做一颗牙冠(假牙牙套)要多少钱?根管治疗或大龋齿后被建议做牙套,先看懂报价单|證據鏈
本頁是〈做一颗牙冠(假牙牙套)要多少钱?根管治疗或大龋齿后被建议做牙套,先看懂报价单〉的事實單元帳:每一條主張對應的來源、證據等級、地域與期間、原文引句與限制,逐條攤開。
做一颗牙冠(假牙牙套)要多少钱?根管治疗或大龋齿后被建议做牙套,先看懂报价单|證據鏈
F-Units(事实单元账)
每一条标明来源、confidence、basis、period、geo 与 caveat。basis 阶梯:law > official_statement > clinical_guideline > peer_reviewed > textbook。
- F1|confidence: high|basis: internal_dataset(S23,非医学主张)|period: GSC 保留窗口(自 2025-03-22 起)|geo: TW|本题选题依据=14 个诊所站点的搜索资料核对,14 个词项、跨 4 个站点,可逐笔核对|caveat: 内部数据,发布时不进入可见层。
- F2|confidence: n/a|basis: 结构性整理(编辑框架,S24,非事实主张)|geo: universal|本卡的“六块拆项”框架、与固定假牙费用卡的分工边界(本卡=牙根仍在的单颗牙冠;三分流与牙桥归 KM-DENTAL-03),以及“两种常见就诊情形”的叙述结构,均为本站编辑定义的说明结构,而非外部事实。
- F3|confidence: n/a|basis: 证据缺口声明(editorial,非待验证)|geo: universal|本次检索没有取得以下项目的可引用证据,因此本卡不写:①任何金额、区间或行情 ②牙冠可使用年限的个人预测 ③台湾本土的牙冠存留率统计 ④保固条款的内容与效力(属于契约约定,不是医学问题,本站不提供法律见解)。
- F4|confidence: medium|basis: peer_reviewed(回顾性队列研究,PMID 11941351)|period: 1985–1996 治疗资料,2002 年发表|geo: universal|span: 「When tooth type and radiographic evidence of caries at access were controlled, the final Cox model showed that endodontically treated teeth not crowned after obturation were lost at a 6.0 times greater rate than teeth crowned after obturation (95% confidence interval: 3.2 to 11.3).」「Kaplan-Meier survival estimates were generated for the 203 teeth that satisfied study inclusion criteria.」「Within the limitations of this study, a strong association between crown placement and the survival of endodontically treated teeth was observed.」|caveat: 回顾性、单一大学机构、非随机分配;显示关联不等于因果;资料年代久远。
- F5|confidence: high|basis: peer_reviewed(Cochrane systematic review,PMID 26403154)|period: 2015 年更新版(pub3),检索至 2015-03-26|geo: universal|span: 「We included one trial, which was judged to be at high risk of performance, detection and attrition bias.」「There was no clear difference between the crown and composite group and the composite only group for non-catastrophic failures of the restoration」「The quality of the evidence for these outcomes is very low.」「There is insufficient evidence to assess the effects of crowns compared to conventional fillings for the restoration of root-filled teeth.」|caveat: 版本时效核对(2026-08-06):PubMed 以原文标题检索共 3 笔=2012 年初版(pub2)、2015 年更新版(pub3)和 2016 年评论文,未见更新版;本卡引用的即现行版本,但其检索窗停在 2015 年,须与 F6、F10 的较新回顾一并阅读。
- F6|confidence: high|basis: peer_reviewed(systematic review・meta-analysis,PMID 38949036)|period: 检索至 2023-01,2024 年发表|geo: universal|span: 「The pooled survival rates at 4-7 years and 8-20 years of root-filled posterior teeth regardless of tooth type was 91% (95% CI, 0.85; 0.95) and 87% (95% CI, 0.77; 0.93), respectively.」「The prognostic tooth-related factors mentioned in the included studies were (i) remaining coronal tooth structure, (ii) ferrule, (iii) crown-to-root ratio (iv) tooth type and location (v) periodontal disease (vi) proximal contacts and (vii) cracks.」「However, there is a paucity of evidence, and more research is needed in this area.」|caveat: 20 篇进入荟萃分析,多为回顾性研究;预后因素部分为叙述性整理,非合并估计;2026-08-06 检索未见本题更新的存留荟萃分析。
