關於 dental trauma ，我們在網路上蒐集到這些相關的討論、資訊與評價

Space closure is one of the most common cases I come across. In most patients, we would opt for orthodontic (braces) treatment if they are suitable candidates. But for some instances, patient might insist on other options due to personal reasons. Let’s continue this at the end of this post.

In this case, patient had an unpleasant experience where her old composite veneers done elsewhere were all linked together, giving her a lot of discomfort and pain. After removal and discussion (which of course, includes “the ortho persuasion”) , she has decided to get veneers re-done for space closure due to past dental trauma.

She can now smile happily with more confidence (and hopefully, a better dental experience🤞🏻), and I’m always happy when my patients are happy.😊

Now, if you’re a patient and you’re looking at this, please bear in mind that not everyone is a suitable candidate for direct veneers for space closure. ALWAYS consult & discuss with your dentist for the best treatment option for you.

As for the dental students who drop me DMs on cases you come across on social media (yes I do read through your DMs😆), I believe we can learn a lot from cases on social media, but bear in mind that the teeth of the patient does not “belong” solely to the clinician, but the patient themselves. There might be a lot of stories, personal experiences and emotions behind a patient’s smile when they come looking for your help. So be fair, treat them like how you would treat your parents, and be the kind of dentist you would wish to come across.

Just wanted to share my perspective although I could’ve just post a simple caption because...I’m me. Cheers peeps, have a great weekend!🤗

Composite: @3moralcaremalaysia Z350XT
Instruments: @dental2u Layering & Contouring Set

#Veneers #SpaceClosure #CompositeVeneers @ Subang Dental Specialist Clinic

【文長慎入】
數十年來，學校和教師一直是社會失敗的OK繃，因為我們關心孩子。 但是，學校和教師並不是能夠解決與我們社會息息相關的事情的人。

社會：在世界上最富裕的國家，有1100萬至1300萬兒童生活在糧食不安全的家庭中。

學校：我們可以提供幫助.....孩子們可以在學校吃早餐和午餐，在很多地方，老師們將自己的錢花在點心上。 對於最需要幫助的人，我們將在晚餐和周末送回家的食物。

社會：美國有超過400萬兒童沒有醫療保險或適當的醫療保健。

學校：我們可以提供幫助.....我們將帶醫生去學校免費進行身體檢查，眼科檢查和牙科治療。 在許多地方，學校護士將自己的錢花在為女孩提供衛生用品上。

社會：美國超過17％的兒童沒有基本生活必需品。

學校：我們可以提供幫助。...我們將在學校安裝洗衣機和乾衣機。 我們將免費分發衣服，學校用品，鞋子和冬衣。 這些物品很多都是由學校護士和老師購買的。

社會：每年有550萬報告涉及身體虐待，性虐待和忽視。

學校：我們可以提供幫助。...學校將是安全的地方，老師將是安全的人。 我們會在學校裡有一些輔導員，但還不夠....一些治療師，但還不夠。 完全沒有接受過創傷訓練的老師會選擇早點上學，或等到很晚來幫助這些孩子。 與他們自己的孩子相比，老師在他們的學生上花費的時間更多。 對於無法照顧無辜的孩子，老師們會哭泣，有時會崩潰。

社會：美國將近25％的孩子有父母在上學時間以外工作。

學校：我們可以提供幫助。...我們將在成千上萬所學校中安裝課前和課後計劃，讓孩子們可以再吃一頓飯，獲得功課幫助並參加有組織的活動。

社會：美國有將近1400萬兒童肥胖。

學校：我們可以提供幫助...體育課是必修課，我們將納入有關健康食品選擇的課程。

社會：美國平均每77天有一所學校開槍。

學校：我們可以提供幫助...我們將鎖定演習並訓練我們的學生躲藏和安靜。 而且，如果需要的話，老師會為學生而死。

社會：我們正處於全球大流行之中，我們的政府未能控制住這一大流行。 在許多地方，將近有13萬美國人死了，而且這個數字還在上升，而不是在下降。 由於我們幾十年來一直選擇忽略種族歧視，不平等和歧視，而種族歧視，不平等和歧視是所有上述問題的根源，因此我們現在需要學校重新開放，以便孩子們可以吃飯，獲得醫療保健，買衣服，穿鞋和上學 供應，安全，健康並受到監督。 哦，這樣他們就可以接受教育。 看來COVID不會影響孩子，所以讓我們回到學校。

老師：我們可以提供幫助。...但是，我們25%-30％的年齡平均在50歲以上。我們有些人和缺乏免疫力的人住在一起。我們有些懷孕了... 關於COVID對未出生的孩子的影響，我們仍然只有非常有限的數據。 我們有個人防護裝備嗎？ 如果我們生病了，並且沒有足夠的病假時間來應付我們外出的時間怎麼辦？ 如果家庭成員生病並且我們需要照顧他們怎麼辦？

社會：哇，你們為什麼突然變成一群哭泣的嬰兒？ 你們始終願意犧牲自己的時間，金錢，心理健康....而現在當我們需要你們時，你們不願意犧牲你們的健康或生命嗎？ 你們當中有75％是女性……這是我們作為一個社會所期望的女性……為他人犧牲自己。

*幾十年來，學校和教師一直是社會失敗的OK繃，因為我們關心孩子。 學校和教師不是能夠解決與我們社會息息相關的事情的人。 同時，我們不能成為被宰殺的羔羊，因為學校和老師會用OK繃讓社會撐著，沒有其他人實際在修復社會。

-艾莉森·霍曼（Alison Hoeman）
*歡迎複製和分享

For decades, schools and teachers have been the band-aid on society’s failings because we care about children. But schools and teachers are not the ones that can fix the things that are broken with our society..

