大象牙醫診所與Dr.Vincent 高雄市新興區青年一路122號 電話:07-2297889

#26 missing for a long time. Insufficient residual bone height with septum inside. Adequate interdental width and ridge. Flapless sinus elevation via hydraulic sinus condensing technique.

A 35-year female who had her tooth #14 extracted long time ago wants to have a restoration by implant.
Her oral hygiene maintenance is good and overall periodontal condition is healthy, but the volume of
soft tissue and width of the KG is insufficient in the buccal surface of #14.
I take the soft tissue above #14 before implant and remove very thin layer of epithelium from the soft
 tissue.

#16 17 missing for a long time. sinus pneumatization to 2mm residual bone height. Hydraulic Sinus Condensing technique was used to lifting the sinus membrane from the crestal. Simultaneous implant placement with size D3.8xL9.5 . Graft material : HA+B-TCP. Final prosthesis was delivered 8M10D after implant.

initial x-ray

#36 missing for a long time, minor ridge resorption over buccal surface of #36. Use the soft tissue above #36 implant site to augment the defect. Preparation of partial thickness pocket over #36 buccal area. Suture the de-epithelium graft firmly into the pocket. The concave profile becomes prominent and keratinized gingiva seems increased.

soft tissue taken above #36

P't with #25 missing wants to restore with implant.
After management of #26 , I perform flapless sinus lifting and implant over #25. The technique of sinus lifting is Hydraulic Sinus Condensing(invented by Dr. Leon Chen). I also do the connective tissue graft at the same time to correct the minor resoprtion of #25 buccal area. Less pain and no swelling after surgery.

一般常見的牙科手術治療(簡單拔牙,智齒,埋伏牙,阻生牙拔除,正顎手術或植牙),

有少數的案例會造成下齒槽神經,或者舌神經的傷害,產生術後感覺異常或麻痹.

這些術後感覺異常的病例中,以拔除下顎智齒（阻生或埋伏)後產生的比例最高.

〔記者鮑建信／高雄報導〕李姓市民拔智齒後導致咀嚼困難，並經常咬傷舌頭，要求牙醫診所賠償，高雄地院認定醫生未盡告知風險義務有疏失，判決賠償精神慰撫金15萬元。

李姓被害人指稱，98年5月27日，前往胡姓被告經營牙醫 診所，由王姓醫生拔除右下智齒後，出現嘴唇、下巴及牙齦麻木情形，咀嚼時經常咬到嘴邊肉或舌頭而多次受傷外，右下唇區麻木感覺遲鈍症狀約持續2個月，後轉為感覺沈重、緊繃及對冷熱特別敏感，要求胡姓負責人和王連帶賠償30萬元。

胡等被告則說，原告拔牙後回診，曾說麻木的範圍有改善、變小，但仍有不適，有建議他繼續追蹤治療。王姓醫生則積極幫助其減緩症狀，並提供其他醫療協助，如補充維他命B群，多次安排轉診治療，但其並未就診，否認有醫療過失。

因應中颱蘇拉,風強雨大.於8/2日早上及下午休診.

晚上恢復正常看診.

造成您的不便,深感抱歉.