŁķŏƕ
ûƤĤăõĤĔõƛõĠƤûăõƛûŎƕØŅĤăƤƕĤĔķŰƤØĴìŨŎûØŹ-
ŅŎűöŅØ̀ŨŏƥŅĤăĴŰƤăŨŬŎòĺăłƛƤ̀ƀƤĔòĤăŅĤăł̖
Witamina A
ÃĤŹØłĤŅØ̦̀ŬăŹĤŅŎļ́ĴăŰŹŅĤăƤòĔûŅØƕ̀ŨŬŎõă-
ŰĤăŨŬØƕĤûŁŎƕăęŎƕĤûƤăŅĤØ̐ķŎŅĤăõƤŅØûŎ̀ŨŬØ-
ASYSTA DENTYSTYCZNA

&ħĈżáüōĞáżáƫȅƫħżáńħŅƱ
ķĈŵżŅħĈƺüĚăŅáăĽá
ƺáýĤōƫáŅħáƺăůōƫƱýĤ
ƺĚüŎƫħȅăƺħöŵĈŃǧ
¹ħżáńħŅƱżōȅŵƁüŵżáŅýķĈ
üħōĺáżáĽħżƱýƺŅĈ
ǵĺáżáĽħƺáżōůƱŬůƺĈńħáŅ
biochemicznych),
ŬōƺƱŵĺħƫáŅĈ
ĞŃŎƫŅħĈŅáȅăůōăƺĈ
ŬůƺƱķńōƫáŅĈĞō
ŬōĺáůńƁǵżƱĽĺōŅħĈĺżŎůĈ
ŵöȅŵƱŅżĈżƱƺōƫáŅĈŬůƺĈƺ
ōůĞáŅħƺńǶǧ
ƕĤûŁŎƕăęŎŬŎƤłŅØƧØŅĤØŰĤĔĺƀûƤĤĤ̀ƤƕĤăŬƤìŹ
ŎŬØƤŎûŨŎƕĤăûƤĤØĺŅØƤØ̀ŬăęƀĺØõĴĔŨŬŎõă-
ŰŏƕƤØõĠŎûƤìõƛõĠƕ̀ķŎłŏŬķØõĠ̖®ƕØƧØŅØ
ĴăŰŹƤØ̀õƤƛŅŅĤķƕƤłØõŅĤØĴìõƛƀķŁØûŎûŨŎŬ-
ŅŎűõĤŎƕƛŎŬęØŅĤƤłƀ̖nØ̀ƤŅØõƤăŅĤăƕ̀ŨŬŎ-
õăŰĤăŹƕŎŬƤăŅĤØŰĤĔƤĔòŏƕĤ̀ƤìòķŎƕØŅĤØŎŬØƤ
ĴăŰŹĤŰŹŎŹŅØûĺØƀŹŬƤƛłØŅĤØƤûŬŎƕƛõĠŹķØŅăķ
ŨŬƤƛƤĔòĤØ̜ûƤĤìŰăŁ̐ŨŎŅĤăƕØƧƀŰŨŬØƕŅĤØęŎĴă-
ŅĤăŰĤĔŬØŅ̖™ăŹĤŅŎĺõĠŬŎŅĤŨŬƤăûƀŰƤķŎûƤă-
ŅĤăł'qĤ̀łƀŹØęăŅăƤì̐ûĺØŹăęŎŨŬƤƛŨĤ-
ŰƀĴăŰĤĔłƀ̀ŬŏƕŅĤăƧûƤĤØŁØŅĤăŰŨŎƕØĺŅĤØĴìõă
ŨŬŎõăŰƛŅŎƕŎŹƕŎŬŎƕăĴăĺĤŹØęŬƀòăęŎ̐ŨĤăŬŰĤ
Ĥ̀ŨŁƀõ̖'ŎŰŹØŬõƤØŅØĴăŰŹûŎ̀ŎŬęØŅĤƤłƀł̖ĤŅ̖
ƕ̀ŨŎŰŹØõĤķØŬŎŹăŅŎĤûŏƕ̐ęŁŏƕŅĤăòăŹØ̪ķØŬŎ-
ŹăŅƀ̐ķŹŏŬƛŨăŁŅĤėƀŅķõĴĔŨŬƤăõĤƕƀŹĺăŅĤØõƤØ̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ̀Űì̀ł̖ĤŅ̖̏ŨŬƤă-
ŹƕŎŬƛłĺăõƤŅă̐ĴØĴØ̐ƕìŹŬŎòØƤƕĤăŬƤìŹĤ̀Ŭƛò̐
łØŬõĠăƕ̐ŰƤŨĤŅØķ̐ŰØŁØŹØ̐ķØŨƀŰŹØ̐õƤăŬƕŎŅØ
ŨØŨŬƛķØ̐łŎŬăĺă̐łăĺŎŅ̐łØŅęŎ̐ØęŬăŰŹ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăŅØ̀ƕĤŹØłĤŅĔ̀ĴăŰŹ
2/2020
Praca z pacjentem
fot. archiwum autorki
1
GūƥȦǧȦɉéƑŬēŝîDžĿƥîŞĿŠNj
ƤØĺăƧŅăŎû̀ƕĤăķƀĤ̀ƕăûŁƀęRŅŰŹƛŹƀŹƀÕƛƕŅŎ-
űõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ̩˗̐˟̀łę̐
ûĺØûƤĤăõĤ̩˗̐˝̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ̀ŎòĴØƕĤØĴìŰĤĔƤØòƀ-
ŬƤăŅĤØłĤƕĤûƤăŅĤØ̦ķƀŬƤØűĺăŨŎŹØ̧̐ŰƀõĠŎűõĤì
ŰķŏŬƛ̐ŁØłĺĤƕŎűõĤìŨØƤŅŎķõĤĤ̀ƕŁŎŰŏƕ̐ƤØòƀ-
ŬƤăŅĤăłŎûŨŎŬŅŎűõĤŎŬęØŅĤƤłƀ̖ÒằŰŹŬŎŅƛ
ƀķŁØûƀŰŹŎłØŹŎęŅØŹƛõƤŅăęŎŰì̀ŹŎ̏ŅØŰĤĺăŅĤă
ŰŹØŅŏƕƤØŨØĺŅƛõĠûƤĤìŰăŁ̐ƤØòƀŬƤăŅĤăƕƤŬŎ-
ŰŹƀĤ̀ŬŎƤƕŎĴƀƤĔòŏƕ̐ŅĤăûŎŬŎƤƕŏĴŰƤķĺĤƕØ
ƕ̀ŨŎŰŹØõĤƀòƛŹķŏƕĠĤŨŎŨĺØŰŹƛõƤŅƛõĠ̐ƤØòƀ-
ŬƤăŅĤăłĤŅăŬØĺĤƤØõĴĤŹķØŅăķŹƕØŬûƛõĠƤĔòØ̖
¹ħżáńħŅƱƺȅĞůƁŬƱȅ
Witamina B1
ÃĤŹØłĤŅØ˘̦̀ŹĤØłĤŅØ̧ŬăęƀĺƀĴăŨŬŎõăŰƛòĤŎ-
