![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
今天看了医生,发现牙齿很多龋齿,医生建议做最严重的一颗做根管治疗,其余有龋齿的做牙冠,请问不严重的有必要做吗?毕竟她马上要换牙了(女,5岁)
图片因隐私问题无法显示
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
不好意思,让您久等了
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
刚才在路上没看手机
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
我先看一下孩子的口腔检查哈
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
怎么看?拍照吗
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
有一颗牙比较严重,需要做根管治疗,其余坏牙直接去腐补起来就行了呀
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
不用拍照
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
写的挺清楚的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
需要做牙冠吗?
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
刚才我看了一下孩子的病历
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
不需要做牙冠
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
直接把坏的牙体组织去掉
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
其实我们之前看过牙医、那个医生说不用管,说就换,结果今天那个医生又说要治疗
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
然后用树脂材料补起来
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
管肯定是要管的
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
这几个牙还要用好几年呢
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
大概十岁到十一岁才能换掉
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
主要是怕影响恒牙
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
有个问题,我想问,就是龋齿已经有了,会持续恶化吗?一旦有龋齿就会一直发展下去?还是说如果我们认真刷牙,就会停在目前的这个状态?
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
龋齿只是第一步,如果放任龋齿不管,会慢慢坏到牙神经,引起牙髓炎,牙疼,如果放任牙髓炎不管,会慢慢发展成根尖周炎,牙根周围的炎症,严重了会影响恒牙
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
不知道我这样说的明不明白
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
您说把龋齿控制到现在这个程度
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
很难
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
就是说如果不干预,他就会一直发展下去,不会说我们表面刷干净了就可以是吧?
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
咬合面上的还有可能做的到,因为咬合面容易清洁,清洁到位就会发展的很慢
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
但是问题是现在孩子的坏牙不仅仅局限于咬合面上
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
两个牙之间邻接的面上也有坏的
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
邻接面就很难清理到位了
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
还是会继续发展
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
因为其他几颗牙坏的部分都是在缝隙,医生建议补了以后再做牙冠,我在想有没有必要都做牙冠,毕竟不好看,怕孩子心理有负担
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
换句话说就是刷不干净
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
没必要做牙冠
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
大夫可能是怕补的牙恢复不了那么好的邻接
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
担心后期塞东西
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
一般没问题的
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
补补就行了
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
那补牙+牙冠费用大概多少钱呢
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
根管治疗比较贵是不是?
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
我们医院补一颗牙的费用是200多
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
做一个牙冠的费用是五百到六百
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
根管治疗的费用也是五六百
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
那个根管治疗建议做
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
要不底下恒牙受影响就麻烦了
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
还有一种解决办法就是拔掉,
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
我说的费用是一颗牙的哈
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
没必要是不是
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
拔掉就要做保持器
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
而且这牙还空着
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
能留就尽量留
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
还是有自己的牙好
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
主要是现在她牙龈已经发炎了,挂的公立医院的号要下周了,会不会影响啊?
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
一个周两个周的没事
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
只要不是按月就行
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
发炎也不需要管吗
![](https://resourced.chunyu.mobi/7lcAAAAzBgLvP0wW-4e4d5320-a5f7-41e3-a94f-e0ee9ff420e5_w550_h551_.jpg?imageMogr2/thumbnail/150x)
陈芳兵医生
孩子说牙疼了吗?
提示:疾病因人而异,他人的咨询记录仅供参考,擅自治疗存在风险。
咨询时间: 2021-02-17