- F7|confidence: medium|basis: peer_reviewed(systematic review・meta-analysis,PMID 34530058)|period: 检索 2021-07-13,2021 年发表|geo: universal|span: 「The random effects model for subgroup meta-analysis revealed failures for posterior RFT increased with decreasing numbers of remaining walls.」「Failures for 0 remaining walls were 23% (95% CI = 10% - 36%) and for one remaining wall 15% (CI: 3% -26%), irrespective of follow-up times.」|caveat: 人群限定=以纤维桩核加单颗牙冠修复的根管治疗后牙齿,仅纳入 5 篇;不可外推到所有牙冠或未做桩核的情况;2026-08-06 检索未见更新版。
- F8|confidence: medium|basis: peer_reviewed(systematic review・meta-analysis,PMID 41601347)|period: 2026 年发表|geo: universal|span: 「To systematically review and meta-analyze clinical, in vitro, and finite-element studies assessing how ferrule height, width, and circumferential extent influence fracture resistance and survival of endodontically treated teeth.」「Thirty-three primary studies (6 clinical, 18 in vitro, 9 finite-element) were included.」「Ferrule height ≥ 2 mm significantly improved fracture resistance (MD +165 N; 95% CI: 110-215). Ferrule presence increased clinical survival (RR 1.34; 95% CI: 1.12-1.59). Dentin thickness ≥ 1 mm and complete 360° ferrules provided the most favorable reinforcement, while partial ferrules with ≥ 2 opposing walls remained beneficial.」「These findings should be interpreted within the context of variation in study designs and reporting quality.」|caveat: 版本时效核对(2026-08-06):本篇刊期晚于 F9(2024);2026-08-06 在 PubMed 以环箍+SR/MA 检索,未见晚于本篇的同题回顾;但其纳入的 33 篇中仅 6 篇是临床研究,其余为体外实验与有限元分析,临床外推应保守,故本卡同时保留只纳入临床研究的 F9。
- F9|confidence: medium|basis: peer_reviewed(systematic review・meta-analysis,限临床研究,PMID 38216376)|period: 2024 年发表|geo: universal|span: 「Direct analysis of success rates (2 studies, 123 teeth) showed a significant increase in success when a uniform circumferential ferrule was present (RR=1.28, 95% CI: 1.06, 1.54, P<.05).」「However, indirect analysis of survival and success rates (8 studies, 407 teeth) indicated no significant differences in outcomes between the ferrule and no ferrule groups (P>.05).」|caveat: 直接比较仅 2 篇、123 颗牙;作者明确需要更多高质量研究。与 KM-DENTAL-03 同锚。
- F10|confidence: medium|basis: peer_reviewed(clinical literature review,PMID 33128279)|period: 检索至 2020-07,2021 年发表|geo: universal|span: 「Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such as residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration and the presence of cracks, have been reported to influence restoration and tooth survival.」|caveat: 叙述性文献回顾,非荟萃分析。
- F11|confidence: medium|basis: clinical_guideline(学会立场声明,PMID 34378217)|period: 2021 年发表|geo: universal|span: 「This position statement on the restoration of root filled teeth represents the consensus of an expert committee, convened by the European Society of Endodontology (ESE).」「The scientific basis of the recommendations made in this paper can be found in a recently published review article」|caveat: 全文无法取得(付费墙),本卡仅依据摘要陈述该声明的存在与定位,未引用其任何个别临床建议;其科学基础的回顾=F10。
