資深牙醫的良心告白,能做假牙就不要植牙!!!

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评论 • 10

  • Happy Chou
    Happy Chou 3 个月 前

    老牙醫大多是不會植牙的

    • Kuang-Hsien Cheng
      Kuang-Hsien Cheng 3 个月 前

      Correction: above implantitis should be peri-implantitis.Dental implant complication, scope of the problem several of these:Two literature reviews reported that when implant success was defined as an implant-retained restoration free of complications,only 61% of patients after 5 years with implant -supported fixed partial dentures[FPDs] and 50% of patients after 10 years with combined tooth/implant FPDs reported no complications,moreover, the prevalence of complications increase dramatically in some categories' In the 10-year study,for example, in terms of technical complications[screw loosening or fracture] rose from 4.3% after 5 years to 26.4% after10 years. of the 9% of restorations that were cemented, loss of retention of the restoration occurred in 6.2% within 5 tears and 24.9% within 10 years.Obviously, implant complications increase with the length of time an implant-supported restoration is in place. Efforts to treat peri-implant mucositis with conventional mechanical therapy or combined with adjunctive -subgingival irrigation, local delivery agents, photodynamic therapy, laser treatment, and systematic antibiotics is , however, at best, only effective in approximately 40% of cases.If you realized traditional conventional fixed prosthodontic treatment with correct concept of [complete dentistry] ,theory and skills advocated by, restorative master Dr. Dawson, can achieve a most effective, predictable, long term maintainable, optimal oral and masticatory system health clinical outcome, why should you resort to more time consuming, more complex ,more money, more risky, unpredictable, non long term maintainable treatment morality? why? this is no big deal, as Dr.Dawson said:[unfortunately, it is unusual dentist graduated today have workable knowledge of Temporomandibular joint and occlusion][Majority of dentists practice incomplete dentistry] and because of this, majority of patients had bad experience of traditional prosthodontic treatment, can be easily misleading by implantologist that implant therapy is the best option . References: I, Renvert S, Polyzois L, Persson GR. Treatment modalities for peri- implant mucositis and peri-implantitis.Am J Dent 2013;26: 313-18 2, Lang NP Pjetursson BE, Tan K , Bragger U, Zwahlen M. A systemic of the survival and complication rates of fixed partial dentures[FPDs] after an observation period of at least 5 years.II. combined tooth-implant-supportedFPDs. Clin Oral Implant Res 2004;15:643-53. 3,Serrano E, Cautria R, Lopez M-C. A multi- center retrospective study of lost implants Rev Esp CCirug Oral Maxillofac 2006;28:339-48 Dr.鄭光顯

    • Kuang-Hsien Cheng
      Kuang-Hsien Cheng 3 个月 前

      +Happy Chou I hope you reading more about the literature I present in the article of comment forum in another video[心靈客棧]or[implantomania: Prosthodontics at the crossroads 新北市牙醫 2013/5 no:220].No matter how sophisticated advanced material and skills had developed, implant therapy and fixture violate the law of biology and bio-mechanics.I do not know how you interpreted the success criteria of implant therapy, Is that just being without symptoms? ,I saw many signs of implantitis, intra-capsular disorders of TMJ with chronic progressive structure destruction of masticatory system including alveolar bone ,teeth,neuromusculature. although many patients claimed that they feel quite good for many years,but actually it will fail,ultimately, can not stand the test of time.For example how could you exactly place fixture parallel the closing arc of condyle axis?.This is particularly problematic in implant prostheses because implants can not tolerate nonaxial forces without damage.IT is nonaxial loading that destroys bone around fixtures, breaks screws, and causes restorations to fail.the restorations fabricated on the fixture had in many clinical situation dead space. was unable to let patients to practice complete plaque control.If you really understand the concept of {complete dentistry] advocated by restorative master Dr. Dawson ,You will never see what is the true value of masterpieces he presented. there is high level of confusion of occlusion in dentistry as cited by him. no problems at all in implant dentistry is not true.

