
改革前

改革后
随着改革开放的逐渐深入,多员化世界越来越多的改变着当今的中国社会.在我们的国门已向全世界敞开三十年后的今天.就在我们身边你会看到越来越多"洋人""老外"们走进我们的生活. 说实话,当您在您的口腔诊所遇到这些老外患者的时候是否会因为语言的种种局限而失去这些潜在"钱在"的高端患者呢?其实也许几句简单的"鸟语"就完全可以拉近您和患者之间的距离!口腔诊所的环境和您所掌握的技术比任何语言更有力度!
相信您完全可以将这些老外们的牙"瞧"好!并得到高质量的效益回馈.今天的博文只想斗胆介绍一些最最常用的口腔科临床"鸟语",希望能给和我一样"鸟语"水平凡泛的战友们一些帮助!(之所以强调斗胆,是因为在我们KQ88的大家庭里实在是卧虎藏龙,人才太多.而这些老师们看到我要分享的竟是这样简单"鸟语"恐怕会......在这先鞠躬了,见笑之余还望海涵.)
请问你叫甚麽名字?
May I have your name.please?
有病历吗?
Do you have a record?
你感觉还好吧?
Are you feeling well?
Are you feeling all right?
你觉得怎麽样?
How are you feeling?
哪不舒服?
What"s the trouble?
您的哪颗牙齿疼?
Which tooth is the troubling you ?
我的牙齿又痛了.
My tooth is acking up again.
这颗牙齿松动了.
This tooth is loose.
这颗牙痛.
This tooth hurts.
牙床都肿了.
The gums are swollen.
牙套送了.
The cap has come off.
填充物脱落了.
The filling has fallen out.
我必须把这颗牙拔掉吗?
Must I have my tooth extrated?
你必须把这颗牙齿拔掉。
You must have your tooth extracted.
这颗牙齿需要拔除.
the tooth will have to be taken out.
尽量保护好这科牙.
Please try to save the tooth.
怎麽个疼法?
What kind of pain do you have?
我触这你觉得怎样?
Does it hurt when I touch it here?
Does it hurt when I press here?
张开嘴说::A:(儿童多用)
Open your mouth and say "A".
以上总结的都是些好学易说的临床鸟语!
只要战友们稍加学习就可完全掌握!当然要想和老外患者们进行更进一步的系统全面的交流。以上这些显然远远不够!要学的东西还是很多的!但我想掌握了这些多少会有所帮助吧。
另外!一些简单的口腔科"鸟语"病例,也应适当掌握!因为老外们着实是看不懂我们所书写的草书病志,简单明了的"鸟语"病志也会极大的增加老外对您的信任程度!而且对于下一次的就诊也是好处多多.......(不够专业啊,但老外们看懂是关键)
拔髓 浸润局麻下
_
Pulp extirpation c imt/Awe(I/A)
测量根管长度 根尖片指导下
_
Root length measuring c x-ray taking.(Periapical x-ray taking)
扩根
Canal enlargement
根充.
_
Canal filling c GP point
树脂充填
Resin filling
银汞充填
Amalgam filling
树脂抛光
Resin polishing
去龋
Dental caries removing
窝沟封闭 _
Pit fissure sealant c 3M Flow A3
浸麻下根管开放 /置入2棉球
_ _
Canal opening c I/A& 2 cotton pellets insertion
FC纸尖置入
FC paper point insertion
3%H2O2 0.9%NACL 冲洗
_
Dressing c Irrigation 3% H2O2 0.9% Nacl
全瓷牙预备取模
Preparation for An _ceramic crown& impression
临时牙戴入
Temporary crown making &setting
全瓷牙戴入
All-ceramic crown setting
去除旧银汞
old silver amalgam removing
氧化锌暂封
_
stopping c ZOE
调整咬 牙合 并 抛光
occlusal adjust & polishing
去除原铸造冠
old casting crown removing
去除原铸造桩
old casting post removing
拔除 阻滞麻醉 下
_
EXT(略写)------extraction c B/A
缝合 3针
Suture:3 points
拆线
Stich out
牙龈切除术
Gum resection
深部刮治
Deep curettage
一. At the registration挂号
1. What can I do for you?
2. What is wrong with you?
3. Do you want to see a dentist?
4. Which speciality do you want to register with?
您要挂哪个科的号?
