[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fkPtcsFtMlkprkl4QGViRwStz3o_mulBRdcZwATV4h34":3,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":11,"$fe0PxKO9V121I-wt7-y9dRhPuDVj4zvW9ZP41sgoNwLI":15,"$fGMi1JAGY2rYY-Iwg5pvayZ7G-aMiQl_c_YzduQ7yySA":21},{"code":4,"msg":5,"message":6,"data":7,"success":10},200,"操作成功",null,{"authors":8,"appraiseDimensionScoresVos":9},[],[],true,{"code":12,"msg":13,"message":6,"data":6,"success":14},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":16,"success":10},{"pageNo":17,"pageSize":18,"result":19,"totalSize":20},1,10,[],0,{"code":4,"msg":5,"message":6,"data":22,"success":10},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"hospital":28,"department":29,"postsTitle":30,"materialTotal":31,"videoTotal":20,"isConcern":14,"title":32,"coverVertical":33,"coverAcross":34,"content":35,"description":36,"views":37,"likes":20,"isThumbsUp":14,"isCollection":14,"collections":20,"createTime":38,"seoTitle":32,"seoKeywords":39,"seoDescription":40,"shelvesTime":41,"version":42,"menus":43,"menuId":45,"type":17,"quality":62,"commentCount":20,"isComment":17},85895,1069849,[],"https://ystcdn.venuertc.com/venue/app/51405/2026-09-15/210a7e77-71dd-4034-91af-2a43622ce269.png","张建伟","宁波市医疗中心李惠利医院","口腔科","副主任医师",7,"关于残留牙根的认识与应对——珍惜每一颗牙，从了解开始","","https://ystcdn.venuertc.com/venue/AI/338f989a-92e2-488d-a0e5-11537533f21a.jpg","\u003Cdiv class=\"material-container\">\n  \u003Ch1 id=\"material_title\" class=\"material-title\">关于残留牙根的认识与应对——珍惜每一颗牙，从了解开始\u003C/h1>\n  \n  \u003Cdiv class=\"material-section material-bg1\">\n    \u003Ch2 class=\"material-subtitle\">01 残留牙根究竟是什么？🦷\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      吃饭时发现怎么总卡住牙？漱口也还残留着异物感？对很多中老年人来说，牙齿早就是“老朋友”了，但让人头疼的是，牙齿脱落或者拔掉后，有时会发现口腔里总有“没弄干净”一样的感觉。这其中，常见的问题就是\u003Cstrong>残留牙根\u003C/strong>。简单来讲，残留牙根（Residual root）是指牙齿拔除后，从牙槽骨里并未完全取出的部分牙根。它们可能在口腔内静静存在一段时间，表面看没什么变化，但却暗藏隐患。\n    \u003C/p>\n    \u003Cp class=\"material-paragraph\">\n      残留牙根的存在，容易成为细菌滋生的温床，有时甚至会引发牙龈炎、牙周脓肿，甚至损伤周围健康牙齿。\u003Cspan class=\"material-highlight\">如果不及时处理，下游的影响可能超过我们的想象。\u003C/span>临床上，53岁的李阿姨（女性，未提及真实姓名）因口腔多处残根问题来到医院，经过X线检查，发现14、15牙区，以及12-23牙桥区域均有残根或相关病变，这其实还挺常见，尤其在有拔牙既往史但未作复查的人群中。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-bg2\">\n    \u003Ch2 class=\"material-subtitle\">02 残根有哪些症状？🔍\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      很多时候，残留牙根最开始并不“吭声”，就像身体里的小虫子，躲在角落里安静地存在。最初可能只是在吃冷、热、酸、甜时有点轻微的不适，或者偶尔一阵细微的刺痛，这些信号容易被忽视。\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>\n        \u003Cstrong>1. 持续/剧烈疼痛：\u003C/strong>如果残根发生感染，疼痛会升级为持续性或跳痛，尤其在咬合、进食时加重。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 口腔肿胀和发炎：\u003C/strong>残根感染会让牙龈红肿、按压时有疼痛，甚至局部出现脓包。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>3. 异物感和松动：\u003C/strong>长时间不处理，口内可能有异物感或“不好好长肉”的地方，影响咀嚼和发音。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>4. 影响邻牙健康：\u003C/strong>临近牙齿也容易因为炎症波及而松动，甚至导致连冠、烤瓷桥等修复体脱落。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-paragraph\">\n      李阿姨的情况就是个例子：她描述自己起初只是偶尔吃东西疼，后来23号牙“发软”，牙桥也松了。\u003Cspan class=\"material-highlight\">别小看早期的轻微信号，如果忽略可能让小问题变成大麻烦！