首頁 / 蒔美案例 / 牙橋斷裂、十多顆牙出狀況 陽光老師從根源著手植牙重建 Broken Dental Bridge and Over Ten Troubled Teeth: A Teacher Rebuilds His Smile from the Root Cause
牙橋斷裂、十多顆牙出狀況 陽光老師從根源著手植牙重建 Broken Dental Bridge and Over Ten Troubled Teeth: A Teacher Rebuilds His Smile from the Root Cause
鄭老師是一名國小老師，黝黑健康的外表加上活力十足的個性，總讓人留下「陽光老師」的印象。然而，一座使用沒幾年的牙橋突然斷裂，加上多顆牙齒缺損與不適，口中竟有十多顆牙面臨大大小小的狀況。
Mr. Cheng, an elementary school teacher known for his healthy appearance and energetic personality, had always been seen as a “sunshine teacher.” But when a dental bridge only a few years old suddenly broke, along with problems affecting more than ten teeth, his daily life changed.
每天站上講台授課，說話、發音都變得綁手綁腳。更讓鄭老師困擾的是，牙齒問題已嚴重影響進食，連好好吃完一頓飯都成了難事，植牙重建已成為眼前最急迫的事。
Speaking and teaching became difficult, and eating a full meal was no longer easy. Dental implant reconstruction had become an urgent need.
以始為終規劃植牙 避免問題再次發生
Planning Implants with the End in Mind to Prevent Problems from Returning
為此，鄭老師上網查了不少資料，也陸續諮詢多家診所，卻始終無法真正放心。有些只處理局部問題，或把重點放在要植幾顆牙，沒能解答他對整體治療的疑問。
Mr. Cheng researched extensively and consulted several dental clinics, yet remained uncertain. Some focused only on individual teeth or the number of implants needed, without addressing his concerns about the overall treatment.
直到遇見蒔美牙醫紀皓雲醫師，他才感受到從問題根源出發、通盤規劃的安心感。紀醫師並未直接從植牙顆數著手，而是先梳理整體口腔狀況，釐清問題成因，再逐步規劃後續治療。
That changed when he met Dr. Hao-Yun Chi at Smile Dental. Instead of starting with implant numbers, Dr. Chi first evaluated his entire oral condition, identified the causes behind the damage, and developed a comprehensive treatment plan.
進一步了解後，鄭老師才知道，紀醫師深耕複雜植牙重建近20年，經手大量多顆植牙、全口重建等困難案例。多年經驗也讓他格外重視長期結果：不能只是哪裡壞了修哪裡，更要找出根源，從全口角度重新建立適合長期使用的口腔環境，降低植牙、假牙再次出問題的風險。這套著眼長期、有邏輯的治療規劃，終於讓一向謹慎的鄭老師放下疑慮。
With nearly 20 years of experience in complex implant and full-mouth reconstruction, Dr. Chi emphasizes long-term outcomes: rather than simply fixing each problem as it appears, treatment should address the root causes and rebuild a healthy oral environment for lasting stability.
牙橋斷了只是結果 牙周病才是藏在背後的問題
The Broken Bridge Was Only the Result—Periodontal Disease Was the Hidden Problem
為釐清問題全貌，紀醫師安排全口X光、電腦斷層、數位口掃及臉部掃描，從齒槽骨、軟組織、牙齒排列到咬合與笑容，進行完整評估。
To understand the full picture, Dr. Chi arranged full-mouth X-rays, CT imaging, digital intraoral scanning, and facial scanning to evaluate the bone, soft tissue, teeth, bite, and smile.
檢查發現，牙橋斷裂只是表面結果，未妥善控制的牙周病才是問題根源之一。長年累積下來，不僅前牙牙橋斷裂，其他牙齒也陸續出現嚴重蛀牙與缺損。若未先穩定牙周環境，貿然植牙，問題仍可能再次發生。
The examination revealed that the broken bridge was only part of the problem. Poorly controlled periodontal disease had contributed to severe decay and damage in multiple teeth. Placing implants without first stabilizing the gums could allow problems to recur.
因此，紀醫師先以 水雷射 治療牙周，加強滅菌、促進組織修復，並減少疼痛、出血與術後不適。同時秉持「真牙優先」原則，能保留的牙齒透過高階蔡司顯微鏡進行根管治療，徹底清創後再以全瓷冠保護。
Dr. Chi therefore treated the periodontal disease with a dental laser. Teeth that could still be saved underwent root canal treatment under an advanced ZEISS microscope and were protected with all-ceramic crowns.
紀醫師說：「疾病控制永遠是第一步，才能為後續植牙打下長期穩定的基礎。」
“Disease control always comes first,” Dr. Chi says. “It creates a stable foundation for long-term implant success.”
植牙前為什麼要「補肉」？不只為了好看，更攸關植牙耐用度
Why Is Gum Grafting Needed Before Implants? It’s About More Than Appearance
牙周病控制下來，還不能馬上植牙。
許多人知道骨頭不足可能需要補骨，卻很少注意到，
牙齦條件不足也可能需要俗稱的「補肉」。
Even after periodontal disease was controlled, Mr. Cheng was not immediately ready for implants. Just as insufficient bone may require bone grafting, inadequate gum tissue may require soft-tissue grafting.
