第十四章
Dentures
活動(dòng)義齒(假牙)
I've reviewed your X-rays and I'm sorry to say thatthe rest of your upper teeth will have to be removed.
我看過了你的X光照片,很遺憾你上排所剩下的牙齒都要拔掉。
They're in hopeless condition. You need a full upper denture (upper plate).
實(shí)在是沒有辦法了,你需要按上一副上排假牙。
Oh no! Can't anything be done?
哦,不!還有別的辦法嗎?
I'm sorry, look at your X-rays.
對(duì)不起,你瞧瞧你的X光片吧。
Can you see the large cavities here and here?
你能看見這里有個(gè)大洞,這里有個(gè)大洞嗎?
Do you see this gray area around the root of this tooth?
你能看見這顆牙齒齒根周圍的灰色部分嗎?
It's obviously infected. Look at these teeth here.
十分明顯,已經(jīng)感染了,
Can you see how little of the bone is left?
瞧一瞧這些牙齒,看得見骨頭留下不多了吧?
That's why most of your teeth are loose.
這就是為什么你牙齒松動(dòng)的原因,
They'll have to be extracted
這些牙齒都得拔掉。
But how long would I have to be without my teeth? I'll look terrible.
可是,我牙齒拔掉了空著多長(zhǎng)時(shí)間呢?可真難看啊。
I can lessen (minimize) your inconvenience by making you an immediate denture.
我可以給你做一系列臨時(shí)假牙可以減少不方便之處,
With this method, the posterior (back) teeth are extracted first.
使用這種方法,要先拔掉后面牙齒,
The gums must heal for at least one month before the denture is begun.
在開始做假牙之前,牙齦需要至少一個(gè)月才能長(zhǎng)好,
You'll keep your anterior (front) teeth until the denture is made.
在做好假牙之前,前面的牙齒還要保留著。
The new denture will be inserted on the day that the front teeth are extracted. You won't everbe without your front teeth.
假牙必須在前面牙齒拔掉的那一天安上,你就不會(huì)沒有前面的牙齒。
How long will it take? How many appointments will be needed?
需要多長(zhǎng)時(shí)間?需要預(yù)約治療幾次?
I can begin to make your new teeth after the gums have healed from the extraction of theback teeth. That will take at least one month. After that, it will take two weeks to make thedenture.
在拔了后面的牙齒牙齦長(zhǎng)好以后,我會(huì)著手給你做上新的假牙,這樣做至少一個(gè)月,完了之后,做全列假牙需要兩個(gè)星期的時(shí)間。
What will you do on the first appointment?
在第一次預(yù)約治療室該怎么辦?
On the first appointment, I'll make plaster models of your jaws. My dental laboratorytechnician will help me to make your denture on the models. On the second visit, I'll make arecord of your bite relations using wax forms like this one.
在第一次預(yù)約治療時(shí),我會(huì)給你做上、下頜的石膏模型,我們牙科制造室的技術(shù)人員會(huì)幫我在模型上給你做假牙,在第二次預(yù)約治療時(shí),我就要用像這樣的模型來印下你的咬合關(guān)系。
I'll place your new teeth in the wax form to be sure that they fit with your lower teeth.
然后新假牙放進(jìn)模型中以明確新假牙與下排牙齒能相互配合,
On the third visit, I'll extract the remaining front tooth and insert the denture.
在第三次預(yù)約治療時(shí),我要拔掉你留下來的前面的幾顆牙齒,安上假牙。
And then the treatment is finished?
那么,治療也就完畢了?
After that, I have to see you for minor adjustments to insure a good fit and eliminate sorespots.
完了之后,我還得給你看看,稍加調(diào)整以保證咬合良好,消除痛楚,
About six months after the denture is inserted, I'll have to reline or remake it, because thegums will shrink and the denture will become loose.
在安上假牙后六個(gè)月,因?yàn)檠例l會(huì)萎縮,假牙會(huì)松動(dòng),我還得將假牙的邊緣修一修或重新再做。
I think that this will be very expensive. How would you like me to pay my bill?
我想得花不少錢,這筆賬怎樣付?
May I pay my bill over a period of time?
可不可以分期付?
Yes. I'd like you to pay one half of the fee at the beginning of treatment
可以,你可以在治療開始時(shí)先付一半,
and the remainder of the fee on the day that the denture is inserted.
另外一半則在安上假牙那一天付。
I understand. However, I just feel worried about wearing a denture.
明白了,可是,我就是擔(dān)心戴假牙。
Don't worry. I know that you're disappointed and apprehensive.
不用擔(dān)心,我知道你心里不踏實(shí),有些顧慮,
I'll make your new teeth fit as well as possible.
我會(huì)盡可能把新假牙做得合適,
You'll get accustomed (get used) to them in a very short time.
那么只要在不長(zhǎng)的時(shí)間內(nèi)就可以習(xí)慣過來,
I'll select your new teeth very carefully.
我會(huì)非常細(xì)心的給你選新的假牙。
What about the color? Will it look natural?
是什么顏色的?顏色自然不自然?
The shape, size, and color will be ideal for you. They'll be arranged to look like natural teeth.Your denture will not look like artificial.
形狀、大小和顏色對(duì)你都會(huì)是很理想的,可以弄成看起來根真牙一樣,不會(huì)看起來是人工做的,
It will be made to support your cheeks and lips, so that you can keep the natural shape of yourface.
這假牙會(huì)做得支持住你的臉頰和嘴唇,這樣就可以保持住你臉不自然的形狀。