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醫生,我的牙縫很大,可以補嗎?

Posted By vickong pun     July 7, 2021    

Body

醫生,我的牙縫很大,可以補嗎?

            

                

                    

                        

                            

                    

                

                

                    

                        


                            


                    

                

            

            

                

                    

                        

                            

                    

                

            

            

                


                    牙縫太大,吃東西老塞牙怎麼辦?


                


                    我的牙縫好大,每次笑起來都擔心別人看到......


                


                    牙縫怎麼會越來越大了?


                


                    是因為經常用牙線的緣故嗎?


                


                    從面相學上來分析,牙縫大是漏財的象徵之一,這並沒有科學依據,但拋開漏財這一說法,牙齒間的縫隙過大還會影響容貌,甚至會影響口腔的健康。


                


                    站在口腔醫生的角度來分析,牙縫過大確實會給容貌、健康和生活質量造成影響,情況較為嚴重者需要通過科學的方式進行調整。


                


                    那麼到底是什麼讓牙縫變得越來越大了呢?

                    


            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        導致牙縫變大的因素


                                

                                

                                    

                            

                        

                        

                            

                                


                                    1.先天性因素:先天性的牙齒髮育畸形,青少年時期就表現出牙齒排列不好;


                                


                                    2.缺牙不管:將牙齒缺失置之不理,鄰牙塌陷形成過大的牙縫;


                                


                                    3.嚴重齲齒:牙齒齲壞,細菌腐蝕牙齒后所形成的縫隙;


                                


                                    4.牙周疾病:牙周病會導致牙槽骨吸收,時間越長牙根暴露越明顯,牙齒縫隙也越大。

                                    


                            

                        

                        

                            

                                

                        

                    

                

            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        正常牙齦位置


                                

                                

                                    

                            

                        

                        

                            

                                


                                    正常健康的牙齦狀況,在牙與牙之間填充着滿滿的牙齦。從剖面圖來看,會看見其實還是有一些小的縫隙存在,但是被牙齦和牙周組織支撐得很好。


                                


                                    牙周炎患者的牙齦狀況,牙與牙之間有大大的縫隙,牙齦紅腫退縮,暴露出了牙根。從剖面圖看,明顯的牙齦和牙周組織的萎縮,骨頭的吸收也非常明顯。


                                


                                    

                                    


                            

                        

                        

                            

                                

                        

                    

                

            

            

                

                    

                        

                            

                                


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                            牙縫增大,該如何補救?

                            


                    

                

            

            

                

                    

                        

                            

                                

                            

                                


                                    1、樹脂修復


                                


                                    


                                


                                    


                            

                            

                                

                        

                    

                    

                        

                            


                                對於 1 ~ 2 mm 的門牙牙縫,可以直接用樹脂美學修復,只是脫落的幾率比較大,需要定期維護。


                            


                                


                        

                    

                    

                        

                            

                    

                

            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        2、牙齒矯正


                                    


                                        


                                    


                                        


                                

                                

                                    

                            

                        

                        

                            

                                


                                    通過戴牙套矯正的方法,使牙齒髮生移動,牙齒矯正可以達到收縮牙齒縫隙的目的,矯正時間需要1年半到兩年左右。牙齒矯正治療可以很好的解決牙縫大的問題,對牙齒沒有損失,但是對於成年人來說矯正時間長。


                            

                        

                        

                            

                                

                        

                    

                

            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        3、烤瓷牙修復。


                                    


                                        


                                    


                                        


                                

                                

                                    

                            

                        

                        

                            

                                


                                    如果是門牙縫隙大,一般我們建議選擇全瓷烤瓷牙,因為全瓷烤瓷牙沒有金屬基底,不僅能恢復牙體的形態功能,抗折力強且顏色、外觀逼真,表面光滑,長期使用不會出現黑點及牙齦變色等問題,所需要的時間比較短。


                            

                        

                        

                            

                                

                                    

                                        

                                            

                                                

                                        

                                        

                                            

                                                


                                                    


                                            

                                        

                                    

                                

                            

                        

                    

                

            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        4、牙齒貼面


                                

                                

                                    

                            

                        

                        

                            

                                


                                    牙齒貼片對於牙縫大也是一種很好的辦法,相對於烤瓷牙來說牙齒貼片只需要磨去牙齒表面一層,對牙齒造成的損傷很小,而且所需要的時間也較短。


                                


                                    

                                    


                            

                        

                        

                            

                                

                        

                    

                

            

            

                

                    

                        

                            

                                


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                            常見問題解答


                    

                

            

            

                

                    

                        

                            

                                

                            

                                


                                    1、洗牙會導致牙縫變大嗎?


                            

                            

                                

                        

                    

                    

                        

                            


                                不會。當你覺得洗牙后牙縫變大了,那是由於牙齦萎縮,牙根外漏,牙縫已經存在,牙縫平時有牙石覆蓋,感覺不到,洗牙后,牙面以及牙齒間隙中的污物被清除,才會讓牙縫感覺變大了。如果牙石不及時清除,牙齦會進一步萎縮,牙縫會更大。


                        

                    

                    

                        

                            

                    

                

            

            

                

                    

                        

                            

                                

                                    

                                

                                    


                                        2、使用牙線會讓牙縫變大嗎?


                                

                                

                                    

                            

                        

                        

                            

                                


                                    不會。說用牙線牙縫會變大的人,可能是他們從來沒用過牙線,只是“感覺”用了牙線牙縫會變大。或是本身已經存在的縫隙以前被牙垢蓋住了,就像雪地里的柵欄一樣,雪融化了,那個部位的原型就暴露了。


                                


                                    另外,牙線本身就是軟的,而且延展性很好,會根據我們的牙縫正常的伸縮進來,所以使用牙線不會把牙縫越扯越大。而經常使用比較堅硬、體積較大的牙籤,不正確的剔牙方式會損傷牙齒和牙床,造成牙齦萎縮、牙根暴露、牙縫變寬。


                            

                        

                        

                            

                                

                        

                    

                

            

            

                


                    當然,不論哪種修復方式,在調整前,最好檢查清楚是哪種原因造成的牙縫過大,比如牙周病導致的牙齦萎縮,造成牙縫越來越大,必須先接受治療,將牙周炎症控制住,隨後再進行相應的修復關縫。


                


                    牙縫關閉方式的選擇要根據自身情況來定,可參考醫師提供的建議。但務必要選擇正規機構和專業醫師,以確保牙齒安全與閉縫效果。


            

            

                

                    

                        

                            

                                


                                    


                            

                        

                    

                

            

        

    


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