牙醫(yī)看到越來越多開裂的牙齒。流行病的壓力是罪魁禍首

牙醫(yī)看到越來越多開裂的牙齒。流行病的壓力是罪魁禍首

Stress is causing more cracked teeth during the pandemic, but there are ways to improve your mental health and save your teeth from breaks and surgeries.

在流行病期間，壓力會導致更多牙齒開裂，但有一些方法可以改善你的心理健康，避免牙齒開裂和手術。

The stress of the pandemic has manifested in a variety of physical ailments. The latest evidence of this is a rise in cracked teeth.

流行病的壓力已表現(xiàn)為各種身體疾病。最新的證據(jù)是牙齒開裂的增加。

"We have seen an increasing amount of fractured teeth in probably the past six months," said Dr. Paul Koshgerian, an oral surgeon of San Diego.

“在過去的六個月里，我們發(fā)現(xiàn)牙齒開裂的情況越來越多，”圣地亞哥口腔外科醫(yī)生保羅·科什格里安博士說。

For Koshgerian's office, before the pandemic, treating one cracked tooth per day or every other day was normal. On the worst days, he might see five cases.

在科什格里安醫(yī)生的辦公室來說，在流行病之前，每天或每隔一天治療一顆開裂的牙齒是正常的。在最糟糕的日子里，他可能會看到五個病例。

Derek Peek — leader of Eastern Iowa Endodontics and diplomate of the American Board of Endodontics — found that in August and September, his office had already treated twice as many cracked teeth in comparison to those respective months last year, even with fewer patients this year.

東愛荷華州牙髓學領導人、美國牙髓學委員會認證醫(yī)師德里克•皮克發(fā)現(xiàn)，與去年同期相比，今年8月和9月，他的辦公室治療的裂牙患者數(shù)量增加了一倍，盡管今年的患者有所減少。

When to call your dentist

什么時候給你的牙醫(yī)打電話

Symptoms of bruxism include pain when teeth are together and/or brushed, swelling indicative of infection, lingering pain and/or cold or broken pieces of teeth, Peek said. If the sides of your face feel sore when you awaken, you might be grinding your teeth at night, Koshgerian said.

皮克說，磨牙癥的癥狀包括牙齒合在一起和(或)刷牙時疼痛，腫脹預示著感染，持續(xù)疼痛和(或)牙齒失去知覺或破裂。科什格里安說，如果你醒來時臉部兩側(cè)感到疼痛，那你可能是在晚上磨牙。

If you're experiencing symptoms, calling your dentist early on — before the problem worsens — is best.

如果你出現(xiàn)了這些癥狀，最好在問題惡化之前盡早打電話給你的牙醫(yī)。

Treating cracked teeth

治療開裂的牙齒

When you visit an oral surgeon's office, Koshgerian said, she'll take X-rays to visualize your mouth, but will also take your oral history to pinpoint any underlying issues.

科什格里安說，當你去口腔外科醫(yī)生的辦公室時，她會拍X光片來觀察你的口腔，但也會檢查你的口腔病史，以找出任何潛在的問題。

Car accidents, chewing popcorn seeds or some other event may crack teeth — but in the absence of that knowledge, bruxism might have caused the injury.

車禍、嚼爆米花或其他事件都可能導致牙齒開裂——但在不了解這些情況的情況下，可能是磨牙癥造成了傷害。

If the crack travels through the enamel and into the dentin without entering the pulp, it can be fixed with a root canal. "However," Koshgerian said, "if the crack goes through that hollow chamber and it communicates through the root of the tooth, there's no way for the root canal to be able to save it because you can't seal off that crack underneath the gum because you can't see it."

如果裂紋穿過牙釉質(zhì)進入牙質(zhì)而沒有進入牙髓，就可以用根管修復。“然而，”科什格里安說，“如果裂紋穿過中空的腔體，并通過牙根傳遞，根管就無法挽救它了，因為你無法封住牙齦下面的裂紋，因為你看不到它。”

Stress has been the driver of the increase in cracked teeth, Peek said, and stress usually "comes out at night when people clench or brux their teeth."

皮克說，壓力是導致牙齒開裂增加的原因，壓力通常“在晚上人們握緊(拳頭)或磨牙時就會顯現(xiàn)出來。”

During the daytime when you're fully conscious, you can likely feel yourself tensing up and decide to relax, Koshgerian said.

科什格里安說，在白天，當你完全清醒的時候，你可能會感到自己緊張，并決定放松。

"But in the absence of that control in the evening when you're sleeping, you don't have that mechanism," he added.

他補充說：“但是在晚上睡覺的時候缺乏這種控制，你就沒有那種機制了。”