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	<title>口腔衛教 - 沐群牙醫診所</title>
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		<title>🍭 吃不停也會蛀牙？你可能忽略了「吃飯習慣」才是蛀牙的真兇！</title>
		<link>https://www.muchundental.com/%f0%9f%8d%ad-%e5%90%83%e4%b8%8d%e5%81%9c%e4%b9%9f%e6%9c%83%e8%9b%80%e7%89%99%ef%bc%9f%e4%bd%a0%e5%8f%af%e8%83%bd%e5%bf%bd%e7%95%a5%e4%ba%86%e3%80%8c%e5%90%83%e9%a3%af%e7%bf%92%e6%85%a3%e3%80%8d/</link>
		
		<dc:creator><![CDATA[muchun]]></dc:creator>
		<pubDate>Tue, 18 Nov 2025 11:24:19 +0000</pubDate>
				<category><![CDATA[口腔衛教]]></category>
		<category><![CDATA[低蛀牙的飲食節奏]]></category>
		<category><![CDATA[蛀牙的真兇]]></category>
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										<content:encoded><![CDATA[<p><section class="ffb-id-7oquh4gj fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;parallax&quot;,&quot;url&quot;:&quot;https:\/\/www.muchundental.com\/wp-content\/uploads\/2024\/06\/home_banner.jpg&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;width&quot;:&quot;2048&quot;,&quot;height&quot;:&quot;1038&quot;,&quot;speed&quot;:&quot;50&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;offset_h&quot;:&quot;50&quot;,&quot;offset_v&quot;:&quot;50&quot;}" class="fg-bg-layer fg-bg-type-parallax " style="opacity: 1; background-image: url(&quot;https://www.muchundental.com/wp-content/uploads/2024/06/home_banner.jpg&quot;);"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oquh4gk fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-8jubkhjm fg-text-dark"><div class="ark-twentytwenty ark-twentytwenty-horizontal" data-orientation="horizontal" data-offset-pct="0.5"></div></div><div class="ffb-id-7oquhk68 ffg-empty-space fg-text-dark"></div></div></div></div></section><style>@media (min-width:992px) { .ffb-id-7oquh4gk{ padding-top: 150px;padding-bottom: 150px;}}.ffb-id-7oquhk68{ height: 300px;}.ffb-id-8jubkhjm .twentytwenty-before-label:before{ text-align:center;}.ffb-id-8jubkhjm .twentytwenty-after-label:before{ text-align:center;}.ffb-id-8jubkhjm .twentytwenty-before-label:before{ content:"Before";}.ffb-id-8jubkhjm .twentytwenty-before-label:before{ min-width:130px;}.ffb-id-8jubkhjm .twentytwenty-after-label:before{ content:"After";}.ffb-id-8jubkhjm .twentytwenty-after-label:before{ width:130px;}.ffb-id-8jubkhjm .twentytwenty-left-arrow{ border-right-color:#ffffff;}.ffb-id-8jubkhjm .twentytwenty-right-arrow{ border-left-color:#ffffff;}.ffb-id-8jubkhjm .twentytwenty-up-arrow{ border-bottom-color:#ffffff;}.ffb-id-8jubkhjm .twentytwenty-down-arrow{ border-top-color:#ffffff;}.ffb-id-8jubkhjm .twentytwenty-handle{ border-color:#ffffff;}</style><script type="text/javascript"></script><section class="ffb-id-7oqdljbs fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}" class="fg-bg-layer fg-bg-type-color " style="opacity: 1; background-color: #ffffff;"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-90l5t16i fg-col col-xs-12 col-md-12 fg-text-dark"><h2 class="ffb-id-90l5t16k fg-heading text-left    article-title-1 fg-text-dark">🍭 吃不停也會蛀牙？你可能忽略了「吃飯習慣」才是蛀牙的真兇！</h2><div class="ffb-id-90l6jlde ffg-empty-space fg-text-dark"></div><div class="ffb-id-90l5t16l fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>當我們想到蛀牙，第一個念頭通常是「吃太多糖」、「沒刷牙」對吧？但你知道嗎？其實在孩子每天的飲食行為中，有一個被大人忽略的關鍵因素，正在悄悄提高蛀牙風險&mdash;&mdash;那就是「吃飯的時間與頻率」！</p>
<p></div><div class="ffb-id-90l5t16n fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>如果您的孩子：<br />&nbsp;&bull;&nbsp;吃飯很慢，一餐超過 40 分鐘<br />&nbsp;&bull;&nbsp;喜歡含著食物，咬幾下就停住<br />&nbsp;&bull;&nbsp;從早到晚不斷吃零食、喝飲料</p>
<p>那麼孩子的牙齒幾乎沒有「休息時間」，長時間暴露在酸性環境中，讓牙菌斑越來越厚，蛀牙自然找上門！</p>
<p></div></div><div class="ffb-id-8kt4m74n fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oehuerb divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><h2 class="ffb-id-8kt4m74q fg-heading text-left    article-title-1 fg-text-dark">🦷 為什麼「吃太久、吃太頻」會讓牙齒受傷？</h2><div class="ffb-id-90l6m8ku ffg-empty-space fg-text-dark"></div><div class="ffb-id-8kt4m74r fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>蛀牙的形成是一場「時間與酸」的攻防戰。當我們吃東西時，尤其是含糖或澱粉類食物（如米飯、麵條、餅乾），口腔中的細菌會利用這些食物中的糖分產酸，造成「脫鈣」──也就是琺瑯質的礦物質流失。</p>
<p>平時，我們的唾液會幫助牙齒「再礦化」，修補這些損傷。但這需要時間，約需 30～60 分鐘。</p>
<p>若孩子含飯不吞、吃飯時間過長，或整天嘴巴裡都有零食，那牙齒就會一直處在「酸性攻擊」中，唾液根本來不及修復，就會形成蛀牙！</p>
<p></div><h2 class="ffb-id-8kt4tvsk fg-heading text-left    article-title-1 fg-text-dark">📌 高蛀牙風險的吃飯習慣有哪些？</h2><div class="ffb-id-90l6mgk8 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8kt4u8ps fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>1️⃣含食物太久、吃飯太慢<br />　　孩子吃飯拖延、不專心、邊吃邊玩，或習慣含著食物不吞，讓食物在嘴裡停留太久。即使是看似無害的白飯、麵條，也會在口中被分解成糖分，產酸時間拉長，牙齒就越容易脫鈣蛀蝕。</p>
<p>2️⃣零食吃不停、吃東西沒節制<br />　　三餐以外一直有吃的、喝的，像是含糖飲料、餅乾、糖果、水果乾等。每次吃東西，口腔 pH 值就會下降，進入酸性狀態，唾液來不及中和酸性，就又接著吃下一樣，導致牙齒一整天都無法修復。</p>
<p></div></div><div class="ffb-id-8oguocrp fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oguocrq divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><h2 class="ffb-id-8oguocrr fg-heading text-left    article-title-1 fg-text-dark">📚 養成低蛀牙的飲食節奏，這樣做最有效：</h2><div class="ffb-id-90l6n3nt ffg-empty-space fg-text-dark"></div><div class="ffb-id-8oguocrs fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>✅控制進食頻率：三餐定時，零食集中在餐後食用<br />✅不拖餐：正餐應該控制在 30 分鐘內結束<br />✅避免含飯不吞：吃飯時要專注、適度咀嚼後就吞下<br />✅餐後清潔：吃完漱口或喝水，必要時咀嚼無糖口香糖刺激唾液<br />✅選對零食：少吃高黏性、高糖的食品，飲料以白開水取代</p>
