全口一日重建不只求快,更要經得起時間考驗!

企業執行長選擇 ProArch,
當天裝牙找回咀嚼與自信

身為網路新創公司執行長,蔡先生平日工作繁忙,卻長期飽受缺牙困擾。一年多來,他只能靠果汁機將食物打碎,以流質方式進食。直到最近展開一段新戀情,才讓他決心正視美觀與口腔問題,尋求全口重建治療。

治療項目

Treatment

全口重建

照護方式

Care approach

跨專科協同診療

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看似平凡的生活片刻,
正是全口重建為他找回的幸福。

傳統植牙需耗時兩年,
讓他一度卻步

蔡先生原本裝有一整排固定假牙,沒想到某天用餐時,假牙竟突然應聲脫落。四處求醫後,得到的答覆卻是,若採取傳統植牙,療程可能長達兩年。

對工作繁忙的他而言,實在難以接受。直到接觸瑞士植體大廠 Straumann(士卓曼)的 ProArch 全口一日重建系統,才看見轉機。

ProArch全口重建能在上午完成植牙手術,下午裝上固定式臨時假牙,大幅縮短等待時間。然而,對曾經歷假牙斷裂的蔡先生而言,除了效率,更在意新牙齒能否長久穩固。

▼ 查看英文翻譯 / Read in English

Mr. Tsai had previously relied on a full-arch fixed bridge, but it abruptly failed and came loose during a meal one day. Seeking clinical opinions across several practices, he was repeatedly told that conventional implant therapy could take up to two years to complete.

Given his demanding schedule, a two-year timeline was simply out of the question. Everything changed when he learned about ProArch, a full-arch immediate reconstruction system developed by the leading Swiss implant manufacturer, Straumann.

With ProArch, implant placement takes place in the morning, followed by the delivery of a fixed provisional bridge that very afternoon—drastically cutting down treatment and healing time. Yet for someone who had already experienced sudden prosthetic failure, speed wasn’t his only priority; what mattered most was whether his new teeth would truly stand the test of time.

植體強度提升,
骨質流失者也有重建機會

全口重建通常僅以四至六支植體支撐整排假牙,每支植體都必須承受反覆咀嚼的力量,因此材質強度格外重要。

相較於多數傳統純鈦植體約750 MPa的抗拉強度,ProArch採用的 Roxolid® 鈦鋯合金,抗拉強度可達約1,000 MPa,兼具強度與韌性,有助於降低植體機械性斷裂的風險。

此外,蔡先生因長期缺牙及牙周病,齒槽骨已嚴重流失。Roxolid® 的材料特性,讓醫師有機會選用直徑較小的植體,在有限骨量中尋求重建可能。ProArch更搭配特殊支台齒與角度設計,有助於減少牙菌斑堆積,降低植體周圍炎的發生風險。

2 更高的抗拉強度

▼ 查看英文翻譯 / Read in English

Full-arch reconstruction typically relies on just four to six implants to support an entire dental arch. Because each fixture must withstand substantial, repetitive masticatory forces, the mechanical strength of the material is paramount.

Compared to conventional commercially pure titanium implants, which have a tensile strength of roughly 750 MPa, the Roxolid® titanium-zirconium alloy used in ProArch achieves approximately 1,000 MPa. This exceptional balance of strength and fracture resistance significantly mitigates the risk of mechanical implant breakage.

Furthermore, years of missing teeth and periodontal disease had left Mr. Tsai with severe alveolar bone resorption. Thanks to the advanced structural properties of Roxolid®, clinicians can utilize narrower-diameter implants, making successful reconstruction achievable even within limited bone volume. In addition, ProArch utilizes specialized angled abutments and contoured components designed to minimize plaque retention, substantially reducing the risk of peri-implantitis.

十餘年數百例經驗,
十餘人團隊共同把關

蒔美牙醫深耕全口重建十餘年,累積數百例全口一日重建案例,每場手術皆安排口腔顎面外科專科醫師主刀。

術前,由資深口腔顎面外科專科賴泓璋醫師、假牙醫師林正忠醫師與院內專屬數位牙體技術所的牙體技術師共同討論,透過數位系統規劃植體的位置、角度與植入路徑,並預先完成假牙設計,讓植牙手術與假牙製作的規劃緊密銜接。

手術當天,由賴泓璋醫師執刀,於無菌正壓手術室進行,麻醉專科醫師團隊全程監控,並動員十餘名醫療人員協同參與。植體植入後,由林正忠醫師為蔡先生裝上假牙,順利完成當日裝牙。

術後則由專屬護理師提供照護,讓蔡先生從術前評估、手術執行、假牙製作到術後恢復,每個階段都有專業人員協同合作、分工把關。

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▼ 查看英文翻譯 / Read in English

With more than a decade of focus on full-mouth rehabilitation and a track record of hundreds of immediate full-arch cases, Smile Dental ensures that every single procedure is led by a board-certified oral and maxillofacial surgeon.