ăŅăŬęăŹƛõƤŅăĤ̀łăŹØòŎĺĤƤłØłĤŅŎķƕØŰŏƕ̐
ĴăŰŹķŎăŅƤƛłăłƕĤăĺƀŬăØķõĴĤăŅƤƛłØŹƛõƤ-
ŅƛõĠ̖•ŬƤƛűŨĤăŰƤØŨŬƤăłĤØŅĔłØŹăŬĤĤĤ̀ƕƛûØ-
ĺØŅĤăŹŎķŰƛŅ̖®ŰŨŬØƕŅĤØŨŬŎõăŰƛłƛűĺŎƕă
Ĥ̀ŨŬƤăõĤƕûƤĤØŁØƤłĔõƤăŅĤƀ̖aăŰŹŨŬƤăõĤƕƀŹĺă-
ŅĤØõƤăł̐õĠŬŎŅĤķŎłŏŬķĤŨŬƤăûŰƤķŎûĺĤƕƛł
ûƤĤØŁØŅĤăłƕŎĺŅƛõĠŬŎûŅĤķŏƕŎŬØƤƕŰŨŏŁ-
ƀõƤăŰŹŅĤõƤƛƕ̀ŨŎŨŬØƕŅƛłėƀŅķõĴŎŅŎƕØŅĤƀ
ƀķŁØûƀŅăŬƕŎƕăęŎĤ̀ŰăŬõŎƕŎ̪ŅØõƤƛŅĤŎƕăęŎ̖
FŁŏƕŅƛłƥŬŏûŁăłŹĤØłĤŅƛŰì̀ł̖ĤŅ̖̏ķĤăŁķĤ
ŅØŰĤŎŅƤòŏƧ̐ķØŰƤă̐ŬƛƧ̐ėØŰŎĺØ̐ŎŬƤăõĠƛ̐
ŨăŰŹķĤûƛŅĤĤ̀ŰŁŎŅăõƤŅĤķØ̐ŰƀŰƤŎŅăűĺĤƕķĤ̐
ŬŎűĺĤŅƛŰŹŬìõƤķŎƕă̐łĤĔŰŎƕĤăŨŬƤŎƕă̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăĴăŰŹƤØĺăƧŅă
Ŏû̀ƕĤăķƀĤ̀ƕăûŁƀęRŅŰŹƛŹƀŹƀÕƛƕŅŎűõĤ
Ĥ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ̩˘̐˙̀łę̐ûĺØ
ûƤĤăõĤ̩˗̐ˠ̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ˘ŎòĴØƕĤØĴìŰĤĔƤØòƀ-
ŬƤăŅĤØłĤƤằŰŹŬŎŅƛƀķŁØûƀķŬìƧăŅĤØ̩ŅØû-
õĤűŅĤăŅĤ㳏ĔŹŅĤõƤƛł̐ƤłĤØŅØłĤƤằŰŹŬŎŅƛ
ƀķŁØûƀŅăŬƕŎƕăęŎ̩ŬŎƤûŬØƧŅĤăŅĤăł̐ƤłĔ-
25
 Praca z pacjentem

2
ŎòĴØƕĤØŰĤĔ̏ŅØûƕŬØƧĺĤƕŎűõĤìòŁŎŅƛűĺƀƤŎƕăĴ̐
òŎĺăŰŅŎűõĤìĴĔƤƛķØ̐ƤØŨØĺăŅĤăłűĺĤŅĤØŅăķ̖

GūƥȦǨȦɉéƑŬēŝîDžĿƥîŞĿŠNj Ŏû̀ƕĤăķƀĤ̀ƕăûŁƀęRŅŰŹƛŹƀŹƀÕƛƕŅŎűõĤ
õƤăŅĤăł̐ŨŎęŎŬŰƤăŅĤăłŅØŰŹŬŎĴƀ̐ƤØòƀŬƤă-
ŅĤØłĤķŎŅõăŅŹŬØõĴĤ̐òŬØķĤăłØŨăŹƛŹƀĤ̀ƀŹŬØŹì
łØŰƛõĤØŁØ̐ŎòŬƤĔķĤăłķŎņõƤƛŅõƤƛûŬĔŹƕĤă-
ŅĤăłĤ̀ŎŰŁØòĤØŅĤăłłĤĔűŅĤ̖qĤăûŎòŎŬƛŨŎƕŰŹØĴì
ƤƕƛķĺăƕŰķƀŹăķĴăûŅŎŬŎûŅăęŎ̐ŅĤăƕŁØűõĤƕăęŎ
ŎûƧƛƕĤØŅĤØĤ̀ƤŅØŅăŰì̀ŨŎûŨŎŰŹØõĤìõĠŎŬŎòƛ
òăŬĤ̪òăŬĤ̖Ã̀ĴØłĤăƀŰŹŅăĴŅĤăûŎòŏŬŹĤØłĤŅƛ
ÃĤŹØłĤŅØ˙̀
ÃĤŹØłĤŅØ˙̦̀ŬƛòŎƲØƕĤŅØ̧ƀõƤăŰŹŅĤõƤƛƕ̀ƕĤăĺƀ
ŬăØķõĴØõĠŨŬƤăłĤØŅƕĔęĺŎƕŎûØŅŏƕ̐ŹŁƀŰƤõƤŏƕ
Ĥ̀òĤØŁăķŎŬØƤûŎŰŹØŬõƤØŅĤƀăŅăŬęĤĤƕ̀ŁØņõƀõĠƀ
ŎûûăõĠŎƕƛł̖aăŰŹŅĤăƤƕƛķĺăĤŰŹŎŹŅØƕ̀ŨŬØƕĤ-
ûŁŎƕƛłėƀŅķõĴŎŅŎƕØŅĤƀƀķŁØûƀŎûŨŎŬŅŎűõĤŎ-
ƕăęŎĤ̀ƀķŁØûƀŅăŬƕŎƕăęŎõƤŁŎƕĤăķØ̖
FŁŏƕŅƛłƥŬŏûŁăłŬƛòŎƲØƕĤŅƛŰì̀ł̖ĤŅ̖̏
łĺăķŎ̐ŰăŬ̐ĴŎęƀŬŹ̐ĴØĴØ̐łĤĔŰŎ̐Ŭƛòƛ̐ƤĤăĺŎŅă
ƕØŬƤƛƕØ̐ŅØŰĤŎŅØŬŎűĺĤŅŰŹŬìõƤķŎƕƛõĠ̐ķØŰƤØ
ĴØęĺØŅØ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăĴăŰŹƤØĺăƧŅă
Ĥ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ̩˘̐˘̀łę̐ûĺØ
ûƤĤăõĤ̩˗̐˜̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ˙ŨŬƤăĴØƕĤØĴìŰĤĔ
ƤłĤØŅØłĤƕ̀ƀķŁØûƤĤăŅăŬƕŎƕƛłĤ̀ŅĤă-