<p></div><div class="ffb-id-8oh158s1 ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8oguocrt fg-heading text-left    article-title-1 fg-text-dark">🌟 結語：不是吃什麼，而是「怎麼吃」決定了蛀牙的風險！</h2><div class="ffb-id-90l6nar2 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8oguocru fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>蛀牙是「牙齒、食物、細菌、時間」四大要素共同作用的結果。其中，「時間」最常被忽略。吃太久、吃太頻，不只是吃多了糖，而是讓牙齒與酸的接觸時間拉長，讓牙菌斑有機可乘。</p>
<p>從下一餐開始，試著陪孩子練習專心吃飯、定時定量，幫牙齒爭取修復的時間。改變一個小習慣，就是孩子遠離蛀牙的第一步！</p>
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<p>本文由朱書儀醫師撰寫</p>
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		<item>
		<title>告別奶瓶、夜奶與奶嘴：給爸媽的安心戒除指南</title>
		<link>https://www.muchundental.com/%e5%91%8a%e5%88%a5%e5%a5%b6%e7%93%b6%e3%80%81%e5%a4%9c%e5%a5%b6%e8%88%87%e5%a5%b6%e5%98%b4%ef%bc%9a%e7%b5%a6%e7%88%b8%e5%aa%bd%e7%9a%84%e5%ae%89%e5%bf%83%e6%88%92%e9%99%a4%e6%8c%87%e5%8d%97/</link>
		
		<dc:creator><![CDATA[muchun]]></dc:creator>
		<pubDate>Fri, 08 Aug 2025 07:20:19 +0000</pubDate>
				<category><![CDATA[口腔衛教]]></category>
		<category><![CDATA[奶瓶性蛀牙]]></category>
		<category><![CDATA[蛀牙]]></category>
		<guid isPermaLink="false">https://www.muchundental.com/?p=3282</guid>

					<description><![CDATA[]]></description>
										<content:encoded><![CDATA[<p><section class="ffb-id-7oquh4gj fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;parallax&quot;,&quot;url&quot;:&quot;https:\/\/www.muchundental.com\/wp-content\/uploads\/2024\/06\/home_banner.jpg&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;width&quot;:&quot;2048&quot;,&quot;height&quot;:&quot;1038&quot;,&quot;speed&quot;:&quot;50&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;offset_h&quot;:&quot;50&quot;,&quot;offset_v&quot;:&quot;50&quot;}" class="fg-bg-layer fg-bg-type-parallax " style="opacity: 1; background-image: url(&quot;https://www.muchundental.com/wp-content/uploads/2024/06/home_banner.jpg&quot;);"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oquh4gk fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-8jubkhjm fg-text-dark"><div class="ark-twentytwenty ark-twentytwenty-horizontal" data-orientation="horizontal" data-offset-pct="0.5"></div></div><div class="ffb-id-7oquhk68 ffg-empty-space fg-text-dark"></div></div></div></div></section><style></style><script type="text/javascript"></script><section class="ffb-id-7oqdljbs fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}" class="fg-bg-layer fg-bg-type-color " style="opacity: 1; background-color: #ffffff;"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7r0uckf5 fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-7r0uckf6 fg-wrapper fg-text-dark"><h2 class="ffb-id-8oehjaqc fg-heading text-left    article-title-1 fg-text-dark">🍼 告別奶瓶、夜奶與奶嘴：給爸媽的安心戒除指南</h2><div class="ffb-id-8oehd84a ffg-empty-space fg-text-dark"></div><div class="ffb-id-8oeh9kc9 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>對許多家長來說，奶瓶與奶嘴是哄睡、安撫孩子的好幫手，而夜奶更是養育寶寶過程中再熟悉不過的習慣。<br />但您知道嗎？<strong>如果長期依賴這些工具，可能會悄悄損害孩子的口腔健康</strong>，甚至導致「奶瓶性蛀牙」或影響牙齒發育。</p>
<p>其實，只要掌握適當時機與溫和策略，<strong>在孩子3歲以前逐步戒除奶瓶、夜奶與奶嘴，就能有效預防口腔問題</strong>，讓孩子擁有健康、漂亮的笑容。<br />這篇文章將帶您一起了解如何「溫柔而堅定」地幫助孩子完成這場轉變。</p>
<p></div></div></div><div class="ffb-id-8kt4m74n fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oehuerb divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><h2 class="ffb-id-8kt4m74q fg-heading text-left    article-title-1 fg-text-dark">🔍 為什麼要戒除奶瓶、夜奶與奶嘴？</h2><div class="ffb-id-8kt4m74r fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>&nbsp;1.&nbsp;預防奶瓶性蛀牙<br />當孩子含著奶瓶入睡，奶水中的糖分會長時間附著在牙齒表面。睡眠期間唾液分泌減少，使細菌更容易滋生，導致上排門牙出現大片蛀牙，這就是所謂的「奶瓶性蛀牙」。<br />&nbsp;2.&nbsp;避免影響牙齒排列與發育<br />長時間吸吮奶瓶或奶嘴，會干擾上下顎骨發展，可能導致「開咬」或「暴牙」等咬合問題，日後可能需接受矯正治療。<br />&nbsp;3.&nbsp;培養孩子的獨立進食能力<br />早點戒掉奶瓶，能幫助孩子學會使用杯子，訓練手部協調與口腔肌肉，也能促進說話與咀嚼能力的發展。</p>
<p></div><h2 class="ffb-id-8kt4tvsk fg-heading text-left    article-title-1 fg-text-dark">👶 如何循序漸進地戒掉奶瓶？</h2><div class="ffb-id-8kt4u8ps fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>🕐最佳戒除時機：1歲～2歲之間<br />&nbsp;1.&nbsp;白天先開始戒<br />從白天先改用吸管杯或學習杯喝水、喝奶，鼓勵孩子接受「新杯子」，可選擇可愛圖案吸引他們主動使用。<br />&nbsp;2.&nbsp;改變睡前儀式<br />睡前喝完奶後立即刷牙，之後不再讓孩子含著奶瓶入睡，可改用故事、音樂、輕拍等方式安撫。<br />&nbsp;3.&nbsp;最終目標<br />建議在1歲半至2歲間，完全戒除奶瓶使用。</p>
<p></div><h2 class="ffb-id-93jp0l0c fg-heading text-left    article-title-1 fg-text-dark">🌙 夜奶也該慢慢說再見！</h2><div class="ffb-id-93jp5mee fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>🕐最佳戒除時機：2歲前<br />&nbsp;1.&nbsp;漸漸減少餵奶次數與份量<br />例如從兩次減為一次，再將奶水稀釋，讓孩子逐漸失去對夜奶的依賴。<br />&nbsp;2.&nbsp;睡前吃飽再入睡<br />確保孩子白天飲食均衡，睡前一餐吃得飽，就不容易因為飢餓夜醒。<br />&nbsp;3.&nbsp;建立新的安撫方式<br />以說故事、唱歌或陪睡等方式取代夜奶的安撫功能，幫助孩子建立更健康的睡眠習慣。</p>
<p></div><h2 class="ffb-id-93jqpqah fg-heading text-left    article-title-1 fg-text-dark">🍼 戒奶嘴，也別拖太晚！</h2><div class="ffb-id-93jqqajf fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>🕐最佳戒除時機：2歲前開始減少，3歲前戒除為佳<br />&nbsp;1.&nbsp;限制使用情境<br />將奶嘴限定在情緒不安或入睡時使用，避免白天無聊時長時間吸吮。<br />&nbsp;2.&nbsp;用其他安撫物品取代<br />像是安撫巾、玩偶、小枕頭等，都能成為孩子新的安全感來源。<br />&nbsp;3.&nbsp;正向引導＋獎勵制度<br />告訴孩子：「你已經長大，不需要奶嘴了！」可搭配「貼紙收集換禮物」等獎勵方式，讓孩子更有動力。<br />&nbsp;4.&nbsp;自主參與、溫柔堅定<br />不強迫、不羞辱，用愛與耐心陪伴孩子完成這段轉變。</p>