    • Happy Chou
      Happy Chou 3 个月 前

      +Kuang-Hsien Cheng 新的植牙技術是最近十年的事,有些老牙醫訓練不足也做植牙,大多收費四万元,專業的收費八万以上,最後有問題的大多一棵四万的

    • Kuang-Hsien Cheng
      Kuang-Hsien Cheng 3 个月 前

      你不知道的事太多, 連植牙廠商有些都會植牙. 同學大多在植牙. 如果你看得懂我本人在另一個心靈客棧相同的you tube, 裡面comment 的中英文許多文獻資料, 及假牙專家的看法的reply. 這跟會不會植牙無關. 許多人不懂假牙, 植牙的全貌一頭就栽進去.如果植牙那麼好 那麼為什麼植牙的醫療糾紛佔37%?你如何解釋?美國因醫療糾紛被告巨額賠償的牙醫師不是沒有.就事實面,傳統假牙做得好比植牙成績好太多. 假牙大師Dr. Dawson說只有2%牙醫師有此水準. 因為一般病人對假牙的普遍不良經驗, 易被誤導植牙較佳. . Implantologist means nothing if treatment plan is not based on biological and ethical orientation. implant treatment is adjunct in nature.總之你不知道你不知道. 我是懂得太多, 只是把事實說清楚. 畢竟資料會說話,不願讓病人受更多的苦. 如果你是同業, 請多做文獻功課. 鄭光顯牙醫師 板橋 台灣Tel:0226757112

  • Kuang-Hsien Cheng
    Kuang-Hsien Cheng 4 个月 前 +4

    這是本人鄭光顯牙醫師五年前在康健雜誌投稿的文章. video內有幾個誤植:假牙復應該是假牙膺復. 考察應是考量. 另一個相同的video由心靈客棧所制作的:[資深牙醫師的良心告白能夠做假牙就不要植牙you tube]. 已有很高的點閱率. 其中不乏同業的不同負面意見, 我都一一以中或英文回覆. 許多看我文章來找我的, 皆有相同的疑問, 為何那麼多的假牙, 植牙醫療糾紛?其實答案只有一個. 全世界牙醫界最大的混亂是, 對咬合學的認識不足. 就算你到世界頂尖的學院學習, 也不見得你都懂得全貌. 多數只有一個子可以形容[還是不懂][there is much confusion in the field]. 只有Dr.Dawson的博大精深理論, 知識及技術最究竟[comprehensive and in depth]. 不遑論那些號稱植牙專家, 發明各種最新理論, 術式, 材料, 其實對整體咀嚼系統的解剖, 生理, 生物力學都嘛一知半解. 誤以為人工牙根優於自然牙根. 這是假象, 植牙是經不起時間的考驗的. 許多植牙過的病人找我假牙治療, 一經檢察, 牙齦仍會出血. 有植體周圍炎. 可是他一點感覺也沒有, 喧稱好用的很. 其實許多植牙後的狀況會有死角, 病人無法清潔乾淨. 就像自然牙有些有牙周病的病情, 依嚴重度的不同慢性持續進行著, 等到嚴重時, 幾年後才感覺異狀不舒服一樣. 難怪許多文獻資料顯示植牙七八年有很高比率輕重不等的後遺症. 世界上許多這類議題的video, 都嘛似是而非. 既使世界號稱專家的文獻論述, 也是似是而非較多. 他們真的不知道他們不知道. 更不遑論一般普羅大眾. 現代到處都是植牙, 只有一道菜沒有其他菜單較多, 倒果為因, 普遍認為多數沒有品質的傳統固定式假牙, 是很容出狀況, 劣等不好的. 其實剛好相反, 蓋因頂級的假牙醫師全世界只有2%. 假牙大師Dr. Dawson這麼認為. 假牙專門, 顳顎關節障礙, 頭, 頸, 顏面疼痛, 夜間磨牙. 賽斯學派, 身心靈整體健康醫師鄭光顯, Tel:0226757112板橋, 台灣.

  • Ping Ding
    Ping Ding 5 个月 前 +2

    黑心牙医太多了

  • Billy Wong
    Billy Wong 6 个月 前 +2

    假牙始終不及真牙

  • chihung chan
    chihung chan 6 个月 前 +2

    偏見!

    • Kuang-Hsien Cheng
      Kuang-Hsien Cheng 4 个月 前

      請參見本人鄭光顯醫師在另一video: [資深牙醫師的良心告白, 能夠做假牙就不要植牙you tube]. 內對於本人內容的評論. 我以更深入的中, 英文各種專家及眾多文獻資料來回覆許多人的:[他們不知道他們不知道]如果你是同業人員, 請你再進修假牙大師Dr. Peter E Dawson的經典著作:[Functional Occlusion :From TMJ to smile Design]Text. Dr.Stuart J. Froum的:[Dental Implant Complications] 你才會知道假牙的[品質]是什麼碗糕.. 全世界只有2%的牙醫師才有這方面的高品質假牙製作能力.假牙專門, 顳顎關節障礙, 頭, 頸, 顏面疼痛, 夜間磨牙. 賽斯學派, 身心靈整體健康醫師鄭光顯. Tel:0226757112 板橋, 台灣.