ûŎķŬƕĤŰŹŎűõĤì̖qĤăûŎŰŹØŹăõƤŅăŨŬƤƛĴłŎƕØ-
ŅĤăƕĤŹØłĤŅƛ˙̀ƕ̀ĴØłĤăƀŰŹŅăĴłØŅĤėăŰŹƀĴă
ŰĤĔƕƛŰƀŰƤăŅĤăłĤ̀ŨĔķØŅĤăłƕØŬę̐łØõăŬØõĴì
ŰķŏŬƛĤ̀ƤØŨØĺăŅĤăłĴĔƤƛķØ̖nŎęìŨŎĴØƕĤØöŰĤĔ
ƤłĤØŅƛŨŬŎƕØûƤìõăûŎ̀ŨŎƕŰŹØŅĤØķŬƕØƕĤì-
õƛõĠŎƕŬƤŎûƤăņĴĔƤƛķØ̖

Witamina Dawka éƑŬēŝîDžNjƙƥįƎūDžîŠĿî

A ēūƑūƚŕĿȶǦȡǮɉŞij ƎƑǕĚƥDžūƑNjŞŕĚČǕŠĚȡŏîŏîȡDžąƥƑūċîǕDžĿĚƑǕąƥĿɉƑNjċȡŞîƑČĺĚDžȡ
ēǕĿĚČĿȶǦȡǬɉŞij ƙǕƎĿŠîŒȡƙîŝîƥîȡŒîƎƭƙƥîȡČǕĚƑDžūŠîƎîƎƑNjŒîȡŞūƑĚŕĚȡ
ŞĚŕūŠȡŞîŠijūȡîijƑĚƙƥ
B1 ēūƑūƚŕĿȶǧȡǨɉŞij ŒĿĚŝŒĿŠîƙĿūŠǕċŬǘȡŒîƙǕĚȡƑNjǘȡIJîƙūŕîȡūƑǕĚČĺNjȡƎĚƙƥŒĿēNjŠĿ
ēǕĿĚČĿȶǦȡǯɉŞij ĿɉƙŝūŠĚČǕŠĿŒîȡƙƭƙǕūŠĚƚŕĿDžŒĿȡƑūƚŕĿŠNjƙƥƑąČǕŒūDžĚȡŞĿįƙū
DžĿĚƎƑǕūDžĚ
Ǩ ēūƑūƚŕĿȶǧȡǧɉŞij ŞŕĚŒūȡƙĚƑȡŏūijƭƑƥȡŏîŏîȡŞĿįƙūȡƑNjċNjȡǕĿĚŕūŠĚDžîƑǕNjDžîȡ
ēǕĿĚČĿȶǦȡǫɉŞij ŠîƙĿūŠîƑūƚŕĿŠƙƥƑąČǕŒūDžNjČĺȡŒîƙǕîŏîijŕîŠî
B3 ēūƑūƚŕĿȶǧǫɉŞij ŞĿįƙūȡƑNjċNjȡēƑūǘēǘĚƎĿĚŒîƑƙŒĿĚȡŠîƙĿūŠîƑūƚŕĿŠƙƥƑąČǕŒū-
ēǕĿĚČĿȶǮɉŞij DžNjČĺȡƎĿĚƥƑƭƙǕŒîȳŒūƑǕĚšȴ
ǫ ēūƑūƚŕĿȶǬɉŞij ƎƑūēƭŒƥNjƎūČĺūēǕĚŠĿîǕDžĿĚƑǕįČĚijūȡƎĚŝŠūǕĿîƑŠĿƙƥĚ
ēǕĿĚČĿȶǩɉŞij ƎƑūēƭŒƥNjǕċūǘūDžĚȡŠîƙĿūŠîƑūƚŕĿŠƙƥƑąČǕŒūDžNjČĺȡǕĿĚŕūŠĚ
DžîƑǕNjDžîȡIJîƙūŕîȡîDžūŒîēūȡǛijĿ
Ǭ ēūƑūƚŕĿȶǧȡǫɉŞij DžîƑǕNjDžîŕĿƚČĿîƙƥĚȳƙǕƎĿŠîŒĿɉŒîƎƭƙƥîȴȡēƑūǘēǘĚȡîDžūŒîēūȡ
ēǕĿĚČĿȶǧȡǦɉŞij IJîƙūŕîȡūƑǕĚČĺNjDžŝūƙŒĿĚȡċîŠîŠNjȡŞĿįƙūēƑūċĿūDžĚȡŏîŏîȡ
ƑNjċNj
ǧǨ ēūƑūƚŕĿȶǨȡǪɉɺij ƎūŒîƑŞNjŞĿįƙŠĚȡƑNjċNjȡŏîŏîūƑîǕŞŕĚŒūĿɉŏĚijūƎƑǕĚƥDžūƑNj
ēǕĿĚČĿȶǧȡǯɉɺij
C ēūƑūƚŕĿȶǭǫɉŞij ŠîƥŒîƎĿĚƥƑƭƙǕŒĿȡƎîƎƑNjŒîČǕĚƑDžūŠîȡƎūŞĿēūƑNjȡŏîƑŞƭǘȡ
ēǕĿĚČĿȶǫǦɉŞij ċƑūŒƭŝȡūDžūČĚŏîijūēūDžĚĿɉČNjƥƑƭƙNj
D ŠĿĚŞūDžŕįƥîŒîƑŞĿūŠĚƎĿĚƑƙĿą DžɉǯǦɼǖƑŬēŝĚŞŏĚƙƥƙNjŠƥĚǕîƙŒŬƑŠîȫDžɉǘNjDžŠūƚČĿȠƑNjċNj
ȶǪǦǦTÀɉȳǧǦɉɺijȴŠîɉēūċį ŞūƑƙŒĿĚȡūŕĚŏĚƑNjċŠĚȡŞŕĚŒūȡŏîŏîȡŒîŒîūĿɉŒƭŒƭƑNjēǕî
ēǕĿĚČĿǧȹǧǮɉŕîƥȳDžɉǕîŕĚǘŠūƚČĿūēɉēĿĚƥNjȴ
ȶǪǦǦŕƭċǮǦǦȹǧǦǦǦTÀɉȳǨǦȹǨǫɉɺijȴŠîɉēūċį
ēūƑūƚŕĿȶǮǦǦȹǧǦǦǦTÀɉŠîɉēūċį
ŒūċĿĚƥNjČĿįǘîƑŠĚȶǪǦǦTÀɉēūɉTTɉƥƑNjŞĚƙƥƑƭȡ
DžɉƎŬǖŠĿĚŏƙǕNjŞūŒƑĚƙĿĚȶǮǦǦȹǧǦǦǦTÀ
¹îċȦǧȦɉ'îDžŒūDžîŠĿĚĿɉǖƑŬēŝîDžNjƙƥįƎūDžîŠĿîDžĿƥîŞĿŠ

26 ASYSTA DENTYSTYCZNA

Witamina B3
ÃĤŹØłĤŅØ˚̦̀ŅĤØõƛŅØ̐ƕĤŹØłĤŅØ••̧ĴăŰŹŅĤă-
ƤòĔûŅØûŎ̀ŨŬØƕĤûŁŎƕăĴŨŬØõƛłŏƤęƀĤ̀ŎòƕŎ-
ûŎƕăęŎƀķŁØûƀŅăŬƕŎƕăęŎ̖nØ̀ƕŁØűõĤƕŎ-
űõĤŬŎƤŰƤăŬƤØŅĤØŹĔŹŅĤỡƀƕØĺŅĤØĴìõŨŬƤăŨŁƛƕ
