MRC是什麼?一次搞懂兒童隱適美和MRC的5個差別

MRC是什麼?一次搞懂兒童隱適美和MRC的5個差別

了解隱適美和MRC是什麼
Do you know the difference between Invisalign and Myobrace?

Invisalign(隱適美)和Myobrace(MRC)都是時下很夯的矯正治療工具,兩者皆可以幫助矯正牙齒,改善咬合,今天讓牙醫大叔來帶你了解一下兩者到底差異在哪裡吧?

隱適美適用的年齡層較廣,從兒童到成年都可以使用,一般兒童隱適美早期矯正可以開始的最小年齡大概在7~8歲,視小朋友生長速度而有所差異。MRC適用年齡層較窄,官網資料建議5~15歲,以兒童到青少年為主。雖然這兩個都是矯正的工具,但是第一次聽到的人還是會不了解這兩種的差別,最常的困惑也是『那我到底要幫我的小朋友選擇哪一種方法?』首先你要先了解『隱適美』是眾多隱形矯正中的一個品牌,就如『MRC』也是眾多肌功能矯正中的一個品牌,其餘類似的還有Preortho、EFline,肌功能矯正各家產品在作用原理上大同小異,但是細節上略有不同。

Invisalign and Myobrace are two popular orthodontic treatment tools that can help correct teeth and improve bites. Today, let me explain the differences between the two.

Invisalign is suitable for a wider age range, from children to adults. Early Invisalign treatment for children usually starts at the age of 7 to 8, depending on the child’s growth rate. Myobrace is suitable for a narrower age range, recommended for children aged 5 to 15, mainly for children and adolescents. Although both are orthodontic tools, people who hear about them for the first time may not understand the difference between the two. The most common confusion is “Which method should I choose for my child?” First, you need to understand that “Invisalign” is one brand among many clear aligners, and “Myobrace” is one brand among many myofunctional orthodontic products. Other similar products include Preortho and EFline. Although the myofunctional orthodontic products have similar principles of action, there are slight differences in details.

 

 

隱適美作用原理
The principle behind Invisalign

隱適美牙套是客製化的矯正裝置,以衣服來比喻的話,有點像訂製的西裝,和牙齒非常服貼。每副牙套按順序會有些微差異,藉由這些差異將牙齒慢慢移動到我們想要的位置。牙醫師會在軟體上規劃每顆牙齒的位置,所以隱適美矯正可以很明確的知道將來牙齒矯正後排列的外觀與位置。

Invisalign is a custom-made orthodontic device that is comparable to a tailored suit for your teeth. Each set of aligners has slight differences that gradually shift the teeth into the desired position. The dentist plans the position of each tooth on the software, so Invisalign can clearly predict the appearance and position of the teeth after orthodontic treatment.

MRC作用原理
The principle behind Invisalign

MRC矯正的正確名稱應該是肌功能矯正,主要針對口腔肌肉去做訓練。MRC和隱適美牙套不同,是幾套不同尺寸去做挑選,有點像成衣,依照牙弓大小去挑選適合的MRC牙套尺寸。作用原理也和隱適美略有不同,MRC周圍有一些『翼』,主要是來阻擋臉頰和舌頭的肌肉來降低對齒列的不好影響,搭配口腔肌肉和舌頭肌肉的練習,利用牙齒周圍肌肉的力量、舌頭的力量加上軟性的牙套來讓牙齒達到一個平衡的狀態。

The correct name for MRC correction should be myofunctional correction, which mainly focuses on training the muscles in the oral cavity. Unlike Invisalign braces, MRC uses several sets of different sizes to choose from, which is a bit like ready-to-wear clothing. The appropriate MRC brace size is selected based on the size of the dental arch. The working principle of MRC is slightly different from Invisalign; MRC has some “wings” around it, primarily to block the muscles of the cheeks and tongue and reduce their negative impact on the dental arch. By practicing exercises for the muscles in the oral and tongue areas and utilizing the power of the muscles surrounding the teeth and tongue, along with the flexibility of the braces, the teeth can achieve a state of balance.