- F12|confidence: medium|basis: peer_reviewed(systematic review,未做荟萃分析,PMID 37549135)|period: 检索 1946 至 2022-04,2024 年发表|geo: universal|span: 「A total of eleven studies met all predetermined search criteria.」「Survival results for full veneer crowns were reported at 87.8% at over two years, 95.1% at three years, and 84% - 97.73% at five to ten years.」「The data suggest that the use of onlays instead of full veneer crowns in the restoration of endodontically treated posterior teeth is favourable in the short to midterm.」|caveat: 以区间列出不同研究结果,未做合并估计;各研究随访年限与判定标准不一。onlay 两年、三年存留率的区间下缘(95%、90.7%)在正文引用;上缘为个别研究的全部存留,本卡不逐字重述。
- F13|confidence: medium|basis: peer_reviewed(systematic review・meta-analysis,PMID 35835608)|period: 2022 年发表|geo: universal|span: 「The overall failure rate that emerges is 0.087 with a ratio of 121/1254, I2 80 % p-value< 0.001.」「Moreover, by meta-regression with covariates the follow-up period reports a coefficient of 0.013 with a P-value< 0.001.」「Besides the survival rates of indirect adhesive restorations on endodontically treated posterior teeth, it was highlighted that the majority of failures appeared restorable.」|caveat: 异质性高(I² 80%);合并加权估计(0.087)与原文并列事件粗比例(121/1254)口径不同,正文已分别标示;时间趋势依据荟萃回归系数,并非分层直接比较。
- F14|confidence: high|basis: peer_reviewed(systematic review・meta-analysis,PMID 41489982)|period: 2026 年发表,检索窗 2014–2024,五年存留率估计|geo: universal|span: 「Sixty-four studies met inclusion, reporting on 3,509 metal-ceramic and 8,051 all-ceramic SCs.」「Five-year survival rates were: 98.5% for monolithic lithium-disilicate reinforced glass-ceramic, 97.3% for veneered densely-sintered zirconia, 97.1% for metal-ceramic, 96.8% for monolithic densely-sintered zirconia, 95.7% for veneered leucite/lithium-disilicate reinforced glass-ceramic, 94.5% for densely-sintered alumina, 94.3% for glass-infiltrated alumina, 90.4% for feldspathic/silica-based ceramic.」「Monolithic lithium-disilicate and monolithic zirconia crowns showed significantly fewer ceramic fractures and chipping compared to veneered alternatives.」「Lithium-disilicate and zirconia-based all-ceramic SCs achieve five-year survival rates comparable to metal-ceramic crowns.」|caveat: 人群层级估计、随访五年,不可外推为个人预后;与 KM-DENTAL-03 同锚。版本时效核对(2026-08-06):以 single crowns+survival+SR/MA 检索 2024–2026 刊期,未见晚于本篇的牙支持单冠材料比较荟萃分析。
