
愛笑的戲劇小天后,與「易蛀牙」體質的拉鋸戰
The Dramatic Little Queen and Her Battle with "Cavity-Prone" Teeth


如果你常看@theonuarice 的影片,一定會被二姊 努拉(Nuala) 那種靈動、帶點戲劇張力的表情給圈粉。雖然努拉在診間是個不折不扣的乖孩子,但蒔美兒童暨青少年矯正部主任陳鈺婷醫師在檢查時發現,努拉似乎遺傳了爸爸較為細緻、也相對容易蛀牙的齒質,加上換牙期的牙齒排列過於緊密,即便平時很努力刷牙,清潔死角仍讓蛀牙率居高不下。
If you often watch videos from @theonuarice, you’ve surely been charmed by the elder sister Nuala’s lively and dramatic expressions. Although Nuala is a perfectly well-behaved child in the clinic, Dr. Chen Yu-ting, Director of Pediatric and Adolescent Orthodontics at Smile Dental, discovered during the examination that Nuala seems to have inherited her father’s delicate and cavity-prone tooth structure. Coupled with the fact that her teeth are crowded during the transition period, high-risk cleaning blind spots have kept her cavity rate high despite her diligent brushing.



最讓家長擔心的是,努拉不只是乳牙受損,連剛長出來的恆牙大臼齒也出現了蛀牙跡象。陳醫師提到:「這年紀的孩子若伴隨長期鼻塞,習慣用口呼吸,口腔環境會偏酸,這也是導致努拉全口出現 8 顆蛀牙的原因之一。」對於一位常需要面對鏡頭的小演員來說,這不僅是健康問題,更是自信笑容的保衛戰。
What worried her parents most was that not only were her baby teeth damaged, but even her newly erupted permanent molars showed signs of decay. Dr. Chen mentioned: "Children of this age who suffer from chronic nasal congestion often develop a habit of mouth breathing, which creates an acidic oral environment. This is one reason why Nuala had eight cavities throughout her mouth." For a young actress who frequently faces the camera, this isn't just a health issue—it's a battle to protect her confident smile.

努拉小檔案
年齡: 7 歲
個性: 表情豐富、觀察力強、配合度高的「模範生」。
口腔狀況: 8 顆蛀牙(含新萌發恆牙)、牙弓空間不足導致前牙擁擠、長期口呼吸。
Profile
Age: 7 years old
Personality: A "model student" who is expressive, observant, and highly cooperative.
Oral Condition: 8 cavities (including newly erupted permanent teeth), crowded front teeth due to insufficient dental arch space, and chronic mouth breathing.
陳鈺婷醫師的專業佈局:美學與功能的雙重重建
Dr. Chen Yu-ting’s Professional Strategy: A Dual Reconstruction of Aesthetics and Function


不只是解決當下的蛀牙問題,陳醫師更從整體發育角度出發,為努拉規劃了一套兼顧功能、外觀與未來成長的口腔與笑容設計,讓治療不只是修復現在,而是為未來的每一次微笑,預先留下更好的空間。
Beyond simply fixing the current cavities, Dr. Chen looked at the big picture of developmental growth. She designed an oral and smile plan for Nuala that balances function, appearance, and future development. The goal was not just to repair the present, but to proactively create space for every smile yet to come.

恆牙大臼齒的「微創守護」
針對剛長出就蛀牙的恆牙大臼齒,陳醫師決定採用 Silver Diamine Fluoride (銀氨氟化物) 進行控制。陳醫師提到:「處理大臼齒時,孩子通常需要張口很大,過程非常辛苦。透過舒眠配合 SDF 藥物控制,能用最輕鬆的方式抑制病灶,避免磨掉過多珍貴的恆牙齒質。」
Minimally Invasive Protection for Permanent Molars For the permanent molars that decayed shortly after erupting, Dr. Chen decided to use Silver Diamine Fluoride (SDF) for control. Dr. Chen noted: "Treating molars usually requires the child to keep their mouth wide open for a long time, which is very taxing. By combining sleep dentistry with SDF treatment, we can suppress the lesions in the most relaxed way possible, avoiding the need to grind away too much precious permanent tooth structure."

