1、口腔醫學英文 牙科英文會話,牙醫學系:周肇茂 教授 分機:7003 Email: pro11sthkmu.edu.tw,Chapter 1 At the reception desk (在接待處) 1. Making an appointment (約診),重要單語,Check-up 檢查 Fully booked 預約排滿了 Cancel an appointment 取消預約,1.Making an appointment 約診,Miss Suzuki(鈴木)：Hello, this is Dr. Sato(佐藤) and Dr. Richards Dental Clinic. How c
2、an I help you ? Mr. Abe：Good morning. I am ringing (calling or phoning) to ask if I could make an appointment for a check-up ? Miss Suzuki：Unfortunately Dr. Sato(佐藤) and Dr. Richard are both busy all this week. Is next Monday OK ? We have some spaces in the morning. Mr. Abe：Next Monday morning is fi
3、ne for me. Could it be early in the morning ?,1.Making an appointment 約診,Miss Suzuki：The first available space is 8:30. Is 8:30 am alright for you ? Mr. Abe：8:30 am is perfect, thank you. Miss Suzuki：Could I have your name again, please ? Mr. Abe：Yes of course. My name is Kenji Abe(阿部健二).,Chapter 1
4、At the reception desk (在接待處) 2. Cancelling an appointment (取消預約),2.Cancelling an appointment 取消預約,Miss Suzuki：Good afternoon, Dr. Sato and Dr. Richards Dental Clinic. Can I help you ? Mr. Otake：Hello this is Kenichi Otake(大竹健一). I would like to cancel an appointment if possible. Miss Suzuki：Could yo
5、u tell me when is your appoint Mr. Otake ? Mr. Otake：Its this Friday at 4 pm. Miss Suzuki：Thats no problem. I will cancel it for you. Would you like to make another one ?,2.Cancelling an appointment 取消預約,Mr. Otake：Yes please. Dr. Richard was going to do a filling so I need to come again. Could I com
6、e in next week ? Miss Suzuki：I am sorry. Dr. Richard is fully booked (預約排滿; no more spaces were available) next week. Because you need a filling, a longer appointment is necessary. The next time Dr. Richard can see you will be a week on Tuesday. Will that be alright ? Mr. Otake：Yes, thats fine thank
7、 you.,Chapter 1 At the reception desk (在接待處) 3 .Changing an appointment (改約),3.Changing an appointment 預約的變更,Miss Suzuki : Dr. Sato and Dr. Richards Dental Clinic, how can I help you? Mrs. Sayama : My name is Mrs. Sayama(佐山) and I have an appointment this afternoon with Dr. Sato but I have to change
8、 it because I dont feel well. Miss Suzuki: Oh dear Im sorry to hear that you are not feeling well. Would you like to make another appointment?,3.Changing an appointment 預約的變更,Mrs. Sayama : Can I call you back because Im going away for a few days? Miss Suzuki: Thats fine. We look forward to seeing yo
9、u again, Mrs. Sayama.,Chapter 2 Emergency (牙科急診) 1. Broken tooth (牙齒斷裂),牙醫學系:周肇茂 教授 分機:7003 Email: pro11sthkmu.edu.tw,重要單語,Composite filling, composite resin: 複合樹脂充填, 複合樹脂 Metal crown: 金屬牙冠 White crown: 白色金屬牙冠 Ceramic matertals: 陶瓷材料 Zirconia: 氧化鋯 Prepare the tooth: 修磨牙齒; 預備牙齒 Emergency: 急診 Chew: 咀嚼
10、,1.Broken tooth 牙齒斷裂,Dr. Sato: Youre back again, Mr. Ishida. Is it the same tooth? Mr. Ishida: Im not sure. I bit (past tense of bite) on a yakitori(燒 鳥: 把雞肉或鳥、豬等的內臟切成小塊用籤子穿起來烤的食品。烤雞肉串。烤雞雜(豬雜)串。) last night then I heard a crack and felt something sharp in my mouth. I think it is either the tooth you
11、 worked on or the one next to it. I cant say.,1.Broken tooth 牙齒斷裂,Dr. Sato: Well, luckily the tooth I rebuilt last time is OK. It is the tooth behind. You also had a composite filling in that tooth but now the remaining bit of enamel has broken off. Mr. Ishida: Is it serious? Dr. Sato: Yes and no. (