 

我們可以從下列5點來了解隱適美和MRC的差異
We can understand the differences between Invisalign and MRC from the following five points:

 

配戴時間 wearing time

  • 配戴時間:隱適美所需配戴時間較長,要戴20~22小時,時間越長效果越好。MRC配戴時間為白天至少1個小時,晚上就寢時整晚配戴。
  • 配戴舒適度:隱適美配戴舒適度較佳,分為上下兩顎服貼牙齒的牙套,因為服貼所以配戴起來異物感小。MRC為上下顎一體類似拳擊手保護牙齒的裝置,整體體積較大,由於目的是訓練肌肉,對於一些嘴唇肌力較弱的小朋友,一開始配戴會比較辛苦。
  • 美觀:隱適美近乎隱形,配戴時不易被發現。MRC外觀明顯,在學校配戴時容易引起注意。

 

  • Wearing time: The Invisalign treatment requires a longer wearing time of 20 to 22 hours per day, with longer wearing time resulting in better outcomes. The Myobrace System (MRC) requires a minimum of 1 hour per day during daytime and all night while sleeping.
  • Comfort: Invisalign aligners provide better comfort as they are made of two custom-fitted aligners that fit snugly on the upper and lower jaws, causing less discomfort during wear. MRC is a device that covers both jaws and resembles a boxing mouthguard, making it bulkier. Since the primary aim is to train the muscles, some children with weaker lip muscles may find it more challenging to wear initially.
  • Aesthetics: Invisalign is almost invisible, making it less noticeable when worn. MRC is more visible, and wearing it in school may attract attention.

 

原理 Principle

  • 隱適美兒童早期矯正:在軟體上規劃好牙齒位置,由透明牙套依照規劃順序推著牙齒前往設計好的位置。
  • MRC兒童早期矯正:藉由訓練舌頭、口腔肌肉、軟式的牙套讓口腔肌肉達到平衡,進而影響牙齒,讓牙齒排列整齊。牙齒的周圍圍繞著臉頰及舌頭,所以可以把現在牙齒位置視為臉頰肌肉力量與舌頭力量相互推擠達到平衡的一個結果。造成現在牙齒位置不良的原因可能是因為口呼吸造成的舌頭肌力微弱或是舌頭位置不對喜歡前頂牙齒,MRC的目的就是對牙齒周圍的肌肉重新進行訓練,藉由牙齒兩側肌肉達到平衡來讓牙齒移動到合適的位置,所以這就是為什麼在MRC裡面,口腔肌肉訓練和鼻呼吸訓練是很重要的一環。

    • Invisalign for children’s early orthodontic correction: Tooth positions are pre-planned on software, and transparent aligners gradually move the teeth to their predetermined position.
    • MRC for children’s early orthodontic correction: Tongue, oral muscles, and soft aligners are trained to achieve muscle balance, which, in turn, affects tooth alignment, resulting in properly aligned teeth. The muscles around the teeth are associated with the cheeks and tongue, so the current position of teeth can be viewed as a result of the balance between cheek muscle and tongue strength. The reason for poor teeth positioning may be weak tongue muscles caused by mouth breathing or incorrect tongue placement, and MRC aims to retrain the muscles around the teeth to achieve balance and move the teeth to the right position. Therefore, oral muscle and nasal breathing training are vital aspects of MRC treatment.

     

    牙齒位置 Teeth positioning

    • 隱適美兒童早期矯正由於是在軟體上設定牙齒將來的位置,所以無論牙齒的角度、方向、上下位置都可以很準確地控制。
    • MRC兒童早期矯正是口腔內肌肉力量平衡的結果,一般來說治療完後牙齒可以達到整齊的效果,但在更精細的排列上,例如:個別牙齒的角度、上下位置,可能會有稍許偏差,無法做到如隱適美那般精準。

    • Invisalign children’s early orthodontic correction can accurately control the angle, direction, and vertical position of teeth as they are pre-set on software.
    • MRC children’s early orthodontic correction is the result of muscle balance inside the mouth. Although it can generally achieve well-aligned teeth after treatment, there may be slight discrepancies in more detailed tooth alignment, such as individual tooth angles and vertical positions, making it less precise than Invisalign.

