拯救寶貝口牙 — 孩子乳牙都蛀光還未到恆齒換牙階段怎麼辦?
天母美加牙醫診所|兒童牙科
小朋友的乳牙時期,可能沒有想像中那麼健康的牙齒。由於食物的精緻化,加上所謂奶瓶性齲齒,所以乳臼齒常常在小朋友還很小時候便蛀掉了。如果不及時治療,蛀牙可能會進一步擴大,導致更多的牙齒問題,包括排牙問題和恆齒萌發的問題。為了避免這些問題,我們建議您儘早進行詢問牙醫預防保護。
小朋友若無法維持好口腔衛生的習慣下,填補物周圍很容易又會再蛀牙。或勉強補回去但承受不了咬合力而崩裂,又因牙髓神經已經拔除,通常小朋友也不自覺,等到有症狀來求診時,這乳牙大多難逃被拔除的命運,因而造成咀嚼、恆牙萌發、齒顎排列上的問題。
乳牙本身即是一種最自然,最理想的空間維持器。「乳牙牙冠治療」就是為了保護因齒髓治療而強度減弱的牙齒,希望乳牙能維持到自然換牙時才脫落。不鏽鋼金屬牙冠便是一頂極佳的安全帽。這對無法用填補材料復形的牙齒窩洞來說,不鏽鋼金屬牙冠便能發揮其復形的功能。
診療案例介紹
下面介紹幾種需要以「不鏽鋼金屬牙冠——空間維持器」復形的情況
![940416b7-480x368](https://taipei-dental.com/wp-content/uploads/2023/06/940416b7-480x368-1.jpeg)
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空間維持器補充介紹
什麼是空間維持器?
乳齒太早缺失,在恆齒尚未萌發前,為了保留恆齒萌發的空間而製作的裝置。
為什麼要使用空間維持器?
當乳牙提前脫落或需要拔除時,後方牙齒往往會向前傾斜,佔用恆牙萌出的空間,使恆牙無法正常萌出,最終導致牙齒排列不整齊。為了保留恆牙萌出所需的空間,醫生會使用空間維持器,這是一種可以固定牙齒位置,避免其移動的裝置,進而保持恆牙正常萌出的位置和方向。
作了空間維持器還需要矯正牙齒嗎?
空間維持器可以有效地保持牙齒的位置,防止後方牙齒侵占恆牙萌出所需的空間,並且減少矯正牙齒的需要。但是,矯正治療不僅僅是牙齒排列不整齊的問題,還涉及到上下牙齒的整體咬合狀態、美觀、牙齒與面部肌肉的協調性等方面。因此,有些病患可能還需要進行矯正治療,即使需要進行矯正,由於已經使用了空間維持器,可能可以減少拔牙的需要,縮短矯正的時間。
空間維持器會影響日常生活嗎?
空間維持器使用時需要注意口腔衛生,定期清潔和維護。在進行口腔保健時,應注意避免將太多的食物塞入空間維持器中,並且不要使用力咬硬物。但是,對於日常生活而言,使用空間維持器並不會影響口腔的正常功能,例如吃飯、說話等。
牙齒移位 Dilaceration
診療前
![05-074-a7](https://taipei-dental.com/wp-content/uploads/2023/06/05-074-a7.jpeg)
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診療中
![05-074-b7](https://taipei-dental.com/wp-content/uploads/2023/06/05-074-b7.jpeg)
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診療後
![05-074-g7](https://taipei-dental.com/wp-content/uploads/2023/06/05-074-g7.jpeg)
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早期治療反咬Early treatment for anterior cross bite
早期(7歲)前牙反咬 (治療前)
7 years old front teeth corss bite (before treatment)
![10-037-d4-480x293](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-d4-480x293-1.jpeg)
右上正門牙長在太靠內側 Upper front tooth grown lingually
![10-037-d5-480x335](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-d5-480x335-1.jpeg)
右上正門牙將下門牙推離牙弓 Anterior cross bite push lower front teeth forward
![10-037-d6-480x322](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-d6-480x322-1.jpeg)
上下前牙互撞 Traumatic occlusion
![10-037-d7-480x375](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-d7-480x375-1.jpeg)
前牙反咬阻礙上顎牙弓生長 Anterior cross bite inhibit normal maxilla growth
![10-037-d8-480x386](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-d8-480x386-1.jpeg)
前牙反咬使下顎牙弓前推變形 Anterior cross bite cause lower dentition de-form
早期(7歲)前牙反咬 (治療後)
7 years old anterior corss bite (after treatment)
![10-037-e4-480x341](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-e4-480x341-1.jpeg)
及早更正前牙反咬 Early age correction
![10-037-e5-480x332](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-e5-480x332-1.jpeg)
上下門牙功能正常 Normal front teeth growth
![10-037-e6-480x334](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-e6-480x334-1.jpeg)
上下前牙互撞消失 Normal front teeth cutting
![10-037-e7-480x396](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-e7-480x396-1.jpeg)
上顎牙弓正常生長 Maxilla growth normally
![10-037-e8-480x363](https://taipei-dental.com/wp-content/uploads/2023/06/10-037-e8-480x363-1.jpeg)
改正前牙反咬使下顎牙弓正常生長 Mandible dentition grow normally
混合齒列時期治療反咬Mixed dentitions treatment for anterior cross bite
混合齒列時期前牙反咬 (治療前)
Early stage dental anterior cross bite (before treatment)
![07-030-a4-480x306](https://taipei-dental.com/wp-content/uploads/2023/06/07-030-a4-480x306-1.jpeg)
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混合齒列時期前牙反咬 (治療後)
Early stage dental anterior cross bite (after treatment)
![07-030-g4-480x317](https://taipei-dental.com/wp-content/uploads/2023/06/07-030-g4-480x317-1.jpeg)
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