12、used to show that there is not one clear answer to a question 即是又不是表示難以明確答覆),1.Broken tooth 牙齒斷裂,Mr. Ishida: What do you mean? Dr. Sato: Well , yes in the sense that if we do what we did last time and repair the broken enamel with composite resin all your tooth will consist of composite. Mr. Ishida:
13、 That is good, isnt it?,1.Broken tooth 牙齒斷裂,Dr.Sato : Not really. If all of the tooth consists of composite resin, it can easily break again and all the filling may break off. We will need to place a crown on the tooth.Mr.Ishida : I dont want a metal crown. Some of my friends have metal crowns and t
14、hey dont look very nice. Can I have a white crown?,1.Broken tooth 牙齒斷裂,Dr. Sato: Yes, thats no problem. There are some new ceramic materials available, which can be used to make the crown. Because you have a tendency to break your teeth we will need to use a strong ceramic. Something like a Procera
15、high strength alumina coping or one made of zirconia.,1.Broken tooth 牙齒斷裂,What well do today is put some composite resin on as a temporary measure and give you another appointment. Mr. Ishida: Cant you prepare the tooth today? Dr. Sato: Unfortunately you were seen as an emergency and I have another
16、patient waiting. Sorry.,1.Broken tooth 牙齒斷裂,Mr. Ishida: Its just that I have to go Italy for a business trip. Ill be out of the country fir a mouth. So Im worried that the composite resin wont last. Dr. Sato: If you are careful not to eat anything very hard on those teeth you should be fine.,1.Broke
17、n tooth 牙齒斷裂,Mr. Ishida: Ill make sure I chew on the other side. Thanks for what you have done today .Im sorry for all the trouble I have caused you. Dr. Sato: Its my pleasure Mr. Ishida(吉田).,Chapter 2 Emergency (牙科急診) 2.A denture tooth has broken off (活動假牙的人工牙齒斷裂),重要單字,She has broken a tooth off he
18、r upper. denture: 她上顎的活動人工假牙斷裂. What can I do for you?: 我能為你做些什麼? A front tooth has broken off my upper denture.: 我上顎活動假牙的一顆人工前齒斷裂了.,2.A denture tooth has broken off 活動假牙的人工牙齒斷裂,Miss Suzuki: Sorry to trouble you Dr. Richard, a lady called Mrs. Kawajima(川島女士) has come in and would like to know if som
19、eone could see her. She is very distressed. She says she has broken a tooth off her upper denture. Dr. Richard: Could you see if Dr. Sato is free?,2.A denture tooth has broken off 活動假牙的人工牙齒斷裂,Miss Suzuki: Yes certainly. Dr. Richard: I have just finished so I can see Mrs. Kawajima. Could you call her
20、 in please Miss Kato(加藤)? Miss Kato：Would you like to come through please Mrs. Kawajima(川島)？,2.A denture tooth has broken off 活動假牙的人工牙齒斷裂,Dr. Sato：What can I do for you Mrs. Kawajima？ Mrs. Kawajima：A front tooth has broken off my upper denture and now I cant smile. Its terrible. I must give a presen
21、tation this afternoon in front of 200 people. If this tooth cant be fixed everyone will laugh at me！,2.A denture tooth has broken off 活動假牙的人工牙齒斷裂,Dr. Sato：Let me have a look. Ah no problem. The tooth just needs to be stuck back on. It will take me just a few minutes. Mrs. Kawajima：Thank you so much.