     

    注意事項 Precautions

    由於兩者都是活動式的矯正工具,不若傳統金屬矯正器是黏在牙齒上的,所以兩者都要很注意配戴時間。MRC的另一個重點是口腔肌肉訓練,單純只配戴MRC效果較差,平日一定要努力的做口腔肌肉練習。

      Both Invisalign and MRC are removable orthodontic appliances, unlike traditional metal braces, which are attached to teeth. Thus, both require careful attention to wearing time.Another crucial aspect of MRC treatment is oral muscle training, and merely wearing the MRC device alone is less effective. Consistent oral muscle exercises are essential for optimal results.

       

      適用年齡 Age suitable

      • 隱適美兒童早期矯正的最低年齡是在上下正中門牙、側門牙及第一大臼齒皆萌發出來後,一般年齡在7~8歲,視小朋友生長速度而有所不同,但實際情況是否需要早期矯正介入還是要諮詢醫師後才會比較準確。
      • MRC兒童早期矯正在官方的適應年齡是5~15歲,一樣實際情況是否需要早期矯正介入還是要諮詢醫師後才會比較準確。

       

      • Invisalign early orthodontic treatment is suitable for children with upper and lower central incisors and first molars that have fully erupted.
      • MRC early orthodontic treatment is suitable for children aged 3 to 15 years old, who still have baby teeth or have a mixture of baby teeth and permanent teeth.

       

      MRC治療療程
      MRC treatment course

       

      影片中的幾個重點,MRC希望改善小朋友的「口呼吸習慣」「嘴巴無法閉合」「舌頭位置不對」等幾個不良的口腔習慣。不對的舌頭位置和不容易閉合的嘴巴有時候是因為口呼吸而造成,MRC治療時會強調舌頭的置放位置,希望小朋友將舌頭擺放在正確的位置「頂在上顎」,還有練習正確的吞嚥動作。你需要在晚上睡覺時整晚需配戴MRC。白日則是在學校時、在家寫功課時或是看電視或打電動時選擇一個時段配戴一個小時的MRC裝置。

      MRC治療通常分為幾個階段:1.矯正壞習慣,養成好習慣。2.擴張上顎牙弓。3.排齊牙齒。4.維持矯正成果。

      Several key points in the video emphasize that MRC aims to improve several negative oral habits in children, such as “mouth breathing habits,” “inability to close the mouth,” and “incorrect tongue placement.” Incorrect tongue placement and difficulty in mouth closure are sometimes caused by mouth breathing, so MRC treatment emphasizes proper tongue placement, encouraging children to place their tongue in the correct position “on the roof of the mouth,” and practice proper swallowing movements. The MRC device needs to be worn throughout the night while sleeping. During the day, it is recommended to wear the MRC device for one hour during school, homework, watching TV, or playing video games.

      MRC treatment typically consists of several stages:

      Stage1. Habits correction,  Stage2. Arch development,  Stage3. Dental alignment,  Stage4. Retension

       

      矯正壞習慣,養成好習慣 Stage1. Habits correction

      為第一階段療程。有幾個動作希望小朋友要在這個階段練習:1. 練習從口呼吸轉成鼻子呼吸。2.訓練舌頭放在正確的位置上。3.練習正確的吞嚥動作。4.沒有在吃飯或講話時,閉緊嘴唇。希望藉由這些動作來促進上下顎的生長,減少將來長大後二次矯正的機率。

      這階段會給予第一階段的MRC牙套,晚上睡覺可配戴全程而MRC不會掉出時即可進入下一階段。

      This is the first stage of the treatment. There are several actions that we want children to practice during this stage: 1. Practice switching from mouth breathing to nasal breathing. 2. Train the tongue to be in the correct position. 3. Practice the correct swallowing movement. 4. Keep lips closed when not eating or speaking. By doing these actions, we hope to promote the growth of the upper and lower jaw, reducing the likelihood of requiring orthodontic treatment in the future.

      During this stage, we will provide the first stage MRC appliance, which can be worn throughout the night and must not fall out before moving on to the next st

       

      擴張上顎牙弓 Stage2. Arch development

      為第二階段,是否需要視小朋友狀況而定。這階段會使用BWS上顎擴張裝置,搭配MRC牙套一起使用。目的是讓上顎擴張獲得更多的空間來讓牙齒排列整齊,通時也能促進中臉部的發育。

      This is the second stage, which may vary depending on the child’s condition. In this stage, a BWS maxillary expansion device is used in conjunction with the MRC orthodontic appliance. The goal is to create more space in the upper jaw for the teeth to align properly, while also promoting development of the midface.

