42 歲的蔡小姐是演員蔡昌憲的姊姊，她從小在台灣貢寮海邊長大，熱愛美食，尤其鍾愛帶殼海鮮。原本單純的生活樂趣，卻在過去十多年，被反覆出現的牙齒問題一點一滴奪走。
Ms. Tsai, 42, older sister of Taiwanese actor Emerson Tsai (Chang-Hsien Tsai), grew up in the coastal town of Gongliao, Taiwan, where fresh seafood was a way of life. Her favorites? Hard-shell seafood—crabs, lobsters, anything you have to crack open. But over the past decade, that simple joy has been chipped away by relentless dental problems.
一開始是一顆牙壞掉，接著第二顆、第三顆也陸續出狀況。假牙、植牙一顆接著一顆做，卻總是用不了多久就出問題。為此，她跑遍各地牙科診所、輾轉治療，卻始終找不到真正的解方....
It started with a single bad tooth. Then another, and another. Crowns, implants, repairs—each fix failed sooner than expected. She visited clinics across Taiwan, searching for answers no dentist could provide.
被評估需拔除的牙 在蒔美找到希望 A Tooth Marked for Extraction — Until Smile Dental Stepped In
直到某次門牙長出膿包，住處附近的家庭牙醫建議她至大醫院做顯微根管。她陸續看了幾家診所與醫院，卻得到幾乎一致的結論：「牙根太差，建議拔除。」
When an abscess appeared near her front tooth, her local dentist referred her to a hospital for Microscopic Endodontic Surgery. Several specialists reviewed her case and reached the same conclusion: the roots were too damaged to save. Extraction seemed unavoidable.
正當她感到心灰意冷時，在弟弟的推薦下，來到蒔美牙醫。沒想到，江政倫院長詳細評估後，卻給出完全不同的診斷：「雖然技術較為複雜，但這兩顆牙我們可以幫你保留下來。」
Feeling discouraged, she followed her brother’s advice and visited Smile Dental Clinic. To her surprise, Dr. Cheng-Lun Chiang offered a different assessment. “It won’t be easy,” he said, “but we can save these teeth.”
突破傳統治療框架，跨專科團隊聯手搶救病牙 Beyond Single-Provider Care: A Team Approach to Saving Teeth
令蔡小姐驚訝的是，隨後的療程與以往的就醫經驗截然不同：不再是單一醫師獨自處理，而是由蒔美牙醫專科團隊分工合作、密切協調。
What came next was unlike anything Ms. Tsai had experienced before. Instead of one dentist handling everything, Smile Dental assembled a coordinated team of specialists.
由顯微根管專科醫師負責進行神經清創，徹底移除感染源；接著由矯正專科醫師針對斷裂的殘根進行局部矯正，將牙根拉出至理想位置；最後再由江院長親自打造全瓷冠，完整修復門牙的外觀與功能。
A microsurgical endodontist carefully removed the infection. An orthodontist realigned the fractured roots. Finally, Dr. Chiang restored both form and function with full-ceramic crowns.
在過去的治療經驗中，蔡小姐接觸到的多是一位醫師包辦所有療程。這是她第一次親身體會跨專科協同合作所帶來的細膩與安心，也讓那原本被判定「無法挽救」的門牙，成功被保留下來。
In the past, Ms. Tsai had always relied on a single dentist for treatment. This was her first experience with coordinated, team-based care—one that successfully saved teeth previously thought beyond rescue.
在錯誤的咬合上重建，難怪越治越差 The Hidden Culprit: Rebuilding on a Faulty Bite
事實上，成功保住門牙，只是重建之路的一小步。要真正解決蔡小姐長年牙齒反覆出問題的根源，必須回到整體咬合系統重新檢視。
Saving her front teeth was just the first step. To solve her long-standing dental problems, Dr. Chiang needed to look deeper at her bite.
經由江院長的全面檢查，發現問題並不只是某幾顆牙的局部狀況，而是整體咬合早已嚴重失衡。蔡小姐長期因壓力與緊張造成夜間磨牙，加上喜愛啃食硬殼海鮮，使牙齒長年過度磨耗，情況愈演愈烈。咬合平面一旦紊亂，牙齒之間彼此干擾，不僅真牙受損，連假牙也會失去密合度，反覆脫落、發炎，怎麼修都無法長久。
Dr. Chiang's comprehensive evaluation revealed that the problem wasn’t with individual teeth, but with her entire bite system.