Prior to surgery, veteran oral and maxillofacial surgeon Dr. Hong-Zhang Lai collaborated closely with prosthodontist Dr. Zheng-Zhong Lin and dental technicians from Smile Dental’s dedicated on-site digital laboratory. Leveraging advanced digital planning software, the team precisely mapped out the position, angulation, and insertion path of each implant while pre-designing the provisional bridge, ensuring seamless synergy between surgical placement and restorative engineering.

On the day of the procedure, Dr. Lai led the surgery inside a sterile, positive-pressure surgical suite, supported by more than ten clinical professionals and under continuous vital-sign monitoring by a dedicated anesthesiology team. Once the implants were securely placed, Dr. Lin delivered and adjusted the prosthesis for Mr. Tsai, successfully completing the same-day teeth restoration.

Following the procedure, a dedicated surgical care nurse oversaw his postoperative recovery. From pre-op diagnostics and surgical execution to prosthetic fabrication and aftercare, Mr. Tsai was supported by an integrated multidisciplinary team providing rigorous oversight and quality control at every stage of his treatment journey.

術前評估

麻醉監控

植體植入

假牙製作

20250121_張-33

資深專科醫師執刀

數位口腔醫療美容設部 上logo_技工部 金山技工室

數位牙體技術所

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HEPA 無塵無菌正壓手術室

數位設計

專業數位設計

評估流程

20250121_張-2 賴泓璋醫師 賴醫師

STEP 01

01|口腔顎面外科專科醫師諮詢評估

了解缺牙情況、目前的飲食困擾與治療期待,並檢查口腔狀況,討論適合的重建方向。

▼ 查看英文翻譯 / Read in English

01 | Comprehensive Consultation & Evaluation by an Oral and Maxillofacial Surgeon
We begin by understanding your tooth loss history, dietary challenges, and treatment expectations, followed by a thorough clinical examination of your oral cavity to determine the reconstruction pathway best tailored to your needs.

STEP 02

02|全頭顱電腦斷層影像檢查

透過三維影像,掌握上下顎骨條件、齒槽骨高度與厚度,以及神經、上顎竇等重要構造的位置。協助醫師規劃植牙位置、角度與深度,辨識潛在風險,建立更周全的手術規劃依據。

▼ 查看英文翻譯 / Read in English

02 | Full-Craniofacial 3D CBCT Imaging
High-resolution 3D imaging allows us to evaluate your upper and lower jawbone morphology, alveolar ridge height, and bone volume, while mapping vital anatomical landmarks such as nerves and the maxillary sinus. This provides the clinical foundation needed to plan optimal implant position, angulation, and depth, effectively identifying potential risks well before surgery.

X光室
DSCF0637 數位口內掃描

STEP 03

03|口腔數位掃描

蒐集齒列、牙齦與上下顎咬合的數位資料,並與電腦斷層及臉部掃描資料整合、交叉核對,協助團隊確認口腔構造與相對位置,作為植牙規劃及假牙製作的依據。

▼ 查看英文翻譯 / Read in English

03 | Digital Intraoral Scanning
We capture precise digital impressions of your dentition, soft tissue contours, and bite relationship. By cross-referencing and integrating these records with your 3D CT and facial scans, our clinical team precisely maps your oral anatomy to guide both surgical implant placement and prosthetic design.

STEP 04

04|數位臉部掃描

記錄臉部輪廓、嘴唇位置與微笑時的牙齒呈現,結合口腔與電腦斷層資料,讓治療規劃同時考量顎骨條件、臉部比例與假牙位置。

▼ 查看英文翻譯 / Read in English

04 | 3D Digital Facial Scanning
This step captures your facial contours, lip support, and tooth display during a natural smile. Integrating this data with intraoral scans and CT imaging ensures your reconstruction balances underlying bone anatomy with natural facial proportions and aesthetic tooth positioning.

