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為什麼牙醫強調好好刷牙?

為什麼牙醫師都會很在意你刷牙乾不乾淨? 
為什麼我們會對小朋友說牙齒裡面有蟲蟲在咬你?真的有蛀牙蟲嗎?影片給小朋友看,效果很好。 
斷開糖尿病,從好好刷牙開始!(按下去)
眼見為憑,以下的影片,是利用屏東同心園牙醫診所所費不貲、特意去買的這台『牙菌斑全相顯微鏡』,手機照相出來的影片。這是從不同患者的口中,隨便刮出的牙菌斑,放在這台顯微鏡下所拍攝的影片。  
牙菌斑全相顯微鏡
</div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;"><br /></span><br /><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dy_5UTASOTbW4_PD3ydQfApNjqGcnLesL86f8nOl6hmUC3VdV58aNz-JejHRCr-QpopR5Rt9nDHwzmr1cdc' class='b-hbp-video b-uploaded' frameborder='0' /></div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;"><br /></span><br /><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dyeOS9mRF_ew2Ahm9-ESWIr6PYX1qyiPlQp4B2k9J6tH-7dKqNFcUjn_kfKFb81aTU5ZPwqS9aTLRZ67AYQOg' class='b-hbp-video b-uploaded' frameborder='0' /></div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;"><br /></span><span style="background-color: #f9cb9c; font-family: &quot;arial&quot;; font-size: large;">影片中黑黑的支架,就是牙菌斑,等於說牙菌斑是細菌的溫床、家、培養皿。</span><br /><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">牙菌斑越多,細菌的『數量』就越多。一般的情況下,人體自然的免疫力控制的了場面,所以平常我們並不會痛。但當天氣變化、沒睡好、感冒,等等你自己都覺得很虛時(此時就是中醫所講的啥虛火上升之類的),人體免疫力壓制不住了,就會忽然火山爆發,硬組織(蛀牙)酸痛起來,或者軟組織(牙齦)長牙胞、化膿腫痛起來。</span><br /><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="font-family: &quot;arial&quot;;"><span style="background-color: white; font-size: large;">我常跟病人講急救之道,</span><span style="background-color: yellow; font-size: x-large;">尤其五六歲的小朋友長牙痛(第一顆大臼齒)、二十歲左右的年輕人智齒痛(第三顆大臼齒)</span><span style="background-color: white; font-size: large;">,第一時間</span><span style="background-color: yellow; color: red; font-size: x-large;">不是</span><span style="background-color: white; font-size: large;">找牙醫看,而是</span><span style="background-color: lime; font-size: large;">趕快去好好刷牙、慢慢、仔細地刷,尤其會痛的患處,更要輕輕、好好刷,千萬不要因流血、怕痛而輕輕帶過,甚至不刷繞過,那只會惡性循環。很多問題會暫時緩解沒那麼不適</span><span style="background-color: white; font-size: large;">,通常</span><span style="background-color: #fcff01; font-size: x-large;">3天後</span><span style="background-color: white; font-size: large;">就自己好了。</span></span><div><span face="Helvetica, Arial, sans-serif" style="background-color: #01ffff; white-space: pre-wrap;"><span style="font-size: x-large;"><br /></span></span></div><div><span face="Helvetica, Arial, sans-serif" style="background-color: #01ffff; white-space: pre-wrap;"><span style="font-size: x-large;">下顎長臼齒的位置,很容易因發炎(像竹筍冒出,破土而出,被牙肉蓋住,所以容易藏汙納垢而導致發炎),往上走,蔓延到太陽穴或往下走到頸部淋巴結,甚至會嘴巴暫時張不太開,可多簡單啊,洗乾淨就沒事了。</span></span><div><span style="font-family: &quot;arial&quot;;"><span style="background-color: white; font-size: large;"><br /></span></span></div><div><span style="font-family: &quot;arial&quot;;"><span style="background-color: white; font-size: large;">過了一週還沒好,才需要找牙醫幫你好好處理。當下找牙醫看也只是用專業的清洗器械,洗的比較深入徹底而已。偏偏很多人一急就會病急亂投醫,尤其在屏東,到處上網問,哪裡可以最快排到診。屏東的醫療資源情況,我已寫於『約診須知』。所以我才希望大家能好好刷牙,減少讓自己心裡急而慌的情況,也減少醫療資源的浪費,雙贏。</span></span><br /><span style="font-family: &quot;arial&quot;;"><span style="background-color: white;"><br /><h2 style="background-color: #f3fdfe; font-family: Roboto, sans-serif;"><span face="&quot;Open Sans&quot;, Helvetica, Arial, sans-serif"><span style="background-color: #fcff01;"><a href="https://kknews.cc/baby/296zm6e.html" style="background: transparent; text-decoration-line: none;"><span style="font-size: x-large;">孩子幾歲開始換牙(按下去)</span></a></span></span></h2><h2 style="background-color: #f3fdfe; color: #757575; font-family: Roboto, sans-serif;"><span style="font-weight: normal;"><span style="font-size: large;"><span face="&quot;Open Sans&quot;, Helvetica, Arial, sans-serif"><span style="background-color: #f7f7f7;">2018年內容農場改標題為:『</span></span><span style="background-color: #fcff01;">換牙順序表告訴你孩子換牙時間!