适应症 · 依据证据判断，而非照本宣科
被告知您不适合种植？ 用一次 3D扫描获得第二诊疗意见。
「您不适合做种植牙」是牙科中被滥用得最厉害的一句话。它被说给糖尿病患者、吸烟者、长者，以及长期佩戴假牙的人听——而往往只是在匆匆看了一眼几年前拍的平面X光片之后。
这是我们近二十年来的经验： 我们检查过的人当中，约有98%都拥有可行的种植方案。这个数字并不是我们在放低标准，而是当您用 3D扫描来测量一个人真实的骨骼、而非凭一张旧X光片去臆测时，自然会出现的结果——而且当植骨、角度植入与颧骨种植体给了您更多说「行」的途径时，更是如此。
下面的清单涵盖了真正影响适应性的因素——以及那些只是听起来像会让您失去资格的因素。随后，一次免费的 3D扫描会把「大概可以」变成确切的答案。
本诊所
本诊所 一览
适应比例数字反映的是我们整个诊所的咨询结果。适应症只有在亲自到院检查、病史审阅及CBCT影像之后才能确认。个体结果与时间安排因人而异。
诚实的 适应症清单
五份清单，涵盖了我们听到的几乎所有适应症问题——包括那些被人们误以为会导致失去资格的情况，以及那些确实需要您的主治医生参与的情况。
我们看重的基本条件
- 牙龈没有活动性、未经治疗的牙周病
- 有足够的骨量来固定种植体——或有可供我们重建的部位
- 种植部位没有未受控的口腔感染
- 身体状况足够稳定，可承受小型口腔手术（大多数人都符合）
- 愿意刷牙、使用牙线，并按时复诊
不会自动让您失去资格
- 糖尿病——只要控制得当
我们可能会就治疗时机与您的主治医生协调。
- 已受控的心脏疾病或高血压
逐例评估，通常会与您的医生共同判断。
- 骨质疏松症
视严重程度及影响骨骼的药物而定。
- 年龄——没有上限
- 多年佩戴假牙或既往骨质流失
通常只是时机问题
- 活动性牙周病或感染
先治疗并稳定——然后再种植。
- 近期拔牙或仍在愈合的口腔创伤
- 怀孕
择期手术只需等待即可。
- 近期疾病或手术后的恢复期
需要与您的主治医生慎重评估
- 头颈部放疗
受过放射的颌骨愈合能力差，术后可能出现骨质破坏。种植仍有可能，需与您的肿瘤科医生共同规划——但有时并不可行。
- 增强骨骼的药物——双膦酸盐或地舒单抗（denosumab）
这类药物用于治疗骨质疏松症或癌症，带有术后颌骨破坏的风险，在癌症治疗剂量下风险要高得多。请把您用过的每一种剂量都告诉我们，哪怕是多年以前。
- 抑制免疫系统的药物
长期使用类固醇、器官移植用药、化疗以及部分生物制剂，都会减缓愈合并增加感染风险。
- 凝血功能障碍或抗凝药
绝不要自行停用抗凝药——任何调整都须与开药医生共同决定。
通往「可以」的方案
- 锚定在颧骨中的颧骨种植体——当上颌无能为力时
- 在您主治医生的配合下优化血糖或用药
- 在手术前后戒烟或暂停吸烟
这是最重要且可改变的成功因素。
这些清单仅供参考，并非诊断。您的适应性需在一次带影像检查的免费面诊中确定——而且亲自为您检查的是医生，而不是接线筛查人员。
为什么别处的「不行」 未必就是最终答案
第二诊疗意见正是我们的日常——欢迎走进来看看
只用一种方式植入种植体的诊所，也只能用一种方式说好。我们打造这家诊所，正是为了应对疑难病例：院内 3D CBCT 影像，看清平面X光片遗漏之处；导航引导，精准利用您现有的骨质；植骨，重建缺失的部分——以及当上颌无骨可用时的颧骨种植体。
关键还在于是谁在为您诊断。Dr. Jain 和 Dr. Gupta——International Congress of Oral Implantologists（ICOI）的大师级会员（Master）——数十年来一直在为被其他诊所拒绝的患者重建口腔，他们会当着您的面、在诊室里亲自解读您的扫描结果。
如果您多年来一直背负着一个「不行」，不妨花一次免费到访，看看它是否依然成立。预约您的扫描——答案来自您自己的骨骼，而在我们检查的人当中，约 98% 最终都被证实有一条可行之路。
「我到底适不适合？」以及紧跟其后的问题
另一家诊所说我的骨量不足。这就是最终结论吗？
几乎从来不是。「骨量不足」通常意味着「按那家诊所的植入方式来说骨量不足」。借助植骨、上颌窦提升、由 3D导航引导的精准角度植入，以及锚定在致密颧骨中的颧骨种植体，大多数在别处被劝退的患者，在这里都有可行的方案。免费的CBCT扫描会在三维空间中测量您真实的骨质，因此答案取决于您自身的解剖结构——而不是某家诊所恰好开展哪些手术。
我有糖尿病还能做种植牙吗？
通常是可以的。控制良好的糖尿病与成功的种植治疗并不冲突；关键在于愈合期间血糖稳定，因为血糖偏高会减缓骨结合。我们会审阅您的病史，有时与您的主治医生协作，并把治疗安排在您血糖控制最佳的时机。血糖失控是暂缓并做好准备的理由——而很少是放弃的理由。
我年纪太大，不适合做种植牙吗？
