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Tuesday, August 26, 2008

愛吃酸 毀了牙齒琺瑯質 Favorite acid to destroy tooth enamel

愛吃酸 毀了牙齒琺瑯質
胃酸逆流、碳酸飲料… 造成琺瑯質流失 正確刷牙、勤漱口很重要

 牙齒酸蝕第一級,牙釉質稍流失,外觀變黃無光澤。
 牙齒酸蝕第三級,已侵蝕至牙本質三分之一。
【施靜茹】嗜吃酸性食物或愛喝碳酸飲料的人,要小心牙齒可能遭到酸蝕,造成琺瑯質流失,嚴重時可能牙髓神經露出來,得接受牙醫根管治療,甚至拔掉牙齒。

台灣高雄醫學大學附設中和醫院牙周病科主任何坤炎說,牙齒酸蝕原因,包括牙齒琺瑯質接觸到酸性物質(pH值小於5.5)、年齡增長累積酸性物質、刷牙方法不對、有胃酸逆流的人,都可能導致琺瑯質流失。

何坤炎曾收治一名50多歲的女性病患,由於平常有喝健康醋的習慣,後來覺得牙齒痠痛前往就醫,經過檢查發現,她已是第四級牙齒酸蝕,牙本質暴露超過三分之二,再不及時處理,牙髓神經可能就會露在外面。

不少年輕人愛喝碳酸飲料,有一名女模特兒道聽途說,認為喝有氣泡的碳酸飲料能去除食物殘渣,讓黃板牙變白,她也依樣畫葫蘆,後來也出現酸蝕性牙齒,牙齒形狀差點就變得破碎。

還有一名18歲大學生,平常愛喝可樂,因牙齒不舒服去看牙醫,也發現齒頸部琺瑯質變色且脫鈣,快要成為牙齒酸蝕一族。

何坤炎說,牙齒被酸性食物侵蝕的症狀,患者往往在初期沒感覺,可能偶爾局部痠痛,但琺瑯質會漸漸失去光澤和紋理,最後演變到牙本質和牙髓神經暴露。

何坤炎表示,如果屬於酸蝕的牙齒,牙醫師通常會檢測患者牙齒,顏色是否變黃、牙切緣有變薄呈半透明狀、牙齒結構是否易碎且呈鋸齒狀,甚至牙齒表面有杯狀或窩洞的酸蝕等症狀。

因此,何坤炎建議,偏好吃酸性食物的人,不妨在進食後,再喝幾口白開水漱口,就能沖淡口中的酸性環境;如果喝酸性飲料,也應避免小口長時間啜飲,或儘量不要含在口中過長。

台北榮民總醫院牙科部主任高壽延表示,無論是甜、鹹、酸食物,最重要還是吃完東西應仔細刷牙,因為牙菌斑停留在牙齒一段時間,就會使牙齒產生局部偏酸環境,增加蛀牙的機會。

2008-08-20
Favorite acid to destroy tooth enamel
Weisuanniliu, carbonated drinks… caused the loss of enamel, brush their teeth correctly, Qin mouthwash is very important


Dental etching the first-class, slightly enamel loss, dull appearance turn yellow.
Dental etching the third grade, has been eroded to one-third of dentin.

[Shi Jing-Ru:嗜eating acidic food or carbonated drinks Aihe people to be careful teeth may have been etching, resulting in the loss of enamel, may be seriously exposed to nerve pulp, a dental root canal treatment, and even pulled out teeth.
Taiwan's Kaohsiung Medical University Hospital and periodontal disease in the attached director Kun-Yen Ho said, teeth etching reasons, including tooth enamel exposed to acid (pH value of less than 5.5), age cumulative growth of acidic substances, brushing method is wrong, there Weisuanniliu People are likely to lead to the loss of enamel.

Kun-Yen Ho had treated a 50-year-old female patient, as usual with the habit of drinking vinegar health, dental pain that was later to seek medical treatment, after examination revealed that she had the fourth-class dental etching, exposed more than two-thirds of dentin Second, does not timely processing, pulp nerve may be Louzaiwaimian.

Many young people Aihe carbonated drinks, a female models hearsay that the bubble has to drink carbonated drinks to remove food residue, Huang Banya white, she also依样画葫芦, but also etching of teeth , The shape of teeth becomes almost broken.

Another 18-year-old university student, usually love He Kele, uncomfortable look at the teeth because of dental, also found that tooth enamel discoloration neck and decalcification, is about to become a dental etching owners.

Kun-Yen Ho said that the teeth were the symptoms of acid erosion of food, patients often did not feel at the early stage, localized pain may occasionally, but the enamel will gradually lose their luster and texture, the final evolution of the nerve exposed dentin and pulp.

Kun-Yen Ho said that if they are etching the teeth, dentists usually detected in patients with teeth, whether or not to turn yellow color, teeth have thinner margins with a translucent, dental structure is fragile and was Juchi Zhuang, and even tooth surface goblet Cavity or the etching, and other symptoms.

Therefore, Kun-Yen Ho suggested that eating acidic food preferences of the people, may wish to eat, Zaihe几口water gargle, the population will be able to dilute the acidity of the environment if they drink acid drinks, should also avoid small I indulge a long time, or try to give In the long-mouth.

Taipei Veterans General Hospital dental director Igor Rogachev said that the extension, whether it is sweet, salty, acid food, the most important thing is what should be carefully brush their teeth after eating, because dental plaque remain in a period of time, the teeth will have a local side Acid environment, increase opportunities for tooth decay.


2008-08-20



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