[IMPLANT种牙] 6 Common questions about dental implants.6个种植牙常问的问题(Infographic)

What are dental implants? 种牙/植牙是什么?

A dental implant, or more commonly known as planting teeth, is an artificial root made of titanium metal. It is inserted into the jawbone to replace the root of the natural tooth. 

An artificial replacement tooth is attached to the implant. The implant acts as an anchor to hold the replacement tooth in place.

种牙是真的是把牙齿种进嘴里吗?植牙也叫人工植牙,并不是真的种上自然牙齿,种植牙而是通过医学方式,将与人体骨质兼容性极高的纯态铁金属经过紧密地设计,制造成类似牙根的圆柱体或其他形状,以外科小手术的方式植入缺牙地方的牙槽骨内。


2. How to know if i'm suitable for dental implants? 我想要种牙,可是不知道我适不适合种牙

If you are in good general health, have healthy gums and have enough bone in the jaw to hold an implant, dental implants might be right for you. If your jawbone has shrunk or if it has not developed normally, you may be able to have a bone graft to build up the bone. A bone graft is a way of adding new bone to your jawbone. Your dentist or dental specialist will tell you if bone grafting can be done.

 

牙牙学医提示您,只要您的身体健康无重大的疾病,在牙医检查过后都可以接受种牙的治疗。但就像你的牙齿一样,种植牙也需要细心呵护,种植体周围牙龈组织的健康清洁状况,将最终决定种植牙的寿命和使用效率。另外,足够的牙槽骨也非常重要。足够牙槽骨才能够有足够的地方放入种植体及支撑。如果你的牙槽骨因为牙齿拔除后严重地萎缩,造成牙槽骨不足够,你可能需要在植牙前先做移植骨手术以增加你的牙槽骨。你的牙医在植牙前会检查你是否需要移植骨手术。

 

3. How dental implants are done?

Your dentist or specialist will carefully examine your mouth and take x-rays of your head, jaw and teeth to find out if dental implants are right for you.

 

你的牙医会在治疗前和你进行充分的沟通,充分了解你的期待和愿望。然后详细的检查你的嘴,及x光检查你的头部,额骨及牙齿,看看你是否适合植牙。

 

a. During the first stage of surgery, your dentist or specialist will put a dental implant into your jawbone beneath the gum tissue. The gum tissue is then stitched back into place. As the tissue heals, the implant will bond with the bone and attach to the gum. It can take several months to heal.

a. 在第一阶段的手术中,你的牙医会先进行开骨,在局部麻醉下采用微创手术将缺失牙齿的牙槽骨打开。然后将种植牙植入牙槽骨中后进行缝合。种植钉植入后,愈合期一般在3-6个月,种植钉即可与牙槽骨紧密愈合。

 

b. During the second stage of surgery and once the tissue is healed, your dentist or specialist will attach an abutment to the implant. An abutment is a post that connects the replacement tooth to the implant. In some cases, the first and second stage of implant surgery may be done in one single stage.

b. 4-6个月,当你的牙龈愈合后,牙医会开始第二阶段的手术。牙医将会安装上种植牙基台,手术只是在局麻下用特制的手术器械在植入种植体相对应的牙龈上旋切一个小口,暴露种植体上端后,安装牙龈基桩,即将植入颌骨的种植体穿出牙龈。

 

c. An artificial replacement tooth is made and your dentist or specialist attaches it to the abutment. It may take several appointments

C.基台安装后7-10天,即可修复取模,制作种植桥架及假牙。再过10~14天左右完成,试戴成功后即可佩戴种植假牙

 

4. How long can my dental implant(s) last? 我的种植牙能耐多久呢?

Because dental implants are placed in the jawbone, artificial replacement teeth attached to implants look and act much like natural teeth. Like natural teeth, implants need to be kept clean using a toothbrush and floss to keep it as long as it can. If you fail to take care of your implant, it will fail even faster than our natural teeth. Your dentist will show you the proper cleaning procedure for implants. Regular dental checkups are important so your dentist can make sure that your bite is right and that your implants are not loose.

 

这个问题是许多想做种植牙手术的人最为关注的。种植牙的寿命除了与植体质量、医生技术有关,还与患者的身体状况、使用及自我维护密切相关,而后者是影响种植牙寿命的决定性因素。因此,进行人工种植牙后并不能一劳永逸,要经常进行清洗和保养。应严格按照医师的指导去做,戒除不良嗜好,保证每天的口腔清洁和定期的复诊、专业护理等。只要做好口腔卫生并定期检查,人工植体能维持的时间就可以和真牙一样久,欧洲最早的种植牙已超过了40年至今仍在正常使用。

 

5. How much the dental implant treatment cost? 种牙要多少钱呢?

Well, Implants can cost more than other kinds of replacement teeth. The cost of treatment range from RM6K to 8k per implant in private dental clinic, and RM 3K to 4k in goverment dental clinic. Because it involves several visits to complete, you may request to pay by several times. 

