江政倫 醫師
金山蒔美總院長／板橋蒔美院長暨主治醫師／北大蒔美主治醫師／三重蒔美主治醫師／蒔美牙醫集團執行長
Tissue Level 並不是最新潮的設計，但它能被長期使用的原因很清楚：它的結構設計方向是讓牙齦長期更穩定、更可維護。
更多案例：一場意外改變了她的笑容，植牙讓自信回來！
Tissue Level 並不是最新潮的設計，但它能被長期使用的原因很清楚：
它的結構設計方向是讓牙齦長期更穩定、更可維護。
在數位時代，TL 的價值不但沒有消失，反而更容易被徹底落實。
長期的價值，來自「設計＋位置＋維護」三者一致
一顆植牙要用得久，通常需要三件事一起成立：
1. 設計邏輯正確：結構界面對牙齦友善、降低慢性刺激
2. 放置位置正確：深度、角度、清潔空間符合長期使用
3. 維護策略正確：患者有能力日常清潔＋定期專業維護
Tissue Level 的設計偏向第一點；
全數位規劃主要確保第二點；
而你的日常清潔與定期回診，則是第三點。
Tissue-level implants may not be the newest design, but their long-term value is clear: they are built to support stable, maintainable gums over time.
In the digital era, that value hasn’t diminished—it has become easier to deliver.
Lasting success depends on three aligned factors: design, position, and maintenance.
Tissue-level design supports soft-tissue health, digital planning ensures proper placement, and daily hygiene with regular follow-up sustains the result.
📚 醫學研究怎麼看？（Evidence Box）
What Does the Evidence Show? (Evidence Box)
10 年以上追蹤研究顯示，tissue-level 植體可達到高累積存活率，邊緣骨變化多屬輕微且可預期。在良好維護與正確放置前提下，長期結果具有穩定性。共識報告亦強調軟硬組織條件與增補策略對長期穩定的重要性。
Long-term studies with follow-up exceeding 10 years show that tissue-level implants achieve high cumulative survival rates, with marginal bone changes that are generally mild and predictable. When placed correctly and supported by proper maintenance, long-term outcomes are stable. Consensus reports further emphasize the critical role of both hard- and soft-tissue conditions—and augmentation strategies—in achieving lasting stability.
數位時代的重點：徹底落實 TL 優勢
The Priority in the Digital Era: Fully Realizing the Advantages of Tissue-Level Design
我之所以強調 TL × 數位植牙的結合，是因為：
如果只選 TL、但放置與修復仍沿用舊時代「先放再說」的邏輯，優勢會被抵銷。
相反地，當我們用數位方式把深度、角度與清潔架構做對，TL 的長期穩定性就更有意義。
我想留給患者的一句話：
植牙的目標，是建立一個能夠長期使用的結構，而不只是完成一次治療。
讓你在多年之後，依然不必為它擔心，才是真正重要的事。
I emphasize the combination of tissue-level design and digital planning for one reason: without precise placement, TL advantages are lost. When depth, angulation, and cleanability are digitally controlled, those advantages translate into real long-term stability.
The goal of implant treatment isn’t just to finish a procedure, but to create a structure that remains reliable—and worry-free—years down the line.
臨床回歸｜十年後的選擇
Clinical Perspective | The Choice Ten Years On
治療上，我最在乎的，始終是患者在多年後回診時的實際狀態。
累積的臨床經驗顯示，在 Straumann TL 系統下，牙齦較不易出現慢性發炎，清潔路徑相對直覺，結構容錯率也較高，對患者而言更為友善，對醫師來說，長期維護與監控也更具可預期性。
也因此，當治療決策以長期使用結果作為主要考量時，Straumann TLX 與 TLC 往往成為我臨床上的首要選擇。
In treatment, what matters most to me is how patients present years after care is completed. Clinical experience suggests that within the Straumann TL system, gums are less prone to chronic inflammation, cleaning pathways are more intuitive, and the structure offers greater tolerance to minor variables. This makes long-term care more patient-friendly—and monitoring more predictable for clinicians.
For these reasons, when long-term function is the primary consideration, Straumann TLX and TLC are often my first-line choices in practice.
