先日、保険の銀歯が外れた患者さんが来院されました。
内部を見ますと、「ムシ歯」が歯の神経 (歯髄)に近接し、歯肉縁下にまで広がっていました。
幸い歯の神経を残すことができ、
『ダイレクトボンディング』で即日審美修復いたしました。
![page1image7688](data:image/jpeg;base64,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)
保険銀歯は歯とつめ物の間にすき間ができることがあるので、
ムシ歯の再発が多い傾向があります。
では、自費のセラミックで治療をすれば大丈夫なのでしょうか?
下の写真は、他院で4ヶ月ほど前にセラミック治療を受けた別の患者さんの写真です。
痛みと段差があり、ずっと気になっていたので
別の歯科医院に行かれたそうですが改善せず、当院に来院されました。
![page1image7856](data:image/jpeg;base64,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)
セラミックを除去したところ、この方にも内部でムシ歯が広がっていました。
原因は、ムシ歯の取り残しです。
実は上の銀歯の患者さんも、取り残しによるムシ歯の再発でした。
ホームページなどで
「マイクロスコープを使っています」
「拡大鏡を使用しています」
と 謳っている歯科医院もありますが、
今回の患者様方のケースでは、ムシ歯がごっそりと残っていました。
治療している時、歯科医に「まあこれくらいでムシ歯は全部取れただろう」という思い込みがあったのだと思います。
本来は、探針(たんしん)という道具を使って、
取り残しがないかていねいに確認しながらムシ歯をきっちり取っていくのですが、
これは集中力と根気と時間のかかる、けっこう大変な作業です。
時間に追われていたり、歯科医師側にちゃんと治そうという気がなかったら、
マイクロスコープを使ったとしてもムシ歯の取り残しはあり得ます。
また、「自費のセラミックだから歯が長持ちする」というわけでもありません。
銀歯とセラミックでは治療の仕方や工程が異なるため、
腕が悪かったり、長く保険銀歯を扱ってきた歯科医だと、
独自の癖が出て早くダメになってしまうこともあるのです。
歯科医の本気度が、治療の予後に影響するというのは確かにあると思います。
他院で治療した歯でも、痛みがある、段差やすき間がある、歯が欠ける、
などの症状があれば、お気軽にご相談ください。