      BWS上顎擴張器

       

      排齊牙齒 Stage3. Dental alignment

      這時會給予第二副的MRC牙套,材質會比第一副再稍微堅硬一點,讓牙齒可以順著MRC牙套的牙弓外型進行排列。第二副牙套日常配戴時間和第一副一樣,會持續配戴到牙齒排列整齊為止。

      At this stage, a second set of MRC braces will be provided. The material will be slightly harder than the first set, allowing the teeth to align along the MRC brace arch shape. The daily wearing time for the second set of braces will be the same as the first set, and will continue to be worn until the teeth are properly aligned.

       

      維持期:維持矯正成果 Stage4. Retension

      第三副MRC牙套目的是為了維持矯正的成果,小朋友會建議一直配戴直到生長完畢,約12~14歲視生長速度有所不同。在這階段由於小朋友持續長大,有可能MRC維持器戴著戴著就會磨到牙齦,這時候就需要再替換成一般的傳統維持器或是更大尺寸的MRC維持器。

      The purpose of the third set of MRC appliances is to maintain the orthodontic correction achieved in the previous stages. Children are advised to continue wearing the appliance until they have finished growing, which can vary depending on growth rate, typically around 12-14 years old. During this stage, as children continue to grow, it is possible for the MRC retainer to rub against the gums, and at that point, it may need to be replaced with a conventional retainer or a larger MRC retainer.

       

      MRC費用與隱適美費用比較
      Comparison of MRC and Invisalign Costs

      MRC治療中最常被問到的就是MRC費用問題了,到底MRC兒童早期矯正與隱適美兒童早期矯正在費用方面誰高誰低呢?

      答案是視狀況而定,隱適美兒童早期矯正費用通常是包套,在治療期間如果有牙齒跟不上牙套進度,或是更改治療計畫,對牙醫師來說沒有額外的技師成本,所以對患者而言比較少額外的衍生費用。MRC兒童早期矯正則不然,是以單副MRC來計算,對於牙醫師來說小朋友無論牙套遺失或是牙套磨損破裂,只要更換一副新的牙套就會有額外的成本在,所以對患者而言治療期間可能會有額外的衍生費用。

      MRC兒童早期矯正如果順利,MRC費用一般會比隱適美兒童矯正費用略低,但是有幾個狀況會有額外的MRC費用產生:

      1. MRC牙套遺失。
      2. 小朋友會磨牙或粗魯配戴,造成MRC牙套破損要更換新的MRC牙套。
      3. 需要額外的上顎擴弓裝置。
      4. 隨著年齡長大,牙弓跟著變大,第一副MRC維持器戴不下,需重新給予較大尺寸的MRC維持器。

      如果有以上幾個狀況發生,牙醫師都必須重新收取新牙套的費用,多疊加幾次後MRC費用並不一定會比隱適美兒童早期矯正便宜。

      The most frequently asked question regarding MRC treatment is about the cost of MRC. Which is more expensive between MRC early orthodontic treatment for children and Invisalign early orthodontic treatment for children?

      The answer depends on the situation. The cost of Invisalign early orthodontic treatment for children is usually bundled. During the treatment period, if the teeth cannot keep up with the progress of the aligners or if the treatment plan needs to be changed, there are no additional technician costs for the dentist. Therefore, there are fewer additional costs for the patient. In contrast, MRC early orthodontic treatment for children is calculated based on a single set of MRC appliances. If a child loses or damages the appliance, the dentist will need to replace it with a new one, incurring additional costs for the patient.

      If MRC early orthodontic treatment progresses smoothly, the MRC cost is generally slightly lower than the cost of Invisalign early orthodontic treatment. However, there are several situations that may result in additional MRC costs:

      1. Loss of MRC appliances.
      2. Grinding or rough handling of the appliances by the child, causing damage that requires replacement of the MRC appliances.
      3. Need for additional maxillary expansion devices.
      4. As the child grows older, the dental arch also increases in size, making the first set of MRC retainers unfit, requiring a larger size of MRC retainer.

