【正文】 The filling is finished.現(xiàn)在把你的牙齒輕輕地咬在一起， 然后把頜往兩側(cè)移動(dòng)。 補(bǔ)的東西感到高不高？P:It feels fine.感到合適。不用擔(dān)心， 在一，兩周內(nèi)這種反應(yīng)是會(huì)消失的。 你是知道的， 填補(bǔ)進(jìn)去的東西要是很大的話， 那麼， 有時(shí)對(duì)冷是有反映的， 因?yàn)榻饘偈橇紝?dǎo)體， 對(duì)于溫度的變化是敏感的。ll put a lining under the amalgam to insulate the tooth against sensitivity to cold. As you know, large fillings are sometimes sensitive to cold because metal is a good conductor of temperature changes. The tooth may be sensitive to hot and cold foods for a while in spite of the insulation. Don39。P:Sometimes my tooth is sensitive to cold.我的牙齒有時(shí)對(duì)冷有反映。P:Would there be any pain?會(huì)不會(huì)疼呢？D:There might not be any pain if the infection is mild or if it finds a way to drain (if a fistula develops). If the infection doesn’t put pressure on a nerve there won’t be any pain.假如感染輕微的話， 或者找到引流的通道的話， 就不會(huì)疼。s infected. A tooth might bee infected many weeks or months after the decay has been removed.牙齒受感染的結(jié)果會(huì)引起壓痛和牙齦發(fā)腫。 當(dāng)蛀牙的洞太深， 使得牙髓壞死， 牙齒就會(huì)受到感染。t be 100% sure in these cases，but I39。 象這棵牙的蛀洞那莫深， 很有可能在將來(lái)什莫時(shí)候牙髓是會(huì)壞死的。ll put a special covering over the deepest part of the cavity to protect the pulp. It has calcium hydroxide in it. It will help to protect the pulp from injury. When a cavity is as deep as this one is, there39。蛀牙的地方離牙髓很近。 不會(huì)痛的。我想你是不會(huì)喜歡在前牙上鑲金的。t anesthetized (numb，col.). The decay was very close to the pulp.鑲上金牙或者鑲上齒冠。d like to have gold showing from a front tooth. We can start now. It shouldn39。D:Either a gold inlay or a crown. A crown would look much better. I don39。 當(dāng)牙齒咬合處缺了一塊通常需要用好的料子補(bǔ)上。t be strong enough. When a part of the biting edge of a tooth is lost, a stronger restoration is usually needed.需要作成瓷牙冠套或烤瓷冠套。 我缺了一塊的前齒該怎摸辦？D:That tooth needs a porcelain jacket or a ceramic veneer crown. I can39。 蛀牙的洞小我就不想做麻醉了。 你看這樣好不好？P:Yes, go ahead, if you think that an anesthetic (novocaine, col,) is necessary. I don39。 最好的辦法就是用銀汞補(bǔ)上。 假如你的牙齒不讓你難受的話， 那莫 我就把蛀的最厲害的牙補(bǔ)一補(bǔ)。ll polish the teeth to make them smooth.10When was the last time you had your teeth cleaned?11Do you have a normal eating diet?12Bacteria is the most important cause of tooth decay, gum diseases, and calculus formation.Part 3第三章Operative Dentistry牙科手術(shù)D:Good morning Mrs. Hall. If none of your teeth are bothering you, I’ll restore (put a filling in, col.) the tooth with the largest cavity. This is the tooth that I’ll treat today. It would be best to use a silver amalgam restoration (filling, col.) here. The cavity is deep so we39。 Useful Sentences1.What brand of toothbrush do you use?2.How do you brush your teeth?3.Would you describe your daily home care, please?4.The disclosing tablet will show me the bacterial plaque.5.Hold the hand mirror and watch me.6.Show me how you use dental floss, please.7.I39。 這樣可以幫住你防止蛀牙和防止齒齦炎發(fā)生疾病。 在下次預(yù)約時(shí)把記錄帶來(lái)。 .D:Usually, it will take two or more instruction periods to teach effective home care. 