Overview

• 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。