      If any of the above situations occur, the dentist will need to charge for a new set of MRC appliances, and after multiple occurrences, the MRC cost may not be cheaper than Invisalign early orthodontic treatment.

       

      總結 Summery

      阿說了這麼多,我還是不知道我小孩適合哪一種啊?別急,你可以先從以下幾點來做決定。

      先評估是否真的需要兒童早期矯正?Evaluate if early childhood correction is really necessary.

      在大叔的觀點兒童早期矯正的好處是可以降低將來正顎手術或是拔牙矯正的機率。除這些情況外,建議等到都換牙完畢再矯正評估即可,這也是為什麼有的家長問醫師得到矯正的時間點是12歲有的是6歲的原因。

      From the perspective of the dentist, the benefit of early childhood correction is that it can reduce the probability of future corrective jaw surgery or tooth extraction. Unless these situations exist, it is recommended to wait until all the teeth have fully grown before evaluating correction, which is why some parents receive a correction time of 12 years old while others receive 6 years old.

       

      小朋友本身的動機強不強?How strong is the child’s motivation?

      MRC兒童早期矯正比起隱適美兒童早期矯正,需要小朋友本身更高的動機與配合度,畢竟每天都要做口腔運動,在配戴上並不如隱適美那麼舒適。如果小朋友想改變牙齒的動機不強或是自律性不高,隱適美早期兒童矯正會比MRC兒童早期矯正更讓小朋友容易適應一些。

      MRC early childhood correction requires a higher level of motivation and cooperation from the child compared to invisible orthodontics. After all, daily oral exercise is required, and the device is not as comfortable as invisible orthodontics. If the child’s motivation for changing their teeth is weak or their self-discipline is low, invisible orthodontics may be easier for the child to adapt to.

       

      家長對整齊度的要求高不高?Are the parents demanding of precision?

      前面有提到MRC是讓牙齒自動排列,所以在排列上無法做到如隱適美般的精確,如果家長認爲個別牙齒的稍微不整齊並不影響只是希望改善小朋友的咬合狀況及呼吸習慣,那麼MRC就會很適合。

      As mentioned earlier, MRC allows teeth to be aligned automatically, so it cannot achieve the same precision as invisible orthodontics. If parents think that slightly uneven teeth will not affect their child and only want to improve their child’s bite and breathing habits, then MRC may be suitable.

       

      費用的考量 Cost considerations

      一般來說MRC的費用還是比隱適美低一點點,但是有時候也是有例外。

      Generally speaking, MRC is slightly less expensive than invisible orthodontics, but there are exceptions.

       

      時間上的考量 Time considerations

      一般來說MRC的矯正時間會比隱適美略長一點,不過通常也要視情況而定。

      Generally, the correction time for MRC is slightly longer than that of invisible orthodontics, but it depends on the situation.

       

      希望以上這五點有幫助到大家在決定開始兒童早期矯正治療前要選用哪一套系統。

      We hope that these five points will help you decide which system to use for early childhood correction treatment.

       

      牙齒老是黃黃的,刷不乾淨還容易蛀牙?牙釉質發育不全症

      牙齒老是黃黃的,刷不乾淨還容易蛀牙?牙釉質發育不全症

      最近收到臉友的訊息,詢問關於小朋友的牙齒有先天礦化不足的問題,想了解有沒有辦法治療?

      牙齒先天礦化不足在醫學上的名稱是『牙釉質發育不全症』,屬於罕見疾病,發生率大概在1/14000-1/16000。

      症狀與臨床表現

      牙釉質俗稱珐瑯質,位於牙冠的最外層(如上圖)。

      牙釉質對於牙齒來說像是一層堅固的盔甲,保護牙齒抵擋外面的環境變化。有牙釉質發育不全症的牙齒容易對於冷熱、甜食敏感,對於蛀牙抵抗力較差。牙齒表面會有小溝或小凹點,嚴重時會深凹陷成一條線,水平橫過牙冠表面,牙齒容易被污染成黃褐色,或崩壞鈣化。

      牙釉質發育不全症有分四種類型:

      1. hypoplastic (type I)-牙釉質發育不良型
      2. hypomaturation (type II)-牙釉質成熟不良型
      3. hypocalcified (type III)-牙釉質鈣化不足型,佔約40%
      4. hypomaturation/hypoplasia/taurodontism (type IV)

