| [ guest ] in KIDS 글 쓴 이(By): guest (vlx) **uge00 Guest Auth Key: 9f48f3874aa268026eb66b853da118f3 날 짜 (Date): 2010년 12월 23일 (목) 오전 04시 02분 47초 제 목(Title): Re: [픽터] 치과의 스케일링 [ AnonymousSerious ] in KIDS 글 쓴 이(By): 아무개 (by0006) 날 짜 (Date): 2010년 12월 23일 (목) 오전 02시 20분 30초 제 목(Title): Re: 어금니 뽑아야 되는는데여 > 좌우로 대칭인 이 4개를 같이 뽑아야 한다구요? > 이건 뭐 음양오행설도 아니고... > 치과의사가 약장수도 아니고... P> D수첩에 신고해야할 일 아닌감? > > ----------------------- > > 음식을 씹는 일이 없으면 이가 약해지듯이 > > 맞닿은 이가 없으면 약해진답니다 > > 그래서 위아래 이를 같이 뽑게되는건 이해가 되는데 > > 대칭인 옆의 이를 뽑아야되는건 이상하지 않나요? > > 오른쪽 어금니 뽑아서 같은 자리의 왼쪽 어금니가 > > 흔들리는 일은 없을거 같은데 > > 실제로 그렇게 이 하나뽑은후 이 3개가 심하게 흔들려서 > > 도합 4개를 뽑은 경우를 봤다고 하니 뭐 할말없음 > [픽터] 1. 맞닿은 이가 없으면 이가 약해지긴 하겠지. 그렇다고 해서 윗사랑니 뺐다고 아래 사랑니 뺀다는 것은 픽터의 생각으로는 dog-like 생각, 아주 안 좋은 생각, 절대 추천할만한 생각임. 윗사랑니 없을때, 아래 사랑니는 위에서 눌러주는ㄴ 놈이 없기 때문에, 위로 점점 삐쳐 나오겠지만, 그게 병뚜껑 따듯이 계속해서 튀어나오지도 않을 것임. 2. 왼쪽 사랑니 뺐다고 오른쪽 사랑니 뺀다는 것은, 정상적인 대가리 가진 사람이라면 절대로 반대할 것임. 치과의사들이야, 이빨치료하기 바쁜데, "왼쪽 사랑니 뺐는데, 오른쪽 사랑니 안 빼면, 어떤 일이 벌어질까?" 하면서, 표본조사를 해봤겠니? 아니면 지가 직접 경험을 해봤겠니? 다 교과서에서 떠들고, 논문에서 떠들고 하는 이야기, 지네 교수가 하는 이야기, 치과의사들끼리 술먹고 하는 이야기 주워들은 이야기 가지고 결론 내렸겠지. 교통사고나서 왼팔 잃으니깐 오른팔도 자르라고? 이런 개미친소리. 아마도, 사랑니 빼는 연습을 당신을 상대로 해보고 싶은 모양임. 3. 야튼간에 사랑니는 문제를 일으키지 않으면 뽑을 필요가 없음. 치과의사들끼리도 이 문제로 옥신각신합니다. 뽑는 것이 좋으냐? 뽑지 않은 것이 좋으냐? 하면서 지들끼리 의견도 통일되어 있지 않아요. http://en.wikipedia.org/wiki/Third_molar 에 가보면 사랑니(wisdom teeth)를 뽑아야 하는지 말아야 하는지, 통일이 안되어 있어요. 픽터 생각으로는 "뽑을 필요가 없어요" 어금니 2번째 것이 썩어서 뽑으면, 사랑니라도 어금니 역할을 할 것 아닌가요? 사춘기 지나면 뽑아야 한다. 하는 개소리하는 놈들도 많은데, 그들말도 믿을 것이 못되고. 4, 그리고 윗어금니 없다고 아래어금미 빼는 것도 개좆같은 소리. 이딴 소리 하는 의사 있으면, 얼굴에 침 한바가지 배터주셈. 윗어금니 없으면, 그 윗어금니 만들 생각을 해야지. 예를들어 임플란트, 브리지 이런걸로 이빨 만들 생각을 해야지, 아래 이빨으르 뺀다고? 5. 그리고 말인데요. 사랑니는 임플란트 할때 재료로 쓰일 수 있다는 것이예요!!!!!!!!! 그런데 임플란트 할때 '사랑니 있으면 좋겠는데, 없으면 어떻게 하지요?' 다른 사람의 사랑니를 쓰면 되겠지요. 혹시 그 치과의사는 다른 사람의 임플란트를 위해서 당신의 사랑니를 노리는 것일지도 몰라요. (픽터는 전문가가 아니니깐 잘 모르지만) 그래서 이런 일이 벌어질지도 몰라요. 의사: 사랑니 뽑으세요. 픽터: 정말로 뽑아야 하나요? 의사: 나중에 옆에 있는 어금니에게 충치를 줄 수 있어서, 미리부터 뽑는게 좋아요. 픽터: 허걱........ 그럼 뽑으세요. (다 뽑은다음에) 픽터: 수고하셨습니다. 감사합니다. (픽터는 치과를 떠났다.) (의사는 전화를 건다. 근처에 있는 치과에. 그곳엔 임플란트 전문치과) 의사: 형~~~~~~~~ 임플란트 원하는환자가 있다고 했지? 내가 싱싱한 사랑니 하나 구해놨는데~~~ 빨리 그 환자에게 연락해서 시술하지 그래요???? 저멀리의사: 고맙다. 어떻게 구했니? 의사: 응~~~~~~ 어리버리 생긴 놈한테 하나 구했어~~~~~~~~~~ 사랑니 뽑자니깐 금방 오케이 하네? 게다가 4개 다 뽑자니깐 다 뽑겠다는뎅?? 킄ㅋ 사랑니 필요하면 나에게 전화해. 형이 날짜 정하면, 내가 그날 내가 픽터에게 전화해서 사랑니 뽑자고 할께. http://www.drted.com/index.html.bak2/nytimesarticlewisdom.htm Should wisdom teeth be pulled immediately or only if they cause trouble? Dentists disagree. Chances are that as soon as wisdom teeth begin struggling to emerge, a dentist will recommend that they come out. But should they? The wisdom of removing wisdom teeth before they cause trouble has long been debated. In only a small percentage of people do they grow in straight and healthy. The human jaw has been steadily decreasing in size for millenniums and few people have a jaw large enough to accommodate four more teeth in the back of the mouth. As a result many teeth grow in sideways, emerge only part way from the gum or remain impacted, forever trapped beneath it. According to recent estimated, 80-90 percent of Americans have at least one impacted "third molar," as dentists call a wisdom tooth. If this were the end of the story, there would be no debate; unerupted wisdom could just sit there in the gums. Unfortunately, in many patients (exactly how many no one really knows), malpositioned or impacted wisdom teeth eventually cause trouble. They may become infected or decayed, or they may damage adjacent