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Overseas Chinese Daily News, November 2013: “牙齿保健知多少?”

Published on December 9, 2013

Dr Daylene - Page 1The following article first appeared in Chinese in the November 2013 issue of Overseas Chinese Daily News. For the benefit of those who missed the article, we have reproduced it snippets of the interview with Dr Daylene Leong.

女性如何保护口腔健康?

1) 女人的一生中有几个阶段,是需要特别注意的:

  • 青春期和月经期

青春期时,激素水平激增,造成牙龈血液循环增加。这时候,女生的口腔可能会产生问题,尤其是牙龈敏感、牙龈肿胀、出血、长口疮等。

  • 怀孕期

孕妇可能换上‘妊娠牙龈炎’— 表现牙龈肿胀、出血,通常在怀孕的第二或第三个月开始,情况慢慢加剧,直到第八的月。孕妇应该加倍注意家中口腔护,并定时让牙周病学专科医生做彻底洗牙,帮助减少牙龈肿胀。

  • 更年期和绝经后

更年期和绝经后的妇女也可能由于雌激素水平下降,感觉口腔不适 – 表现为口干、牙龈组织有烧灼感、对某些食物产生口味的变化。

研究显示,有不受控制的牙周疾病的孕妇,早产和产下低体重的婴儿的机率更高。我们建议所有计划组织家庭的妇女保持健康的口腔;– 培养良好的刷牙习惯和使用牙线、并且每6个月做一次牙齿牙龈检查,避免后患。

2) 為什麼刷牙時,牙齒易出血?

牙龈出血通常是牙龈疾病,即牙周炎造成的。早期牙龈疾病被称为牙龈炎,若不及时治疗,就可能发展为牙周炎,导致骨质流失和牙龈萎缩。牙龈出血可能发生在您正常刷牙时,并逐渐严重。有些患者甚至可能出现自发性出血的情况。通过牙周病学专科医生定期的牙龈治疗,配合良好的口腔卫生,牙龈疾病是可以治疗和控制的。

在较罕见的情况下,牙龈出血可能反映出身体里更严重的问题的,如血液系统疾病、药物相互作用、糖尿病等。所以,牙科检查是一个很好的起点,牙周病学专科医生可以排除您牙龈出血是否是因为其他疾病的顾虑。

3) 月經期間,會發出異味口氣,為什麼?
月经期间,由于激素水平的变化,一些女性可能会有‘月经牙龈炎’的问题,这通常发生在女生月经前,一旦月经开始,激素水平恢复正常,问题就迎刃而解。这时期,牙龈变得更加敏感,往往更容易出血或肿胀。口腔两侧也可能会生长口疮。

4) 補牙對牙齒有那些影響?

牙齿有洞才需要补牙。因此,补牙后的牙齿结构,比起健康的牙齿来得弱。补的越多,牙齿的结构越弱,应此更容易产生裂缝、断裂。另外,补的越多,越接近牙髓(牙齿中的神经)。一旦细菌进入牙髓,就会感觉敏感、疼痛,可能需要根管治疗。

5) 使用那一種牙膏不會影響身體健康?

目前,没有研究显示哪个品牌的牙膏胜于另外的品牌。大多含浓度氟的牙膏,是有益而无害的。

6) 使用含氟牙膏,對身體會產生那些危害?

正常数量的氟是不会对身体造成任何伤害。只有食用剂量大的氟才对人体有害。牙膏中的氟化物帮助牙齿再矿化 (remineralization),并预防蛀牙(龋齿)。新加坡市场上的牙膏的含氟量都在安全范围以内,儿童和成人牙膏的含氟量也有不同,以防止氟斑牙(dental fluorosis)。

如果你居住的一个地方的水源里已加入氟(如新加坡、欧洲和北美的城市),您不需要任何补充氟化物。

daylene

Dr Daylene Leong is a US qualified Periodontist with Specialist Dental Group®, Singapore. She received her training in the specialty area of Periodontology from the University of Michigan, USA and is a Diplomate of the American Board of Periodontology.

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