紀醫師指出，植牙補肉不只是為了美觀，更關係到長期維護。
植體周圍需要至少2mm的角化牙齦，
若角化牙齦不足，刷牙容易不適、增加清潔困難；
軟組織太薄，也較容易出現牙齦萎縮，影響植牙壽命。
Dr. Chi explains that gum grafting is not simply cosmetic. At least 2 mm of keratinized gingiva around an implant can improve comfort and hygiene. Thin soft tissue is also more prone to gum recession, which may affect long-term implant maintenance.
尤其亞洲人較常見薄型牙齦，植牙前更要評估軟組織條件，必要時透過補肉，像在植體外圍築起一道保護層，才能降低日後植牙出問題的風險。
Because thin gingival tissue is relatively common among Asian patients, careful soft-tissue assessment—and grafting when necessary—can provide additional protection around the implant and reduce future risks.
多顆缺牙又有牙周病史 植體選擇更要考慮長期
Multiple Missing Teeth and Periodontal History Make Implant Selection Critical
無菌正壓手術室
X-Guide藍光植牙導航
完成牙周與軟組織治療後，鄭老師正式進入植牙階段。手術於 無菌正壓手術室 進行，紀醫師考量多顆缺牙及牙周病史，選用瑞士頂級植體Straumann重建。
After periodontal and soft-tissue treatment, Mr. Cheng proceeded with implant surgery in a positive-pressure sterile operating room. Considering his multiple missing teeth and periodontal history, Dr. Chi selected Swiss-made Straumann implants.
多顆植牙需長期承受反覆咀嚼力，植體強度相當重要；曾有牙周病史，植體與支台齒連接處的穩定與密合，也攸關長期維護。Straumann採高強度植體材質，可降低斷裂風險；高密合度與特殊支台齒設計，也有助降低植體周圍炎風險，更適合多顆植牙重建。
For multiple implants, mechanical strength is important because they must withstand repeated chewing forces. A stable, precise implant-abutment connection is also important for long-term maintenance. Straumann’s high-strength materials and implant design help reduce fracture and peri-implant complications.
植入時再搭配 X-Guide藍光植牙導航系統，即時掌握位置、角度與深度，結合紀醫師豐富經驗精準完成植入。
X-Guide dynamic 3D navigation was also used to monitor implant position, angle, and depth in real time, combining digital guidance with Dr. Chi’s clinical experience.
靜態看起來正常 咬了幾百萬次的植牙可能是另一回事
A Bite May Look Fine When Still—but Millions of Bites Tell a Different Story
回顧治療歷程，鄭老師覺得相當幸運。不同於過去的假牙經驗，蒔美不只確認靜態咬合，更將全台唯一的MODJAW動態咬合評估系統納入植牙、假牙規劃。
Looking back, Mr. Cheng felt fortunate. Unlike his previous dental experience, Smile Dental evaluated not only static bite relationships but also incorporated Taiwan’s only MODJAW dynamic occlusion assessment system into implant and prosthetic planning.
紀醫師解釋：「一般咬合檢查多半觀察靜態關係，但牙齒真正使用時，還有咀嚼、前後及左右滑動等複雜運動。靜態看似正常，動起來卻可能出現細微干擾，經過每天數千次、長年數百萬次使用累積，容易造成磨耗，影響使用壽命。」
Dr. Chi explains that conventional bite examinations mainly assess teeth in a static position. In real life, however, teeth move during chewing and forward or side-to-side movements. Small interferences may seem insignificant at first, but after thousands of movements each day and millions over the years, they can contribute to wear and shorten restoration longevity.
MODJAW能記錄下顎實際運動軌跡與咬合關係，找出靜態檢查不易發現的干擾，降低磨耗與受力不均，讓植牙在真實咀嚼時與其他牙齒協調運作，更經得起長期使用。
MODJAW records actual jaw movements and bite relationships, helping identify interferences that static examinations may miss. This allows implants and natural teeth to work more harmoniously during real-life function.
植牙成功與否 幾年後才真正看得出來
Implant Success Is Truly Measured Years Later
治療告一段落後，鄭老師的生活很快回到正軌。
After treatment, Mr. Cheng quickly returned to his normal life.
從牙周治療、補肉補骨、動態咬合分析到植牙，看似多了不少步驟，其實都為了避免牙齒陷入壞了再修、修了又壞的循環。植牙真正的成功，不只看完成當下，更要看多年後能否穩定使用。
Periodontal treatment, bone and soft-tissue grafting, dynamic bite analysis, and implant placement may seem like many extra steps, but they all serve one goal: preventing the cycle of repeated dental problems. Implant success is not measured only on the day treatment is completed, but by how well it performs years later.
除了恢復咀嚼功能，鄭老師對笑容也相當滿意。透過蒔美院內數位牙技中心專業分工，從假牙型態、比例到色澤精準設計，即使完成多顆植牙與假牙重建，依然自然美觀，幾乎看不出人工牙齒的痕跡。
Mr. Cheng was also pleased with his restored smile. With support from Smile Dental’s in-house digital dental laboratory, the shape, proportions, and color of his restorations were carefully designed to achieve a natural appearance despite extensive implant and prosthetic reconstruction.
如今，他能照常站上講台和孩子們說笑，也能自在享受美食。曾經費心許久的牙齒，終於不再佔據生活，那個熟悉的陽光老師也回來了。
Today, he can once again teach, laugh with his students, and enjoy his favorite foods. His teeth no longer dominate his daily life—and the familiar “sunshine teacher” has returned.