并没有年龄上限——健康状况远比出生年份重要，我们经常为七十多岁、八十多岁乃至更年长的患者植入种植牙。事实上，年长患者往往获益最多：种植牙能恢复咀嚼能力，从而保持营养、精力与生活自理能力。如果您的身体状况足以承受一次常规拔牙，那么通常也足以接受种植牙评估。
我吸烟。这会让我失去资格吗？
并非自动如此，但吸烟是最重要且可改变的风险因素。吸烟会限制流向愈合中骨骼和牙龈的血液，从而降低种植成功率——所以我们会坦诚地告诉您相关数据，如果彻底戒烟并不现实，也会帮您规划在手术和愈合前后暂时停吸。许多吸烟者的种植都很成功；只不过这场坦诚的谈话发生在治疗之前，而不是出现问题之后。
究竟哪些情况会真正延迟或阻碍种植？
清单很短，而且大多是暂时性的：活动性牙周病或感染（先治疗，再种植）、近期拔牙或仍在愈合的口腔创伤、怀孕（择期手术需等待），以及未受控制的疾病。有三种情况，在任何人规划手术之前，都需要先与您的主治医生慎重沟通：头颈部放疗；增强骨骼的药物，例如双膦酸盐或地舒单抗（denosumab）（尤其是癌症治疗中使用的较高剂量）；以及抑制免疫系统的药物。这些都不会在网站上做出决定，而且任何药物都绝不会在没有开药医生参与的情况下更改。对大多数人来说，答案是「可以，只要按正确的顺序来」；对少数人来说，诚实的答案是「不行」——我们也会如实告诉您。
我的种植体是不是必须由牙周专科医生或口腔外科医生来植入？
不一定——牙周专科医生、口腔外科医生和专攻种植的牙医都在做种植手术，而门牌上的头衔，其实不如三件实际的事重要：这位临床医生受过多少专门针对种植的训练、他处理过多少和您类似的病例，以及植入种植体的人是否同时负责规划和最终的牙齿修复。在我们这里，Sam Jain 医生和 Arpana Gupta 医生都是 ICOI Master——这是 International Congress of Oral Implantologists（ICOI，全球最大的种植牙组织）的最高荣衔——诊所只做种植，并且从 3D 规划、手术，一直到最终的牙齿，包括植骨、上颌窦手术和镇静，全部由这两位医生在院内完成。如果就您的解剖条件而言，转诊给另一位专科医生才是真正正确的选择，我们会在免费扫描时就告诉您；这正是评估存在的意义。
适应症评估时会做些什么？
一次到访，免费，无任何义务：审阅您的全身与口腔病史、进行口腔检查，以及一次免费的医疗级CBCT 3D扫描（与检查合计价值 $499），精准测量骨骼的高度、宽度和密度。您当天离开时便会知道自己是否适合、需要做哪些（如有）准备，以及费用是多少，全部以书面形式逐项列明。在我们检查过的人当中，大约98%最终都拥有可行的种植方案。
Google 评价
来自我们的患者， 最新评价
以下是我们在 Google 上最新的五星评价。评分和总数包含我们 Google 主页上的全部评价。
Elisa Morris
Dr Jain is very professional. He’s perfectionist make sure your hap with the result
Marsh Fong
I had beautiful smile I like this place amazing they did my mouth implant treatment I am very happy feel confident my smile and they are amazing doctors very confident about work . I wish I give it 100 stars
prajwol Basnet
I recently had my 2 implant treatment here and I’m very happy with the results. Dr. Jain and Dr. Gupta are very experienced and explained everything clearly, which made me feel comfortable throughout the treatment. I was also really impressed that they have an in-house lab, so everything is done under one roof. A friend recommended this place to me, and I’m glad I came here. Everyone was welcoming and professional, and overall I had a very good experience. Definitely recommend!