5. Do you want to have your
tooth pulled ( tooth filled )?
您要拔牙补牙吗?
6. For a filling? A denture?
Or a cleaning? 补牙?镶牙?还是洁牙?
7. Is this your first visit to this dental clinic?
8. May I have your address,
telephone number, age and occupation, please?
请告诉我您的地址,电话号码,年龄,职业。
9. Please write your name and
date of birth on this card.
10. Please fill out this record card.
请填写这张记录卡。
11. Do you have a registration card? 您有挂号证吗?
12. When did you come last?
13. Do you have an appointment? 您有预约吗?
14. We are fully booked today. 今天已经约满了。
15. Please show this card at
the registration desk every time you come.
每次来挂号,请出示这张卡
16. Please pay for the registration. 请交挂号费。
17. Here is your receipt and change.
这是收据和找回的零钱。
18. This is your registration card.
Please don’t lose it and
bring it here whenever you come.
这是您的挂号证,请不要遗失,每次来时带着它。
19. Please wait in the waiting room. 请在候诊室等。
20. The doctor will see you soon.
21. The doctor now is with a patient.
22. Your turn is next.
23. There are two more patients before you.
24. The patient before you
is a rather complicated case,
I’m sorry you will have to
wait at least half an hour.
前面那个病人比较复杂,
您至少还得等半小时。
25. Please come into
the treatment room, will you? 请进治疗室。
二.Directions for the position,
manner and action 椅位,方式和行为的指导
1. Please sit down in this chair.
2. I will lean the chair back. 我把牙椅向后倾斜点。
3. I will bring the chair up.我将抬高牙椅。
4. Please slide up/down the chair.
5. Are you comfortable in this position?
6. I will place an apron on you. 我给您系上胸巾。
7. Please lift your head.
8. Please turn your head to the right/left.
9. Please tuck your chin. 请收下颌。
10. Please open your mouth a litter wider.
11. Please keep your mouth open.
12. Bite down, please. 请咬合。
13. Tap your back teeth together. 请咬后牙。
14. Move your jaw to the right and left. 请左右错颌。
15. Slide your lower jaw forward. 向前伸下颌。
16. Please keep the teeth together. 请保持咬合状态。
17. Relax and make yourself comfortable.
放松自己,使自己感觉舒服。
18. Please relax your tongue/jaw/shoulders.
放松舌头/下巴/肩膀。
19. Please raise your left hand if you feel pain.
如果疼痛,请举起您的左手。
20. Rinse your mouth, please. 请漱口。
三.Questions about medical history 既往史的询问
1. First, I will ask you about your general health
and allergies.
首先,我需要了解您的全身健康状况和过敏史。
2. How are your health conditions now?
( Excellent, Average, Poor) 您现在的身体状况如何?
3. Do you have any chronic disease?
您有什么慢性病吗?
4. Have you ever had a serious illness?
您有重大疾病史吗?
5. Have you had any operations in the past?
您有手术史吗?
6. Have you had any serious accidents
or injuries?
您有外伤史?
7. Have you ever had a blood transfusion?
您有输过血。
8. Do you have or have you ever
had the disease of heart, liver or kidney?
您有心脏病,肝病和肾病。
9. Are you suffering from hypertension?
您有高血压病史吗?
10. Have you had any diabetes?
您有糖尿病史吗?
11. Do you have a fever? 您有发烧吗?
12. How is your appetite? 您的食欲怎样?
13. Do you have any trouble
in swallowing food?
您有吞咽困难的现象吗?
14. Do you take any medication regularly?
您目前有长期用药吗?
15. Are you pregnant? 您有怀孕吗?
16. Is your menstrual cycle regular?
您的月经规律吗?
17. When did your last period begin?
您末次月经是什么时候?
18. Do you have any allergy? 您有过敏史吗?
22. Have you ever had
an injection for anesthesia?
您以前用过麻醉药吗?
23. Have you ever had abnormal bleeding
from an injury of a tooth extratction?
您有过伤口或拔牙创口出血不止的经历吗?
24. Have you ever had complications
from dental treatment?
您有过与治牙相关的并发症吗
四. Questions about general symptoms
一般症状的询问
1. What is your trouble?
2. Tell me what symptoms you have?
能描述一下您的症状吗?
3. When did you first notice such conditions?
您第一次发现这种情况是什么时候?
4. Have you already attended
another hospital with your problems?