- F15|confidence: medium|basis: peer_reviewed(overview of systematic reviews,PMID 40750081)|period: 检索更新至 2025-02,2025 年发表|geo: universal|span: 「Ultimately, 28 systematic reviews on approximately 35,000 crowns published between 2007 and 2024 were included in the qualitative analysis.」「However, substantial methodological heterogeneity, limited long-term data (>5 years), and a concentration of studies on a single product」「Nevertheless, careful interpretation is warranted due to methodological variability, material-specific differences, and insufficient long-term data for newer lithium (di)silicate systems.」「practitioners should communicate both the well-documented short- to medium-term benefits and the remaining uncertainties regarding long-term performance」|caveat: 综览对象是系统综述而非原始研究;本卡仅使用其关于方法学限制的结论,未引用其存留率数值。
- F16|confidence: medium|basis: peer_reviewed(systematic review・meta-analysis,观察性研究,PMID 34516686)|period: 检索至 2021-01,2022 年发表|geo: universal|span: 「Electronic searches provided 10,075 records among which 20 studies were selected for systematic review and 7 studies were selected for meta-analysis.」「The meta-analysis revealed clinical and radiographic success rate ranging between 92% to 98% at different follow up periods ranging between 5 years and 20 years.」「Future high-quality randomized clinical controlled trials with a larger population are required to confirm the evidence as only observational studies were considered in this paper.」|caveat: 仅纳入观察性研究、异质性高;成功率定义是牙髓与根尖状态,非牙冠本身的存留。
- F17|confidence: high|basis: clinical_guideline(2017 World Workshop 委托的叙述性回顾,PMID 29926939)|period: 2018 年发表|geo: universal|span: 「Placement of restoration margins within the junctional epithelium and supracrestal connective tissue attachment can be associated with gingival inflammation and, potentially, recession.」「Procedures adopted for the fabrication of dental restorations and fixed prostheses have the potential to cause traumatic loss of periodontal supporting tissues.」「Restoration margins located within the gingival sulcus do not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance.」「Hypersensitivity reactions can occur to dental materials.」|caveat: 叙述性回顾(narrative review),非荟萃分析;与 KM-DENTAL-03 同锚。
- F18|confidence: high|basis: law(S15)|period: 现行条文(2026-08-06 实测)|geo: TW|台湾医疗法第 21 条。逐字 span: 「醫療機構收取醫療費用之標準,由直轄市、縣(市)主管機關核定之。」
- F19|confidence: high|basis: law(S16)|period: 现行条文(2026-08-06 实测)|geo: TW|台湾医疗法第 22 条。逐字 span: 「醫療機構收取醫療費用,應開給載明收費項目及金額之收據。」「醫療機構不得違反收費標準,超額或擅立收費項目收費。」
- F20|confidence: high|basis: law(S17)|period: 现行条文(2026-08-06 实测)|geo: TW|台湾医疗法第 81 条。逐字 span: 「醫療機構診治病人時,應向病人或其法定代理人、配偶、親屬或關係人告知其病情、治療方針、處置、用藥、預後情形及可能之不良反應。」
- F21|confidence: high|basis: law(S18)|period: 现行条文(2026-08-06 实测)|geo: TW|台湾全民健康保险法第 51 条第 11 款。逐字 span: 「義齒、義眼、眼鏡、助聽器、輪椅、拐杖及其他非具積極治療性之裝具。」
- F22|confidence: high|basis: official_statement(S20・S21)|period: 1090117 核定;页面于 2026-08-06 以 ego-browser 实测可达|geo: TW|县市卫生主管机关公告牙科收费标准的已验证例证。逐字 span(页面标题): 「臺北市政府衛生局-收費標準-「臺北市醫療機構牙科收費標準表」(1090117核定)」;資料集標題「臺北市醫療收費標準 | 政府資料開放平臺」,提供機關「臺北市政府衛生局」。caveat: 僅一縣市例證,其他縣市各自公告;本卡不引用其中任何金額。|caveat: 仅一个县市的例证,其他县市各自公告;本卡不引用其中任何金额。
- F23|confidence: high|basis: official_statement(S22,跨卡已验证事实,同锚)|period: 2026-08-05 以 ego-browser 实测(OP 复验)|geo: TW|健保署“醫材比價網”两个查询轨的品项分类均不含牙科,页面全文无“牙”字;以假牙、牙冠、种植体、牙科、贋复查询均为 0 笔。|caveat: 本卡未重复实测,沿用 km-compliance/VERIFIED-FACTS.md 与 KM-DENTAL-03 卡 F17 的记录;官方数据库可能更新,引用时请注明核对日期。