教人如何在家保護(hù)牙齒通常要教兩次或更多一些。 在下次預(yù)約治療時(shí)，我在給他的牙齒上著色劑。 H: What if the tooth is loose?要是牙齒松動(dòng)怎摸辦？D:If the tooth is loose, you should hold it steady with a piece of gauze in your left hand. Did you review the patient’s home care technique?要是牙齒松動(dòng)， 你可以在左手里裹著紗布把牙齒固定住。 用著一把 “湯納u –15 ”刮鋤器。H:I see, Doctor.是的。 看看刮的怎摸樣了？D:Yes, please. That looks fine, Miss Jones, but there’s still a little bit of calculus on the proximal surface of this tooth.好。 我快刮完下一排牙齒了。 再你離開(kāi)以前， 再你離開(kāi)以前我要把你的牙齒磨一磨， 并把留下來(lái)的著色劑磨掉。 我要試看怎樣作的好些。拿 著這把手鏡，瞧著。用牙刷是刷不掉牙逢里的細(xì)菌的。H:Do you use dental floss?你用牙先嗎？P:Yes, but not everyday.用， 但是不是每天都用。 P:That’s very interesting. I’m so happy that you showed this to me. I thought that I clean my teeth very thoroughly. I guess I was wrong.真有意思 。你可日用牙刷和牙線將斑點(diǎn)擦掉， 但是卻弄不掉齒石/。H:The other stain is hard. It has to be scraped away with a scaler. The hard, rough stains are calculus. You can remove the plaque with a toothbrush and dental floss, but you can’t remove the calculus. I’ll have to do that for you.其他染色的部分硬 的，要用刮除器把他刮掉。這種暗紅色的染色是菌斑。P:It’s all right行嗎？H:Don’t worry, the stain will e off easily. If you look in this small hand mirror, you can see the red stains on your teeth. The soft red stain is bacterial plaque. Do you see how easily it es off?用不著擔(dān)心，著色劑會(huì)很容易掉的。H:That’s pretty good, but your not cleaning some of the teeth well enough. I’ll put a stain (disclosing agent) on your teeth to show you where your toothbrush has missed. 很好，可是有些牙齒你并沒(méi)有刷得很好。H:Here’s a sample toothbrush that you may keep. Please take it and show me how you “brush”.這是牙刷樣品，你可以用。Useful Sentences1.Prepare room number two for the first patient.2.I’m expecting a new patient.3.I’ll examine your teeth.4.I’ll see you in few minutes.5.What’s you name?6. Where do you live? What’s your address?7. Please write your phone number on the record card.8. Would you please fill out this record card?9. Who referred you to my office?10Are you employed? What kind of work do you do?11How long will you live in Shanghai?12Can you wait for a while?13The doctor is with a patient.14Do you have an appointment?15My hygienist will give you an appointment.16I’ll have to reschedule (cancel, col.) your appointment.17The Doctor can see you now.18Would you like to sit down?19The Doctor isn’t here today.20The Doctor is out of lunch.21I want to ask you about your medical history.22Have you ever had a serious illness?23Did you ever have plications from dental treatment?Part 2第二章Oral Prophylaxis口腔預(yù)防治療H:What kind of toothbrush do you use, Mrs. Williamson?威廉森太太，你用什么樣的牙刷？P:I use a soft brush. I don’t remember the brand name.我用的是軟牙刷。D:Show the patient how to “brush” and use dental floss properly. I’ll see you later, Mrs. Williamson.你教病人如何正確使用牙刷和牙線。瓊斯小姐，你給病人先洗牙吧。D:Finally, I want to make followup (recall) appointments with you every 6 months for an examination and Xrays. Also, to clean your teeth as often as it is needed. Please begin to clean