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牙疼,拔了就行嗎?—去看牙,您要了解這些

Posted By vickong pun     July 9, 2021    

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牙疼,拔了就行嗎?—去看牙,您要了解這些


            多時候在口腔治療中,我們總是想當然的認為應該這樣,不應該那樣,但實踐證明我們自認為的東西往往都是錯誤的,比如乳牙不用治、牙齒一痛就殺神經……其實,牙醫的很多建議都是根據你自己的情況提出來的,不一定適用於別人,但一定最適合你。今天,我們一起來看看大家想當然的那些事,到底對不對?!


        


            


        


            


        

            

                

                    

                        

                            


                                1


                        

                        

                            乳牙反正要退,不用治療

                        

                            


                                小兒的乳牙的好壞直接影響其頜骨發育、全身營養的攝取以及未來恆牙的發育。 建議各位家長,為了您的孩子有一口健康美麗的牙齒,請您善待它們。


                        

                        

                            

                    

                    


                        


                    

                        

                            

                                


                                    


                                

                                    

                                        


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                                        牙疼,拔了就行

                                    

                                        


                                            有些患者平時不注意保護自己的牙齒,當發生牙病時又不願治療,來醫院就要拔,醫生不給拔就大吵大鬧,說醫生不負責,他們認為自己的牙齒我自己說了算,醫生要給他治療就是想多收錢,其實醫生不給你拔牙的可能原因是:1、你的牙齒不該拔,通過治療完全可以保留。2、牙痛時不能拔,易感染給你造成不必要的痛苦。 要知道,一旦牙齒拔除了就需要鑲復,鑲復的假牙再好也不如自己的真牙好。


                                    

                                    

                                        

                                

                                


                                    


                                


                                    


                                


                                    


                                


                                    


                            

                        

                    

                    

                        

                            

                                

                                    


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                                    要求醫生縮短治療時間

                                

                                    


                                        牙病的治療需要一定的時間,比如:簡單的小齲洞的充填可以一次治療完成,深的齲洞需要安撫觀察無癥狀后才能充填。根管治療一般需要三到四次,大概要兩到三個星期的時間,根管治療後有些還需要做冠修復,這都是需要時間的。有些需要做牙齒矯正的患者治療周期可能需要一兩年的時間,一個月來一次。一味的要求醫生縮短治療時間不利於治療。


                                

                                

                                    

                            

                            


                                


                            


                                


                            

                                

                                    

                                        


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                                        牙根不願治療,一律要求拔除

                                    

                                        


                                            隨着高科技的發展很多牙齒特別是單根牙,如果經過完善的治療是完全可以保留的,再在其上接一個牙冠,完全可以正常行使功能,但有個前提就是牙根必須完好(可以通過牙片檢查)。許多患者不分青紅皂白只要是牙根就要求拔除,這是錯誤的。


                                        


                                            


                                    

                                    

                                        

                                

                                


                                    


                                

                                    

                                        

                                            


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                                            不願意拍牙片

                                        

                                            


                                                有些患者不願照牙片,他們認為是浪費時間,其實不然,照牙片的目的是了解牙根、牙髓、牙周、牙槽骨等的情況,對醫生的判斷和診斷是非常有幫助的,所以對於某些病例(如:外傷、牙周病、根尖病、齲病、某些治療過的牙齒……)是非常必要的,也是口腔科的最常用的診斷手段之一。有些家長缺乏一定的醫學知識,認為拍牙片孩子吃線不好,其實大可不必擔心,少量的拍照對你的孩子是沒有什麼影響的。 相信醫生,照牙片對你只有好處,也是你可以保留的最原始的資料,請你一定保存好。


                                        

                                        

                                            

                                    

                                    


                                        


                                    


                                        


                                    


                                        


                                    


                                        


                                

                                

                                    

                                        

                                            


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                                            拔牙對腦不好

                                        

                                            


                                                有些患者非常不願意拔牙,他們擔心牙通大腦,拔除后對腦造成影響,其實這種顧慮非常不必要,牙齒長在牙槽骨里,與腦距離很遠,拔牙對大腦也沒有什麼影響。


                                        

                                        

                                            

                                    

                                    


                                        


                                    


                                        


                                

                                

                                    

                                        

                                            


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                                            沒有神經的牙齒就不會再疼了

                                        

                                            