ķŬƕĤ̐ŨŎŨŬØƕĤØõƤƛŅŅŎűõĤŨŬƤăƕŎûƀŨŎķØŬ-
łŎƕăęŎ̐ŎòŅĤƧØŨŎƤĤŎłƤŁăęŎõĠŎĺăŰŹăŬŎĺƀ̖
FŁŏƕŅƛłĤƥŬŏûŁØłĤŅĤØõƛŅƛŰì̏łĤĔŰŎ̐Ŭƛòƛ̐
ûŬŎƧûƧăŨĤăķØŬŰķĤă̐ŅØŰĤŎŅØŬŎűĺĤŅŰŹŬìõƤķŎ-
ƕƛõĠ̐ŨĤăŹŬƀŰƤķØ̦ķŎŬƤăņ̧̖1ŅûŎęăŅŅĤăƕĤŹØ-
łĤŅØ˚̀ĴăŰŹŰƛŅŹăƤŎƕØŅØƤ̀ŹŬƛŨŹŎėØŅƀ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛŹƀŹƀ
ÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ
̩˘˜̀łę̐ûĺØûƤĤăõĤ̩˟̀łę̖
qĤăûŎòŏŬƕĤŹØłĤŅƛ˚ŨŎƕŎûƀĴăŨăĺØęŬĔ̩
õĠŎŬŎòĔõĠØŬØķŹăŬƛƤƀĴìõìŰĤĔ̏ƕƛŰŹĔŨŎƕØ-
ŅĤăłƤłĤØŅŅØŰķŏŬŅƛõĠƕ̀ŨŎŰŹØõĤŬƀłĤăŅĤØ̐
òŬØķĤ㳣ØķŅĤăŅĤØ̐ĴØûŁŎƕŰŹŬĔŹăł̐ƤØŨØŬõĤØłĤ
ĺƀòòĤăęƀŅķØłĤ̐ŁƀŰƤõƤăŅĤăłŰĤĔƀŰŹ̐ƤØŨØ-
ĺăŅĤăłĴĔƤƛķØĤ̀ûƤĤìŰăŁŎŬØƤƤằŰŹŬŎŅƛƀķŁØûƀ
ŅăŬƕŎƕăęŎ̏ûăŨŬăŰĴì̐ƤØòƀŬƤăŅĤØłĤõĠŎûƀ̐
ŅăƀŬŎŨØŹĤìŎòƕŎûŎƕì̐òŏĺØłĤęŁŎƕƛ̐ŰŹØ-
ŅØłĤĺĔķŎƕƛłĤĤ̀ƀŬŎĴăŅĤØłĤ̖Ã̀ĴØłĤăƀŰŹŅăĴ
ŅĤăûŎòŎŬƛƕĤŹØłĤŅƛ••̀ŎòĴØƕĤØĴìŰĤĔŎòŬƤĔ-
ķĤăł̐ŨĤăõƤăŅĤăłĤ̀ŨØĺăŅĤăłĴĔƤƛķØŎŬØƤŬŎƤ-
ŬŎŰŹăłòŬŎûØƕăķŅĤŹķŎƕØŹƛõĠ̖•ŬƤăƕĺă-
ķŁƛŰŹØŅŅĤăûŎòŎŬƀŅĤØõƛŅƛƕ̀ŨŎõƤìŹķŎƕƛł
ŎķŬăŰĤăŨŎƕŎûƀĴăŰŹØŅƤØŨØĺŅƛòŁŎŅƛűĺƀƤŎƕăĴ
ĴØłƛƀŰŹŅăĴĤ̀ĴĔƤƛķØ̐Ø̀ŅØŰŹĔŨŅĤăĴăęŎòĺØûŎűö
Ĥ̀ŰķŁŎŅŅŎűöûŎ̀ŨĔķØŅĤØ̖
Witamina B5
ÃĤŹØłĤŅؘ̦̀ķƕØŰŨØŅŹŎŹăŅŎƕƛ̧ĴØķŎķŎăŅ-
Ƥƛł̀łØ̀õƤƛŅŅƛƀûƤĤØŁƕ̀ŬăØķõĴØõĠƤƕĤìƤØ-
ŅƛõĠƤ̀ŨŬƤăłĤØŅìăŅăŬęăŹƛõƤŅìƕ̀ŎŬęØŅĤƤłĤă̖
cƕØŰŨØŅŹŎŹăŅŎƕƛŨŎƕŰŹŬƤƛłƀĴăŬŎƤƕŏĴ
ƤłĤØŅƤƕƛŬŎûŅĤăŅĤŎƕƛõĠƕìŹŬŎòƛĤ̀ŅăŬăķ̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ˜̀Űì̀ŨŬŎûƀķŹƛ
ŨŎõĠŎûƤăŅĤØƤƕĤăŬƤĔõăęŎ̖ÕƛƕŅŎűöŨŎõĠŎ-
ûƤăŅĤØŬŎűĺĤŅŅăęŎòŎęØŹØƕ̀ķƕØŰŨØŅŹŎŹă-
ŅŎƕƛŹŎ̀ŨŬƤăûăƕŰƤƛŰŹķĤł̏ŨăŁŅŎƤĤØŬŅĤŰŹă
ŨŬŎûƀķŹƛƤòŎƧŎƕă̐ŅØŰĤŎŅØŬŎűĺĤŅŰŹŬìõƤķŎ-
ƕƛõĠ̐ƤĤăĺŎŅăƕØŬƤƛƕØ̐ėØŰŎĺØ̐ØƕŎķØûŎ̐ƱęĤ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛŹƀŹƀ
ÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ
̩˝̀łę̐ûĺØûƤĤăõĤ̩˚̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ˜ƕƛŰŹĔŨƀĴìŅĤăƤƕƛ-
ķĺăŬƤØûķŎƤằƕƤęĺĔûƀŅØ̀ėØķŹ̐ƧằƕĤŹØłĤŅØ
ŹØ̀ŨŎƕŰƤăõĠŅĤăƕƛŰŹĔŨƀĴăƕ̀ƕĤĔķŰƤŎűõĤŨŎƧƛ-
ƕĤăŅĤØ̖qĤăûŎòŎŬƛƤØƤƕƛõƤØĴłØŅĤėăŰŹƀĴìŰĤĔ
ŹŁƀŰƤõƤŎƕƛłƤƕƛŬŎûŅĤăŅĤăłƕìŹŬŎòƛ̐ŰķƀŬ-
õƤØłĤłĤĔűŅĤŎƕƛłĤ̐ƤØòƀŬƤăŅĤăłõƤƀõĤØ
ķŎņõƤƛŅ̐òăƤŰăŅŅŎűõĤìĤ̀ŰķŁŎŅŅŎűõĤìûŎ̀ĤŅėăķ-
õĴĤ̖Ã̀ĴØłĤăƀŰŹŅăĴûăƱõƛŹķƕØŰƀŨØŅŹŎŹă-
ŅŎƕăęŎŎòĴØƕĤØŰĤĔ̏ŬŎęŎƕØõăŅĤăłòŁŎŅƛ