<p></div></div><div class="ffb-id-8oguocrp fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oguocrq divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><div class="ffb-id-8oh158s1 ffg-empty-space fg-text-dark"></div></div><div class="ffb-id-8fr18sge fg-col col-xs-12 col-md-12 fg-text-dark"><h2 class="ffb-id-8k0tvim7 fg-heading text-left    article-title-1 fg-text-dark">🔔 小提醒給爸媽：</h2><div class="ffb-id-93jquli7 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>&bull;&nbsp;一致性最重要：讓所有照顧者（如祖父母、保母）一起配合，避免孩子混淆。<br />&bull; 孩子會哭是正常的：面對情緒反應，家長只要「溫柔但堅定」，不用過度心軟。<br />&bull; 有問題請尋求協助：若戒除過程中出現牙齒排列異常、門牙變色、咬合異常等情況，請盡早諮詢兒童牙科醫師。</p>
<p></div><div class="ffb-id-8kt79hmm ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-93jrlnc0 fg-heading text-left    article-title-1 fg-text-dark">🎁 結語：小習慣，大影響</h2><div class="ffb-id-8fr36a0h fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>戒除奶瓶、夜奶與奶嘴，不只是生活上的改變，更是孩子邁向健康口腔的第一步。當孩子學會用杯子、擁有整齊牙齒、避免蛀牙時，你會慶幸自己在對的時機，做出了對的決定。</p>
<p>從今天開始，與孩子一起迎接無奶瓶的日子，打造更健康、更獨立的成長旅程吧！</p>
<p></div></div></div></div></section><style>.ffb-id-93jrlnc0{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-93jrlnc0:before,.ffb-id-93jrlnc0:after,.ffb-id-93jrlnc0:hover,.ffb-id-93jrlnc0:focus,.ffb-id-93jrlnc0 *,.ffb-id-93jrlnc0 *:before,.ffb-id-93jrlnc0 *:after,.ffb-id-93jrlnc0 *:hover,.ffb-id-93jrlnc0 *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8k0tvim7{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8k0tvim7:before,.ffb-id-8k0tvim7:after,.ffb-id-8k0tvim7:hover,.ffb-id-8k0tvim7:focus,.ffb-id-8k0tvim7 *,.ffb-id-8k0tvim7 *:before,.ffb-id-8k0tvim7 *:after,.ffb-id-8k0tvim7 *:hover,.ffb-id-8k0tvim7 *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-93jqpqah{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-93jqpqah:before,.ffb-id-93jqpqah:after,.ffb-id-93jqpqah:hover,.ffb-id-93jqpqah:focus,.ffb-id-93jqpqah *,.ffb-id-93jqpqah *:before,.ffb-id-93jqpqah *:after,.ffb-id-93jqpqah *:hover,.ffb-id-93jqpqah *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-93jp0l0c{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-93jp0l0c:before,.ffb-id-93jp0l0c:after,.ffb-id-93jp0l0c:hover,.ffb-id-93jp0l0c:focus,.ffb-id-93jp0l0c *,.ffb-id-93jp0l0c *:before,.ffb-id-93jp0l0c *:after,.ffb-id-93jp0l0c *:hover,.ffb-id-93jp0l0c *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8oehd84a{ height: 20px;}.ffb-id-8oehjaqc{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8oehjaqc:before,.ffb-id-8oehjaqc:after,.ffb-id-8oehjaqc:hover,.ffb-id-8oehjaqc:focus,.ffb-id-8oehjaqc *,.ffb-id-8oehjaqc *:before,.ffb-id-8oehjaqc *:after,.ffb-id-8oehjaqc *:hover,.ffb-id-8oehjaqc *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}</style><script type="text/javascript"></script><section class="ffb-id-8fr3md4b fg-section fg-text-dark"><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-8kt6eq1l ffg-empty-space fg-text-dark"></div><div class="ffb-id-8fr3ot32 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>本文由朱書儀醫師撰寫</p>
<p></div><div class="ffb-id-8fr3md4c fg-col col-xs-12 col-md-12 fg-text-dark"></div></div></div></section><style>.ffb-id-93jrlnc0{ 
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		<item>
		<title>🦷 為什麼會蛀牙？ 讓你搞懂蛀牙怎麼來、怎麼防！</title>
		<link>https://www.muchundental.com/%f0%9f%a6%b7-%e7%82%ba%e4%bb%80%e9%ba%bc%e6%9c%83%e8%9b%80%e7%89%99%ef%bc%9f-%e8%ae%93%e4%bd%a0%e6%90%9e%e6%87%82%e8%9b%80%e7%89%99%e6%80%8e%e9%ba%bc%e4%be%86%e3%80%81%e6%80%8e%e9%ba%bc%e9%98%b2/</link>
		
		<dc:creator><![CDATA[muchun]]></dc:creator>
		<pubDate>Thu, 17 Jul 2025 08:27:09 +0000</pubDate>
				<category><![CDATA[一般治療]]></category>
		<category><![CDATA[口腔衛教]]></category>
		<category><![CDATA[蛀牙]]></category>
		<guid isPermaLink="false">https://www.muchundental.com/?p=3258</guid>

					<description><![CDATA[]]></description>
										<content:encoded><![CDATA[<p><section class="ffb-id-7oquh4gj fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;parallax&quot;,&quot;url&quot;:&quot;https:\/\/www.muchundental.com\/wp-content\/uploads\/2024\/06\/home_banner.jpg&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;width&quot;:&quot;2048&quot;,&quot;height&quot;:&quot;1038&quot;,&quot;speed&quot;:&quot;50&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;offset_h&quot;:&quot;50&quot;,&quot;offset_v&quot;:&quot;50&quot;}" class="fg-bg-layer fg-bg-type-parallax " style="opacity: 1; background-image: url(&quot;https://www.muchundental.com/wp-content/uploads/2024/06/home_banner.jpg&quot;);"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oquh4gk fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-8jubkhjm fg-text-dark"><div class="ark-twentytwenty ark-twentytwenty-horizontal" data-orientation="horizontal" data-offset-pct="0.5"></div></div><div class="ffb-id-7oquhk68 ffg-empty-space fg-text-dark"></div></div></div></div></section><style></style><script type="text/javascript"></script><section class="ffb-id-7oqdljbs fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}" class="fg-bg-layer fg-bg-type-color " style="opacity: 1; background-color: #ffffff;"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7r0uckf5 fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-7r0uckf6 fg-wrapper fg-text-dark"><ul class="ffb-id-8juc67ac ffb-list lists-base fg-text-dark"><li class="ffb-list-item text-left ffb-list-style-icon list-unstyled fg-text-dark ffb-list-item-1"><i class="ffb-list-icon ff-font-awesome4 icon-angle-right  fg-text-dark ffb-one-icon"></i><div class="ffb-list-text fg-text-dark ffb-one-text"></p>