STEP 05

05|Modjaw 動態咬合分析

記錄張口、閉口及下顎活動的軌跡,協助醫師了解咬合與下顎運動的關係,將動態資訊納入假牙設計,評估咬合接觸與功能需求。

▼ 查看英文翻譯 / Read in English

05 | Modjaw 4D Dynamic Occlusal Analysis
Using the Modjaw system, we record real-time jaw motion—including opening, closing, and functional chewing trajectories. Capturing your unique mandibular kinematics allows us to incorporate dynamic functional data directly into your bridge design, ensuring optimal bite balance and long-term chewing efficiency.

STEP 06

06|術前模擬規劃報告

整合全頭顱電腦斷層、口腔數位掃描、臉部掃描與動態咬合資料,透過術前規劃軟體進行模擬與交叉核對,從骨骼構造、口腔條件到咬合關係,再次確認植牙的位置、角度與深度,協助辨識潛在風險,讓手術規劃更周全、安全。

▼ 查看英文翻譯 / Read in English

06 | Pre-Surgical Digital Simulation & Treatment Planning Report
We fuse your full-craniofacial CT, intraoral scans, facial scans, and dynamic bite data into advanced planning software. By virtually simulating and cross-verifying your bone structure, soft-tissue profile, and occlusal dynamics, our team finalizes the precise trajectory, angle, and depth of each implant—eliminating guesswork and ensuring maximum surgical predictability and safety.

四項健康檢查圖示-1
四項健康檢查圖示-2
四項健康檢查圖示-3
四項健康檢查圖示-4

STEP 07

07|全身健康與手術安全評估

抽血、骨密度、心電圖及胸腔 X 光檢查, 全口重建的安全,也需要考量全身健康。術前依個人狀況與醫師判斷,安排抽血、骨密度及胸腔 X 光等檢查,並綜合病史與用藥資料,評估可能影響手術、麻醉及術後恢復的因素。必要時安排進一步檢查或會診,作為治療時機與手術計畫的依據。

▼ 查看英文翻譯 / Read in English

07 | Comprehensive Medical & Surgical Safety Clearance
Blood Work, Bone Density, ECG, and Chest X-Rays
Patient safety in full-arch reconstruction starts with systemic health. Before surgery, customized diagnostic evaluations—including blood panels, bone density scans, and chest radiographs—are coordinated based on each patient's clinical indications and medical history. By cross-referencing these diagnostics with current medications, the clinical team proactively evaluates any factors that could influence the procedure, anesthesia, or postoperative recovery. When indicated, further testing or physician clearances are arranged to optimize treatment timing and finalize the surgical plan.

STEP 08

08|假牙醫師評估

整合影像、口腔掃描、臉部比例與動態咬合資料,評估假牙製作空間、牙齒排列、咬合及清潔需求,規劃兼顧美觀與使用功能的假牙設計。

▼ 查看英文翻譯 / Read in English

08 | Prosthodontic Clinical Evaluation
Synthesizing diagnostic imaging, intraoral scans, facial aesthetics, and dynamic jaw motion data, our prosthodontic team evaluates restorative space, tooth arrangement, occlusion, and cleansability. This ensures a customized prosthetic architecture that delivers lifelike aesthetics, durability, and easy long-term maintenance.

假牙醫師林正忠全口重建口掃_YUE0857_2
麻醉 20241228_柯術後形象-13

STEP 09

09|麻醉專科團隊評估

由麻醉專科團隊確認檢查結果、病史、用藥及過往麻醉經驗,評估適合的麻醉方式,規劃術中監測與術後恢復照護,為手術做好準備。

▼ 查看英文翻譯 / Read in English

09 | Dedicated Anesthesiology Assessment
A dedicated team of anesthesiology specialists reviews your lab work, medical history, medications, and previous anesthesia responses. They determine the safest, most appropriate sedation protocol, design a tailored intraoperative monitoring plan, and oversee post-op recovery care to ensure a smooth, pain-free, and stress-free surgical experience.