您有在其他医院看过吗?
5. Please tell me the name of the hospital,
the period and the type of treatment you received.
请告诉我医院的名字,治疗方法和时间。
6. When were you under the care of
the doctor recently,
tell me the symptoms you had.
您什么时候接受的治疗,告诉我你的症状。
7. When did you become swollen up like this?
您什么时候肿成这样的。
8. How long did it bleed? 出血多长时间?
9. When did the tooth last have dental treatment?
最后一次治牙是什么时候?
五.Questions about pain 疼痛的询问
1. When did the tooth start to hurt?
这牙什么时候开始痛?
2. What kind of pain did you feel? 是那种类型的痛?
3. Can you describe the pain?
Is it a dull pain/a sharp pain/a throbbing pain?
您能描述一下您的疼痛吗?是钝痛/锐痛/跳痛?
4. Does it come and go or come suddenly?
是间断痛还是突发痛?
5. Does it spread anywhere else?
疼痛想其他地方放射吗?
6. Was it sensitive to sweet food/cold water?
对甜食/冷水刺激敏感吗
7. Did it hurt after eating and drinking?
吃饭和喝水时痛吗?
8. Did the pain interfere with sleep?
夜间疼痛加重吗?
9. Did pressure make it hurt? 您有咀嚼痛吗?
10. Do you feel pain when I tap on this tooth?
当我叩您的牙时有疼痛吗?
六. Questions about periodontal disease
牙周病的询问?
1. Did you have any bleeding from your gums?
您的牙龈有出过血吗?
2. Did your gums bleed when you brush your teeth?
您刷牙时有出血吗?
3. Did your gums bleed when you eat hard food,
like an apple?
咬硬物时,比如苹果有出血吗牙龈?
4. Have you noticed any
bleeding spots on your skin?
您皮肤上有出血点吗?
5. Did the gums bleed for no apparent reason at all?
您的牙龈是不明原因的出血吗?
6. Did food get caught between your teeth?
您塞牙吗?
7. Do you feel any of your teeth loose?
您感觉哪个牙有松动吗?
8. Do you notice that you breathe
through your mouth?
您注意到您有口呼吸吗?
9. Do you snore? 您有打呼噜吗?
10. Do you have a habit of grinding
your teeth at night? 您有夜间磨牙的吗?
11. Do you have a habit of clenching your teeth?
您有紧咬牙的习惯吗?
12. Do you have anyone in your family
who had serious gum disease?
您的家人有患牙龈病的吗?
13. Has a dentist ever told you
that you have gingivitis or periodontitis?
有医生告诉过您,您有牙龈炎或者牙周炎吗?
七.Questions about temporomandibular
joint dysfunction 关节功能紊乱的询问
1. Do you have any of the following symptoms:
noise in the joints ,headache,
a stiff shoulder, or sleepless at night?
您有一下什么症状吗:
关节弹响、头痛、肩膀僵直或者失眠?
2. Do you feel that it is difficult to
open your mouth now? 开口困难吗?
3. Do your joint sound strange
when you open your mouth?
开口时关节有弹响吗?
4. Do you feel sore here when I press this place?
我按压的部位有痛吗?
5. On which side of your mouth
do you chew most often when you eat food?
您通常用哪侧咀嚼?
八.Local anesthesia局部麻醉
1. Are you feeling a pain when I use the drill?
Then I will use an injection for anesthesia?
当我钻牙时有感觉痛吗?如果有,我将给您打针麻药。
2. The decay is very deep,
so I will use a local anesthetic before drilling.
龋洞很深,在钻牙前我将给您打一针麻药。
3. Have you ever had any
adverse reactions to a local anesthetic?
您以前对局麻药有不良反应吗?
4. Do you have allergies? 您有过敏史吗?
5. Please breathe deeply and slowly. 请深呼吸。
6. I will apply a topical anesthetic to
numb the surface of the gum.
It will lessen the discomfort of the injection.
我将用表麻药来麻醉您的牙龈。
7. You may feel a little sting
when I give the injection.
当我注射麻药时,您可能会感觉到有点针刺感。
8. Are your lips and tongue numb?
您的嘴唇和舌头麻了吗?
9. The anesthetic will take
effect in about four minutes. 四分钟左右麻药会起效。
10. The anesthetic will wear off
in about two or three hours.