<p>你是不是也曾經想過：<br />「我每天都有刷牙，怎麼還是會蛀牙？」<br />「蛀牙是因為吃太多糖嗎？」</p>
<p><span style="vertical-align: inherit"><span style="vertical-align: inherit">&nbsp;</span></span></p>
<p></div></li></ul><section class="ffb-id-7r0ue7gr divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><div class="ffb-id-8oeg7bua ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8oegbl5p fg-heading text-left    article-title-1 fg-text-dark"></p>
<h3>其實，蛀牙不是一兩天造成的，也不只是因為吃糖，真正的原因比你想像的更複雜&mdash;&mdash;但也更能預防！</h3>
<h3>今天這篇文章，就來用簡單好懂的方式，告訴你：</h3>
<p></h2><div class="ffb-id-8k0s5gs6 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>✅ 蛀牙是怎麼來的？<br />✅ 怎麼知道自己是不是快蛀牙了？<br />✅ 有哪些方法可以有效預防？</p>
<p></div><div class="ffb-id-8oehct1s ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8oehjaqc fg-heading text-left    article-title-1 fg-text-dark">🔍 蛀牙到底是什麼？</h2><div class="ffb-id-8oehd84a ffg-empty-space fg-text-dark"></div><div class="ffb-id-8oeh9kc9 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>蛀牙，其實就是<strong>牙齒被口腔裡的細菌慢慢侵蝕、破壞</strong>的過程</p>
<p>這些細菌平常就住在我們嘴巴裡，它們最喜歡我們吃的「糖分」，只要你一吃甜食或喝含糖飲料，細菌就開始大量繁殖，並產生酸。這些酸會把牙齒最外層的「琺瑯質」溶解掉，時間一久，就會形成蛀洞</p>
<p>簡單說：<strong>蛀牙=細菌＋食物＋時間＋牙齒沒清乾淨</strong></p>
<p></div></div></div><div class="ffb-id-8kt4m74n fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oehuerb divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><h2 class="ffb-id-8kt4m74q fg-heading text-left    article-title-1 fg-text-dark">🧪 蛀牙的形成，需要「四大條件」</h2><div class="ffb-id-8kt4m74r fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>1️⃣ <strong>口腔細菌</strong></p>
<p>最主要的罪魁禍首是「變形鏈球菌」，它會將你吃進去的糖轉換成酸，直接攻擊牙齒表面</p>
<p>2️⃣ <strong>食物</strong>（特別是含糖、黏性食物、酸的食物）</p>
<p>糖果、手搖飲、餅乾、甚至精緻澱粉（像白麵包）都會轉化成細菌愛吃的糖分。酸的食物則是會腐蝕掉牙齒表面琺瑯質，造成牙齒更容易蛀牙</p>
<p>3️⃣ <strong>牙齒</strong></p>
<p>如果牙齒排列比較擁擠難以清潔、後牙牙齒溝槽比較深，或是牙齒先天鈣化不全，就會更容易被侵蝕</p>
<p>4️⃣ <strong>時間</strong></p>
<p>只要牙齒表面有糖＋細菌＋酸，停留的時間夠久，蛀牙就會慢慢產生。<strong>所以不是吃糖，而是「吃糖後沒有好好清潔」才是問題</strong></p>
<p></div><h2 class="ffb-id-8kt4tvsk fg-heading text-left    article-title-1 fg-text-dark">🔍蛀牙的發展階段</h2><div class="ffb-id-8kt4u8ps fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>1️⃣<strong>白白的斑點（初期）</strong><br />牙齒琺瑯質表面出現粉白色、霧霧的斑點？可能是琺瑯質開始脫鈣了！<br />這時候還有機會藉由「再鈣化」回健康的齒質</p>
<p>2️⃣<strong>小黑點、小凹洞（中期）</strong><br />細菌突破琺瑯質，開始蛀到更裡面的「象牙質」，這時候有可能吃冷的、熱的、甜的會酸酸的感覺，這時候就要補牙了！</p>
<p>3️⃣<strong>明顯黑洞＋牙痛（後期）</strong><br />蛀牙更深，已經靠近牙神經，可能會自發性的痛、甚至感染腫起來，太嚴重的蛀牙就可能需要做根管治療（抽神經）了!</p>
<p></div><div class="ffb-id-8kt4m754 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>牙菌斑與牙結石都是細菌的大本營，身體的免疫系統會對它們發起反應，也就是我們說的「發炎」。長期發炎會破壞牙齦與齒槽骨，導致牙齒的支持結構受損，產生牙齒搖動、鬆動等問題。</p>
<p></div></div><div class="ffb-id-8oguocrp fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8oguocrq divider-custom divider-alignment-center  fg-text-dark"><div class="divider-custom-line fg-text-dark ffb-divider" data-fg-height="{&quot;1&quot;:&quot;2&quot;,&quot;2&quot;:&quot;2&quot;,&quot;3&quot;:&quot;2&quot;,&quot;4&quot;:&quot;2&quot;}"></div></section><h2 class="ffb-id-8oguocrr fg-heading text-left    article-title-1 fg-text-dark">🪥 那要怎麼預防蛀牙？</h2><ul class="ffb-id-8ogut400 ffb-list lists-base fg-text-dark"><li class="ffb-list-item text-left ffb-list-style-icon list-unstyled fg-text-dark ffb-list-item-1"><i class="ffb-list-icon ff-font-awesome4 icon-angle-right  fg-text-dark ffb-one-icon"></i><div class="ffb-list-text fg-text-dark ffb-one-text"></p>
<p>這裡有幾個實用又有效的方法，可以幫你把蛀牙機率降到最低：</p>
<p></div></li></ul><div class="ffb-id-8oguocrs fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>✅ <strong>正確刷牙，餐後馬上刷牙</strong></p>
<p>飯後刷牙搭配使用含氟牙膏，可以強化牙齒、幫助再礦化。</p>
<p>✅ <strong>每天使用牙線</strong></p>
<p>牙刷刷不到的地方，牙線可以幫忙。牙縫常常是細菌和食物殘渣的「死角」，不清會慢慢蛀。</p>
<p>✅ <strong>控制進食時間</strong></p>
<p>正餐吃完的半小時內可以喝飲料、吃甜點、吃水果，但吃完喝完以後一定要馬上刷牙，而且在下一個正餐之前，只能喝水或無糖茶葉，黑咖啡、氣泡水也會增加蛀牙機率喔。</p>
<p>✅ <strong>有進食就刷牙</strong></p>
<p>有進食就要刷牙，只有漱口是沒有用的，就像洗澡我們不會只有用水沖，而是會需要物理性質的搓洗，牙齒刷過才會乾淨喔。</p>
<p>但也不需要每次進食都非常認真刷很大力，一天三餐飯後認真刷，中間吃點心以後輕輕刷，避免牙齒或牙齦因為刷太用力太多次而受傷喔。</p>
<p>✅ <strong>定期看牙醫</strong></p>
<p>定期給牙醫師洗牙、拍攝Ｘ光、口內檢查，可以早期發現蛀牙，避免拖到會痛、需要抽神經、甚至拔牙喔。</p>
<p>✅ <strong>水不能喝太少</strong></p>
<p>水喝太少或是口水分泌太少，都可能大幅增加蛀牙機率。建議適度的增加喝水頻率，但小心過量而導致水中毒或電解質失衡喔。</p>
<p>✅ <strong>特別建議：兒童與高風險族群</strong></p>
<p>建議考慮塗氟保護牙齒，或做窩溝封填（封住牙齒咬合面容易蛀的地方）。</p>
<p></div><div class="ffb-id-8oh158s1 ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8oguocrt fg-heading text-left    article-title-1 fg-text-dark">❗蛀牙的常見迷思：</h2><div class="ffb-id-8oguocru fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>❌<strong> 迷思 1：刷牙越用力越乾淨，才不會蛀牙</strong><br />✅ <strong>事實：刷太用力反而會傷牙、傷牙齦！</strong></p>
<p>蛀牙不是因為「刷不夠用力」，而是因為「刷不夠徹底」。刷牙重點是技巧、位置、次數，而不是刷牙的力量，學習貝氏刷牙法和刷牙力量，才是正確的潔牙守則喔。</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>❌ <strong>迷思 2：牙齒沒痛，就沒有蛀牙</strong><br />✅ <strong>事實：早期蛀牙通常沒有症狀！</strong></p>
<p>很多人等到牙痛才看牙醫，但事實上，蛀牙早期幾乎不會痛，等到開始痛，通常已經傷到牙神經了。這也是為什麼建議最少每半年定期檢查，可以早期發現、早期補救。</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>❌ <strong>迷思 3：小蛀牙不處理，自己會好起來</strong><br />✅ <strong>事實：蛀牙一旦形成，只會越來越大！</strong></p>
<p>蛀牙不像傷口會自己癒合，只要有蛀洞，細菌就會繼續往牙齒深層擴散。不補起來，最後可能需要抽神經、甚至拔牙。提早處理反而花費更少、痛苦更小。</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>❌ <strong>迷思 4：吃完東西到底多久才刷牙</strong><br />✅ <strong>事實：吃完酸性食物後，應該等30分鐘再刷？</strong></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>❌ <strong>迷思 5：乳牙反正會換，不用太在意蛀牙</strong><br />✅ <strong>事實：乳牙蛀牙也會痛，甚至影響恆牙生長與咬合！</strong></p>