22、,Chapter 2 Emergency (牙科急診) 3. Pericoronitis (牙冠周圍發炎),重要單字,Patients file 病歷資料 Wisdom tooth 智齒; 第三大臼齒 Bite 咬 Gum 牙齦 Lower third molar 下顎第三大臼齒 Swollen / Swell 腫脹 Crown 牙冠 Pericoronitis 牙冠周圍發炎 Flap of gum 牙齦瓣 Infection 感染 Erupt 萌發 Radiograph 放射線照片 Impacted tooth 埋伏齒,重要單字,Mesially 近心側 Refer 轉診 Oral surg
23、eon 口腔外科 Second opinion 第二意見 Extract 拔牙 Sterile water 滅菌水 Antibiotics 抗生素 Allergic to Penicillin 盤尼西尼過敏 White spot 白斑 Have a sweet tooth 喜好吃甜食 Hygienist 口腔衛生師,3. Pericoronitis 牙冠周圍發炎,Miss Suzuki：Your first patient has just cancelled so you have a bit more time.However, there is an emergency patient
24、on the way. I will call you when I have made the patients file. Miss Tanaka(田中)：Dr. Richard, we will be working in Dr. Satos surgery today. We are lucky. He is not in today.,3. Pericoronitis 牙冠周圍發炎,Dr. Richard ：Thats good. Has someone been called to come and check the autoclave(高壓蒸氣消毒鍋)? Miss Tanaka
25、 ：Yes. Your first patient Cancelled. But there is an emergency patient on the way. Miss Suzuki ：The emergency patient has come. The patients name is Miss Komata (小俁). Here is her file. Miss Tanaka ：Dr. Richard, are you ready for the emergency patient? Her name is Miss Komata. Dr. Richard ：Yes. Can y
26、ou call her in please?.,3. Pericoronitis 牙冠周圍發炎,Miss Tanaka ：Good morning Miss Komata(小俁). Could you come this way please. Dr. Richard ： Good morning Miss Komata, please come in and have a seat. What can we do for you? Miss Komata ：Thank you for seeing me at such short notice. I think its wisdom too
27、th. The back of my mouth hurts when I try to bite together. The pain has been getting worse and I couldnt sleep last night. I am also having difficulty opening my mouth.,3. Pericoronitis 牙冠周圍發炎,Dr. Richard ：Ok. Lets have a look. Yes, the gum around your lower third molar is swollen. Part of the crow
28、n is visible. You have pericoronitis. Miss Komata ： Pericoronitis ？Whats that ？ Dr. Richard ：There is a flap of gum overlying the wisdom tooth. Food has got stuck underneath and an infection has started. It looks like your third molar is having trouble erupting. We need to take a radiograph to check
29、 its position.,3. Pericoronitis 牙冠周圍發炎,Dr. Richard :Your tooth is impacted mesially. Let me show you. Miss Komata: Will it come through later on? Dr. Richard :I dont think so.It is tilted against the molar in front. I will refer you to an oral surgeon for a second opinion. He may recommend you have
30、it extracted. I will wash under the gum with sterile water and give you some antibiotics. They will reduce the infection. Are you allergic to Penicillin?,3. Pericoronitis 牙冠周圍發炎,Miss Komata : No. I have had Penicillin before. Dr. Richard :I have noticed a couple of other things. You have several whi
31、te spots on your teeth and there is some calculus behind your lower incisors. Do you like to eat a lot of sweet thing. Miss Komata : Yes I do. My friends have told me I have a “sweet tooth”. Dr. Richard: I will give you another appointment so we can talk about your diet and give you some advice and
32、also I will book(預約) you in with our hygienist. Miss Komata : Thanks very much.,Chapter 2 Emergency (牙科急診) 4 . An allergic reaction (過敏反應),重要單字,Allergic reaction 過敏反應 Wisdom tooth 智齒 Swelling 腫脹 Rash 濕疹 Go and see a doctor 看醫生 Alternative antibiotics 替代抗生劑 oral surgeon 口腔外科醫生 Have ones wisdom tooth
33、removed 拔掉某人的智齒 Indication 適應症,4 . An allergic reaction 過敏反應,Miss Suzuki: Miss Tanaka, do you think Dr. Richard can see an emergency patient? Miss Tanaka: Yes Im sure he can. Whats the problem? Miss Suzuki: Mrs. Komata has returned. She thinks that shes had an allergic reaction to the antibiotics Dr
34、. Richard gave her for her wisdom tooth trouble Miss Tanaka: I remember Mrs. Komata. She came in yesterday as an emergency. Ill let Dr. Richard know that shes in the waiting room. .,4 . An allergic reaction 過敏反應,Miss Tanaka: Dr. Richard. We have an emergency patient. You remember Mrs. Komata who cam
35、e in yesterday with the wisdom tooth swelling? Well she thinks shes had an allergic reaction to the antibiotics you gave her. Dr. Richard: that doesnt sound good. We had better bring her in the straight away. Miss Tanaka: Please come this way, Mrs. Komata. Dr. Richard: I hear things arent going well