\u003C/span>\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-bg3\">\n    \u003Ch2 class=\"material-subtitle\">03 为什么会出现残留牙根？🧐\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      残根的发生，不只是“技术没到位”那么简单，其实背后有很多原因：\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>\n        \u003Cstrong>1. 拔牙技巧:\u003C/strong> 拔除多根牙齿、根分叉弯曲、牙根过短过软等，增加操作难度。牙根没有一次性拔除干净，是技术类医疗风险之一。\u003Cbr>\n        \u003Cspan class=\"material-subnote\">（相关文献：Grewal, N. & Rees, J. S. (2018). Extraction of teeth: indications and complications. Dental Update, 45(7), 634–644.）\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 个体差异:\u003C/strong> 有的人牙根形态复杂、骨密度高或牙齿之前就有病变，使得医生即便小心也难以全部取出牙根。\u003Cbr>\n        \u003Cspan class=\"material-subnote\">（相关文献：Ahmed, H. M. A. (2016). Anatomic Variations of Root and Root Canal Morphology: Considerations in Clinical Practice. Journal of Clinical and Diagnostic Research, 10(6), ZE10-ZE14.）\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>3. 年龄影响:\u003C/strong> 年龄增长，牙根变脆弱，骨头相对致密，操作起来风险增加。所以，中老年群体遇到拔牙后“根儿没弄净”的机会更多见。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>4. 疾病史及修复体影响:\u003C/strong> 如果口腔曾做过根管治疗、烤瓷牙桥等，牙根本身就更容易发生断裂和残留。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-paragraph\">\n      说起来，残留牙根可以被多重因素共同作用而形成，有时不是医生的疏忽，而是患者口腔条件的“天然难题”。理解这些，有利于我们理性对待和提前防范。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-bg4\">\n    \u003Ch2 class=\"material-subtitle\">04 如何诊断残留牙根？🖼️\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      发现口腔中有“不对劲”的地方，怎么确认是不是残根作祟？主要离不开医生的检查和仪器辅助。具体步骤如下：\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>\n        \u003Cstrong>1. 口腔体格检查：\u003C/strong>医生会先观察病区，触诊有无压痛、红肿、瘘管等表现。\u003Cspan class=\"material-highlight\">单凭肉眼并不好直接识别残根\u003C/span>。\u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 影像学检查：\u003C/strong>\n        \u003Cul>\n          \u003Cli>\u003Cb>全景X线片:\u003C/b>能展示整个牙齿和牙槽骨结构。不少残根埋在牙龈下，肉眼看不见，通过X光一目了然。\u003C/li>\n          \u003Cli>\u003Cb>CBCT（锥形束CT）:\u003C/b> 对疑难复杂根尖病变或多根牙分析更详尽，能帮助医生作出明确诊断。\u003C/li>\n        \u003C/ul>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-paragraph\">\n      李阿姨的病例中，正是通过口腔全景片，才发现14、15区和12-23牙桥区域均有残根及根管治疗相关高密度影像。\u003Cstrong>所以有疑问时，最靠谱的办法就是及时做一次专业检查。\u003C/strong>\n    \u003C/p>\n    \u003Cp class=\"material-reference\">\n      \u003Cb>参考文献:\u003C/b>\u003Cbr>\n      - Murray, P. E., & García Godoy, F. (2007). The Use and Outcome of Dental Radiographs in the Diagnosis of Root Retention. \u003Ci>Dental Clinics of North America\u003C/i>, 51(1), 171-180.\u003Cbr>\n      - Scarfe, W. C., & Farman, A. G. (2008). What is cone-beam CT and how does it work?. \u003Ci>Dental Clinics of North America\u003C/i>, 52(4), 707-730.\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-bg5\">\n    \u003Ch2 class=\"material-subtitle\">05 残留牙根该怎么处理？🔧\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      残根不能“自愈”，如果置之不理，风险会慢慢放大。那么，医学上通常怎样解决呢？\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>\n        \u003Cstrong>1. 手术去除：\u003C/strong>这是最直接也是最常见的处理方法。在局部麻醉下，通过牙龈切开、剥离，医生小心地将残根完整摘除。\u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 修复处理：\u003C/strong>去除残根后，如果影响咀嚼或美观，可继续做牙齿修复，比如活动假牙、种植牙或牙桥，帮助恢复牙列功能。