<p>乳牙是孩子學習咀嚼、發音與正常發育的重要工具，<strong>乳牙蛀牙會導致牙痛、咀嚼困難、營養不良，乳牙蛀牙太嚴重，甚至可能會感染到正在發育的恆牙，造成恆牙鈣化不全未來容易蛀牙</strong>。所以兒童的牙齒保健非常重要！</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>❌ <strong>迷思 6只用漱口水可以取代刷牙</strong><br />✅ <strong>事實：漱口水無法清掉牙菌斑！</strong></p>
<p>漱口水可以<strong>短暫降低細菌量與口氣</strong>，但沒辦法把牙齒上的牙菌斑清乾淨。<strong>正確刷牙和使用牙線才是清潔牙菌斑的關鍵</strong>。</p>
<p><strong>&nbsp;</strong></p>
<p></div></div><div class="ffb-id-8fr18sge fg-col col-xs-12 col-md-12 fg-text-dark"><h2 class="ffb-id-8k0tvim7 fg-heading text-left    article-title-1 fg-text-dark">🔚 總結：蛀牙不是運氣，是習慣</h2><ul class="ffb-id-8oh2oage ffb-list lists-base fg-text-dark"><li class="ffb-list-item text-left ffb-list-style-icon list-unstyled fg-text-dark ffb-list-item-1"><i class="ffb-list-icon ff-font-awesome4 icon-angle-right  fg-text-dark ffb-one-icon"></i><div class="ffb-list-text fg-text-dark ffb-one-text"></p>
<p>蛀牙不是突然發生的，它是日積月累的結果。但這也代表&mdash;&mdash;<strong>你有機會從現在開始，保護好自己的牙齒！</strong></p>
<p></div></li></ul><div class="ffb-id-8kt79hmm ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8fr18sgg fg-heading text-left    article-title-2 fg-text-dark">📌 記住這以下幾點：</h3><div class="ffb-id-8fr36a0h fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>✔️ 潔牙要確實<br />✔️ 餐和餐中間只能喝水和無糖茶葉<br />✔️ 定期給牙醫師進行口腔檢查</p>
<p>✔️ 搭配預防保健，例如塗氟、MI paste、溝隙封填或是ICON</p>
<p>&nbsp;</p>
<p>保養牙齒，從今天開始，就能少走很多「補牙、牙痛、抽神經」的痛苦之路喔！</p>
<p></div></div></div></div></section><style>.ffb-id-8fr18sgg{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8fr18sgg:before,.ffb-id-8fr18sgg:after,.ffb-id-8fr18sgg:hover,.ffb-id-8fr18sgg:focus,.ffb-id-8fr18sgg *,.ffb-id-8fr18sgg *:before,.ffb-id-8fr18sgg *:after,.ffb-id-8fr18sgg *:hover,.ffb-id-8fr18sgg *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8oehct1s{ height: 10px;}.ffb-id-8oegbl5p{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8oegbl5p:before,.ffb-id-8oegbl5p:after,.ffb-id-8oegbl5p:hover,.ffb-id-8oegbl5p:focus,.ffb-id-8oegbl5p *,.ffb-id-8oegbl5p *:before,.ffb-id-8oegbl5p *:after,.ffb-id-8oegbl5p *:hover,.ffb-id-8oegbl5p *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8oeg7bua{ height: 10px;}.ffb-id-7r0ue7gr .divider-custom-line{ background-color:#c4c4c4}.ffb-id-7r0ue7gr .ffb-divider{ width:100%; height:2px;}</style><script type="text/javascript"></script><section class="ffb-id-8fr3md4b fg-section fg-text-dark"><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-8kt6eq1l ffg-empty-space fg-text-dark"></div><div class="ffb-id-8fr3ot32 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>本文由劉仁傑醫師撰寫</p>
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		<title>青少年口腔健康矯正黃金期</title>
		<link>https://www.muchundental.com/%e9%9d%92%e5%b0%91%e5%b9%b4%e5%8f%a3%e8%85%94%e5%81%a5%e5%ba%b7%e7%9f%af%e6%ad%a3%e9%bb%83%e9%87%91%e6%9c%9f/</link>
		
		<dc:creator><![CDATA[muchun]]></dc:creator>
		<pubDate>Thu, 10 Jul 2025 06:47:33 +0000</pubDate>
				<category><![CDATA[口腔衛教]]></category>
		<category><![CDATA[青少年矯正]]></category>
		<guid isPermaLink="false">https://www.muchundental.com/?p=3202</guid>

					<description><![CDATA[]]></description>
										<content:encoded><![CDATA[<p><section class="ffb-id-7oquh4gj fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;parallax&quot;,&quot;url&quot;:&quot;https:\/\/www.muchundental.com\/wp-content\/uploads\/2024\/06\/home_banner.jpg&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;width&quot;:&quot;2048&quot;,&quot;height&quot;:&quot;1038&quot;,&quot;speed&quot;:&quot;50&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;offset_h&quot;:&quot;50&quot;,&quot;offset_v&quot;:&quot;50&quot;}" class="fg-bg-layer fg-bg-type-parallax " style="opacity: 1; background-image: url(&quot;https://www.muchundental.com/wp-content/uploads/2024/06/home_banner.jpg&quot;);"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oquh4gk fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-7oquhk68 ffg-empty-space fg-text-dark"></div></div></div></div></section><style></style><script type="text/javascript"></script><section class="ffb-id-7oqdljbs fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}" class="fg-bg-layer fg-bg-type-color " style="opacity: 1; background-color: #ffffff;"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-8nute06l fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-8nuu5537 divider-v1 divider-with-title-1-type fg-text-dark"><div class="divider-v1-element">青少年口腔健康矯正黃金期</div></section><div class="ffb-id-8nuu5lk7 fg-paragraph ff-richtext text-center    fg-text-dark"></p>
<p>從預防治療到自信笑容的全面照護</p>
<p></div><style class="ffb-id-8nute06o fg-text-dark">
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.divider-v1 .divider-v1-element:before, .divider-v1 .divider-v1-element:after{border-top-width:2px;}
</style><div class="ffb-id-8nute06s ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8nute06t fg-heading text-left    article-title-1 fg-text-dark">口腔健康概述<br />
</h2><div class="ffb-id-8o6jikoh ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nute06u fg-paragraph ff-richtext text-center    fg-text-dark"></p>
<p style="text-align: left">青少年正值充滿活力與創意的年紀，但在忙碌的課業與課外活動中，常常忽略了口腔清潔的重要性。建議每半年定期檢查牙齒，並持續維持良好的清潔習慣，才能及早發現問題，並獲得適當治療</p>