两三小时后麻醉效果会消失。
11. The numb feeling will continur for
two or three hours. While eating,
please be careful not to bite
on your lips or tongue.
麻木的感觉会持续两三个小时。
九.tooth brushing instruction 刷牙指导
1. Please hold this hand mirror
and look in your mouth,
can you see the redness in your gums?
拿着镜子看看自己的口腔,看见您的牙龈很红了吗?
2. Now, I will show you how
to brush your teeth using this dental model.
Place the toothbrush at the junction
of the gums and the teeth like this.
Place the bristles of
the brush ninety degrees to the gumline.
现在我将在模型上演示如何刷牙,
将牙刷放在牙龈和牙齿的联合部位。
刷毛和牙龈缘呈90度。
3. Move the tooth brush back
and forth with short, vibrating stokes.
用短距离,振动的力量前后移动牙刷。
4. Please move the brush downwards
on the upper teeth and upwards on the lower teeth.
刷上颌时牙刷应向下移动,刷下颌时牙刷应向上移动。
5. Move it in a circular motion
about ten times at the same place.
每部位刷十次。
6. You should change your brush
when the bristles get frayed.
当牙刷毛变弯曲时您应该更换牙刷。
7. Your brush should be replaced about once
every mouth. 每月换一次牙刷。
8. Dental floss is used to
clean between your teeth.
牙线可用来清洁牙间隙。
9. First take about forty centimeters of floss.
首先准备40CM长的牙线。
10. Wrap the floss around your middle fingers like this.
象这样将牙线饶在中指上。
11. Control the floss by pinching it
with index fingers and thumbs like this.
通过示指和拇指的牵拉来控制牙线。
12. Put one finger in the mouth,
and the other outside.
一个手指在口内,另一个在口外。
13. Use an up-and-down scrapping motion
on the sides of each tooth.
在每个牙的各个面上下摩擦。
14. If your interdental space is large,
you had better use interdental
brush to clean between the teeth.
如果您的间隙太大 最好用间隙刷。
十. Instructions after treatments
各种治疗后的主义事项
(filling) 补牙
1. Don’t eat anything for one hour.
一个小时内不要吃任何东西。
2. Don’t chew on the right side of
your mouth for at lease two hours.
2小时内不要用您的右侧吃东西。
3. The tooth may be sensitive to
cold food for a while.
以后一段时间,您的牙齿可能对冷食物敏感。
4. There is a possibility
that the nerve will die in the future。
以后有神经坏死的可能。
5. It might be a little uncomfortable
after the treatment.
治疗后牙齿可能有点不舒服。
Prothetic treatment修复治疗后。
1. You will soon get accustomed to the dentures.
您很快会适应义齿的。
2. Please take your denture out
when you go to bed.
睡前请拿下义齿。
3. When you are not wearing your denture,
be sure to keep them in a glass of water,
so that will not become too dry.
当您 不带时 请把它放在水里,防止义齿变干。
4. If they are dry for a long time,
they may bend and lose their good fit.
如果义齿干燥时间很长,他们可能变形失去很好的适应性。
After teeth extraction 拔牙后
1. Pressure is one of the best treatments for bleeding.
压迫是最好的办法。
2. Please bite firmly on a piece of gauze for
twenty minutes until it has stopped bleeding.
Then place the used gauze in a plastic bag
and tie tightly before disposing it in the rubbish.
请紧咬棉球20分钟知道止血。
然后把棉球吐到塑料袋中系紧再丢入垃圾袋。
3. It might bleed a little bit for the rest of the day.
拔牙后几天唾液中可能会带有少量血液。
4. If bleeding continues,
place a piece of gauze over the extraction
site and bite in firmly.
如果继续出血,请另外咬紧一个棉球。
5. It is normal for there to have
a little bleeding mixed with saliva until the next day.
直到明天口腔里有少量血液都是正常的。
6. If you have any problems of bleeding
and serious pain, please contact us immeditately.
如果继续出血和严重的疼痛,请立即和我们联系。
在党的十七大报告中,胡锦涛同志指出:“事实雄辩地证明,改革是决定当代中国命运的关键抉择,是发展中国特色社会主义、实现中华民族伟大复兴的必由之路;只有社会主义才能救中国,只有改革开放才能发展中国、发展社会主义、发展马克思主义. 因此!
战友们也应该改革啦!!!