teeth. Cysts and even cancers can form. The debate, then, is whether to remove improperly positioned wisdom teeth before such problems arise or wait until they do. While some specialists say. "Don’t bother them until they bother you," most believe it is better to get malpositioned wisdom teeth out when you are young and healthy, since they are likely to cause trouble eventually. Both sides have food reasons for their views. The "don’t bother them" school cites the cost and discomfort of pulling teeth, some of which will never cause trouble. Those who advocate removal note that as patients age the surgery becomes more difficult, the complications more numerous and the recovery more prolonged. In an effort to resolve the controversy the National Institute of Health held a conference in 1979. It was agreed that straight healthy wisdom teeth should be left alone and that those that are diseased or causing trouble for other teeth should be removed. But the main issue, whether impacted but otherwise healthy wisdom teeth should be pulled to prevent trouble was never resolved. "The panel waffled on this issue." Said Dr. Walter C. Guralnick, a co-chairman of the meeting. After long discussion the, the panel reluctantly agreed, "Impaction or malposition of a third molar is an abnormal state and may justify its removal. 그리고..... Wisdom Teeth Removal Often Unnecessary Study: Taking Out Symptom-Free Wisdom Teeth Neither Helps nor Hurts Health By Daniel J. DeNoon WebMD Health NewsMay 5, 2005 -- Teens often have their wisdom teeth removed. But there's no evidence this painful procedure prevents future trouble. That's the conclusion of a careful review of dental studies by a research team including Dirk G. Mettes, DMD, of Radboud University Medical Center in, Nijmegen, Netherlands. Although Mettes and colleagues looked at 40 studies, they found only two controlled clinical trials of wisdom tooth removal. The bottom line: If impacted wisdom teeth are not causing trouble, there's no evidence that removing them helps or hurts future health. But there is some evidence that removing teens' impacted wisdom teeth "to reduce or prevent late incisor crowding cannot be justified," the researchers conclude. Wisdom Tooth Removal: Surgery, Not a Rite of Passage How controversial is it to remove wisdom teeth that aren't currently causing problems? Two dentists who spoke with WebMD agree that there's no reason to remove perfectly healthy wisdom teeth. Both agree that troublesome wisdom teeth should be removed. And both say that there has to be a medical reason to perform such a serious surgery. Eric K. Curtis, DDS, spokesman for the Academy of General Dentistry and a private-practice dentist in Safford, Ariz., says it comes down to what an individual dentist thinks is best for an individual patient. "In my practice, about 75% of the asymptomatic (without symptoms), impacted wisdom teeth I see I take out," Curtis tells WebMD. "It is subjective. There is no decision tree to tell us, 'If this happens, take the tooth out,' or 'If this happens, leave it in.' It comes down to your own sense of what is right and wrong and to patients' own preferences." Mohamed Bassiouny, DMD, PhD, professor of dentistry at Temple University -- the oldest dental school in the U.S. -- in June will celebrate his 40th anniversary as a dentist. But isn't it normal for teen's to have their wisdom teeth removed? Not to Bassiouny. "It is a shame," Bassiouny tells WebMD. "It should