牙疼問題及回答

牙疼問題：

I am having pain with the back teeth at the roots. It has been going on for a while. When I brush my teeth, whever the water is a little colder or hotter,my back teeth hurt. I felt it was from gum edges.
I once had x-ray and was told that i have severe bone loss and should have root cleaning. I did it once only with the back teeth. I also use mouthwash for a while. However, my friend told me mouthwash is not good so I stopped and use salty water instead. Now my gums look pretty healthy and no bleeding at all when brushing teeth. However, I am afraid the root nerves were exposed and probably caused the frequent pain. The pain started after I did the root cleaning.
Does anyone have the same experience or know what is going on? Does it mean it is pretty serious and what should I do?
Thank you very much!

王大夫回答：

你的問題如果講起來是很複雜的，因為沒有作檢查，我就得將很多方麵講出來，而不能有針對性了。

在牙科主要的兩種病：一是牙體病，一是牙周病，顧名思義即一個是發生在牙體本身，另一個是發生在牙的周圍組織。

1． 牙體病多由齲壞，牙體畸型，隱裂，外傷，各種牙體上的改變，而讓牙髓受到物理化學刺激而發生炎症，典型的牙髓病征就是冷熱刺激痛（即吃過冷過熱食品時牙痛）

2． 牙周病多是由牙周組織在結石。細菌的作用下，牙周的軟組織連接受到破壞，牙槽骨吸收，牙周袋形成，繼而牙鬆動脫落，有時感染通過牙體上的微管進入牙髓，而引起牙髓炎，牙就會出現冷熱刺激痛。

綜合上述，不難看出你是牙周病引起的牙髓炎（如果你能準確說出痛的位置的話，因為牙髓炎的痛經常不能定位，痛起來是一側，所以不排出其它牙的問題上，須經醫生用特殊儀器檢查後才能真正確定），漱口水，清潔隻能保持平時的清潔並不能起到治療效果。就象你吃維生素還是要生病的原理一樣。有牙周病的人千萬不要錯過每年兩次的清牙。

現在你需要看醫生，確定是這個牙的話，牙不鬆動且有保留價值的話，要根據情況先作 ROOT CANAL, 再作根部清潔，說不定還要上冠加固。不馬上看醫生，可能很快會痛得不可忍受，並誘發根部炎症，麵部腫痛。

我不知道我的回答讓你了解你的情況沒有，有問題我們再聊。