                                                牙齒的疼痛是由多方面因素決定的,許多沒有了神經的牙齒由於細菌產生的毒素對牙根尖的刺激作用,同樣會引起劇烈的疼痛,甚至會引起牙齦的腫脹,這就是急性根尖周炎和急性根尖周膿腫,如果沒有及時治療,病變繼續發展造成牙根尖骨質的廣泛破壞,形成慢性的炎症,疼痛癥狀會逐漸緩解,但這是暫時的,一旦細菌的毒性增強而你的抵抗力下降又會急性發作引起劇烈的疼痛,給治療帶來很大的困難。


                                            


                                                


                                        

                                        

                                            

                                    

                                    


                                        


                                    


                                        


                                

                                

                                    

                                        

                                            


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                                            牙齒做了窩溝封閉就等於上了保險了

                                        

                                            


                                                有些家長以為給孩子做了窩溝封閉就萬事大吉了,從此不再關心孩子的牙齒,一旦出現齲齒就怨醫生治療的不好,其實窩溝封閉只是預防齲齒的一種方法,關鍵還在於平時的保護,就如同考上了重點高中的孩子如果不繼續努力同樣上不了大學一樣,這個道理非常簡單。


                                        

                                        

                                            

                                    

                                    


                                        


                                    


                                        


                                    

                                        

                                            

                                                


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                                                最貴的就是最好的

                                            

                                                


                                                    有些患者通過日常經驗認為最貴的就是最好的這個道理在牙病的治療中也是適用的,其實你錯了。無論是充填材料還是鑲牙的材料和方法,都是各有優缺點的,不能一概而論。比如:銀汞合金補牙很便宜,保留時間也相對光固化樹脂要長,缺點是顏色不好看,牙齒容易着色;費用相對比較高的烤瓷牙的顏色很好看,但是它沒有金屬冠耐用。因此,建議請醫生根據你的經濟實力,牙齒的具體情況來定吧,不要一味的追求貴的。


                                                


                                                    


                                                


                                                    


                                            

                                            

                                                

                                        

                                        


                                            


                                        

                                            

                                                

                                                    


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                                                    牙病是小病,死不了人

                                                

                                                    


                                                        有些患者對於自己的牙病毫不在乎,不就是拔個牙嗎?死不了,腫得、疼得都受不了非讓醫生拔;血壓都200多也讓醫生拔;非常嚴重的糖尿病,預先也不吃消炎葯就要拔牙。前面已經說到了,好多疾病應該暫緩拔牙的,如果我告訴你拔牙也可以死人,決不是危言聳聽。


                                                

                                                

                                                    

                                            

                                            


                                                


                                            

                                                

                                                    

                                                        


                                                            11


                                                    

                                                    

                                                        自己給自己看病

                                                    

                                                        


                                                            有些患者自以為懂得一些口腔知識,或是通過網絡已經諮詢好了,來找醫生看病時直接對醫生指手畫腳。當今社會特別是網絡的興起,使很多牙病患者不需要出門就可以了解很多的口腔保健知識,但是我們醫生提倡的是:患者了解最基本的口腔保健知識,用於對自己牙齒的日常保護,而不是用於有了牙病時的診斷和治療,一切的診斷和治療還是應該以給你做檢查的醫生為準。醫學是門複雜的學科,疾病的發生、發展、轉歸都是非常複雜的,不要因為看了幾篇文章,諮詢了幾個醫生就武斷的認為自己的牙齒如何如何了,該如何如何治療了,並且以此要求醫生如何如何治療,這是不可取的。


                                                        


                                                            


                                                    

                                                    

                                                        

                                                

                                                


                                                    


                                                

                                                    

                                                        

                                                            


                                                                12


                                                        

                                                        

                                                            打麻藥對智力不好

                                                        

                                                            


                                                                不知道從什麼時候開始,經常有患者問我:打麻藥是不是對腦子不好,特別是那種家長帶孩子看病的情況,就怕打麻藥把孩子腦子打壞了,影響智力,死活不讓打。其實,麻藥在體內經過代謝也就是2小時左右的時間,我們治牙和拔牙時的用量是很少的,只有那種用藥過量的情況才會對大腦不好,正常的治療過程中的少量應用沒有什麼影響。


                                                        

                                                    

                                                

                                            

                                        

                                    

                                

                            

                        

                    

                

            

        

    


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