\u003C/li>\n      \u003Cli>\n        \u003Cstrong>3. 恢复和复查：\u003C/strong>拔除残根后，局部会有创口。一般需要2~4周愈合，期间注意清洁，复查观察是否有进一步感染或骨缺。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-paragraph\">\n      \u003Cspan class=\"material-highlight\">专业医生会根据每个人的牙齿状况和全身健康，个性化制定处理方案。\u003C/span>对有慢性病基础（如糖尿病、心脑血管疾病）的人，术前会做充分评估。恢复期间，还需要定期复查，确保整个牙槽区域都逐步健康愈合。\n    \u003C/p>\n    \u003Cp class=\"material-reference\">\n      \u003Cb>参考文献:\u003C/b>\u003Cbr>\n      - Pippi R. (2016). Post-Surgical Clinical Monitoring and Management of Tooth Extraction Sites. \u003Ci>Journal of Clinical Medicine\u003C/i>, 5(8), 69.\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-bg6\">\n    \u003Ch2 class=\"material-subtitle\">06 生活里如何管理与预防？🌱\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      日常防护做得好，远离残根困扰。饮食和生活管理，完全可以起到预防作用：\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>\n        \u003Cb>保持洁净:\u003C/b>\n        \u003Cspan class=\"material-highlight\">认真刷牙\u003C/span>，每天早晚各一次，配合牙线清理牙缝，能有效防止牙龈炎、龋齿等前期隐患。\u003C/li>\n      \u003Cli>\n        \u003Cb>健康饮食:\u003C/b>\n        { 牛奶 + 提供钙质 + 每天一杯，增强牙齿和骨骼 }。{ 深绿色蔬菜 + 维生素K丰富，帮助牙周健康 }。{ 柠檬或橙子 + 补充维生素C，促进口腔伤口愈合 }。\u003C/li>\n      \u003Cli>\n        \u003Cb>定期检查:\u003C/b>\n        定期看牙医，尤其曾拔过牙或有牙齿修复史，每年至少一次口腔全景X光复查。\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>正确选择牙科医疗机构:\u003C/b>\n        门诊手术一定优选资质齐全的医院或牙科门诊，避免“野路子”操作。\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>及时就诊:\u003C/b>\n        感觉牙齿松动、牙龈出血、异味难除，别拖，第一时间预约专业口腔科检查。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-paragraph\">\n      生活细节见真章——护理牙齿其实并不难，只要把握几个要点，形成习惯，口腔健康就会有明显的提升。\n    \u003C/p>\n    \u003Cp class=\"material-reference\">\n      \u003Cb>参考文献:\u003C/b>\u003Cbr>\n      - Chapple, I. L. C., & Van der Weijden, F. A. (2019). Primary prevention and oral health education. \u003Ci>Periodontology 2000\u003C/i>, 79(1), 7-13.\u003Cbr>\n      - Hujoel, P. P., et al. (2006). Nutrition, dental caries, and periodontal disease: a narrative review. \u003Ci>Journal of Clinical Periodontology\u003C/i>, 33(10), 706–721.\n    \u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-conclusion\">\n    \u003Ch2 class=\"material-subtitle\">写在最后——每一天的口腔呵护，从现在开始\u003C/h2>\n    \u003Cp class=\"material-paragraph\">\n      牙齿虽然小，却关乎生活的每一天。残留牙根不是洪水猛兽，但也不能掉以轻心。很多中老年人像53岁的李阿姨一样，直到口腔功能和舒适度大受影响才“重视起来”。其实定期复查、科学饮食和养成好习惯，完全可以让很多麻烦都止步于小小的残根。\u003Cbr>\n      \u003Cspan class=\"material-highlight\">关注每一颗牙齿，关爱自己的每一天。\u003C/span>——主动一点，健康自然多一点。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material-container {\n  max-width: 760px;\n  margin: 32px auto;\n  background: #ffffff;\n  padding: 32px 24px 30px 24px;\n  border-radius: 20px;\n  box-shadow: 0 2px 18px rgba(90, 100, 111, 0.12);\n  font-family: \"Helvetica Neue\", Helvetica, Arial, sans-serif;\n}\n.material-title {\n  font-size: 2.2em;\n  margin-bottom: 34px;\n  color: #31708e;\n  letter-spacing: 1px;\n  text-align: center;\n  font-weight: 700;\n}\n.material-subtitle {\n  font-size: 1.4em;\n  line-height: 1.35;\n  margin-bottom: 20px;\n  color: #355870;\n  font-weight: 