<p></div><div class="ffb-id-8nute070 ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nute06v fg-heading text-left    article-title-2 fg-text-dark">每天刷牙、使用牙線</h3><div class="ffb-id-8o71k7l8 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8o6plrpn fg-row row     fg-text-dark"><div class="ffb-id-8o6plrpo fg-col col-xs-12 col-md-8 fg-text-dark"><div class="ffb-id-8o6plrpq fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>剛萌發的大臼齒與牙縫是清潔上的死角。確實使用牙刷與牙線，搭配牙菌斑顯示劑，可以有效減少牙菌斑堆積，降低牙齦發炎與蛀牙的風險</p>
<p>刷牙重點：<br />(1) 水平刷法：每次刷兩顆牙，來回刷約20下後再換下一段。<br />(2) 刷完整口牙面：先刷外側一圈，再刷內側，最後是咬合面。<br />(3) 刷臼齒外側時，嘴巴微微閉合較容易清潔。</p>
<p>牙線重點：<br />將牙線通過牙縫最緊處後，緊貼牙面呈C字型，往上輕滑清潔，避免用力過猛傷及牙齦。</p>
<p></div></div><div class="ffb-id-8o6plrpr fg-col col-xs-12 col-md-4 fg-text-dark"><img fetchpriority="high" decoding="async" class="ffb-id-8o6plrpt fg-image  img-responsive full-width fg-text-dark" width="493" height="326" src="https://www.muchundental.com/wp-content/uploads/2025/07/家長陪同使用牙線棒.png" alt="家長陪同使用牙線棒"></div></div><h3 class="ffb-id-8nute073 fg-heading text-left    article-title-2 fg-text-dark">定期檢查</h3><div class="ffb-id-8nute074 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nute075 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>多數恆牙的早期蛀牙會從牙縫開始，需透過定期檢查與X光片協助才能及早發現與處理<br />另外，健保目前補助青少年每3個月塗氟一次，搭配良好清潔習慣，可大幅降低蛀牙進展速度</p>
<p></div><div class="ffb-id-8nute076 ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nute077 fg-heading text-left    article-title-2 fg-text-dark">飲食習慣</h3><div class="ffb-id-8nute078 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nute079 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>青少年常攝取高糖飲食，進食次數也多，回家後飯後清潔常被忽略，導致蛀牙機率增加<br />建議：減少糖分攝取（尤其是含糖含乳飲料）、減少用餐次數、餐間多喝水，有助降低蛀牙風險</p>
<p></div></div><div class="ffb-id-8nuu39j0 fg-col col-xs-12 col-md-12 fg-text-dark"><style class="ffb-id-8nuu39j3 fg-text-dark">
.divider-with-title-1-type > div{padding:0 30px;}
.divider-v1 .divider-v1-element:before, .divider-v1 .divider-v1-element:after{border-top-width:2px;}
</style><div class="ffb-id-8nuu39j7 ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8nuu39j8 fg-heading text-left    article-title-1 fg-text-dark">常見的口腔問題</h2><div class="ffb-id-8nuvi856 ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nuu39j9 fg-heading text-left    article-title-2 fg-text-dark">每天刷牙、使用牙線</h3><div class="ffb-id-8nuvimnu ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nuu39j6 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>齲齒（蛀牙）</p>
<p></div><div class="ffb-id-8nuu39jc fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>需藉由X光片協助評估蛀牙深度</p>
<p>(1) 早期齲齒：尚未需要補牙，可透過塗氟、加強清潔與飲食調整來抑制蛀牙發展<br />(2) 中期齲齒：應盡早清除蛀牙，範圍較大者可考慮陶瓷嵌體修復<br />(3) 嚴重齲齒：可能需接受活髓治療、根管治療，甚至拔牙</p>
<p></div><div class="ffb-id-8nuu39jd ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nuu39je fg-heading text-left    article-title-2 fg-text-dark">牙齦炎</h3><div class="ffb-id-8nuu39jf ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nuu39jg fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>青少年牙齦發炎的情形常見，常與以下原因有關：</p>
<p>A. 口腔清潔不確實：牙菌斑累積於牙齦邊緣，導致紅腫與流血<br />B. 缺乏維生素：尤其是維他命C，會影響牙齦組織的修復能力<br />C. 青春期賀爾蒙變化：使牙齦對牙菌斑反應更敏感<br />D. 鼻塞或口呼吸習慣：導致口腔乾燥、唾液減少，自淨能力下降，牙菌斑更易堆積，增加牙齦發炎風險</p>
<p></div><div class="ffb-id-8nuu39jh ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nuu39ji fg-heading text-left    article-title-2 fg-text-dark">口腔潰瘍</h3><div class="ffb-id-8nuu39jj ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nuu39jk fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>青少年常因壓力、作息紊亂、營養不足或咬合不正導致口腔潰瘍。建議適量補充維他命B群、C，減少熬夜，避免辛辣或油炸食物<br />若潰瘍反覆發作或持續超過兩週，應就醫檢查以排除其他潛在問題</p>
<p></div><div class="ffb-id-8nuu39ja ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nuv4l17 fg-heading text-left    article-title-2 fg-text-dark">智齒</h3><div class="ffb-id-8nuv635f ffg-empty-space fg-text-dark"></div><div class="ffb-id-8o6p281e fg-row row     fg-text-dark"><div class="ffb-id-8o6p281f fg-col col-xs-12 col-md-8 fg-text-dark"><div class="ffb-id-8o6p4v81 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>約在17歲左右開始出現智齒相關問題，如牙齦發炎、蛀牙或咬合異常建議定期檢查，由醫師追蹤智齒的生長情況，若出現不適可及早處理</p>
<p>以下情況建議拔除智齒：<br />(1) 反覆發炎或紅腫<br />(2) 智齒長歪或無法順利萌出<br />(3) 影響前方牙齒健康（如造成齲齒或牙周病）<br />(4) 智齒本身蛀牙或無法清潔乾淨<br />(5) 準備接受矯正治療</p>
<p></div></div><div class="ffb-id-8o6p281k fg-col col-xs-12 col-md-4 fg-text-dark"><img decoding="async" class="ffb-id-8o6p2f2q fg-image  img-responsive full-width fg-text-dark" width="881" height="479" src="https://www.muchundental.com/wp-content/uploads/2025/07/智齒.png" alt="智齒"></div></div><div class="ffb-id-8nuv6atv ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nuveab6 fg-heading text-left    article-title-2 fg-text-dark">口腔外傷</h3><div class="ffb-id-8nuv5shm ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nuvdi41 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>青少年在運動中易發生牙齒與下顎外傷，常見情形與處理建議如下：</p>
<p>(1) 牙齒斷裂：保留斷片，盡快就醫<br />(2) 牙齒鬆動或位移：立即就醫處理<br />(3) 恆牙脫落：勿刷洗脫落牙，可放入牛奶或生理食鹽水中保存，並在60分鐘內就醫<br />(4) 顎骨骨折：若有咬合不正、下巴偏斜、開口困難或劇烈疼痛，應立即就醫<br />(5) 軟組織撕裂：先冰敷止血，儘速就醫處理</p>
<p></div></div><div class="ffb-id-8nv1trfu fg-col col-xs-12 col-md-12 fg-text-dark"><style class="ffb-id-8nv1trfv fg-text-dark">
.divider-with-title-1-type > div{padding:0 30px;}
.divider-v1 .divider-v1-element:before, .divider-v1 .divider-v1-element:after{border-top-width:2px;}