2/2020
Praca z pacjentem
űĺƀƤŎƕăĴ̐ƤłĤØŅØłĤłØŬŹƕĤõƤƛłĤûƤĤìŰăŁ̐
ŎƕŬƤŎûƤăŅĤØłĤ̖
Witamina B6
ÃĤŹØłĤŅØ˝̦̀ŨĤŬƛûŎķŰƛŅØ̧ŬăęƀĺƀĴăŬăØķ-
õĴăłăŹØòŎĺĤõƤŅăØłĤŅŎķƕØŰŏƕĤ̀ŹŁƀŰƤõƤŏƕ̖
™ăęƀĺƀĴăŰŨŬØƕŅìŨŬØõĔƀķŁØûƀŅăŬƕŎƕăęŎ
Ĥ̀ŎûŨŎŬŅŎűõĤŎƕăęŎ̖ĤăŬƤăƀûƤĤØŁƕ̀ƕƛŹƕØŬƤØ-
ŅĤƀķŬƕĤŅăķõƤăŬƕŎŅƛõĠ̖®ŹŬƤƛłƀĴăęŎŰŨŎ-
ûØŬķĔĴŎŅŎƕìŰŎûŎƕŎ̪ŨŎŹØŰŎƕìŎŬęØŅĤƤłƀ̖
!ĠŬŎŅĤƀƤĔòĤăŅĤăłĺăõƤŅăŨŬƤăûŨŬŏõĠŅĤõì̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ˝̀Űì̏ƕØŬƤƛƕØ
ĺĤűõĤØŰŹă̦ŰƤŨĤŅØķĤ̀ķØŨƀŰŹØ̧̐ûŬŎƧûƧă̐ØƕŎ-
ķØûŎ̐ėØŰŎĺØ̐ŎŬƤăõĠƛƕŁŎŰķĤă̐òØŅØŅƛ̐łĤĔŰŎ
ûŬŎòĤŎƕă̐ĴØĴØ̐Ŭƛòƛ̖•ĤŬƛûŎķŰƛŅØØƧ̀ƕ̀˞˜͹
ĴăŰŹƕõĠŁØŅĤØŅØĤ̀ŨŬƤƛŰƕØĴØŅØŨŬƤăƤŎŬęØŅĤƤł
Ƥ̀ûŎŰŹØŬõƤØŅăęŎŨŎƧƛƕĤăŅĤØ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛŹƀŹƀ
ÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ
̩˘̐˜̀łę̐ûĺØûƤĤăõĤ̩˘̐˗̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ˝łØŅĤėăŰŹƀĴìŰĤĔ
ŁŎĴŎŹŎķŎƕƛłƤØŨØĺăŅĤăłŰķŏŬƛĤ̀ƤłĤØŅØłĤ
ƤằŰŹŬŎŅƛƀķŁØûƀŅăŬƕŎƕăęŎ̖®̀ûƤĤăõĤłŎƧă
ƕƛŰŹìŨĤöŎŨŏƥŅĤăŅĤăŨŬŎõăŰƀƕƤŬØŰŹØŅĤØ̐
ŰŹØŅŏƕûăŨŬăŰƛĴŅƛõĠĤ̀ûŬęØƕăķŨŬƤƛŨŎłĤ-
ŅØĴìõƛõĠØŹØķŨØûØõƤķŎƕƛ̖Ã̀ĴØłĤăƀŰŹŅăĴ
ŎòĴØƕƛŅĤăûŎòŎŬƀŰì̀ƕĤûŎõƤŅăƕ̀ŨŎŰŹØõĤ
ƤØŨØĺăŅĤØķìŹŏƕƀŰŹĤ̀ƤØŨØĺăŅĤØĴĔƤƛķØ̖
Witamina B12
ÃĤŹØłĤŅØ˘˙̦ķŎòØĺØłĤŅØ̧ĴăŰŹŎûŨŎƕĤă-
ûƤĤØĺŅØƤØ̀ŨŬƤăłĤØŅĔƕĔęĺŎƕŎûØŅŏƕĤ̀ŹŁƀŰƤ-
õƤŏƕ̖aăŰŹŅĤăŎûƤŎƕŅØƕ̀̀ŨŬŎõăŰĤăûŎĴŬƤăƕØŅĤØ
ăŬƛŹŬŎõƛŹŏƕ̖™ăęƀĺƀĴăØķŹƛƕŅŎűöĺĤłėŎõƛŹŏƕ̐
ŨŬƤăƤõŎ̀òĤăŬƤăƀûƤĤØŁƕ̀ŨŬØƕĤûŁŎƕƛłķŰƤŹØŁ-
ŹŎƕØŅĤƀŎûŨŎŬŅŎűõĤŎŬęØŅĤƤłƀ̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ˘˙Űì̏ŨŎķØŬłƛ
łĤĔŰŅă̐Ŭƛòƛ̐ĴØĴØŎŬØƤłĺăķŎĤ̀ĴăęŎŨŬƤăŹƕŎŬƛ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛŹƀŹƀ
ÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ
̩˙̐˛̀ͷę̐ûĺØûƤĤăõĤ̩˘̐ˠ̀ͷę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ˘˙Űì̀òØŬûƤŎ
ŨŎƕŰƤăõĠŅăƕűŬŏûŨŎŨƀĺØõĴĤĺƀûƤķĤăĴ̐
ƕ̀ęŁŏƕŅăĴłĤăŬƤăƀ̀ûƤĤăõĤĤ̀ŎŰŏòŨŎ̀˜˗̖ŬŎķƀ
ƧƛõĤØ̖ÒƕĤìƤØŅăĴăŰŹŹŎ̀ŨŬƤăûăƕŰƤƛŰŹķĤł
ƤằƤòƛŹŅĤŰķìŨŎûØƧìŹăĴƕĤŹØłĤŅƛƕ̀ûĤăõĤă
Ĥ̀ƤƀŹŬƀûŅĤŎŅƛłƕõĠŁØŅĤØŅĤăł̖{òĴØƕƛŅĤă-
ûŎòŎŬƀķŎòØĺØłĤŅƛŹŎ̀ŨŬƤăûăƕŰƤƛŰŹķĤł̏
õĠŬŎŅĤõƤŅăƤłĔõƤăŅĤă̐ƤØòƀŬƤăŅĤăŹŬØ-
ƕĤăŅĤØ̐òŬØķØŨăŹƛŹƀ̐ŎŰŁØòĤăŅĤă̐ŅƀûŅŎ-