种牙比起一般缺失牙疗法来得贵。在私人牙医一颗植体的价格介于马币6千到8千或以上,而政府诊所一颗植牙体的价格介于马币3千元至4千元或以上。种植牙疗程通常需要多次的疗程,牙医通常可以用分期付款的方式付款。

 

6. Q: Is there any complication, or risk of problems for planting teeth? 植牙手术疗程会有什么风险或并发症吗?

Although rare, possible complications due to dental implants include bleeding, infection, numbness or injury to nearby muscles or the sinus cavity, and some people do develop allergic to the implant metal. In some cases, the implant may not be successful because it didn’t bond to the bone.

虽然不常见,植牙后的可能出现的并发症包括相关的出血、神经损伤、上颌窦穿孔、邻牙损伤以及术后感染、种植体周围炎及脱落等。一些少许的人可能会对植牙体的纯钛铁出现敏感针状。但是,只要经过详细的检查,并发症的可能性极少。

 

7. What else should I know? 还有什么我需要知道的吗?

Several visits to your dentist or dental specialist may be needed until the process is done. Checkups will be scheduled during the following year so your dentist can be sure your implants are working properly. 

植牙治疗通常需要多次的疗程。此外,植牙成功后你需要定期的到回你的牙医做个检查及保养检修,以确保你的植牙能够长久耐用。

This post was created by Dr Tee Kang Long , updated by Dr Koh Wen Thong on 15 July 2016

Dr, What is Salivary Gland stone? What are the causes? How to treat?

Q: What is Salivary Gland Stone?

 Salivary glands and salivary gland stones

Salivary glands and salivary gland stones

A salivary gland stone -- also called salivary duct stone -- is a calcified structure that may form inside a salivary gland or duct. It can block the flow of saliva into the mouth. 


Q: What are causes of salivary gland stone? 

 A case with big salivary gland stone. 

A case with big salivary gland stone. 

Salivary stones form when chemicals (mostly Calcium) in the saliva accumulate in the duct or gland. 

The exact cause is not known. But factors contributing to less saliva production and/or thickened saliva may be risk factors for salivary stones. These factors include: dehydration (less water intake), poor eating, and use of certain medications (such as antihistamines), blood pressure drugs, psychiatric drugs, and bladder control drugs. Trauma to the salivary glands may also raise the risk for salivary stones.

 

  A case of salivary gland stone blockage, and forming a lump   at the neck area. In this case, it is due to submandibular    gland stone

A case of salivary gland stone blockage, and forming a lump
at the neck area. In this case, it is due to submandibular
gland stone

Q: What are the symptoms? 

 

The stones cause no symptoms as they form, but if they reach a size that blocks the duct, saliva backs up into the gland, causing pain and swelling. You may feel the pain off and on, and it may get progressively worse. Inflammation and infection within the affected gland may follow.

 

Q:Salivary Gland Stones Diagnosis

If you have symptoms of a salivary gland stone, your doctor will first check for stones with a physical exam. Sometimes tests may also be ordered, such as X-ray, CT scan, or ultrasound.

A big salivary stone at submandibular saliva gland as shown in the Xray.

 

Q: What are the treatment?

 

  Surgery of removing Stone from the saliva duct.

Surgery of removing Stone from the saliva duct.

If a stone is detected, the goal of treatment is to remove it. For small stones, stimulating saliva flow by sucking on a lemon or sour candies may cause the stone to pass spontaneously. In other cases where stones are small, the doctor or dentist may massage or push the stone out of the duct.

For larger, harder-to-remove stones, doctors usually make a small incision in the mouth to remove the stone.

  Sialendoscopy is a new approach to remove the   stone from the saliva.

Sialendoscopy is a new approach to remove the
stone from the saliva.

More and more, doctors are using a newer and less invasive technique called sialendoscopy to remove salivary gland stones. Developed and used successfully in Europe for a decade, sialendoscopy uses tiny lighted scopes, inserted into the gland's opening in the mouth, to visualize the salivary duct system and locate the stone. Then, using micro instruments, the surgeon can remove the stone to relieve the blockage. The procedure is performed under local or light general anesthesia, which allows the patient to go home right after the procedure. 

For people with recurrent stones or irreversible damage to the salivary gland,surgical removal of the gland is necessary.

In addition, antibiotics are prescribed if salivary stones have caused infection.

This post was created by Dr Tee Kang Long , updated on 1 May 2016 by Koh Wen Thong

Dr.Tee Kang Long

Dr. Tee Kang Long, BDS. (founder AskDentist.my). He is a general dentist and, started his own clinic Pearlfect Dental Clinic since 2015. He has great interest in giving people a healthy and bright smile.

Doctor, what's wrong with my gum? It always bleed when i Brush my teeth

Doctor, what's wrong with my gum? It always bleed when i Brush my teeth

Gum disease is an Infection of the Gums and Surrounding Tissues that hold teeth in place. In healthy stage the level of bone should be around the neck of the tooth. Whereas, in periodontal disease state, the bone level has reduced.

Read More