      牙釉質發育不全症臨床照,參考文獻『Restorative treatment in a case of amelogenesis imperfecta and 9-year follow-up: a case report

      A=牙釉質發育不良型,B=牙釉質成熟不良型,C=牙釉質鈣化不足型,D=type IV

      診斷方式

      通常以醫師臨床檢查和X光檢查為主

      治療方式

      • 早期診斷:牙釉質發育不全症的牙齒在攝取冷熱食物和酸甜食時會比一般牙齒敏感,而對日常生活造成困擾,早期發現與治療有助於改善生活品質。
      • 加強牙齒的礦化與去敏感:飲食控制,減少醣類食物的攝取。使用氟化物增加牙釉質的礦化,增加外界抵抗力。使用抗敏感牙膏與溫水刷牙可以減少刷牙時的不適。
      • 牙釉質的牙科治療:牙釉質發育不全症有可能發生在乳牙及恆牙,會橫跨多個年齡階段,一般建議會診多個牙科次專科:兒童牙科、補綴科、矯正科一起來協力治療。目前文獻上比較常看到的治療方法為氟化物的定期使用、以樹脂填補或是假牙製作來保護牙齒,有時候甚至需要矯正科的介入。

       

      參考文獻

       

      小朋友乳牙上黑黑的是什麼?原來是放線菌啊

      小朋友乳牙上黑黑的是什麼?原來是放線菌啊

      造成乳牙黑黑的放線菌
      8歲的小女孩,坐上診療椅,眼睛含淚,蓮花指帶哭腔:
      「媽媽說我都不刷牙,牙齒髒髒,可是我很努力刷了。」
      『醫森,你幫我家小朋友看一下是不是蛀牙,牙齒都這樣黑黑的。』

      小朋友牙齒上黑黑的是什麼?

      大叔常遇到家長對牙齒上的黑色斑點有疑問,想知道這個到底是不是蛀牙?

      其實這不是蛀牙,而是一種另類的染色。我們的口腔裡有許多的細菌,眾多細菌裡的放射菌(Actinomyces)如果在口腔裡形成強勢菌種,放線菌產生的硫化氫物質接觸到口水中的含鐵化合物會產生硫化鐵,如果沈積在小朋友牙齒上就會形成一片點點狀的黑色染色。

       

      硫化鐵染色的特徵,與蛀牙的差別?

      家長遇到這種狀況最擔心的其實是小朋友是不是蛀牙了?我們可以從以下兩點來大致上判斷,但是如果真的不確定,還是給牙醫師看一下比較安全。

      1. 黑色染色處表面平順
      2. 黑色染色處成不連續點點片狀

      由於這只是沈積在牙齒的表面,所以牙齒表面的平整性並不會被破壞,與蛀牙造成的凹凸不平有所區別。另外蛀牙造成的黑色病灶通常是連成一片的,不像放射菌染色這樣是由很多點點連成一片不連續的表面。

       

      常出現在哪裡?只會出現在小朋友嗎?

      以大叔的看診經驗來說,門牙會比後牙常見,下門牙會比上門牙嚴重一點,以上沒有文獻統計,因為找不到相關文獻@@不過通常也是因為較常出現在門牙才比較容易被家長發現。

      放線菌的硫化鐵染色的確比較常出現在小朋友的牙齒上,大部分會隨著乳牙換牙而慢慢消失不見,但是大叔也曾經在成人的牙齒上見過,只是相比小朋友來說成人是比較少見的。

       

      那有這些黑斑的乳牙要這麼平常該怎麼照顧呢?

      通常第一步會先建議給牙醫師檢查,確定真的是放射菌造成的而不是蛀牙。確定不是蛀牙後,如果不是很在意美觀的,就讓染色留在牙齒上其實沒什麼大礙。如果在意,就請牙醫師看診時幫忙拋光去除。
      至於染色乳牙的照顧方式跟正常牙齒是一樣的,正常刷牙,使用含氟牙膏。

       

      黑色染色移除後,有方法不要再讓染色出現嗎?