從細節到感受,
蒔美打造前所未有的安心體驗

回想整段治療過程,最令蔡先生印象深刻的,是蒔美對每一處細節的用心。從術前的嚴謹評估、充分說明、手術當天的流程安排,到醫療團隊的專業分工與即時照應,每個環節都經過細緻規劃,甚至連患者未曾想到的小事,也早已設想周全。如此細膩而周到的安排,讓蔡先生幾乎不必為任何事情操心,這是他過往接受牙科治療時,從未有過的安心體驗。

治療前

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治療後

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SmileCloud

DSD

本案例為個別患者的實際治療紀錄,治療效果因個人狀況而異。

▼ 查看口腔術前、術後紀錄 / Read in case

治療前

_MG_6527

治療後

IMG_0001

▼ 查看英文翻譯 / Read in English

Reflecting on his journey, what impressed Mr. Tsai most was Smile Dental’s meticulous attention to every clinical and personal detail. From thorough diagnostic evaluations and clear consultations to a tightly orchestrated surgical workflow and attentive team communication, every step was thoughtfully coordinated. The team anticipated questions and concerns before he even had to ask, giving him complete peace of mind throughout the entire process—a standard of comfort and reassurance he had never experienced in previous dental visits.

DSC00401-橫

蒔美牙醫Straumann® Pro Arch 全口重建菁英認證

下午四、五點裝上新牙後,蔡先生迫不及待走進麵館,點了一碗久違的麵。
回想終於能用牙齒咬斷麵條的那一刻,他依然難掩激動。這副固定式臨時假牙,讓他在遵循術後飲食指示的前提下,逐步恢復進食功能。

“

已經好久沒有這種感覺了!

蔡先生 / 全口重建案例分享

蒔美重視長期維護,
延續全口重建成果

令蔡先生意外的是,全口重建帶來的改變不只有咀嚼功能,就連同事都發現他的笑容煥然一新。

蒔美術前結合臉部掃描、動態影像與 DSD 數位微笑設計,分析五官比例及表情變化,再由假牙醫師與技術師面對面溝通,兼顧牙齒美觀與自然神情。

術後,蒔美也規劃高壓氧輔助療程,期望透過提升組織氧氣供應,幫助術後組織修復,減輕腫脹與不適。

然而,全口重建完成後,如何維持植體周圍組織健康,同樣是影響長期成果的重要關鍵。為此,蒔美特別引進 GBT(Guided Biofilm Therapy)引導式生物膜治療,透過牙菌斑顯示劑,讓肉眼不易察覺的牙菌斑清楚顯現,再運用專業清潔設備,針對植體周圍、假牙底部及日常刷牙難以觸及的死角進行清潔。

搭配定期回診、口腔衛生評估與居家清潔指導,有助於降低植體周圍黏膜炎及植體周圍炎的發生風險,讓重建成果獲得持續照護。

對蒔美牙醫而言,手術可以在一天內完成,長期維護,卻是一輩子的志業。

如今,蔡先生終於告別只能喝流質食物的日子。能與女友一起走進餐廳,享受一碗熱麵、一份牛排,這些看似平凡的生活片刻,正是全口重建為他找回的幸福。

▼ 查看英文翻譯 / Read in English

To Mr. Tsai’s pleasant surprise, the benefits went far beyond restoring his bite—colleagues immediately noticed how revitalized, natural, and confident his smile looked.

During the planning phase, Smile Dental combined 3D facial scanning, dynamic video analysis, and Digital Smile Design (DSD) to analyze his facial proportions and micro-expressions. Restorative dentists and dental technicians collaborated closely to create a custom smile that balanced ideal dental aesthetics with authentic facial expressions.

Following surgery, Smile Dental administered adjunctive Hyperbaric Oxygen Therapy (HBOT). By boosting cellular oxygen delivery, this protocol accelerates tissue repair while minimizing postoperative swelling and discomfort.

Once full-arch restoration is achieved, preserving the health of surrounding peri-implant tissues is vital for long-term clinical success. To support this, Smile Dental incorporates Guided Biofilm Therapy (GBT). By applying a disclosing agent, clinicians reveal otherwise invisible biofilm before systematically removing it using specialized air-polishing and ultrasonic instrumentation—meticulously debriding around implant collars, beneath the bridge, and in hard-to-reach niches that regular brushing cannot touch.

Coupled with routine recall visits, objective periodontal evaluations, and personalized home-care guidance, this comprehensive regimen significantly lowers the incidence of peri-implant mucositis and peri-implantitis, ensuring the patient's investment is protected for years to come.

For Smile Dental, surgical rehabilitation may be accomplished in a single day, but long-term maintenance is a lifelong commitment.

Today, Mr. Tsai has permanently left behind the days of drinking pureed meals. Walking into a restaurant with his partner to share a hot bowl of noodles or savor a steak—these simple, everyday moments are the true joys that full-mouth reconstruction has restored to his life.

假牙醫師林正忠全口重建賴泓璋醫師賴醫師拷貝