Frank Chang
I did my implant they did same day I am very process very smooth and fast dr Jain and Dr Gupta has lot of experience very good and knowledgeable doctors I recommend this implant center I came with lot of pain yesterday they finish process same day
M Welch
⭐⭐⭐⭐⭐ I cannot say enough wonderful things about the Center for Implant Dentistry! From the moment I walked through the door until the moment I walked out with my beautiful new smile, I felt welcomed, cared for, and confident that I was in the right hands. I had All-on-6 full upper and lower implants. Dr. Jain and Dr. Gupta are incredibly talented at what they do. They didn’t just give me new teeth — they gave me a new lease on life. Seeing my new smile for the first time was emotional, and I honestly couldn’t be happier with the end result. The amount of skill, care, and attention to detail that went into my treatment was incredible. The entire staff was amazing from beginning to end. Everyone was welcoming, patient, kind, and made me feel comfortable throughout the whole process. Having major dental work done can be scary, but they took such great care of me every step of the way. I walked in hoping to get my smile back, and I walked out with more confidence than I could have imagined. I can smile again without trying to hide my teeth, and that means more to me than I can put into words. Thank you, Dr. Jain, Dr. Gupta, and the entire Center for Implant Dentistry team for giving me my smile and my confidence back. You truly changed my life, and I will forever be grateful. If you are considering dental implants and are nervous or unsure about taking that first step, I wholeheartedly recommend Center for Implant Dentistry. My only regret is that I didn’t do this sooner! ⭐⭐⭐⭐⭐ A truly life-changing experience.
Samyak Jain
I had been hiding my smile for a long time. Eating was difficult, smiling in photos felt uncomfortable, and little by little it started affecting my confidence in ways I did not even realize. Walking into Center for Implant Dentistry, I was hopeful, but also nervous. This was a big decision for me. Now, when I look in the mirror, I do not just see new teeth. I see my confidence coming back. I can smile freely again, eat comfortably, and feel like myself again. That is something I will always be grateful for. I highly recommend Center for Implant Dentistry to anyone thinking about dental implants. This place did not just change my smile. It changed how I feel about myself. I visited again this Implant Center for checkups and the whole staff is lovely.
mohammad omar mohammadi
I am very I came yesterday my missing teeth they did surgery immediately and I got my tooth immediately very profession I am very happy I am very scared before that because I have missing teeth in front but they fix it write away Thank you dr Jain and dr Gupta I recommend this implant center
Emerson Salvador
They did an amazing job with my dental implants and gave me a new smile that enhanced my confidence. They have great customer service and were really informative.
Lady Gemini
They did excellent work on my brother Bring your mother, your sister, your brother they do excellent work and they’re very patient and they make you look beautiful. There’s a picture.
Jessica To
Amazing center I did my full mouth dental implant treatment long time 8 year almost no problem I am very happy this implant center is amazing they have in-house the power of making teeth I very very happy . Highly recommend if somebody wants implant
james wells
I am very happy for this place I did my full mouth dental implant treatment from this place 5 year ago and result xame very good my teeth looks very natural I coming from all way from Sacramento the reason for choosing this place because they have everything under one roof every expertise under one roof engineering surgical experience manufacturing facility because this kind of treatment needs expertise who have good experience and dr jain and dr Gupta is amazing When I got my final teeth I feel like that moment is glimpse of eternity Very happy
Vincent Betar
The entire staff here are really amazing from the receptionist to the doctors who perform an amazing transformation of my teeth and my facial expressions. I feel very grateful for the work done and very satisfied. I highly recommend center for Implant dentistry sincerely. Vince Betar.
评价为患者的个人经历，按发布原文呈现。效果因人而异。
别再犹豫不决。 一次免费扫描即可定论
临床审阅
更新于
Dr. Sam Jain, DMD, MS种植外科医生、口腔种植医师兼创始人
Dr. Arpana Gupta, DDS, MDS种植外科医生、口腔种植医师
中文译文由我们的专业医学翻译人员翻译并审校。
- 您的治疗方案须在面诊及 3D 扫描之后方能确定。