Society: In the richest country in the world, between 11 and 13 million children live in food insecure homes.

Schools: We can help..... Kids can eat breakfast and lunch at school, and in many places, teachers will spend their own money on snacks. For the most needy, we will send home food for dinner and weekends.

Society: Over 4 million children in the US do not have health insurance or adequate healthcare.

Schools: We can help..... we will bring doctors to do free physicals, eye exams, and dental treatments right at school. In many places, school nurses will spend their own money on sanitary supplies for girls.

Society: Over 17% of US children live without basic necessities.

Schools: We can help.... we will install washers and dryers in schools. We will hand out clothes, school supplies, shoes, and winter coats for free. Many of these items are purchased by school nurses and teachers.

Society: There are 5.5 million reports annually of physical abuse, sexual abuse, and neglect.

Schools: We can help.... schools will be safe places and teachers will be safe people. We will have some counselors, but not enough.... some therapists, but not enough, right in the schools. Teachers with minimal training in trauma will come to school early and stay late to mentor these children. Teachers will spend more time with their students than with their own children. Teachers will cry and sometimes crumble at the thought of not being able to do more for the innocent children in their care.

Society: Almost 25% of US children have parents that work past school hours.

Schools: We can help.... we will install before and after school programs in thousands of schools where kids can get another meal, get help with their homework, and participate in organized activities.

Society: Almost 14 million children in the US are obese.

Schools: we can help... Physical Education classes will be mandatory and we will incorporate lessons about healthy food choices.

Society: The US averages one school shooting every 77 days.

School: We can help... we will do lock down drills and train our students to hide and be quiet. And if need be, teachers will literally die for their students.

Society: We are in the midst of a global pandemic which our government has failed to control. Almost 130,000 Americans are dead and the numbers are rising, not declining, in many places. Because we have chosen to ignore, for decades, the racism, inequality, and discrimination that is at the root of all the aforementioned problems, we now need schools to reopen so that kids can eat, get healthcare, get clothes, shoes, and school supplies, be safe, be healthy, and be supervised. Oh, and so that they can get an education. It appears that COVID doesn’t affect children, so let’s go back to school.

Teachers: We can help.... but what about the 25-30% of us that are over the age of 50? What about those of us who are immunocompromised or live with someone who is? What about those of us who are pregnant... we still have very limited data on what COVID does to unborn children. Will you have PPE for us? Will you have hand sanitizer for us? What if we get sick, and don’t have enough sick days to cover the time that we are out? What if a family member gets sick and we need to care for them?

Society: Wow, why are you suddenly being a bunch of crybabies? Before you were always willing to sacrifice your time, your money, your mental health.... and now when we need you, you aren’t willing to sacrifice your health or your life? But 75% of you are women.... and that’s what we, as a society, expect women to do... sacrifice yourself for others.

*For decades, schools and teachers have been the band-aid on society’s failings because we care about children. Schools and teachers are not the ones that can fix the things that are broken with our society. At the same time, we cannot be the lambs sent to slaughter because no one else cared enough to actually fix society while schools and teachers were holding it all together with said band-aid.

-Alison Hoeman
* feel free to copy and paste

俐媽英文教室：牙套篇
braces (n.) 牙套
recognize (v.) 公認
orthodontic (a.) 齒列矯正的(ortho-: 正)
technique (n.) 技術
custom-made (a.) 量身打造的
invisible (a.) 看不見的；隱形的(vis-: see)
remove (v.) 移除
aesthetic (a.) 美學的；美觀的
oral cavity (n.) 囗腔
clinical research (n.) 臨床研究
😁 咬合不正的問題：
1. crowding 牙齒擁擠
2. spacing 齒縫過大
3. protruding upper teeth; buck teeth 暴牙
4. protruding lower teeth; underbite 戽斗
5. deep bite 深咬：upper front teeth hide lower teeth
6. open bite 開咬：back teeth are together but space is present between the front teeth
7. midline shift 門牙中線移位
8. crossbite 錯咬
😃 可拆式矯正器的優點：
1. Help to maintain good oral hygiene
• hygienic (a.) 衛生的
• floss (v.) 用牙線清牙
• decay (v.) 腐壞；蛀牙
• cavities (n.) 齲齒；蛀牙
• inflammation (n.) 發炎
• reversible (a.) 可逆的
2. Improve gum health
• gum (n.) 牙齦
• periodontal (a.) 牙周的
• tissue (n.) 組織
3. Improve chewing and speech
• chew (v.) 咀嚼
4. Decrease risk of dental trauma a and abnormal wear
• alleviate (v.) 減輕
• wear (n.)(v.) 磨損
• trauma (n.) 創傷
5. Have more beautiful smiles
👍 口腔保健好重要！

source: Invisalign