</span>』是不是比較好懂了些?圖表用語引用自大陸而未在地化,尖牙就是虎牙、犬齒,雙尖牙就是小臼齒,磨牙就是大臼齒。我覺得2015的這個版本寫得比較多,交代的比較完整,尤其是注意事項。畢竟發表人暱稱是牙醫,可能有一定專業性,不知是真是假,2018的就明顯是編輯刪減過而好讀的版本....所以叫內容農場啊,哈。</span></span></h2><br /></span></span><span style="font-family: &quot;arial&quot;;"><span style="background-color: white; font-size: large;">延伸閱讀...</span></span><br /><h3 class="post-title entry-title" style="color: #2198a6; font-family: times, &quot;times new roman&quot;, serif; font-size: 24px; font-stretch: normal; font-weight: normal; line-height: normal; margin: 0px; position: relative;">牙齒不舒服的時候怎麼辦?(按下去)</h3><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;"><br /></span></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">每個人,正常的情況下,口腔隨時都有300種以上的細菌(是種類,不是數量),大多數是無害或益菌,自然會達到恐怖的生態平衡。所以完全沒有必要殺菌,保持無菌只是海邊沙灘寫字,海浪一來,一切重新開始。</span><br /><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">我才</span><span style="background-color: yellow; color: red; font-family: &quot;arial&quot;; font-size: x-large;">不</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">建議用</span><span style="background-color: #01ffff; font-family: &quot;arial&quot;; font-size: x-large;">漱口水</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">,那只有在有傷口(例如拔牙、植牙、牙周手術)才需使用,而且那只是刷牙的替代方案,如果你能正常好好刷牙,</span><span style="background-color: #ffa400; font-family: &quot;arial&quot;; font-size: large;">根本不需要用</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">。</span><div><span style="background-color: cyan; font-family: &quot;arial&quot;; font-size: large;"><br /></span></div><div><span style="background-color: cyan; font-family: &quot;arial&quot;; font-size: large;">一方面</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">那是商業利益,所以才洗腦你去用;</span></div><div><span style="background-color: cyan; font-family: &quot;arial&quot;; font-size: large;">一方面</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">它要嘛殺菌力不強,<span style="color: red;">只是讓你自我感覺良好的口腔清新</span>,要嘛殺菌力太強,口腔一般菌種殺無赦,到時只會在清空的戰場上春風吹又生,長一些奇怪的罕見菌種(這種情況在AIDS患者上常見,由口內牙醫就可以看出些端倪,有興趣不怕噁心的人可以自行上網搜尋『圖片』來看,『關鍵字』是AIDS + 口腔);</span></div><div><span style="background-color: cyan; font-family: &quot;arial&quot;; font-size: large;">最重要一點</span><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;">,應該也是很多年輕女生很在意的一點,長期用漱口水,</span><span style="color: red; font-size: x-large;"><i>牙齒染色</i></span><span style="font-size: large;">的情況會變嚴重。</span></span><div><span style="font-family: arial; font-size: large;"><br /></span></div><div><span style="font-family: arial;"><span style="font-size: large;">如很擔心,還是想要用,那用古老智慧又省錢的</span><span style="background-color: #01ffff;"><span style="font-size: x-large;">鹽水漱口</span></span><span style="font-size: large;">就夠殺菌了。</span><span style="background-color: #fcff01; font-size: x-large;">油漱口</span><span style="font-size: large;">也可以,效力更強,本來就是排毒素的養生方法。實際操作方法可先上網搜尋,以後我再另文介紹。</span></span></div><div><span style="font-family: arial;"><span style="font-size: large;"><br /></span></span></div><div><img alt="未提供相片說明。" src="https://scontent.ftpe3-1.fna.fbcdn.net/v/t1.0-9/p720x720/118472357_812324912876508_5335421895203456002_o.jpg?