上鏡無死角:全瓷美學牙冠
「考量努拉平時有上鏡需求,這次在修復方式的選擇上,我們特別重視整體美觀的呈現。」陳醫師特別提到,由於努拉的蛀牙位置較偏前側,為了維持自然的視覺感,這次捨棄了傳統的銀色小鋼牙,改選全瓷美學牙冠修復。這不僅提供了極高的硬度保護,色澤也與原生牙完美融合,讓努拉醒來後依然能大方展現笑容。
Camera-Ready: Aesthetic All-Ceramic Crowns "Considering Nuala’s need to be on camera, we placed special emphasis on the overall aesthetic presentation when choosing the restoration method." Dr. Chen specifically mentioned that because Nuala's cavities were closer to the front, they ditched traditional silver "stainless steel crowns" in favor of aesthetic all-ceramic crowns to maintain a natural look. These provide high-strength protection and blend perfectly with her natural tooth color, allowing Nuala to smile confidently as soon as she woke up.

Invisalign First:把握黃金期的早期矯正
這部分是陳醫師為努拉規劃的長遠大禮。由於努拉牙弓空間不足、側門牙歪斜,加上鼻塞導致的口呼吸,陳醫師建議啟動隱適美早期矯正。
Invisalign First: Seizing the Golden Window for Early Orthodontics This part of the plan is a long-term gift from Dr. Chen. Due to Nuala's lack of dental arch space, crooked lateral incisors, and mouth breathing caused by nasal congestion, Dr. Chen recommended starting Invisalign First early orthodontics.
陳醫師說到: 「側門牙歪了 1 年跟歪了 5 年才處理,移動的難易度完全不同。及早擴張牙弓,不僅能改善呼吸模式,更能提早幫未來的恆牙『騰出空間』。現在做,長大後的二次矯正複雜度就會大大降低。」
Dr. Chen said: "The difficulty of moving a lateral incisor that has been crooked for one year versus five years is completely different. Expanding the dental arch early not only improves breathing patterns but also 'reserves space' for future permanent teeth. By acting now, the complexity of secondary orthodontics in adulthood will be greatly reduced."
這一次,她選擇自己伸出手
This Time, She Chose to Reach Out Her Hand


