寄せられた質問への回答6

Twitterいつも拝見しています。 早速質問です。
子どもが通う保育園で、フッ化物洗口を希望調査表をもらいました。案内にはメリットばかりが書いてあり、ネットで調べたら「劇薬だ!」なんて書いてる人もいました。
歯医者さんの定期検診で、フッ化物塗布はやっているのですが、フッ化物洗口も併用した方がいいでしょうか? アドバイス頂けると嬉しいです。
お忙しいとは思いますが、宜しくお願い致します。



こんばんは。フッ素の人体への影響は昔から大丈夫なのか?と仰る方がいるのですが、現在フッ化物による虫歯予防におけるフッ素の濃度では健康への被害は無いと考えて頂いて良いと思います。信じられないほどのフッ素の摂取で健康に被害があると考えられていますが、本当に信じられない量ですのでこれは気にする必要は無いと思います。

また、フッ化物塗布とフッ化物洗口はご両親の負担が大きくないのであれば併用した方が良いと私は考えております。

良い歯医者の選び方についての有益な情報を発信していただき、大変感謝しております。私は、左上6番の大臼歯を昨年12月に抜歯後、通っていた歯医者では自費材料でのブリッジを提案されましたが、インプラントも興味があったので、セカンドオピニオンの意味で、インプラントのできる歯医者を紹介してもらい通っていました。抜歯後の回復を4~5ヶ月待ってから治療進めましょうということで、クリーニングやマウスピースを作ったりしつつ、待っていました。そして、ようやく先週、CTとインプラントのシミュレーションの結果を聞いたところ、骨の厚みが足りないから、インプラントやるなら骨を増やす処置もやる必要がありそう。食いしばりも強いから、、等々の理由で、ひとまず部分入れ歯を提案されました。。(私が大掛かりな外科手術や上顎洞炎等のリスクは避けたいと言ったからかもしれませんが…)一体、なぜ約半年も待つ必要があったのか、不信感が募りました。。骨を増やす処置も出来るという説明はあったものの安心して任せられるような雰囲気では無いなと感じてしまいました。今後どうすれば良いのか途方に暮れています。かと言って、ずるずる放置していたら、両隣の歯が傾いてきてしまう危機感があり、もう傾いてきているのでは?と焦っています。。が、情報が多過ぎて、良い歯医者が分からず悩んでいます。インプラントが厳しいのであれば、お金がかかってもよいので、長持ちして、他の歯も守れるような、ブリッジもしくは入れ歯(テレスコープ義歯が良いのではと素人ながらに思っています。)神奈川県もしくは都内(←既にいくつかの区については具体的な情報をアップしていただいていますが…)で良い歯医者さんを教えていただませんでしょうか…どうか、何卒よろしくお願い致します。
(突然の質問、そして、長文かつ乱文でありますことを、お許しください。今後、歯科医院を決めて治療を進めるため、アドバイスをいただけますと、幸いです。。)

実際に私がお口の中を見ているわけでないので何とも入れないのが実際の所ですが、私の場合は抜歯前、もしくは抜歯後すぐにCT撮影をし骨造成が必要な可能性が高ければ半年待って骨の回復具合を待ってからインプラントを埋入する事はせず、抜歯後1か月程度でインプラントの埋入と同時にGBR、サイナスリフト、ソケットリフトと行った骨造成を併用しながら先にインプラントを埋入してしまいます。

半年待ってから骨のでき具合を確認してそこから骨造成を開始するとあまりに長い時間がかかってしまい、隣接している歯の移動も起こってしまいますし、そもそもいつ終わるかはっきりしない事を個人的に嫌うのでそのようにしております。

これに正解はないのですが、あくまで色々なタイムスケジュール方法がある事は患者さんに説明する必要はあるように思います。

ちなみに上顎洞へのアプローチは個人的にはとても簡単で、そこまでシビアに考えるようなものではないと考えておりますが、術者の技量によっては難しいイメージを持っている先生も多いように思います。

そしてブリッジよりもインプラントの方が良いのではないかと私は思いますが、これも正解は先生それぞれですし、その他のお口の中の状態にもよります。

具体的な歯科医院はちょっと名言しにくいのですいません。

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