not be considered that way. God gave us a full set of teeth. We should live with it." Wisdom tooth removal is so common, Curtis says, that patients have stopped thinking of it as a serious medical procedure. "In the public's mind, dentistry is really routine," he says. "You turn 18 and you think it is time for wisdom teeth to come out. It is almost ubiquitous, a rite of passage. But a dentist has to tell you maybe you should take out wisdom teeth for this, this, and this reason. But there is this, this, and this risk, too. You have to decide if it is worth it." Wisdom teeth typically emerge around age 17 to 24 or later. Wisdom teeth can be a problem because the human jaw is shorter than it was early in our evolution. And these teeth are at the very end of the jaw, Curtis notes. "If the jawbone is straight, the tooth wants to come in straight," Curtis tells WebMD. "But most people run out of bone. Your jawbone starts its curve upward, and the wisdom teeth on the lower jaw get caught in that curve and tip forward." Impacted wisdom teeth may lie fully horizontal. If that's the case, trouble almost certainly lies ahead. It's a harder call when a wisdom tooth fully emerges but is only slightly tipped toward the molar next to it. Some worry that, over time, this will cause crowding of the front teeth. The Mettes review, however, suggests this is not the case. "If a wisdom tooth is completely horizontal, I almost universally recommend taking that out," Curtis says. "The chances of bone disease are so high that I can predict with pretty good probability that 10 or 20 years down the road that person will have gum problems that will pose a risk to other teeth as well." Also risky, Curtis says, is a wisdom tooth that emerges from the underlying bone but comes only part way through the skin. That leaves a person open to high risk of decay and infection. When a dentist deems wisdom tooth removal necessary, he or she should talk to the patient about possible risks of surgery. "It is surgery, so there is risk of infection, there is some risk of jaw fracture, and risk of numbness that lingers on because a nerve is damaged in pulling the tooth," Curtis says. "And that is a really uncomfortable thing to have your lip numb for the rest of your life or even for a couple of years. You have to think of risks." What Good Are Wisdom Teeth, Anyway? We get three sets of molars -- and get them at different times of life -- because the diet we ate as we evolved into humans was tough on the teeth. A third set of molars -- the wisdom teeth -- kept us chewing on as our first set of molars wore out. The modern diet isn't so tough, so we aren't as likely to wear out our first two sets of molars. "Wisdom teeth simply aren't necessary. I don't know anyone who can't get along without them," Curtis says. "And a wisdom tooth is very difficult to clean. Even when it comes in well, it is far back against the upward curve of the jawbone. Sometimes you can't get a toothbrush behind it -- sometimes not even to it. So if it takes a root canal or crown to fix a decayed wisdom tooth, that is not an unsubstantial cost. So is it worth it to do that?" Bassiouny says it's still a good idea to have an extra set of molars. He points out that the wisdom teeth can take up the slack should other teeth fall out or need to be pulled -- as commonly happens as we age. And when a person needs a dental bridge, Bassiouny says, wisdom teeth provide an important anchor |