口腔衛生保健知多少 oral hygiene instructions
TRANSCRIPT
![Page 1: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/1.jpg)
口腔衛生保健知多少
崇皓牙醫診所 鄭瑋之醫師
![Page 2: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/2.jpg)
崇皓牙醫診所台北市松山區光復北路202號
02-27161816
![Page 3: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/3.jpg)
崇皓牙醫診所醫師
台北馬偕紀念醫院醫師
台東馬偕紀念醫院醫師
台北榮總醫院兒童牙科受訓
美國賓州大學牙科部進修
高雄醫學大學學士
![Page 4: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/4.jpg)
一般常見口腔問題
• 蛀⽛牙
• ⽛牙周病
• ⼝口腔黏膜病變
![Page 5: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/5.jpg)
![Page 6: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/6.jpg)
一般常見口腔問題
• 蛀⽛牙
• ⽛牙周病
• ⼝口腔黏膜病變
![Page 7: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/7.jpg)
蛀牙四成因
蛀牙
牙齒
食物
細菌
時間
![Page 8: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/8.jpg)
蛀牙
![Page 9: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/9.jpg)
蛀牙填補銀粉?樹脂?
![Page 10: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/10.jpg)
蛀牙
![Page 11: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/11.jpg)
![Page 12: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/12.jpg)
根管治療
⼀一定要做柱⼼心、⽛牙套嗎?
![Page 13: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/13.jpg)
預防之道
• ⼝口腔清潔
• 定期檢查
• 溝隙封填劑
• 塗氟
![Page 14: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/14.jpg)
溝隙封填劑
![Page 15: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/15.jpg)
塗氟
• 在⽛牙⿒齒表⾯面塗上⾼高濃度的氟化物,與琺瑯質結合之後,使⽛牙⿒齒結構更加堅固,還可抵抗造成蛀⽛牙的細菌攻擊,進⽽而減少齲⿒齒。
• 半年塗⼀一次。
• 刷完⽛牙再塗。塗完半⼩小時不吃東⻄西、不喝⽔水。
• 可控制吞嚥、吐⼝口⽔水時才可塗。
• 氟錠、含氟⽛牙膏 (600-1000ppm)、含氟漱⼝口⽔水、。
![Page 16: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/16.jpg)
一般常見口腔問題
• 蛀⽛牙
• ⽛牙周病
• ⼝口腔黏膜病變
![Page 17: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/17.jpg)
牙周
![Page 18: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/18.jpg)
牙周病
• ⽛牙周組織發炎⽽而產⽣生的疾病,⼝口腔的⼟土⽯石流!
![Page 19: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/19.jpg)
![Page 20: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/20.jpg)
![Page 21: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/21.jpg)
![Page 22: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/22.jpg)
![Page 23: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/23.jpg)
![Page 24: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/24.jpg)
預防之道
• ⼝口腔清潔
• 定期檢查
• 定期洗⽛牙
![Page 25: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/25.jpg)
洗牙在洗什麼?
![Page 26: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/26.jpg)
一般常見口腔問題
• 蛀⽛牙
• ⽛牙周病
• ⼝口腔黏膜病變
![Page 27: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/27.jpg)
口腔黏膜病變
![Page 28: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/28.jpg)
口腔黏膜病變
![Page 29: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/29.jpg)
口腔黏膜病變
![Page 30: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/30.jpg)
口腔黏膜病變
![Page 31: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/31.jpg)
口腔癌
• 盛⾏行率:男>⼥女(15:1)
• ⾼高居男性腫瘤死亡原因第4位。
• 佔所有惡性腫瘤發⽣生率的第6位。
• 好發年齡:多集中在40~70歲之間,但近年來年齡有下降趨勢。
![Page 32: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/32.jpg)
口腔癌
• 快⼜又急。
• 影響顏⾯面外觀。
• ⽩白斑(含紅⽩白斑)、紅斑、表⾯面不規則菜花型之外突腫塊、疣狀型腫塊或以潰瘍型病變。
![Page 33: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/33.jpg)
![Page 34: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/34.jpg)
陽光下的檳榔樹 魏德聖 導演
![Page 35: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/35.jpg)
預防之道
1. 定期接受⼝口腔黏膜健康檢查
2. 遠離各種危險因⼦子
3. ⾃自我檢視
![Page 36: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/36.jpg)
口腔黏膜篩檢
• 30歲以上,健保署⼀一年補助⼀一次。
• 若是⻑⾧長年有煙酒檳榔習慣者建議每三個⽉月⼀一次。
![Page 37: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/37.jpg)
危險因子
• 嚼⻝⾷食檳榔、吸菸、喝酒。
• 陽光照射。
• 蛀⽛牙、不當的假⽛牙。
• 不良的⼝口腔衛⽣生。
• ⻑⾧長期營養不良。
![Page 38: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/38.jpg)
A B C 1 2 3
= 18倍
= 28倍
= 89倍
= 54倍
= 123倍 !!!