600;\n  border-left: 6px solid #7ed6df;\n  padding-left: 12px;\n  background: rgba(207, 242, 255, 0.25);\n  border-radius: 8px 0 0 8px;\n}\n.material-section {\n  margin-bottom: 38px;\n  padding: 30px 26px 22px 26px;\n  border-radius: 12px;\n  box-shadow: 0 1px 7px rgba(127, 199, 217, 0.05);\n  position: relative;\n}\n.material-bg1 {\n  background: linear-gradient(120deg, #c3f0fa 0%, #f5ffff 100%);\n}\n.material-bg2 {\n  background: linear-gradient(100deg, #e0eafc 0%, #c2dfee 100%);\n}\n.material-bg3 {\n  background: linear-gradient(120deg, #e8ffe5 0%, #f2f8e9 100%);\n}\n.material-bg4 {\n  background: linear-gradient(100deg, #f1eeff 0%, #e0e0ff 100%);\n}\n.material-bg5 {\n  background: linear-gradient(120deg, #fff3e6 0%, #fefae0 100%);\n}\n.material-bg6 {\n  background: linear-gradient(120deg, #e0fff9 0%, #f6fffa 100%);\n}\n.material-conclusion {\n  background: linear-gradient(110deg, #e8feff 0%, #f5fafc 100%);\n  border: 2px dashed #b2dae6;\n  margin-top: 50px;\n}\n.material-paragraph {\n  font-size: 1.07em;\n  line-height: 2;\n  color: #383f47;\n  margin-bottom: 18px;\n  margin-top: 0;\n}\n.material-list {\n  font-size: 1em;\n  line-height: 2;\n  margin: 0 0 18px 0;\n  padding-left: 34px;\n  color: #355870;\n}\n.material-list li {\n  margin-bottom: 9px;\n  padding-left: 3px;\n}\n.material-highlight {\n  background: #ffeb3b;\n  padding: 1px 4px;\n  border-radius: 3px;\n  color: #8d5800;\n  font-weight: 500;\n  display: inline;\n}\n.material-subnote {\n  color: #a4adb6;\n  font-size: 0.95em;\n  margin-left: 6px;\n  display: inline-block;\n}\n.material-reference {\n  font-size: 0.95em;\n  margin-top: 18px;\n  color: #777a8a;\n  background: #f4f6f8;\n  border-radius: 7px;\n  padding: 8px 11px;\n  line-height: 1.7;\n  box-shadow: 0 1px 2px rgba(160,160,200,0.07);\n}\n@media (max-width: 700px) {\n  .material-container {\n    max-width: 97%;\n    padding: 13px 2% 21px 2%;\n    border-radius: 12px;\n  }\n  .material-title {\n    font-size: 1.24em;\n    margin-bottom: 17px;\n  }\n  .material-section {\n    padding: 19px 6px 12px 6px;\n  }\n  .material-subtitle {\n    font-size: 1.09em;\n    padding-left: 7px;\n  }\n}\n\u003C/style>\n```","\u003Cdiv class=\"material-container\">\n  \u003Ch1 id=\"material_title\" class=\"material-title\">关于残留牙根的认识与应对——珍惜每一",1382,"2026-09-22 14:53:53","残留牙根, 拔牙后残根, 牙齿健康, 牙根问题, 口腔健康, 牙龈炎, 中老年口腔护理, 定期牙科检查","残留牙根潜在隐患严重影响口腔健康。了解残根症状、出现原因及处理方法，助中老年人预防和应对口腔问题，提升生活质量。","2026-09-25 00:54:00",2,[44],{"menuId":45,"menuName":46,"parentId":20,"orderNum":42,"path":47,"component":48,"isFrame":49,"isCache":50,"menuType":51,"visible":17,"status":20,"createDept":6,"remark":33,"createTime":52,"children":53,"columnImage":54,"columnLogo":55,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":20,"forceLogin":20,"color":56,"seoTitle":57,"seoKeywords":58,"seoDescription":59,"contentNum":6,"promotionalPoster":60,"menuFrame":14,"innerLink":14,"parentView":14,"routeName":61,"routerPath":47,"componentInfo":48},"1986713082609147906","健康科普","article","/article.html","1","0","T","2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","口腔疾病"]