      很遺憾地告訴你,不太有辦法,但是或許可以試試以下方法:
      1. 使用含焦磷酸鈉的牙膏:目的是讓染色不易附著在牙齒上
      2. 使用漱口水:6歲以上小朋友可以使用漱口水,可以短暫使用漱口水,試著改變一下細菌組成。

      其實這些黑色染色還是有好處的,因為放射菌較優勢的關係,可以排擠造成蛀牙的鏈球菌,使得蛀牙的機會降低。通常家長聽到這裡就會露出笑容,但是千萬別因為這樣就不幫小朋友刷牙啊,不容易蛀牙不表示不會蛀牙啊,該做的口腔清潔還是要做。

      小朋友該怎麼刷牙?什麼時候開始用牙膏?讓家庭牙醫一次告訴你!

      小朋友該怎麼刷牙?什麼時候開始用牙膏?讓家庭牙醫一次告訴你!

      常常有小朋友的爸媽問大叔,小小朋友的牙齒要怎麼照顧?要從什麼時候開始照顧?

      對於口腔的照護,其實從小朋友還沒長牙出來時就該開始囉
      文章有點長,牙醫大叔有照年齡做分類,不想看太多文章的朋友,可以從自家小朋友年齡的分類開始看。
      
      • 0-6個月
        這時候雖然還沒有牙齒,但是可以在喝完奶之後,以開水沾濕的紗布擦拭牙床,將奶垢擦拭掉。
      • 6個月-3歲
        這階段是乳牙萌發階段,關於乳牙萌發順序可以看衛教影片內容。 >>衛教影片
        這時候由家長負責幫小朋友刷牙,使用紗布或是牙刷水平來回刷。
        可以搭配牙線棒和米粒大小的1000ppm含氟牙膏,由於小朋友此時吞嚥動作還不成熟,不建議使用漱口水。
        較容易蛀牙的小朋友可以搭配“氟錠”0.25毫克/天,也可以開始去找牙醫師塗氟囉。
        有些小朋友在這階段會有夜奶的習慣,記得喝完之後一定要刷牙才能去睡覺,不然容易發生奶瓶性齲齒。
      • 3歲-6歲
        這階段是乳牙齒列到恆牙萌發前的階段,第一顆恆牙大約在6歲開始萌發。
        這時候由小朋友自己刷一遍,家長再幫他完整刷一遍,使用牙刷水平來回刷。
        可以搭配牙線棒和豌豆大小的1000ppm含氟牙膏,由於小朋友此時吞嚥動作還不成熟,一樣不建議使用漱口水。
        較容易蛀牙的小朋友可以搭配“氟錠”0.5毫克/天,每半年可以找牙醫師塗氟,直到滿72個月。
        記得要培養小朋友睡覺前要刷牙,刷牙完後不能吃東西的好習慣喔。
      • 6歲-9歲
        這階段是乳牙和恆牙並存的混合齒列。
        這時候小朋友可以開始學習貝氏刷牙法,自己刷一遍,家長加強恆牙的第一大臼齒及門牙。
        家長可以協助練習使用牙線,搭配1000ppm含氟牙膏和含氟漱口水。
        較容易蛀牙的小朋友可以搭配“氟錠”1毫克/天,72個月≤就醫年月-出生年月≤108個月可以找牙醫師做”窩溝封填“
        上下第一顆恆牙大臼齒是我們最早長出來的恆牙,也是小朋友最容易不小心蛀牙的牙齒,要小心保護好它喔。
      • 9歲-18歲
        小朋友大約會在11-12歲時從混合齒列換牙完畢,進入恆牙齒列。
        12歲左右,第二大臼齒開始萌發。18歲左右,第三大臼齒俗稱智齒開始萌發。
        這時候建議使用貝氏刷牙法,小朋友自己刷,家長督導即可。
        記得要搭配牙線、1000ppm含氟牙膏,可輔助使用含氟漱口水。
        較容易蛀牙的小朋友可以搭配“氟錠”1毫克/天。

      希望各位自家的小朋友都能保持0蛀牙到換牙完畢。
      大叔把精華都整理到開頭的三張圖片了,忘記的時候可以看一看喔。

      那如果換牙階段或是混合齒列階段,乳牙蛀牙了怎麼辦呢?
      可以看接下來的文章,乳牙蛀牙了怎麼辦?