_nc_cat=110&amp;_nc_sid=8024bb&amp;_nc_ohc=IpNEwGHKayIAX9v3nRX&amp;_nc_ht=scontent.ftpe3-1.fna&amp;tp=6&amp;oh=2ef290de8b7996ef953360f195ed506c&amp;oe=5F6F823C" /><span style="font-family: arial;"><span style="font-size: large;"><br /></span></span><span style="background-color: white; font-family: &quot;arial&quot;;"><br /><span style="font-size: large;">以下是我服務過的診所,當時所使用的衛教單張,先頂著用。</span></span></div><div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span></div><div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">重點是油品,</span><span style="background-color: #ffa400; font-family: &quot;arial&quot;; font-size: x-large;">製作工序越少的越好,越天然的越好</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">,所以,<span style="color: red;">沙拉油、調理油(是混合油)都絕對不行</span>,倒是廚房炒菜用的橄欖油、葵花籽油、椰子油、苦茶油可以。</span></div><div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span></div><div><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;">至於是否是冷壓初榨,因個人對健康的要求而異,反正心法如上。這樣的要求,有機店的油品,品質來源比較有保障。至於量販店,便宜不一定沒好貨,只是要會挑,我就常在全聯或家樂福買,400元以上的,相對安全,畢竟是個人衛生用品,乍看是CP值不高的大錢,其實跟醫療費用比起來,不值一哂。觀念的問題。</span></span></div><div><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;"><br /></span></span></div><div><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;">是要花小錢好好愛自己,還是要花大錢找罪受、供養醫生?</span><br /><br /></span><div class="separator" style="clear: both; text-align: center;"><img border="0" data-original-height="518" data-original-width="2723" height="374" src="https://1.bp.blogspot.com/-8ccbE-F4x4s/X0nNQcLX8YI/AAAAAAAAmCU/N7c3MY2phLsX6Nyu_uns86g73rLme6kyQCLcBGAsYHQ/w1954-h374/%25E6%25B2%25B9%25E8%25A1%2593%25E7%2599%2582%25E6%25B3%2595.jpg" width="1954" /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><span style="font-family: &quot;arial&quot;;"><span style="font-size: large;"><span style="background-color: white;">延伸閱讀...</span><span style="background-color: lime;">需要使用漱口水嗎?(影片)(按下去)</span></span></span></div><div><span style="font-family: arial; font-size: large;"><br /></span></div><div><span style="font-family: arial; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: #fce5cd; font-size: large;"><span style="background-color: white; font-family: &quot;arial&quot;; font-weight: 700;">牙菌斑,跟口水裡面的鈣離子結合,就變牙結石。兩者一樣是</span><span style="font-family: &quot;arial&quot;;">細菌的溫床、家、培養皿,只是前後期。</span></span><br /><span style="background-color: white; font-family: &quot;arial&quot;;"><span style="font-size: large;"><br /></span></span><span style="font-size: large;"><span style="background-color: white; font-family: &quot;arial&quot;;">國小生,口水組成成分不似大人,鈣離子</span><span style="background-color: white; font-family: &quot;arial&quot;;">沒那麼多,所以就算不愛刷牙,也沒多少牙結石,但蛀牙一堆,他們也需要洗牙,但跟大人不同,看診的重點其實在教他如何好好刷牙。牙菌斑顯示劑對小朋友非常好用,因為視覺效果明顯。</span></span><br /><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;">延伸閱讀...</span><br /><h3 class="post-title entry-title" style="background-color: #fb5e53; color: #2198a6; font-family: times, &quot;times new roman&quot;, serif; font-size: 24px; font-stretch: normal; font-weight: normal; line-height: normal; margin: 0px; position: relative;">牙菌斑顯示劑真的是個好東西(按下去)<span style="background-color: lime;">(影片)</span></h3><div><br /></div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">13歲以後,慢慢會像成人一樣,有牙結石。健保洗牙規定年限,年年有修改,因少子化,2020目前是</span><span style="background-color: #01ffff;"><span style="font-family: &quot;arial&quot;; font-size: large;">12歲以後可以洗牙,每人180天</span><span style="font-family: arial; font-size: x-large;">可申報一次</span></span><span style="background-color: white; font-family: arial; font-size: x-large;">(年齡是以生日為準,不是我們方便計算的學齡,所以有時我們得查電腦紀錄,以此為準,健保屬對此預防性保健反而抓得很嚴,奇怪的邏輯)。