牙医看到越来越多开裂的牙齿。流行病的压力是罪魁祸首

牙医看到越来越多开裂的牙齿。流行病的压力是罪魁祸首

Stress is causing more cracked teeth during the pandemic, but there are ways to improve your mental health and save your teeth from breaks and surgeries.

在流行病期间，压力会导致更多牙齿开裂，但有一些方法可以改善你的心理健康，避免牙齿开裂和手术。

The stress of the pandemic has manifested in a variety of physical ailments. The latest evidence of this is a rise in cracked teeth.

流行病的压力已表现为各种身体疾病。最新的证据是牙齿开裂的增加。

"We have seen an increasing amount of fractured teeth in probably the past six months," said Dr. Paul Koshgerian, an oral surgeon of San Diego.

“在过去的六个月里，我们发现牙齿开裂的情况越来越多，”圣地亚哥口腔外科医生保罗·科什格里安博士说。

For Koshgerian's office, before the pandemic, treating one cracked tooth per day or every other day was normal. On the worst days, he might see five cases.

在科什格里安医生的办公室来说，在流行病之前，每天或每隔一天治疗一颗开裂的牙齿是正常的。在最糟糕的日子里，他可能会看到五个病例。

Derek Peek — leader of Eastern Iowa Endodontics and diplomate of the American Board of Endodontics — found that in August and September, his office had already treated twice as many cracked teeth in comparison to those respective months last year, even with fewer patients this year.

东爱荷华州牙髓学领导人、美国牙髓学委员会认证医师德里克•皮克发现，与去年同期相比，今年8月和9月，他的办公室治疗的裂牙患者数量增加了一倍，尽管今年的患者有所减少。

When to call your dentist

什么时候给你的牙医打电话

Symptoms of bruxism include pain when teeth are together and/or brushed, swelling indicative of infection, lingering pain and/or cold or broken pieces of teeth, Peek said. If the sides of your face feel sore when you awaken, you might be grinding your teeth at night, Koshgerian said.

皮克说，磨牙症的症状包括牙齿合在一起和(或)刷牙时疼痛，肿胀预示着感染，持续疼痛和(或)牙齿失去知觉或破裂。科什格里安说，如果你醒来时脸部两侧感到疼痛，那你可能是在晚上磨牙。

If you're experiencing symptoms, calling your dentist early on — before the problem worsens — is best.

如果你出现了这些症状，最好在问题恶化之前尽早打电话给你的牙医。

Treating cracked teeth

治疗开裂的牙齿

When you visit an oral surgeon's office, Koshgerian said, she'll take X-rays to visualize your mouth, but will also take your oral history to pinpoint any underlying issues.

科什格里安说，当你去口腔外科医生的办公室时，她会拍X光片来观察你的口腔，但也会检查你的口腔病史，以找出任何潜在的问题。

Car accidents, chewing popcorn seeds or some other event may crack teeth — but in the absence of that knowledge, bruxism might have caused the injury.

车祸、嚼爆米花或其他事件都可能导致牙齿开裂——但在不了解这些情况的情况下，可能是磨牙症造成了伤害。

If the crack travels through the enamel and into the dentin without entering the pulp, it can be fixed with a root canal. "However," Koshgerian said, "if the crack goes through that hollow chamber and it communicates through the root of the tooth, there's no way for the root canal to be able to save it because you can't seal off that crack underneath the gum because you can't see it."

如果裂纹穿过牙釉质进入牙质而没有进入牙髓，就可以用根管修复。“然而，”科什格里安说，“如果裂纹穿过中空的腔体，并通过牙根传递，根管就无法挽救它了，因为你无法封住牙龈下面的裂纹，因为你看不到它。”

Stress has been the driver of the increase in cracked teeth, Peek said, and stress usually "comes out at night when people clench or brux their teeth."

皮克说，压力是导致牙齿开裂增加的原因，压力通常“在晚上人们握紧(拳头)或磨牙时就会显现出来。”

During the daytime when you're fully conscious, you can likely feel yourself tensing up and decide to relax, Koshgerian said.

科什格里安说，在白天，当你完全清醒的时候，你可能会感到自己紧张，并决定放松。

"But in the absence of that control in the evening when you're sleeping, you don't have that mechanism," he added.

他补充说：“但是在晚上睡觉的时候缺乏这种控制，你就没有那种机制了。”