75歲，對很多人來說，或許已經是準備退休、放慢腳步的年紀。
At 75, many people consider slowing down for retirement.
但張伯伯不是。
Not Mr. Chang.
直到現在，他仍親自經營綠能公司，每天與客戶開會、談生意、規劃新的事業；工作之外，他固定打網球、閱讀，也持續接觸新的知識。對他而言，75歲只是年齡，他的人生還有很多事情想做。
He still runs his green energy company, hosts client meetings, negotiates deals, and plans new ventures daily. Outside of work, he plays tennis, reads, and actively explores new knowledge. To him, 75 is just a number—he still has so much left to achieve.
只是他沒想到，自己還沒想退休，牙齒卻先出了問題。
He never expected his teeth to fail before he was ready to retire.
多年的牙周病與缺牙，讓原本再平常不過的吃飯，漸漸變成一件辛苦的事。牙齒不好，影響的不只是咀嚼，連工作、社交，甚至原本習以為常的生活節奏，都開始受到影響。
Years of severe periodontitis and tooth loss made simple meals a daily struggle. Poor dental health affected not just his diet, but also his work, social life, and daily routine.
身邊的人也曾勸他，年紀都這麼大了，牙齒能用就好，何必再折騰？
Friends advised him to accept it, saying, "At your age, as long as you can eat, why bother with complex procedures?"
但張伯伯想的恰恰相反。
Mr. Chang disagreed completely.
他認為，75歲其實是個剛剛好的年紀。只要保養得宜、維持健康，未來的人生，還有很長一段路要走。
He believed 75 was the perfect time to restore his health. With proper care, he still had a long, vibrant path ahead.
牙周感染蔓延鼻竇 複雜病況讓求醫之路一波三折
Severe Infection Spreads to Sinuses: A Frustrating Medical Search
張伯伯的求醫歷程並不順利。
Mr. Chang’s journey to recovery was far from easy.
一開始只是牙周問題，經過清潔與藥物治療後，感染卻始終沒有真正控制下來。隨著病況惡化，感染更沿著牙根蔓延至鼻竇，引發齒源性鼻竇炎。
What started as periodontal disease failed to clear up despite deep cleanings and medications. As it worsened, the infection traveled up the roots into his maxillary sinus, causing odontogenic sinusitis.
疼痛與感染不只讓他幾乎無法正常進食，短時間內體重更掉了十多公斤，原本積極忙碌的生活，也因此受到很大的影響。
Severe pain and persistent infection made eating almost impossible, leading to a sudden loss of over 10 kilograms. His active, busy lifestyle ground to a halt.
他輾轉求診多家院所，但面對已經牽涉牙周、缺牙、感染與鼻竇的複雜狀況，治療早已不是單純處理一顆牙齒，而需要更完整地評估感染範圍、顎骨條件與後續重建。
He consulted numerous clinics. However, his condition—involving periodontitis, extensive tooth loss, active infection, and sinus complications—required far more than a simple tooth repair. It demanded a comprehensive evaluation of the infection, bone condition, and full-mouth reconstruction.
直到遇見蒔美錢世康醫師，才終於迎來轉機。
His turning point came when he met Dr. Chien at Smile Clinic.
解決困擾，建立信任，成為全口重建的開始
Resolving Pain and Building Trust: The Start of Full-Mouth Reconstruction
張伯伯的病況之所以棘手，在於問題早已不只是牙周病。
Mr. Chang’s condition was challenging because it had evolved beyond standard gum disease.
由於上顎後牙與上顎竇的位置十分接近，當牙齒或牙周組織長期存在感染，感染可能進一步影響上顎竇，形成「齒源性鼻竇炎」。這類疾病的症狀與一般鼻竇炎相似，也不一定會出現明顯牙痛，因此真正的感染來源有時並不容易被發現。
Due to the close proximity of the upper back teeth to the maxillary sinus, long-term dental infections can trigger odontogenic sinusitis. Its symptoms mimic typical sinusitis and do not always cause clear toothaches, making the root cause difficult to diagnose.
面對這類複雜的感染，第一步不是急著治療，更重要的是先釐清真正的問題。
For such complex cases, the first step is clear diagnosis rather than rushed treatment.
錢世康醫師接受完整的口腔顎面外科專科訓練，並累積十多年複雜感染與困難重建的臨床經驗。透過蒔美完整的影像檢查與數位設備，從牙齒、齒槽骨到鼻竇進行整體評估，重新釐清張伯伯長期反覆感染的原因，進一步擬定治療計畫。
Formally trained in Oral and Maxillofacial Surgery, Dr. Chien brings over a decade of clinical expertise in managing severe infections and complex reconstructions. Utilizing advanced imaging and digital diagnostics at Smile Clinic, he thoroughly evaluated Mr. Chang’s teeth, jawbone, and sinuses, pinpointed the root cause of the chronic infection, and mapped out a tailored treatment plan.
也正是這樣的診斷與治療過程，讓張伯伯真正感受到蒔美的不同。從一開始的半信半疑，到困擾自己許久的問題終於獲得解決，他才逐漸放下心防，相信蒔美真的和過去不一樣，也因此決定將自己的全口重建交給錢醫師。
This meticulous approach earned Mr. Chang’s trust. Moving from initial skepticism to relief as his long-standing issues were resolved, he felt confident placing his full-mouth reconstruction in Dr. Chien’s hands.
國際講師操刀顴骨植體 順利完成高難度全口重建
Zygomatic Implants by an International Speaker: Mastering a High-Difficulty Case
感染獲得控制後，張伯伯正式進入重建階段。
Once the infection was under control, reconstruction began.