</style><div class="ffb-id-8nv1trg2 ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8nv1trg3 fg-heading text-left    article-title-1 fg-text-dark">青少年矯正</h2><div class="ffb-id-8nv1trg4 ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nv1trg5 fg-heading text-left    article-title-2 fg-text-dark">矯正黃金期</h3><div class="ffb-id-8nv1trg6 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nv1trg8 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>青少年處於生長發育階段，顎骨尚未定型，牙齒與骨骼仍具可塑性，矯正效率高、效果好，矯正後牙齒整齊，更容易維持口腔清潔與健康</p>
<p></div><div class="ffb-id-8nv1trg9 ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nv1trga fg-heading text-left    article-title-2 fg-text-dark">牙齒矯正的目的</h3><div class="ffb-id-8nv1trgb ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nv1trgc fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>(1) 排列整齊：改善牙齒擁擠、歪斜、咬合不正等問題，並降低蛀牙與牙齦炎風險<br />(2) 改善臉型：修正暴牙、戽斗、嘴突、露齦笑等，提升外觀與自信<br />(3) 維持口腔健康<br />(4) 預防顳顎關節問題</p>
<p></div><div class="ffb-id-8nv1trgd ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nv1trge fg-heading text-left    article-title-2 fg-text-dark">常見適合矯正的情況</h3><div class="ffb-id-8nv1trgf ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nv1trgg fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>(1) 暴牙、嘴巴無法閉合<br />(2) 牙齒擁擠難以清潔<br />(3) 下巴過小或過大<br />(4) 臉型不對稱或歪斜</p>
<p></div><div class="ffb-id-8nv1trgh ffg-empty-space fg-text-dark"></div><h3 class="ffb-id-8nv1trgi fg-heading text-left    article-title-2 fg-text-dark">青少年常見矯正方式</h3><div class="ffb-id-8nv1trgj ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nv1trgk fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>(1) 固定式矯正器（金屬矯正）：效果穩定、效率高，但較明顯、清潔不易<br />(2) 隱形矯正器：美觀、可自行取下清潔，較適合自律性高的青少年<br />(3) 功能性矯正器：針對骨骼生長期使用，可調整顎骨發育方向</p>
<p></div><div class="ffb-id-8nv1trgl ffg-empty-space fg-text-dark"></div><div class="ffb-id-8nv1trgn ffg-empty-space fg-text-dark"></div></div></div></div></section><style>.ffb-id-8nv1trgn{ height: 30px;}.ffb-id-8nv1trgl{ height: 30px;}.ffb-id-8nv1trgj{ height: 30px;}.ffb-id-8nv1trgi{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8nv1trgi:before,.ffb-id-8nv1trgi:after,.ffb-id-8nv1trgi:hover,.ffb-id-8nv1trgi:focus,.ffb-id-8nv1trgi *,.ffb-id-8nv1trgi *:before,.ffb-id-8nv1trgi *:after,.ffb-id-8nv1trgi *:hover,.ffb-id-8nv1trgi *:focus{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8nv1trgh{ height: 30px;}.ffb-id-8nv1trgf{ height: 30px;}.ffb-id-8nv1trge{ font-family: 'Noto Serif TC', Arial, sans-serif !important;}.ffb-id-8nv1trge:before,.ffb-id-8nv1trge:after,.ffb-id-8nv1trge:hover,.ffb-id-8nv1trge:focus,.ffb-id-8nv1trge *,.ffb-id-8nv1trge *:before,.ffb-id-8nv1trge *:after,.ffb-id-8nv1trge *:hover,.ffb-id-8nv1trge *:focus{ font-family: 'Noto Serif 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class="ffb-id-8fr3ot32 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>本文由林芳槿醫師撰寫</p>
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			</item>
		<item>
		<title>各年齡層的⼝腔照護 兒童 (0-12歲)</title>
		<link>https://www.muchundental.com/%e5%90%84%e5%b9%b4%e9%bd%a1%e5%b1%a4%e7%9a%84%e2%bc%9d%e8%85%94%e7%85%a7%e8%ad%b7-%e5%85%92%e7%ab%a5-0-12%e6%ad%b2/</link>
		
		<dc:creator><![CDATA[muchun]]></dc:creator>
		<pubDate>Tue, 01 Apr 2025 08:33:27 +0000</pubDate>
				<category><![CDATA[口腔衛教]]></category>
		<category><![CDATA[乳牙]]></category>
		<category><![CDATA[塗氟]]></category>
		<category><![CDATA[小孩換牙]]></category>
		<category><![CDATA[溝隙封填]]></category>
		<guid isPermaLink="false">https://www.muchundental.com/?p=2998</guid>

					<description><![CDATA[]]></description>
										<content:encoded><![CDATA[<p><section class="ffb-id-7oquh4gj fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;parallax&quot;,&quot;url&quot;:&quot;https:\/\/www.muchundental.com\/wp-content\/uploads\/2024\/06\/home_banner.jpg&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;width&quot;:&quot;2048&quot;,&quot;height&quot;:&quot;1038&quot;,&quot;speed&quot;:&quot;50&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;offset_h&quot;:&quot;50&quot;,&quot;offset_v&quot;:&quot;50&quot;}" class="fg-bg-layer fg-bg-type-parallax " style="opacity: 1; background-image: url(&quot;https://www.muchundental.com/wp-content/uploads/2024/06/home_banner.jpg&quot;);"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oquh4gk fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-7oquhk68 ffg-empty-space fg-text-dark"></div></div></div></div></section><style></style><script type="text/javascript"></script><section class="ffb-id-7oqdljbs fg-section fg-el-has-bg fg-text-dark"><span class="fg-bg"><span data-fg-bg="{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}" class="fg-bg-layer fg-bg-type-color " style="opacity: 1; background-color: #ffffff;"></span></span><div class="fg-container container fg-container-large fg-container-lvl--1 "><div class="fg-row row    " ><div class="ffb-id-7oqdljbt fg-col col-xs-12 col-md-12 fg-text-dark"><section class="ffb-id-7r0tu748 divider-v1 divider-with-title-1-type fg-text-dark"><div class="divider-v1-element">各年齡層的口腔照護 兒童 ( 0 － 12歲 )</div></section><style class="ffb-id-7r0uof02 fg-text-dark">
.divider-with-title-1-type > div{padding:0 30px;}
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</style><div class="ffb-id-8gfjupkb ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-7r3cgl96 fg-heading text-left    article-title-1 fg-text-dark">定期檢查<br />