űõĤ̐ûŬØƧĺĤƕŎűö̐ƤØòƀŬƤăŅĤØŨØłĤĔõĤĤ̀õƤĔŰŹă
ŨŬŎòĺăłƛƤ̀ŨØłĤĔõĤìĤ̀ķŎŅõăŅŹŬØõĴì̖qĤăûŎ-
ŰŹØŹăõƤŅØŨŎûØƧƕĤŹØłĤŅƛ˘˙łŎƧăŨŎƕŎûŎ-
ƕØö̏ØŅăłĤĔ̐ƤłĤØŅƛƤØŨØĺŅăòŁŎŅƛűĺƀƤŎ-
ƕăĴƧŎŁìûķØ̐ƤłĤØŅƛƤƕƛŬŎûŅĤăŅĤŎƕăŬûƤăŅĤØ
27
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3 4
GūƥȦǩȦɉéƑŬēŝîDžĿƥîŞĿŠNj
ķŬĔęŎƕăęŎ̖Ã̀ĴØłĤăƀŰŹŅăĴłØŅĤėăŰŹƀĴăŰĤĔ
ƤØŨØĺăŅĤăłĴĔƤƛķØĤ̀ƤØŅĤķŎƕƛłƤØŨØĺăŅĤăł
ĴØłƛƀŰŹŅăĴ̖
Witamina C
ÃĤŹØłĤŅØ!̦̀ķƕØŰØŰķŎŬòĤŅŎƕƛ̧łØ̀ûƤĤØŁØ-
ŅĤăØŅŹƛŎķŰƛûØõƛĴŅă̐òĤăŬƤăƀûƤĤØŁƕ̀ŰƛŅŹăƤĤă
ķŎĺØęăŅƀ̐ŰŹƛłƀĺƀĴăŨŬŎõăŰŎûŅŎƕƛƕŁŏķĤăŅ
ķŎĺØęăŅŎƕƛõĠ̐ƀŁØŹƕĤØęŎĴăŅĤăŎŨØŬƤăņĤ̀ŬØŅ̖
ÃƤłØõŅĤØƀķŁØûŎûŨŎŬŅŎűõĤŎƕƛ̖nØ̀ûƀƧă
ƤŅØõƤăŅĤăƕ̀ƕØĺõăƤ̀ĤŅėăķõĴØłĤƕĤŬƀŰŎƕƛłĤ
Ĥ̀òØķŹăŬƛĴŅƛłĤ̐ŰƤõƤăęŏĺŅĤăƀķŁØûƀŎûûăõĠŎ-
ƕăęŎ̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ!̀Űì̏ŅØŹķØŨĤă-
ŹŬƀŰƤķĤ̐ŨØŨŬƛķØõƤăŬƕŎŅØ̐ŨŎłĤûŎŬƛ̐ĴØŬłƀƧ̐
òŬŎķƀŁ̐ŎƕŎõăĴØęŎûŎƕăĤ̀õƛŹŬƀŰƛ̖•ŬƤăƤ
ƕƤęĺìûŅØ̀˜˗̪˞˗̪ŨŬŎõ̖ŰŹŬØŹƛķƕØŰƀØŰķŎŬ-
òŎƕăęŎƕ̀õƤØŰĤăŎòŬŏòķĤƕƛŰŎķìŹăłŨăŬØ-
ŹƀŬìƤØĺăõØŰĤĔŰŨŎƧƛƕØŅĤăŎƕŎõŏƕĤ̀ƕØŬƤƛƕ
ƕ̀ėŎŬłĤăŰƀŬŎƕăĴ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛŹƀŹƀ
ÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎŰŁƛõĠ
̩˞˜̀łę̐ûĺØûƤĤăõĤ̩˜˗̀łę̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ!ƕ̀ŎŬęØŅĤƤłĤăłŎęì
ŰķƀŹķŎƕØöŨŎĴØƕĤØŅĤăłŰĤĔŅĤăûŎķŬƕĤŰŹŎ-
űõĤ̐ęûƛƧķƕØŰØŰķŎŬòĤŅŎƕƛƤƕĤĔķŰƤØƕõĠŁØ-
ŅĤØŅĤăƧăĺØƤØ̖ÒØòƀŬƤăŅĤăŹƕŎŬƤăŅĤØŰĤĔòĺĤƤŅ̐
ŅĤăƕƛûŎĺŅŎűöŎŰŹăŎòĺØŰŹŏƕ̦ƤŁØłØŅĤØķŎűõḨ̂̐
ŰķØƤØķŬƕŎŹŎõƤŅØ̐ķŬƀõĠŎűöŅØõƤƛņƕŁŎŰŎƕØ-
ŹƛõĠĤ̀ķŬƕØƕăƕƛòŬŎõƤƛŅƛŰķŏŬƛŹŎ̀ŬŏƕŅĤăƧ
ŰķƀŹăķŅĤăŎûŨŎƕĤăûŅĤăĴŨŎûØƧƛ̖'ĤăŹØƀòŎęØ
ƕķƕØŰØŰķŎŬòĤŅŎƕƛłŎƧăŨŎƕŎûŎƕØöõĠŎ-
ŬŎòĔnŎĺĺăŬØ̪ØŬĺŎƕØ̐ĤŅØõƤăĴƤƕØŅìŰƤķŎŬ-
òƀŹăłĺƀòęŅĤĺõăł̖aăŰŹŹŎõĠŎŬŎòØ̐ķŹŏŬØ
28
GūƥȦǪȦɉéƑŬēŝîDžĿƥîŞĿŠNj'
ûØƕŅĤăĴûŎŹƛķØŁØƧăęĺØŬƤƛƕƛòĤăŬØĴìõƛõĠŰĤĔ
ƕûØĺăķĤăŬăĴŰƛ̖'ƤĤØŁŎŰĤĔŹØķƤăƕƤęĺĔûƀŅØ
òŬØķûŎŰŹĔŨƀûŎƥŬŏû㣏ăĴƕĤŹØłĤŅƛƕ̀ŨŎƧƛ-
ƕĤăŅĤƀ̖ÃŰŨŏŁõƤăűŅĤăŰƤķŎŬòƀŹƕƛŰŹĔŨƀĴă
òØŬûƤŎŬƤØûķŎĤûŎŹƛķØƤØƤƕƛõƤØĴŎŰŎòƛ
ƕ̀ęŬƀŨĤăŬƛƤƛķØ̏ŅĤăûŎƧƛƕĤŎŅăƤŨŎƕŎûƀ
ØĺķŎĠŎĺĤƤłƀ̐ŨŎûăŰƤŁăęŎƕĤăķƀ̐ƤŁăęŎŎûƧƛ-
ƕĤØŅĤØ̐ƤõĠŎŬŎòØłĤƤØòƀŬƤØĴìõƛłĤƕõĠŁØŅĤØ-
ŅĤăƕĤŹØłĤŅƛ!̖{òĴØƕƛŰƤķŎŬòƀŹƀŨŎĴØƕĤØĴì
ŰĤĔƤƕƛķĺăƕŹŬƤăõĤłłĤăŰĤìõƀŎûƤłŅĤăĴŰƤă-
