口腔临床英语对话 | 根管治疗法(2)
根管治疗(Endodontic Treatment)是一种用于治疗牙髓感染或坏死的牙科手术,通过清除感染组织、消毒根管并用填充材料(如牙胶或银尖)封闭,以保留天然牙齿。治疗通常需多次就诊,并可能需要后续修复措施如牙冠和桩核以增强牙齿强度。
关键要点
- 根管治疗旨在清除牙髓感染并保留天然牙齿,通常需三次或以上复诊完成。
- 治疗后牙齿会变脆,常需制作金冠及金桩以提供支撑和防止折裂。
- 即使接受最佳治疗,根管治疗仍有约5%失败风险,但成功率超过95%。
- 拔牙虽为替代方案,但会导致邻牙需磨削以安装牙桥,成本更高且损伤更多健康牙体组织。
- 牙医通常建议优先保牙,而非轻易选择拔除。
小白老师说:今天的主题是根管治疗。口腔临床英语对话系列收录了口腔临床医患、医助之间的对话,可以用来练习口语和听力。当然,也是非常好的医博英语考试长对话素材。
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Endodontic Treatment 根管治疗
A=Assistant, D=Dentist, P=Patient
D: I’ll treat the infection by putting medication in the tooth with a temporary filling until your next appointment.
在牙齿里放上药物进行治疗。至下次预约治疗之前先暂时填补上。
P: Will the tooth be alright? 牙会好吗?
D: Your tooth may be uncomfortable for a while.
你的牙齿会暂时不舒服。
D: I’ll write you a prescription for it. You might need it.
我会给你开个处方,可能用得着。
P: What do you do after that, Doctor? 医生,以后怎么办呢?
D: After the infection is gone, I’ll fill the canal with either a silver point or gutta-percha.
等到感染解决了以后我就要用银或者牙胶把根管补上。
D: The filling will seal the canal and prevent it from becoming infected again.
补了以后就可以把根管封住,不再受到感染。
D: It may take three or more appointments to finish the treatment.
可能需要预约治疗3次或以上才能完成治疗。
P: If that’s what has to be done to save the tooth, please go ahead. I don’t want to lose it.
假如保住牙齿需要这样做的话,那就做吧,我不想失掉这颗牙齿。
D: That’s a very wise decision. 你的决定是明智的。
D: There are also other things you should know before I begin.
在我开始治疗之前还有些情况你是需要知道的。
D: A tooth with a root canal filling isn’t as strong as an ordinary tooth.
牙管填补过的牙齿并不像普通牙齿那么结实。
D: It incomes brittle, and the tooth enamel is more likely to fracture.
而是变得脆了,牙釉质变得容易碎裂。
P: Has this happened to my tooth?
我的这颗牙齿是不是到了这种地步?
D: A large Part of your tooth has already been lost because of decay.
你这颗牙齿大部分已经因为龋坏脱落了。
D: It will be necessary to make a gold crown for the tooth to give it strength.
需要在这颗牙齿上面镶上金冠,来加强它。
D: It will also be necessary to insert a gold post (dowel) into the tooth.
还要在牙齿里面嵌入金钉。
P: Why do you put a gold post into my tooth?
为什么在我的牙齿里面要塞入金钉?
D: The gold post will build up enough of the tooth to hold the gold crown securely.
有了金钉就可以把金牙冠支持住,安全得多。
D: This plastic model will show you how it will be done.
看这个塑料模型就知道怎么个做法。
P: Is there anything else I should know about this treatment?
有关这次治疗方面我还需要知道什么?
D: There’s one more thing that you should know. Sometimes endodontic treatment isn’t successful.
还有一点你是该知道的,有时牙髓疗法并不成功。
D: With the best possible treatment, the tooth may become infected again.
就算尽量把它治好,也有再次受到感染的可能。
D: I wouldn’t worry about it. Chances for success are better than 95%.
可是我并不担心,因为成功率高达95%以上。
P: Maybe it would be better to extract the tooth.
可能还是拔了好些。
D: I can’t make this decision for you. You’ll have to decide for yourself.
我不能替你决定,要靠你自己决定。
P: I don’t know which is better. What do you recommend?
我不知道拔还是不拔好。您有什么建议?
D: I don’t recommend extraction. 我不主张拔。
D: You should do everything possible to save the tooth. If the tooth is extracted a bridge will be needed.
应当想尽办法把牙齿保住。假如拔了牙就要做上一个桥。
P: What does that entail? 那需要些什么?
D: Gold crowns would have to be made for the teeth next to the space to hold the bridge.
在间隙两边的牙齿上必须做上金牙冠,用来支撑住桥。
D: It would be necessary to “grind down” the size of these abutment teeth to prepare them for crowns.
需要将作桥墩的牙磨掉一些,准备套上金牙冠。
D: A bridge would be very expensive. I don’t think that it’s necessary.
做桥很花钱,我想没有必要。
P: I’ll take your advice, Doctor. Please try to save the tooth.
我听您意见。就请尽量把我的牙齿保住吧。
常见问题
根管治疗后为什么还需要做牙冠和金桩?
因为根管治疗后的牙齿失去牙髓营养供应,变得脆弱易碎;金桩可重建牙体结构,金冠则提供外部保护,防止牙齿断裂。
根管治疗的成功率有多高?
在规范操作下,根管治疗的成功率超过95%,但仍有少数病例可能出现再感染。
拔牙是不是比根管治疗更简单便宜?
短期看拔牙看似简单,但后续若需安装牙桥,则需磨削两侧健康邻牙并制作多个牙冠,总体费用更高且对口腔结构影响更大。
根管治疗过程中会疼吗?
治疗通常在局部麻醉下进行,过程无痛;术后可能有短暂不适,医生会开具止痛药缓解症状。
参考资料
American Association of Endodontists: Root Canal Treatment
https://www.aae.org/patients/treatment/root-canals/权威牙髓病学协会对根管治疗的官方说明,涵盖适应症、流程与预后。
《口腔临床英语对话》系列教学材料
本文对话源自该教学系列,适用于医患沟通英语训练及医学英语考试准备。