</h2><h3 class="ffb-id-7r3ch17s fg-heading text-left    article-title-2 fg-text-dark">6 個月 － 3 歲</h3><div class="ffb-id-7r3cr9kp fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>⼤部分的孩⼦在 6 個⽉⼤左右會長出第⼀顆牙，這時可以開始帶孩子來診所做定期檢查，並維持 3－ 6 個月的頻率。讓醫師確認長牙的進度、塗氟預防蛀牙、並與家長⼀起建立良好的進食與清潔習慣。</p>
<p>同時也讓家長在選擇潔牙⼯具上有⽅向，也能即時介入口腔習慣的調整（例如 奶嘴､奶瓶的使⽤）。</p>
<p></div><h3 class="ffb-id-7r3cu4jf fg-heading text-left    article-title-2 fg-text-dark">3 歲－ 6 歲</h3><div class="ffb-id-7r3cubg4 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>此時期孩⼦的乳牙臼齒已經長齊，牙縫緊密的情況下，非常容易在肉眼看不到的牙縫中間產⽣蛀牙。牙醫師會給予家長固定使⽤牙線棒的教學和建議，並且在適當的時機，定期拍攝低劑量 X 光片，做到更全面完整的蛀牙檢查。如果有任何症狀的產⽣，也能早期發現，早期治療。</p>
<p></div><h3 class="ffb-id-7r3cu8tt fg-heading text-left    article-title-2 fg-text-dark">6 歲之後</h3><div class="ffb-id-7r3cuacv fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>此時期開始進入換牙期，除了蛀牙檢查，也開始加入牙齒排列的追蹤，乳牙搖動的不適感和恆牙在不好的位置中萌發，這都是定期檢查會持續介入的部分，另外恆牙的照顧也需要孩子與家長⼀起努⼒，慢慢將刷牙的任務交給孩⼦。</p>
<p></div></div><div class="ffb-id-8fr11d3v fg-col col-xs-12 col-md-12 fg-text-dark"><div class="ffb-id-8gfjsru4 ffg-empty-space fg-text-dark"></div><div class="ffb-id-8gfi18gs fg-row row     fg-text-dark"><div class="ffb-id-8gfi1brf fg-col col-xs-12 col-md-4 fg-text-dark"><div class="ffb-id-8gfk5ppc ffg-empty-space fg-text-dark"></div><h2 class="ffb-id-8gfjjg60 fg-heading text-left    article-title-1 fg-text-dark">居家清潔照護</h2></div><div class="ffb-id-8gfi4v3i fg-col col-xs-12 col-md-4 fg-text-dark"></div><div class="ffb-id-8gfi37pl fg-col col-xs-12 col-md-4 fg-text-dark"><img decoding="async" class="ffb-id-8gfi3h9a fg-image  img-responsive fg-text-dark" width="288" height="190" src="https://www.muchundental.com/wp-content/uploads/2025/04/刷牙2ss.png" alt="刷牙2ss"></div></div><h3 class="ffb-id-8gfi1jmj fg-heading text-left    article-title-2 fg-text-dark">１．牙刷</h3><div class="ffb-id-8fr11d47 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>從長第⼀顆牙時就可以開始使⽤兒童牙刷，但如果嬰兒時期只有 1 － 2 顆牙齒，紗布巾或⼿帕巾是可以暫代的刷牙⼯具，但當孩子牙齒顆數增加，就要使⽤刷⽑式的兒童牙刷，確保每個位置都能確實清潔。</p>
<p></div><h3 class="ffb-id-8fr11d48 fg-heading text-left    article-title-2 fg-text-dark">2．牙線</h3><div class="ffb-id-8fr11d49 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>牙線更是目前不能省略的⼯具，不論是否看到食物塞牙縫的情況，都需要每天使⽤牙線或是牙線棒清潔牙縫，避免棘⼿的牙縫蛀牙產⽣。</p>
<p></div><h3 class="ffb-id-8fr11d4a fg-heading text-left    article-title-2 fg-text-dark">3．牙膏</h3><div class="ffb-id-8fr11d4b fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>在牙膏的使⽤上，建議⼀天使⽤兩次（含氟牙膏，含氟劑量： 1000 ppm 以上）。牙膏⽤量 3 歲以下⼀顆米粒⼤⼩， 3 歲以上⼀顆紅⾖⼤⼩，就算孩子還不會漱口，把牙膏吃下去，這也是安全的⽤量。</p>
<p></div><h3 class="ffb-id-8fr16u5e fg-heading text-left    article-title-2 fg-text-dark">4．特別注意</h3><div class="ffb-id-8fr176se fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>牙刷及牙線都需要家長由家長操作，孩⼦的⼿部⼩肌肉的發育要到 9 歲左右才比較能做精細動作，因此要請家長協助清潔到孩⼦可以⾃⼰綁鞋帶的年紀唷！</p>
<p></div></div><div class="ffb-id-8fr18sge fg-col col-xs-12 col-md-12 fg-text-dark"><h2 class="ffb-id-8fr18sgf fg-heading text-left    article-title-1 fg-text-dark">換牙期注意事項</h2><h3 class="ffb-id-8fr18sgg fg-heading text-left    article-title-2 fg-text-dark">🦷</h3><div class="ffb-id-8fr36a0h fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>6 歲左右開始進入換牙期，隨著個體差異可能會提早或延後 1－2 年，這都是正常的情況。</p>
<p></div><h3 class="ffb-id-8fr18sgi fg-heading text-left    article-title-2 fg-text-dark">🦷</h3><div class="ffb-id-8fr18sgj fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>如果在下顎門牙發現雙排牙齒，乳牙未掉但恆牙已經長出來，請家長不⽤擔⼼，只要有⾜夠空間，牙⿒有動搖，都能⾃然換牙，恆牙不歪斜。</p>
<p></div><h3 class="ffb-id-8fr18sgk fg-heading text-left    article-title-2 fg-text-dark">🦷</h3><div class="ffb-id-8fr399v9 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>如果有乳牙搖動很久都未掉、或是乳牙脫落超過1年都未長出新牙，長牙造成腫痛影響到進食和⽣活，建議可以回診讓醫師評估是否要介入，做適當的處置。</p>
<p></div><h3 class="ffb-id-8fr18sgm fg-heading text-left    article-title-2 fg-text-dark">🦷</h3><div class="ffb-id-8fr18sgn fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>在剛開始換牙的階段，常常出現上門牙有縫隙的情形，⼤部分是正常或暫時的，在換牙後期就會逐漸閉合，可以持續定期檢查，不過如果上下顎骨頭有明顯的發育落差，像是暴牙、戽斗、或是下巴明顯歪斜都建議及早讓醫師評估齒列情形。</p>
<p></div></div><div class="ffb-id-8fr1jifn fg-col col-xs-12 col-md-12 fg-text-dark"><h2 class="ffb-id-8fr588ce fg-heading text-left    article-title-1 fg-text-dark">齲齒預防<br />
</h2><div class="ffb-id-8fr1jifq fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>台灣兒童蛀牙率是全球最高，除了以上提到的定期檢查及建立良好的清潔習慣以外，還有⼀些⽅法可以減少蛀牙率：</p>
<p></div><h3 class="ffb-id-8fr1jifu fg-heading text-left    article-title-2 fg-text-dark">1．塗氟</h3><div class="ffb-id-8fr1jifv fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>6 歲以下兒童每半年ㄧ次塗氟補助，若蛀牙率較高可以⾃費增加頻率⾄ 3 個⽉⼀次，增加牙⿒抵抗蛀牙的能⼒。</p>
<p></div><h3 class="ffb-id-8fr1jig0 fg-heading text-left    article-title-2 fg-text-dark">2．溝隙封填</h3><div class="ffb-id-8fr1jig1 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>6 歲左右長出來的恆牙⼤臼齒，因為躲在口腔最後⽅，容易藏污納垢又不易清潔，是最容易蛀牙的地⽅。衛福部國民健康署有補助四顆臼齒⿒的窩溝封填，把剛長出來的恆牙，表面的微⼩溝縫以特殊樹脂填補起來，達到易清潔的效果，減少蛀牙機率。</p>
<p></div><h3 class="ffb-id-8fr1jig2 fg-heading text-left    article-title-2 fg-text-dark">3．飲食調整</h3><div class="ffb-id-8fr1jig3 fg-paragraph ff-richtext text-left    fg-text-dark"></p>
<p>此時期開始進入換牙期，除了蛀牙檢查，也開始加入牙齒排列的追蹤，乳牙搖動的不適感和恆牙在不好的位置中萌發，這都是定期檢查會持續介入的部分，另外恆牙的照顧也需要孩子與家長⼀起努⼒，慢慢將刷牙的任務交給孩子。</p>
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<p>本文由林芳槿醫師、朱書儀醫師撰寫</p>
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