ŅĤØĺƀòƤØŨŬƤăŰŹØŅĤØûŎŰŹØŬõƤØŅĤØƕĤŹØłĤŅƛ
ûŎŎŬęØŅĤƤłƀ̖ÃŨŎõƤìŹķŎƕƛłŰŹØûĤƀłõĠŎ-
ŬŎòØŹØûØĴăŰƛłŨŹŎłƛŨŬƤăłĔõƤăŅĤØ̐ŎŰŁØ-
òĤăŅĤØ̐ØŨØŹĤĤ̐òŏĺƀķŎņõƤƛŅ̖aăűĺĤõĠŎŬŎòØŅĤă
ƤŎŰŹØŅĤăŎûŨŎƕĤăûŅĤŎƤûĤØęŅŎƤŎƕØŅØƕ̀ûØĺ-
ŰƤƛłăŹØŨĤăŨŎĴØƕĤØöŰĤĔłŎęìŨŬŎòĺăłƛ
ŰķŏŬŅă̦ķŬƕØƕăƕƛòŬŎõƤƛŅƛƕŎķŏŁłĤăŰƤ-
ķŏƕƕŁŎŰŎƕƛõĠŰķŏŬƛ̧̐ŨŬŎòĺăłƛƤûƤĤìŰŁØłĤ
̦ŰŹØŅƛƤØŨØĺŅă̐ŎòŬƤĔķĤ̐ķŬƕØƕĤăŅĤØ̧̐ŨŬŎ-
òĺăłƛƤƀķŁØûăłłĤĔűŅĤŎƕŎ̪ŰƤķĤăĺăŹŎƕƛł
̦ƤØòƀŬƤăŅĤØõĠŎûƤăŅĤØŰŨŎƕŎûŎƕØŅăķŬƕØ-
ƕĤăŅĤØłĤûŎŰŹØƕŎƕƛłḨ̂̐ŨŬŎòĺăłƛƤŎõƤØłĤ
̦ƤØòƀŬƤăŅĤăŎŰŹŬŎűõĤƕĤûƤăŅĤØ̐ŅØûƕŬØƧĺĤƕŎűö
ŅØűƕĤØŹŁŎ̐ŰƀõĠŎűöŎķØ̐ķŬƕŎŹŎķĤŨŎûŰŨŎ-
ĴŏƕķŎƕă̧̐ØŅăłĤØ̦ŰŨŎƕŎûŎƕØŅØƀŹŬØŹìķŬƕĤ
ûŎŹķØŅăķĤƤØòƀŬƤăŅĤăłƕõĠŁØŅĤØŅĤØƧăĺØƤØ
ĤķƕØŰƀėŎĺĤŎƕăęŎ̧̐ƤØòƀŬƤăŅĤØŰăŬõŎƕŎ̪ŅØ-
õƤƛŅĤŎƕă̦ƤØòƀŬƤăŅĤØõĤűŅĤăŅĤØ̧̖
Ã̀ĴØłĤăƀŰŹŅăĴŅĤăûŎòŏŬķƕØŰƀłØŅĤėăŰŹƀĴă
ŰĤĔƤØòƀŬƤăŅĤăłƕƤŬŎŰŹƀƤĔòŏƕ̐ƤØõĠƕĤØ-
ŅĤăłŨŬŎõăŰŏƕŹƕŎŬƤăŅĤØŰƤķĺĤƕØ̐Ø̀ƕ̀õĤĔƧ-
ķĤõĠŨŬƤƛŨØûķØõĠ̩ŹØķƧăłØŬŹƕĤõƤŎ̪ķŬƕŎ-
ŹŎõƤŅƛłƤØŨØĺăŅĤăłûƤĤìŰăŁ̖
eăõƤăŅĤăŰƤķŎŬòƀŹƀŨŎĺăęØŅØŅØŹƛõĠłĤØŰŹŎ-
ƕƛłŨŎûØŅĤƀƕĤŹØłĤŅƛ!ƕŨŎƧƛƕĤăŅĤƀõƤƛ
ŹăƧƤØŨŎłŎõìĺăķŏƕ̦ûŎƀŰŹŅĤăĺƀòûŎƧƛĺŅĤă̧̖
ASYSTA DENTYSTYCZNA
 Praca z pacjentem

5
¹ħżáńħŅá&ȅ
ÃĤŹØłĤŅØ'̀òăƤŨŎűŬăûŅĤŎĺƀòŨŎűŬăûŅĤŎ
łØ̀ŎûûƤĤØŁƛƕØŅĤăŅØ̀ŎķŎŁŎ˙˗˗ęăŅŏƕ̖™ăęƀ-
ĺƀĴăĠŎłăŎŰŹØƤĔƕØŨŅĤŎƕŎ̪ėŎŰėŎŬØŅŎƕì̖
aăŰŹŅĤăƤòĔûŅØûŎ̀ŨŎŨŬØƕŅăęŎėƀŅķõĴŎŅŎ-
ƕØŅĤØƀķŁØûƀŎûŨŎŬŅŎűõĤŎƕăęŎ̐ŅăŬƕŎƕăęŎ
Ĥ̀ăŅûŎķŬƛŅŅăęŎ̖nØ̀ƀûƤĤØŁƕ̀ķŰƤŹØŁŹŎƕØ-
ŅĤƀķŎűõĤĤ̀ƤĔòŏƕ̐ƤØŨŎòĤăęØŎŰŹăŎŨŎŬŎƤĤă̐
ƀŁØŹƕĤØƕõĠŁØŅĤØŅĤăƕĤŹØłĤŅƛ̐̀ŬăęƀĺƀĴă
ŨŎƤĤŎłõƀķŬƀƕằķŬƕĤ̖ÃĤŹØłĤŅØ'ŹŎŅØƤƕØ
ęŬƀŨƛƤƕĤìƤķŏƕ̐ƕűŬŏûķŹŏŬƛõĠŅØĴòØŬûƤĤăĴ
ƤŅØŅØŨŎŰŹØöŹŎƕĤŹØłĤŅØ'˚̐ƤƕØŅØõĠŎĺă-
ķØĺõƛėăŬŎĺăł̦ŎòăõŅØęŁŏƕŅĤăƕƧƛƕŅŎűõĤ
ŨŎõĠŎûƤăŅĤØƤƕĤăŬƤĔõăęŎ̧̖ķŹƛƕŅØŨŎŰŹØö
ƕĤŹØłĤŅƛ'˚ŹŎķØĺõƛŹŬĤŎĺ̖§ŎƕŁØűŅĤăŎŅĴăŰŹ
ŎûŨŎƕĤăûƤĤØĺŅƛƤØƕĤĔķŰƤŎűöėƀŅķõĴĤŨŬƤƛ-
ŨĤŰƛƕØŅƛõĠƕĤŹØłĤŅĤă'̖ÒĺĤõƤŅƛõĠòØûØņ
ƕƛŅĤķØ̐ƧăƕĤŹØłĤŅØ'˚ƕØķŹƛƕŅăĴėŎŬłĤă
ĴăŰŹƤûăõƛûŎƕØŅĤăòØŬûƤĤăĴŰķƀŹăõƤŅØƕŨŎû-
ŅŎŰƤăŅĤƀĤƀŹŬƤƛłƛƕØŅĤƀŨŬØƕĤûŁŎƕăęŎ
ŨŎƤĤŎłƀƕĤŹØłĤŅƛ'̖
FŁŏƕŅƛłƥŬŏûŁăłƕĤŹØłĤŅƛ'̀ƕ̀ˠ˗͹ĴăŰŹ
ŰƛŅŹăƤØŰķŏŬŅØŨŎûƕŨŁƛƕăłŨŬŎłĤăŅĤŰŁŎ-
ŅăõƤŅƛõĠ̦ûŬŎęØăŅûŎęăŅŅØ̧̖1ęƤŎęăŅŅĤă
ƕĤŹØłĤŅØŹØ̀ûŎŰŹØŬõƤØŅØĴăŰŹûŎ̀ŎŬęØŅĤƤłƀ