相較於弟弟阿北初次看診的緊張,這回努拉展現了「二姊」的風範。陳醫師笑道:『因為努拉之前有過良好的舒眠治療經驗,知道這只是一場安穩的睡眠。』
Compared to her younger brother A-Bei's nervousness during his first visit, Nuala showed the composure of a "big sister." Dr. Chen smiled: "Because Nuala had a positive experience with sleep dentistry before, she knew it was just a peaceful nap."
這次進入手術室前,努拉不僅完全沒退縮,甚至在麻醉團隊還在引導時,就主動伸出小手配合前置準備。
This time, before entering the operating room, Nuala didn't hesitate at all. She even proactively reached out her little hand to cooperate with the preparations while the anesthesia team was still guiding her.
「看到努拉這麼信任我們,真的會很感動。」陳醫師說道。這種主動配合的背後,是孩子心裡很清楚:看牙醫不可怕,這是在幫助她變漂亮。這份信任,也讓麻醉團隊與醫師能更流暢地展開這場為時 2 小時的精準修復計畫。
"It was truly touching to see Nuala trust us so much," said Dr. Chen. Behind this proactive cooperation was the child's clear understanding: the dentist isn't scary; they are helping her become more beautiful. This trust allowed the anesthesia team and the doctor to seamlessly execute the precise two-hour restoration plan.
蒔美兒童隱適美:數位科技守護下的「隱形」成長計畫
Smile Dental Pediatric Invisalign: An "Invisible" Growth Plan Guarded by Digital Tech
在完成了全口去齲與美學重建後,陳醫師隨即啟動了努拉的 Invisalign First(隱適美兒童專用系列) 早期矯正計畫。這不僅是一份變美的禮物,更是蒔美透過數位科技,為這名小天后量身打造的「空間管理術」:
Upon completing the full-mouth cavity treatment and aesthetic reconstruction, Dr. Chen immediately initiated the Invisalign First early intervention plan for Migo. This is more than just a gift of beauty; it is a tailor-made 'Space Management Strategy' crafted by SMILE Dental through digital technology for this young superstar.
鏡頭前的隱形美學:不被察覺的牙弓擴張
對於需要頻繁上鏡、演繹各種表情的努拉來說,傳統牙套的異物感與鋼牙視覺絕對是表演的阻礙。隱適美近乎透明且舒適貼合的特性,讓努拉能如常地展現各種靈動神情。陳醫師指出,努拉的牙弓較窄且長期受鼻塞困擾,透過隱適美精確的擴張力量,能主動「增建」恆牙萌發的空間,同時輔助改善口呼吸習慣,讓變美與健康在無形中同步發生。
Invisible Aesthetics On-Camera: Undetectable Arch Expansion. For Nuala, who needs to be on camera frequently and perform various expressions, the discomfort and "metal mouth" look of traditional braces would certainly hinder her acting. Invisalign’s near-transparency and comfortable fit allow her to show off her lively expressions as usual. Dr. Chen pointed out that Nuala’s dental arch is narrow and she suffers from chronic nasal congestion. Through the precise expansion force of Invisalign, we can actively "build" space for permanent teeth to erupt while helping to improve mouth-breathing habits—allowing beauty and health to happen simultaneously and invisibly.
時間管理的智慧:Dental Monitoring 遠端監控技術
考慮到米家人繁忙的拍攝行程與生活節奏,蒔美特別導入了 Dental Monitoring 數位遠端監測系統。透過這套系統,米媽只需定期使用手機為努拉掃描牙齒,數據便會即時傳回診所,由陳醫師親自監測牙齒移動的進度。這大大減少了往返診所的次數,讓努拉能將更多時間留給熱愛的表演與生活,真正達成「高效且省時」的矯正體驗。
Wisdom in Time Management: Dental Monitoring Technology. Considering the family’s busy filming schedule and lifestyle, Smile Dental introduced the Dental Monitoring system. With this system, Nuala's mom only needs to use a smartphone to scan her teeth regularly. The data is instantly sent back to the clinic for Dr. Chen to monitor the progress of tooth movement. This greatly reduces the number of clinic visits, allowing Nuala to devote more time to her acting and her life, achieving a truly "efficient and time-saving" orthodontic experience.
把握黃金階段:引導恆牙的「精準導航」
「早期矯正的真諦,是在骨骼最有彈性時,為未來鋪路。」陳醫師強調。努拉左上小臼齒在骨頭內的位置不理想,透過隱適美精確的推力,我們能提早為這些尚未冒頭的恆牙「開路」。現在透過數位科技引導樹苗生長的方向,遠比長大後骨骼定型才硬行移動要來得輕鬆。這不僅降低了未來二次矯正的複雜度,更是送給努拉一份陪伴一輩子的自信底氣。
Seizing the Golden Stage: Precision Navigation for Permanent Teeth. "The true essence of early orthodontics is to pave the way for the future while the bones are at their most flexible," Dr. Chen emphasized. The position of Nuala's upper left premolar inside the bone was not ideal. With the precise thrust of Invisalign, we can "clear the path" early for these teeth that haven't emerged yet. Using digital technology to guide the direction of growth now is much easier than trying to force movement after the bones have set in adulthood. This not only reduces the complexity of future treatments but also gives Nuala a foundation of confidence that will last a lifetime.

看牙,可以是一件優雅的事
Seeing the Dentist Can Be an Elegant Affair
努拉的案例不只是關於補牙,更是關於「預防性醫療」。陳醫師最後強調,當我們在孩子換牙黃金期即時介入,不僅解決了眼前的疼痛,更是在規劃未來十年的口腔健康。
Nuala’s case isn’t just about fillings; it’s about "preventative medicine." Dr. Chen concluded by emphasizing that when we intervene during a child’s golden window of tooth transition, we aren't just solving immediate pain—we are planning their oral health for the next decade.
如果您發現家中小朋友也有「多顆蛀牙、牙齒擁擠或長期口呼吸」的徵兆,歡迎與我們討論 。讓我們像對待努拉一樣,為您的孩子量身打造一份兼顧安全與美感的診療計畫。
If you notice signs of multiple cavities, crowded teeth, or chronic mouth breathing in your children, we welcome you to discuss it with us. Let us create a personalized treatment plan that balances safety and aesthetics for your child, just as we did for Nuala.














