- F24|confidence: high|basis: law(S19)|period: 现行条文(2026-08-06 实测)|geo: TW|台湾医疗法第 87 条第 2 项。逐字 span: 「醫學新知或研究報告之發表、病人衛生教育、學術性刊物,未涉及招徠醫療業務者,不視為醫療廣告。」本條為本卡合規註記之定位依據。 本条是本卡合规注记的定位依据。
怎么找到提供这项服务的院所
本站不列出任何院所名单,也不推荐、不评比、不比较任何医疗机构。
要找提供这项服务的诊所,请用下列法定查询渠道自己查——它们的资料由主管机关维护,比任何名单都新:
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- 台湾卫生福利部“医事机构查询”:可依县市、乡镇与科别(牙科)查出已完成开业登记的医事机构,
结果会显示机构名称、地址与登记科别。这是确认“这家有没有合法登记”的第一站。
- 台湾中央健康保险署“特约医事机构查询”:可查该院所是不是健保特约。
这关系到哪些项目走健保、哪些自费,直接影响你会拿到什么样的收费说明。
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两个系统都在各自主管机关的官方网站上,以“医事机构查询”“特约院所查询”为关键词即可找到。
本站不转贴网址,因为网址会变动,请以主管机关当下公告的入口为准。
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急症不要花时间查名单:影响到呼吸、吞咽、说话,或肿胀正在扩散时,直接就近挂急诊。
合规注记
本文为卫生教育资讯(台湾医疗法第 87 条)[F24],不是医疗广告,不推荐特定院所,也不提供任何金额或价格区间。单颗牙冠涉及不可逆的齿质修磨,具有医疗风险与禁忌症,可能出现牙髓症状、崩瓷、脱落、边缘处牙龈炎症等情况;实际治疗方式与效果因人而异,须由牙医师评估。本卡整理的判断因素供就医沟通使用,不能替代临床诊断。本文亦不提供保险理赔或契约条款的法律见解,相关问题依保单与契约条款而定。
来源清单
- S1 Pjetursson BE, Pitta J, Balet A, et al. A Systematic Review and Meta-analysis Evaluating the Survival, Failure, and Complication Rates of Metal-Ceramic, Veneered, and Monolithic All-Ceramic Tooth-Supported Single Crowns-Part 1. Int J Prosthodont. 2026;39(3):308-324. PMID 41489982. pubmed.ncbi.nlm.nih.gov/41489982(取用 2026-08-06,efetch 摘要逐字對得上)
- S2 Laumbacher H, Scholz KJ, Knüttel H, Rosentritt M. Clinical outcomes and complications of tooth- and implant-supported lithium (di)silicate based single crowns: an overview of systematic reviews. J Dent. 2025;162:106004. PMID 40750081. pubmed.ncbi.nlm.nih.gov/40750081(取用 2026-08-06,efetch 摘要逐字對得上)
- S3 Aquilino SA, Caplan DJ. Relationship between crown placement and the survival of endodontically treated teeth. J Prosthet Dent. 2002;87(3):256-63. PMID 11941351. pubmed.ncbi.nlm.nih.gov/11941351(取用 2026-08-06,efetch 摘要逐字對得上)
- S4 Sequeira-Byron P, Fedorowicz Z, Carter B, et al. Single crowns versus conventional fillings for the restoration of root-filled teeth. Cochrane Database Syst Rev. 2015;2015(9):CD009109. PMID 26403154. pubmed.ncbi.nlm.nih.gov/26403154(取用 2026-08-06,efetch 摘要逐字對得上;版本查核見 F5)
- S5 Patel SR, Jarad F, Moawad E, et al. The tooth survival of non-surgical root-filled posterior teeth and the associated prognostic tooth-related factors: A systematic review and meta-analysis. Int Endod J. 2024;57(10):1404-1421. PMID 38949036. pubmed.ncbi.nlm.nih.gov/38949036(取用 2026-08-06,efetch 摘要逐字對得上)
- S6 AlSaleh E, Dutta A, Dummer PMH, et al. Influence of remaining axial walls on of root filled teeth restored with a single crown and adhesively bonded fibre post: A systematic review and meta-analysis. J Dent. 2021;114:103813. PMID 34530058. pubmed.ncbi.nlm.nih.gov/34530058(取用 2026-08-06,efetch 摘要逐字對得上)