Years of night grinding—made worse by stress and her love of hard-shell seafood—had worn down her teeth severely.
Once her bite became misaligned, her teeth interfered with each other. Both natural teeth and prosthetics loosened, became inflamed, and repeatedly failed.
江院長指出：「如果還是像過去那樣，只針對單顆牙齒進行修補，問題只會一再重演。要終結這場惡性循環，關鍵就在於回到咬合關係本身，從根本解決這些反覆發生的棘手問題。」
“If we keep repairing one tooth at a time, the cycle will just continue,” Dr. Chiang explained. “To break it, we have to address the bite itself.”
分析動態咬合 解決植牙假牙容易損壞的癥結 Dynamic Jaw Analysis: The Key to Long-Term Implant Stability
要打造穩定、協調的咬合平面並不簡單，因為人咀嚼、說話、吞嚥的過程，其實是一連串「動態」的咬合過程。傳統牙科技術多半只能分析靜態咬合，難以發現真正的咬合干擾。
Rebuilding a balanced bite isn’t easy. Chewing, speaking, and swallowing involve continuous jaw movement. Traditional methods, which only assess static occlusion, often miss critical points of interference.
為了解決這個限制，蒔美導入目前全台唯一的 MODJAW 4D動態咬合分析儀，能即時記錄蔡小姐在張口、說話、咀嚼時的下顎運動軌跡，精準掌握牙齒在動態中何時、何處產生碰撞或不協調。
To solve this, Smile Dental introduced Taiwan’s first MODJAW 4D analyzer—a system that tracks real-time jaw movements, capturing exactly when and where her teeth collided during normal function.
透過這項先進技術，江醫師為她設計出真正符合咀嚼動態的咬合關係，在穩定基礎上裝植牙與假牙，如此一來才能達到長期穩定、不易脫落、不再疼痛的效果，真正做到「重建一次，安心長久」。
Using this data, Dr. Chiang rebuilt her bite to match her natural chewing motion. Only after establishing this stable foundation were implants and crowns placed—giving her long-lasting, pain-free function.
不是沒有辦法，只是沒走對方向 Not Impossible—Just the Wrong Approach
蔡小姐回憶這段歷程，走得很辛苦。換了那麼多牙醫卻無效，讓她一度懷疑是自己哪裡做錯了，是不是自己的問題。但其實，像她這樣的病患並不少見，明明積極看診、配合治療，卻因關鍵的「咬合關係」從未被正視，導致牙齒問題反覆上演。
Looking back, Ms. Tsai described her journey as exhausting. After so many failed treatments, she began to wonder whether the problem was her fault. But as Dr. Chiang noted, her case isn’t unusual. Many patients follow every treatment plan yet remain trapped in cycles of repair, simply because no one addressed their bite.
為了解決這個限制，蒔美導入目前全台唯一的 MODJAW 4D動態咬合分析儀，能即時記錄蔡小姐在張口、說話、咀嚼時的下顎運動軌跡，精準掌握牙齒在動態中何時、何處產生碰撞或不協調。
To solve this, Smile Dental introduced Taiwan’s first MODJAW 4D analyzer—a system that tracks real-time jaw movements, capturing exactly when and where her teeth collided during normal function.
現在的她，不再擔心牙齒突然壞掉，也不用為修補四處奔波，終於可以自在享受美食，開懷大笑。如果你也正被類似的問題困擾，歡迎預約諮詢，一起找出牙齒的關鍵問題，感受久違的穩定與安心。
Today, she no longer worries about her teeth breaking unexpectedly or rushing from clinic to clinic. She can finally enjoy her meals and smile with confidence.
If you’re struggling with similar problems, consider a consultation. Sometimes, lasting relief doesn’t come from fixing what’s broken but from understanding why it broke in the first place.
醫院規模的深入專業 貼心細膩的服務
台北植牙推薦金山蒔美
牙科治療一站深度滿足，也推薦給重視高品質的你，歡迎立即線上諮詢植牙價格與方案。
歡迎蒞臨金山蒔美牙醫診所，台北市中心首棟高階牙科醫療大樓，專層專項處理您的口腔問題。
蒔美牙醫集團共有五家分院：北大蒔美、三重蒔美、汐止蒔美、板橋蒔美、金山蒔美 歡迎立即預約諮詢。