+
+
+ +
![Page 39: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/39.jpg)
各期別五年存活率
期別 存活率
0 77.7%
1 78.2%
2 67.6%
3 52.2%
4 32.8%
越早治療存活率越⾼高,對外觀也最不會有影響!!
![Page 40: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/40.jpg)
![Page 41: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/41.jpg)
![Page 42: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/42.jpg)
自我檢視
• 嘴唇、⽛牙齦或嘴巴內潰瘍,超過2周以上仍未痊癒。
• 臉頰內出現⾆舌頭可以觸覺到的腫塊或變厚。
• 嘴巴的任何部份失去感覺或⿇麻⽊木。
![Page 43: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/43.jpg)
自我檢視
• ⼝口腔中任何部位有⽩白⾊色或紅⾊色變化。
• ⼝口腔內外或頸部不明原因之腫塊。
• 咀嚼或吞嚥困難,無原因出現喉嚨有東⻄西卡到的感覺。
![Page 44: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/44.jpg)
⽩白 斑
![Page 45: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/45.jpg)
紅⽩白斑
![Page 46: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/46.jpg)
紅 斑
![Page 47: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/47.jpg)
疣狀形腫塊
![Page 48: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/48.jpg)
菜花形腫塊
![Page 49: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/49.jpg)
自我檢視
• 嘴巴疼痛或不明原因之疼痛。
• 導致假⽛牙不合的顎部腫⼤大。
• 聲⾳音改變。
![Page 50: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/50.jpg)
口腔清潔
• ⽛牙刷挑選
• ⾙貝式刷⽛牙法
• 輔助⼯工具
• 嬰幼兒潔⽛牙
![Page 51: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/51.jpg)
牙刷挑選
1.軟⽑毛
2.刷頭⼩小
3.好握
![Page 52: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/52.jpg)
牙刷挑選
1.軟⽑毛
2.刷頭⼩小
3.好握
![Page 53: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/53.jpg)
牙刷挑選
1.軟⽑毛
2.刷頭⼩小
3.好握
![Page 54: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/54.jpg)
刷牙 3 3 3
• 三餐飯後
![Page 55: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/55.jpg)
刷牙 3 3 3
• 三餐飯後
• 三分鐘內
![Page 56: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/56.jpg)
刷牙 3 3 3
• 三餐飯後
• 三分鐘內
• 刷⽛牙三分鐘以上
![Page 57: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/57.jpg)
貝氏刷牙法
![Page 58: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/58.jpg)
輔助工具
• ⽛牙間刷
• ⽛牙線
• 電動⽛牙刷
• 漱⼝口⽔水
• 沖⽛牙機
![Page 59: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/59.jpg)
牙間刷的使用
![Page 60: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/60.jpg)
輔助工具
• ⽛牙間刷
• ⽛牙線
• 電動⽛牙刷
• 漱⼝口⽔水
• 沖⽛牙機
![Page 61: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/61.jpg)
牙線使用方法
![Page 62: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/62.jpg)
牙線使用位置
![Page 63: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/63.jpg)
輔助工具
• ⽛牙間刷
• ⽛牙線
• 電動⽛牙刷
• 漱⼝口⽔水
• 沖⽛牙機
![Page 64: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/64.jpg)
輔助工具
• ⽛牙間刷
• ⽛牙線
• 電動⽛牙刷
• 漱⼝口⽔水
• 沖⽛牙機
![Page 65: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/65.jpg)
嬰兒潔牙• ⽤用紗布、棉花或⼿手帕裹著⼿手指,沾點⽩白開⽔水。
• 輕輕把⼿手指伸進寶寶⼝口腔內,並貼著⽛牙⾁肉從上顎⾄至下顎繞⼀一整圈把上下排⽛牙齦抹乾淨。
• 寶寶吃完睡前的⼀一餐奶後。
• 隨著上下⾨門⽛牙陸續⻑⾧長出,可⽤用較柔軟的嬰兒⽛牙刷及開⽔水替寶寶刷⽛牙。
![Page 66: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/66.jpg)
幼兒潔牙
• 2歲半~3歲半之間,孩⼦子會⻑⾧長⿑齊20顆乳⽛牙。
• 剛⻑⾧長好⽛牙的3歲幼兒,30-50%罹患奶瓶性齲⿒齒。
• 養成習慣,指導幼兒練習刷⽛牙動作。
• 可使⽤用⽛牙膏,若無法控制吞吐,以清⽔水刷⽛牙。
![Page 67: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/67.jpg)
假牙清潔
• 吃完飯⽴立刻清潔
• 睡前⼀一定要拿下
• 浸泡在清⽔水中
• ⼀一個禮拜消毒⼀一次
![Page 68: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/68.jpg)
![Page 69: 口腔衛生保健知多少 Oral Hygiene Instructions](https://reader030.vdocuments.mx/reader030/viewer/2022012903/55a736371a28abc9528b462c/html5/thumbnails/69.jpg)
切記! 預防勝於治療!!
感謝聆聽~