</span></div><div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="font-family: &quot;arial&quot;; font-size: large;"><span style="background-color: white;">一般建議是成人,每半年洗牙(健保洗牙現在抓得嚴,跨診所、差幾天也不行,需間隔180天,不是我們俗稱的半年,所以請先用FB詢問一下)。每個人都一樣,只要有吃東西,就會有牙菌斑生成,但有些人習慣很好,刷牙很勤,前半段的牙菌斑少了,後半段的牙結石自然也少,這時我就會建議一年洗牙一次即可。</span><span style="background-color: white; color: red;">千萬不要超過兩年才洗牙</span><span style="background-color: white;">,那會雙輸,惡性循環,造成看牙恐懼症(洗牙會滿口血、酸痛),我們醫護人員也會洗的很累、容易洗不乾淨、術後牙齦種。</span></span></div><div><span style="font-family: &quot;arial&quot;; font-size: large;"><span style="background-color: white;"><br /></span></span></div><div><span style="font-family: &quot;arial&quot;; font-size: large;"><span style="background-color: white;">半年半年洗的,會覺得我好像在噴噴水,這次洗好快,有洗跟沒洗一樣,差異不大,較無感(因為牙結石或牙菌斑都還軟軟的,一噴就掉);</span><span style="background-color: #b45f06;">千年牙結石</span><span style="background-color: white;">,40分鐘以上,有時看情況,之後回診再洗第二次(健保並無給付第二次以上的費用,</span></span><span style="background-color: white; font-family: arial; font-size: x-large;">很多醫師才會很用力洗,想要畢其功於一役,當然會洗得滿口血,然後很多人因此更嚇得加深牙科恐懼症,惡性循環。CP值的惡果,不要以為每年都在做的民眾健保滿意度調查,您不是共犯。沒有人是局外人。</span><span style="font-family: &quot;arial&quot;; font-size: large;"><span style="background-color: white;">所以請感激願意幫您洗第二次、第三次以上的醫師,都在義診、做功德。)。</span></span><span style="background-color: lime; font-family: &quot;arial&quot;; font-size: large;">超過兩年,就會像船過水無痕一樣。</span></div><div><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;"><br /></span><span style="background-color: yellow; color: red; font-family: &quot;arial&quot;; font-size: x-large;">去除牙菌斑最有效的方式是,物理機械力量地刷除</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">,例如刷牙。就像我常跟病人舉的例子,瀑布的水力這麼強大,底下四周石頭的青苔,並沒有因此而被沖掉,還是很滑,要去除還是得刮刮樂。</span><span style="background-color: cyan; font-family: &quot;arial&quot;; font-size: large;">再一次證明漱口水沒你想像中的神通廣大</span><span style="background-color: white; font-family: &quot;arial&quot;; font-size: large;">。我們現代人其實很幸福,有這麼多種道具,來幫人保持口腔清潔。除了我會另文說明的『排毒漱口』,還有牙間刷、單束毛牙刷、牙菌斑顯示劑、牙線,以及電動牙刷(我會另文說明)。</span><br /><h2><span style="background-color: yellow; font-family: &quot;arial&quot;; font-size: x-large; font-weight: 700;">刷智齒,上下有別</span></h2><br /><ul><li><span style="font-size: large;">刷<span style="background-color: red;">上</span>面的智齒,嘴巴請閤小,牙刷刷頭才伸得到最裡面,才不容易引起嘔吐反射。可去買<span style="background-color: #b6d7a8;">兒童牙刷</span>,那本身就是小刷頭,無需再花大錢去買成人用的小頭牙刷。那叫多此一舉。一樣,促進經濟,我也不反對。</span></li><li><span style="font-size: large;">刷<span style="background-color: cyan;">下</span>面的智齒,嘴巴反而要像河馬那樣張很大,才刷得乾淨。有時候,可去買<span style="background-color: #ffe599;">單束毛</span>牙刷(如下影片介紹)來輔助。</span></li></ul><div><br /></div><div><br /></div><br /><span style="background-color: white; font-family: &quot;arial&quot;; font-size: 16px; font-weight: 700;">延伸閱讀...</span><br /><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="YOUTUBE-iframe-video" data-thumbnail-src="https://i.ytimg.com/vi/SlBxGHHRok4/0.jpg" frameborder="0" height="266" src="https://www.youtube.com/embed/SlBxGHHRok4?feature=player_embedded" width="320"> 
牙菌斑顯示劑真的是個好東西(按下去)(影片)
我推薦的電動牙刷(按下去)
分類:學習

這裡是我收集的口腔衛教集散地,主要是給我的患者看的,免得浪費彼此寶貴的臨床時間,減少您的焦慮困惑。我不會常上網來這看,也沒有義務會回答問題,如需與我聯絡,請加我的FB粉絲頁『國際整合醫學牙醫師-黃邦定』,請先看約診小提醒。很多醫療情況是需要臨床看的,未讓我看過診的網友,請勿提問、請我隔空抓藥!文章歡迎轉載,請註明出處。

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