ƕ̀ŨŎŰŹØõĤõĠŎĺăķØĺõƛėăŬŎĺƀ̦ŬƛòƛłŎŬŰķĤă̐
ŎĺăĴăŬƛòŅă̧̖Ã̀ƤûăõƛûŎƕØŅĤăłŅĤăĴŰƤƛõĠ
GūƥȦǫȦɉ¬ƭƎŕĚŞĚŠƥîČŏîDžĿƥîŞĿŠNj'
ĤĺŎűõĤØõĠƕƛŰŹĔŨƀĴăƕ̏̀łĺăķƀ̐ĴØĴØõĠ̐ķØķØŎ
Ĥ̀ķƀķƀŬƛûƤƛ̖
'ƤĤăŅŅăƤØŨŎŹŬƤăòŎƕØŅĤăƕăûŁƀęRŅŰŹƛ-
ŹƀŹƀÕƛƕŅŎűõĤĤ̀ÕƛƕĤăŅĤØƕƛŅŎŰĤ̏ûĺØûŎŬŎ- łăŅŹØõĴØƕĤŹØłĤŅƛ̀'ŎķØƤƀĴăŰĤĔŅĤăƤòĔûŅØ̐
ŰŁƛõĠ̩˙˗̪˙˜̀ͷę̐ûĺØûƤĤăõĤ̩˘˗̀ͷę̖ÃŰķØƤƀĴă ŰƤõƤăęŏĺŅĤăƕŎķŬăŰØõĠĴăŰĤăņ̪ƤĤłØ̐ØŅĤă-
ŰĤĔŅØ̀ŨŎŹŬƤăòĔŰƀŨĺăłăŅŹØõĴĤƕĤŹØłĤŅƛ̀' ķĤăûƛŬŏƕŅĤăƧĤŨŬƤăƤõØŁƛŬŎķ̖Ã̀ĴØłĤăƀŰŹŅăĴ
ƤęŎûŅĤăƤ̀ƤØĺăõăŅĤØłĤÃN{̦ŎŨŬØõŎƕØ- ŅĤăûŎòŎŬƛƕĤŹØłĤŅƛ'̀ŎòĴØƕĤØĴìŰĤĔ̏ƤŅĤă-
ŅƛłĤŨŬƤăƤRŅŰŹƛŹƀŹÕƛƕŅŎűõĤĤ̀ÕƛƕĤă- ķŰƤŹØŁõăŅĤăłĤ̀ƤłŅĤăĴŰƤăŅĤ㳣ƀķŏƕƧƀõĠƕƛ
ŅĤØ̧̏ŅĤăłŎƕĺìŹķØŬłĤŎŅƛõĠŨĤăŬŰĤìƕ̀ûØƕõă Ĥ̀ŰƤõƤĔķĤ̐ŨŎƕŰŹØƕØŅĤăłŅĤăŨŬØƕĤûŁŎƕŎűõĤ
˛˗˗̀R®̦̀˘˗̀ͷę̧ŅØ̀ûŎòĔ̐ûƤĤăõĤŎû̀˘̖̀ûŎ̀˘˟̖ ƤęŬƛƤŎƕƛõĠ̐ŅĤăŨŬØƕĤûŁŎƕŎűõĤƕ̀ƕƛŬƤƛŅØ-
ŬŎķƀƧƛõĤØƕ̀ƤØĺăƧŅŎűõĤŎû̀ûĤăŹƛ˛˗˗ĺƀò ŅĤƀŰĤĔƤĔòŏƕ̐ƤłĤØŅØłĤĠĤŨŎŨĺØŰŹƛõƤŅƛłĤ
˟˗˗̪˘˗˗˗R®̦̀˙˗̪˙˜̀ͷę̧ŅØ̀ûŎòĔ̐ŎŰŎòŎł ŰƤķĺĤƕØ̖qĤăûŎŬŎƤƕŏĴŰƤķĺĤƕØûŎŹƛõƤƛ̏ęŬƀŨƛ
ûŎŬŎŰŁƛł˟˗˗̪˘˗˗˗R®̀ŅØ̀ûŎòĔ̖aØķŎƕƛŰŹØŬ- ƤĔòŏƕŨŬƤăûŅĤõĠ̐ĤõĠŨŎƕĤăŬƤõĠŅĤŨŎĺĤõƤķŎ-
õƤØĴìõƛŨŎƤĤŎłŰƀŨĺăłăŅŹØõĴĤƕĤŹØłĤŅƛ'̀ûĺØ ƕăĴĤ̀òŬƤăęŏƕŰĤăõƤŅƛõĠ̐Ø̀ŹØķƧăŨŎƕĤăŬƤõĠŅĤ
ķŎòĤăŹõĤĔƧØŬŅƛõĠƀŰŹØĺŎŅŎŨŎƤĤŎł˛˗˗R® ƧƀĴìõƛõĠƤĔòŏƕòŎõƤŅƛõĠ̖
ûŎ̀RR̀ŹŬƛłăŰŹŬƀĤ̀ƕ̀ŨŏƥŅĤăĴŰƤƛłŎķŬăŰĤă̩
˟˗˗̪˘˗˗˗̀R®̖
qĤăûŎòŎŬƛƕĤŹØłĤŅƛ'ƕăûŁƀęòØûØņ
ŰŹƕĤăŬûƤØŰĤĔŅØƕăŹƀ̀˜˗͹ŨŎŨƀĺØõĴĤĺƀûƤ- ōăŵƁńōƫáŅħĈ
ķĤăĴ̖qĤăƕƛŰŹØŬõƤØĴìõØĤĺŎűöŹăĴƕĤŹØłĤŅƛ ÃĤŹØłĤŅƛŹŎ̀ƤŁŎƧŎŅăƤƕĤìƤķĤŎŬęØŅĤõƤŅă̐
ƕ̀ŎŬęØŅĤƤłĤăłŎƧăŨŎƕŎûŎƕØö̏ķŬƤƛƕĤõĔ̐ ķŹŏŬăŰì̀ŅĤăƤòĔûŅăûŎ̀ƧƛõĤØĤ̀ƕƤŬŎŰŹƀŎŬęØ-
ŎŰŹăŎŨŎŬŎƤĔ̐ƤƕĤĔķŰƤØöŬƛƤƛķŎƤØõĠŎŬŎƕØĺ- ŅĤƤłŏƕƧƛƕƛõĠ̖RõĠŎûŨŎƕĤăûŅĤŨŎƤĤŎł
ŅŎűõĤŅØ̀õƀķŬƤƛõĔ̐õĠŎŬŎòƛƀķŁØûƀķŬìƧă- ŎŬØƤƕŁØűõĤƕØĠĤęĤăŅØĤ̀ŨŬŎƱĺØķŹƛķØŨŎƤƕØ-
ŅĤØ̐õĠŎŬŎòƛƤØŨØĺŅă̐Ø̀ŅØƕăŹŅŎƕŎŹƕŎŬƛ̖ ĺØĴìƤØõĠŎƕØöƤûŬŎƕĤăĴØłƛƀŰŹŅăĴ̖ÒØûØŅĤăł
ÃŬØƤƤ̀ûĤăŹìûŎŰŹØŬõƤØłƛûŎŎŬęØŅĤƤłƀ ķØƧûăĴĠĤęĤăŅĤŰŹķĤŨŎƕĤŅŅŎòƛöŰƤăŬƤăŅĤăŰƤă-
ŎķŎŁŎ˘˗˗̪˙˗˗R®ƕĤŹØłĤŅƛ'ŅØûŎòĔ̐ŰŹØ- ŬŎķŎŨŎĴĔŹăĴăûƀķØõĴĤŨŬŎƤûŬŎƕŎŹŅăĴŅØ̀ŹăłØŹ
ŅŎƕĤŹŎŹƛĺķŎ˘˗̪˙˗͹ûƤĤăŅŅăęŎƤØŨŎŹŬƤă- ƕŨŁƛƕƀƕĤŹØłĤŅŅØ̀ĴØłĔƀŰŹŅìĤ̀õØŁƛĺƀûƤķĤ
òŎƕØŅĤØ̖ÒŹăęŎŹăƧƕƤęĺĔûƀƕ•ŎĺŰõăŰƀŨĺă- ŎŬęØŅĤƤł̖ ‰

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