36、 for you, Mrs. Komata.,4 . An allergic reaction 過敏反應,Mrs. Komata: Unfortunately no they arent. I have developed a rash on my arm and I think its an allergic reaction to the antibiotics you gave me. Dr. Richard: yes I can see the rash. I gave you penicillin. When I asked you if you had any allergies
37、you said you hadnt. Mrs. Komata: Thats right I dont. Dr. Richard: Have you had penicillin before? Mrs. Komata: No I havent.,4 . An allergic reaction 過敏反應,Dr. Richard: well it looks like you have had an allergic reaction. You must go and see your Medical Doctor for further tests. In the meantime, ple
38、ase stop the penicillin and I will give you an alternative antibiotic. You have a review (follow-up) appointment next week dont you? Mrs. Komata : Yes I do. Dr. Richard: I will see you then and decide if we need o refer you to the oral surgeon to have your wisdom tooth removed. If you have an infect
39、ion that requires antibiotics then that is an indication to have the tooth removed.,4 . An allergic reaction 過敏反應,Mrs. Komata: Thanks for seeing me so quickly. Ill go straight to my Doctor. Dr. Richard: Before you leave, I will write a letter for you to give to your Doctor explaining what has happen
40、ed. Please take a seat in the waiting room for a few minutes.,Chapter 2 Emergency (牙科急診) 5. An avulsed tooth (脫落齒),重要單字,Upper central incisor 上顎正中切齒 Come through 長出(牙齒) Surgery (British dental clinical or手術) Splint the tooth (靠相鄰牙齒的連結)固定牙齒 Periodontal membrane 牙周膜,5. An avulsed tooth 脫落齒,Miss Suzuki
41、 : Miss Kato, could you see if Dr. Sato can come to the phone please? Mrs. Ogata(緒方) would like to speak to Dr. Sato urgently. Apparently her front teeth was knocked out. Miss Kato : Ill get him at once. Miss Suzuki : Dr. Sato, Mrs. Ogatas daughter has had an accident at school and has had her front
42、 tooth knocked out and she wants to know what to do. Dr. Sato : Hello Mrs. Ogata. This is Dr. Sato speaking. I hear your daughter has had an accident.,5. An avulsed tooth 脫落齒,Mrs. Ogata : Yes. I remember you telling me her upper central incisors have come through. It is one of those. Dr. Sato : the
43、best thing to do is to put the tooth back if you can. Is there some milk anywhere? If so put the tooth in milk and gently move it around. Try not to touch or clean the root. Mrs. Ogata : Ok. Yes there is some milk and I shall do that now. Dr. Sato : Good.,5. An avulsed tooth 脫落齒,Dr. Sato : Now the n
44、ext part is the hard bit(part). You need to put the tooth back in the socket. But please be careful to put the tooth back the right way around. The flat part faces to the front. Push the tooth in as quickly as you can then ask her to bite gently on something soft like a piece of cotton. Dr. Sato : T
45、hen bring her straight to the surgery(British dental clinical) and I shall have a look at her when she is here.Ill splint the tooth for a few days just to keep it in position while hopefully a new periodontal membrane will grow.,5. An avulsed tooth 脫落齒,Mrs. Ogata: I have cleaned her face and wiped t
46、he blood away so I am ready to try to put the tooth back. Once I have done that Ill bring her straight to you. Thank you so much for your advice.,Chapter 3 Treatment (牙科治療) 1. Composite filling (複合樹脂充填),重要單字,Premolar 小臼齒 Palatal cusp 顎側咬頭 Light-cured composite resin 光聚合型複合樹脂 Glass particle 玻璃顆粒 Poly
47、merize 聚合 Restoration 補綴物 (贋復物或修復物) Set 聚合 Adhesion 接黏劑 Indirect onlay 間接法製作的冠蓋體 Metal-ceramic crown 金屬-陶瓷牙冠 Calculus 牙結石,1. Composite filling 複合樹脂充填,Miss Kato: Good morning Dr. Sato. Ready for this morning？ Dr. Sato : Absolutely. How many patients do we have？ Miss Kato: Five this morning. The first
48、 patient is Mr. Ishida. He has broken a tooth. Are you ready？ Dr. Sato :Yes. Can you call him in？ Mr. Ishida: Thanks for seeing me Dr. Sato. I was eating some Yakitori when I heard a crack and then noticed a piece of tooth in my mouth. I think it is one of my premolars.,1. Composite filling 複合樹脂充填,D
49、r. Sato :Ill have a look. Ah yes, you have broken the palatal cusp of your second premolar. We can rebuild it with light-cured composite resin. Mr. Ishida: What is light-cured composite resin？ Will it last for a long time？ Dr. Sato : Light-cured composite resin is a resin, which contains glass particles of different sizes. We use a blue light to polymerize(聚合) it. The material has a long working time to give it the correct shape. When we are happy with the shape of the restoration then we set it with the light. It relies on adhesion to stay in place.,