由於上顎骨幾乎完全流失，僅靠傳統 All-on-4 難以提供足固支撐。因此，錢醫師採用 All-on-4 結合顴骨植體策略，將部分植體固定於骨質更堅硬的顴骨，突破骨量不足的限制。
Because Mr. Chang’s upper jawbone had suffered severe bone loss, standard All-on-4 procedures could not provide adequate support. Dr. Chien implemented an All-on-4 strategy utilizing zygomatic implants, anchoring part of the implants into the denser cheekbone to overcome the bone deficit.
顴骨植體被公認為技術門檻最高的術式之一。植體需跨越顎骨固定於顴骨，植入路徑鄰近鼻竇、眼眶等重要構造，任何細微偏差都可能影響手術安全。因此對醫師的解剖知識、臨床經驗與手術精準度都有極高要求。
Zygomatic implant surgery is widely regarded as one of the most technically demanding dental procedures. Because the implants pass near vital structures like the sinuses and eye sockets, extreme surgical precision is mandatory.
為提升手術安全性，蒔美比照醫學中心，於無菌正壓手術室進行手術，並導入 X-Guide 藍光導航植牙系統，即時掌握植體植入路徑。
To maximize safety, Smile Clinic performed the surgery in a medical-center-grade positive-pressure sterile operating room, guided by the X-Guide dynamic navigation system for real-time tracking.
執刀的錢醫師更是 X-Guide 導航植牙的重要講師，至今已完成超過 160 例導航植牙手術，今年更受原廠邀請赴美專題演講，向各國牙醫師分享導航植牙的臨床經驗與成果。
Dr. Chien is a prominent lecturer on X-Guide navigation technology, having completed over 160 guided implant surgeries. That same year, he was invited to present his clinical techniques and outcomes in the United States.
All-on-4 為何需要跨專科團隊？醫師：每個環節都攸關治療成敗
Why All-on-4 Requires a Multi-Specialty Team
蒔美口腔顎面專科團隊
蒔美口腔顎面外科專科醫師
All on 4 假牙贋復醫師
蒔美牙體技師
然而，複雜的全口重建，並非仰賴一位手術醫師就能完成。從術前診斷、治療規劃、手術執行、麻醉照護，到假牙設計與製作，每個環節都環環相扣，任何一處出現誤差，都可能影響長期穩定性。
Complex full-mouth reconstructions cannot rely on a single surgeon. Every step—pre-op diagnosis, treatment planning, surgical execution, anesthesia, and prosthetic design—is interconnected. Any minor error can jeopardize long-term stability.
因此，跨專科團隊合作不是加分項，而是高難度全口重建的必要條件。
A multi-specialty team is not a luxury; it is essential for high-difficulty cases.
手術當天，蒔美集結近十人的跨專科醫療團隊，由麻醉專科醫師全程照護，持續監測生命徵象，即時處理各種可能狀況。
On surgery day, a team of nearly ten specialists assembled at Smile Clinic, with a dedicated anesthesiologist monitoring vital signs continuously to handle any contingencies.
此外，All-on-4 能否長期穩定使用，關鍵還在於假牙專科醫師的咬合設計。由於整排假牙僅由 4 至 6 支植體共同支撐，若咬合力量分布不均，可能增加螺絲鬆脫、假牙破裂、植體周圍炎，甚至植牙失敗的風險。
Furthermore, long-term All-on-4 success heavily relies on accurate occlusal (bite) design by a prosthodontist. Since a full arch rests on just 4 to 6 implants, uneven force distribution can lead to loose screws, fractured prostheses, peri-implantitis, or complete failure.
因此，蒔美由資深假牙醫師負責規劃咬合、功能與美學，再交由院內數位牙體技術中心的專屬數位牙體技術師精準製作，完整落實設計。
At Smile Clinic, senior prosthodontists design the bite, functionality, and aesthetics, which are then crafted with high precision by dedicated digital dental technicians in the clinic's in-house lab.
跨專科合作，不是噱頭，而是複雜全口重建不可或缺的治療模式。讓專科團隊各司其職、緊密協作，將每個環節做到最好，才能降低術後併發症風險，提升All-on-4的長期穩定性。
Multi-specialty collaboration ensures every detail is executed flawlessly, minimizing complications and maximizing the long-term stability of the All-on-4 restoration.
All-on-4 重拾健康與笑容 重返球場再戰20年
Reclaiming Health, Smiles, and 20 More Years on the Court
術後不到半年，張伯伯重新找回正常飲食，也逐漸恢復健康體態。
Within six months post-surgery, Mr. Chang resumed a normal diet and regained a healthy weight.
整齊自然的新笑容，讓整個人看起來神采奕奕。
His natural, new smile restored his energy and vitality.
當他再次站上熟悉的網球場，球友們看見他的笑容，都忍不住替他高興。
When he returned to his favorite tennis court, his playing partners were thrilled to see his transformation.
張伯伯笑著說：
「現在的我，再戰十年、二十年都沒問題！」
Mr. Chang smiled and said: "Now I'm ready to play for another 10 or 20 years!"
這次重建，團隊視術式嚴選全球兩大頂尖品牌瑞士 Straumann 與 Nobel Biocare 植體，皆具備長期臨床研究支持，只要妥善清潔、定期回診，便能長期穩定使用。
For his reconstruction, the team selected premium implants from Straumann and Nobel Biocare—the world's top two brands backed by extensive clinical research. With proper oral hygiene and regular check-ups, they offer long-lasting stability.
如今，這口好牙將成為他最堅實的後盾。
期待未來數十年，他都能帶著這份健康與自信，繼續在人生的球場上充滿活力地揮拍前進。
Now equipped with a strong, healthy smile, Mr. Chang is ready to keep swinging confidently into the future.
