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• Posted By : vickong pun
• Posted On : Jul 09, 2021
• Views : 138
• Category : Education
• Description :
  补完牙多久可以去吃火锅呢？
  补完牙后疼几天才会恢复？
  还有最近大家的心声，到底啥时候能去痛快看牙呢？
  有时候人和人的差别比人跟动物的差别还大，这句话真不是夸张……就补牙后感受来说，你这边刚从牙椅起来就琢磨吃什么好吃的了，有的人却难受到下次有了坏牙都不敢去补的地步，怕了。
  https://www.modentists.com/yczl/by/">补牙之后，牙齿敏感是相当普遍的现象。补过的牙齿可能对压力、甜食、温度等刺激敏感。这种敏感通常在几周内自己就好了，在敏感的时间内，尽量避免刺激就可以了，一般不需要止痛药。

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  那些不补牙不疼，补了反而疼是咋回事？
  https://www.modentists.com/uploads/allimg/2020/11/QzEBzq.png" style="margin: 0px;padding: 0px;width: 592px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />
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  补完牙后牙疼的原因

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  补牙后如果出现轻微的疼痛，先不要着急，这种情况可能是因为之前蛀得比较深，在补牙制备洞形的过程中或消毒药物刺激牙髓所致，可能出现短时的冷热刺激痛，不需要特殊处理，1-3天后一般可自行恢复。

  具体看看不同原因的疼痛应该如何应对：
  https://www.modentists.com/uploads/allimg/2020/11/zeQJFb.gif" style="margin: 0px;padding: 0px;width: 29.98px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />

  ①吃饭或上下牙齿碰到一起时疼

  有种硌牙的感觉，发生这种情况，表明填充妨碍了牙齿的咬合关系，暂时不要用补过牙的那侧咀嚼了，你需要进行复诊调合。
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  ②冷热刺激痛

  一般出现在刚补完牙几天后，如果症状随着时间消失，忍忍就过去了。

  补牙之后为什么冷热刺激敏感的情况呢？

  https://www.modentists.com/uploads/allimg/2020/11/uayAFj.jpeg" style="margin: 0px;padding: 0px;width: 372.33px !important;height: auto !important;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word;" />

  关于牙齿敏感，神经学说认为，牙齿最外层的牙釉质没有神经感知，紧挨着牙釉质的是牙本质，在牙本质上有无数小管直通牙髓神经，如果牙釉质受损，牙本质暴露，牙本质可以向牙神经，也就是牙髓传递感觉——冷热酸甜等刺激作用于牙本质的话都可以传递给牙神经，让我们感觉牙齿敏感不适或疼痛。

  https://www.modentists.com/uploads/allimg/2020/11/M7VN7j.jpeg" style="margin: 0px;padding: 0px;width: 440.04px !important;height: auto !important;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word;" />

  流体动力学说理论认为，牙本质小管被牙本质细胞突起及牙本质液所充盈，如下图↓，牙本质液是主要的感觉传递媒体，当牙本质暴露时，机械、温度、化学刺激作用于牙本质表面均可引起牙本质液的流速发生变化，这种异常流动传到牙髓，引起神经纤维兴奋而产生疼痛的症状。

  https://www.modentists.com/uploads/allimg/2020/11/JZrAVz.jpeg" style="margin: 0px;padding: 0px;width: 592px !important;height: auto !important;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word;" />

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  图源丨 dentin.co ,pocketdentistry

  补牙的过程中使用的各种材料包括酸蚀剂、粘接剂、充填材料以及去龋的车针产热等都可能通过牙本质小管刺激到牙髓，所以在补牙后的一段时间会有冷热刺激痛。

  https://www.modentists.com/uploads/allimg/2020/11/y6Fzua.jpeg" style="margin: 0px;padding: 0px;width: 592px !important;height: auto !important;text-align: center;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word;" />

  既然冷热刺激酸痛，就要避免用过冷过热的水去刺激它，让它休息一段时间，不用这侧来咀嚼，随着神经愈合，敏感性将会消失，这可能需要几天或几周。

  如果冷热刺激去除之后，还是疼，表明神经可能出现了不可逆的损伤，这种情况下应该去咨询牙医。
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  ③牙龈不舒服

  这种情况下，坚持使用牙线清理牙缝，症状会逐渐消失。
  https://www.modentists.com/uploads/allimg/2020/11/mMjyUr.png" style="margin: 0px;padding: 0px;width: 310px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />
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  ④酸胀跳痛

  如果你补得是腐烂很深的牙，那一定对这种痛感触颇深，不过大部分可以自行缓解。
  https://www.modentists.com/uploads/allimg/2020/11/26zyQn.jpeg" style="margin: 0px;padding: 0px;width: 451px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />
  剩下的一部分就没那么幸运了，出现这种疼痛表明牙髓组织已经不再健康，需要做根管治疗。补完牙后慢性牙髓炎发作，慢性牙髓炎发作没有什么明显的症状，所以说很多患者并不觉得疼。补牙之后，会出现隐隐的自发痛，实际上这颗牙齿在补牙之前就已经有了慢性的牙髓炎，那就还逃不过根管治疗这一步。
  https://www.modentists.com/uploads/allimg/2020/11/zeQJFb.gif" style="margin: 0px;padding: 0px;width: 29.98px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />

  ⑤劣质填充材料或医生技术

  或未遵医嘱导致的问题

  有时候，持续的咀嚼、磨牙以及咬紧牙关造成的压力可能会损耗牙齿的填充物。自己很难察觉但牙医能够在定期健康检查时发现。

  如果是釉质和填充物之间的粘接剂发生了分裂，食物残渣和致龋因子会进入缝隙，引起继发龋。
  https://www.modentists.com/uploads/allimg/2020/11/mY7FNf.jpeg" style="margin: 0px;padding: 0px;width: 528.81px !important;height: auto !important;vertical-align: middle;visibility: visible !important;-ms-zoom: 1.1428;-ms-word-wrap: break-word !important;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word;" />
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  分裂过头了，充填物脱落，有可能是因为修复材料在咀嚼或咬合的作用下发生断裂导致。大家也别着急，等合适的时机到了，再去补上。

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