- S7 Al-Dabbagh RA, Sindi MA, Sanari MA, et al. Effect of a circumferential ferrule on the survival and success of endodontically treated teeth restored with fiber posts: A systematic review and meta-analysis. J Prosthet Dent. 2024;132(6):1251-1259. PMID 38216376. pubmed.ncbi.nlm.nih.gov/38216376(取用 2026-08-06,efetch 摘要逐字對得上)
- S8 Hajeer O, Hasan A, Kanout C, Morad ML. Ferrule dimensions and restoration outcomes in endodontically treated teeth: A systematic review and meta-analysis. J Prosthodont. 2026;35(4):450-459. PMID 41601347. pubmed.ncbi.nlm.nih.gov/41601347(取用 2026-08-06,efetch 摘要逐字對得上)
- S9 Bhuva B, Giovarruscio M, Rahim N, Bitter K, Mannocci F. The restoration of root filled teeth: a review of the clinical literature. Int Endod J. 2021;54(4):509-535. PMID 33128279. pubmed.ncbi.nlm.nih.gov/33128279(取用 2026-08-06,efetch 摘要逐字對得上)
- S10 European Society of Endodontology; Mannocci F, Bhuva B, Roig M, Zarow M, Bitter K. European Society of Endodontology position statement: The restoration of root filled teeth. Int Endod J. 2021;54(11):1974-1981. PMID 34378217. pubmed.ncbi.nlm.nih.gov/34378217(取用 2026-08-06,efetch 摘要逐字對得上;全文為付費牆,未取回,故未引用其個別建議)
- S11 Lane J, Sadeghzadeh-Araghi A, Jackson G, Bonsor S. Survival and Success Rates of Endodontically Treated Teeth Restored with Full Veneer Crowns or Full Cuspal Coverage onlays: A Systematic Review. Eur J Prosthodont Restor Dent. 2024;32(1):45-55. PMID 37549135. pubmed.ncbi.nlm.nih.gov/37549135(取用 2026-08-06,efetch 摘要逐字對得上)
- S12 Mario D, Mario A, Allegra C, et al. The influence of indirect bonded restorations on clinical prognosis of endodontically treated teeth: A systematic review and meta-analysis. Dent Mater. 2022;38(8):e203-e219. PMID 35835608. pubmed.ncbi.nlm.nih.gov/35835608(取用 2026-08-06,efetch 摘要逐字對得上)
- S13 Kohli S, Bhatia S, Al-Haddad A, Pulikkotil SJ, Jamayet NB. Pulpal and Periapical Status of the Vital Teeth Used as Abutment for Fixed Prosthesis-A Systematic Review and Meta-Analysis. J Prosthodont. 2022;31(2):102-114. PMID 34516686. pubmed.ncbi.nlm.nih.gov/34516686(取用 2026-08-06,efetch 摘要逐字對得上)
- S14 Ercoli C, Caton JG. Dental prostheses and tooth-related factors. J Periodontol. 2018;89 Suppl 1:S223-S236. PMID 29926939. pubmed.ncbi.nlm.nih.gov/29926939(取用 2026-08-06,efetch 摘要逐字對得上)
- S15 醫療法 第 21 條(全國法規資料庫)。law.moj.gov.tw pcode=L0020021 flno=21(取用 2026-08-06,HTTP 200,條文逐字對得上)
- S16 醫療法 第 22 條(全國法規資料庫)。law.moj.gov.tw pcode=L0020021 flno=22(取用 2026-08-06,HTTP 200,兩項條文逐字對得上)
- S17 醫療法 第 81 條(全國法規資料庫)。law.moj.gov.tw pcode=L0020021 flno=81(取用 2026-08-06,HTTP 200,條文逐字對得上)
- S18 全民健康保險法 第 51 條(全國法規資料庫)。law.moj.gov.tw pcode=L0060001 flno=51(取用 2026-08-06,HTTP 200,第 11 款逐字對得上)
- S19 醫療法 第 87 條(全國法規資料庫)。law.moj.gov.tw pcode=L0020021 flno=87(取用 2026-08-06,HTTP 200,第 2 項逐字對得上)
- S20 臺北市政府衛生局-收費標準:「臺北市醫療機構牙科收費標準表」(1090117核定)。health.gov.taipei 收費標準頁(取用 2026-08-06,ego-browser 實測可達,頁面標題逐字對得上)
- S21 政府資料開放平臺 資料集 121913「臺北市醫療收費標準」。data.gov.tw/dataset/121913(取用 2026-08-06,ego-browser 實測可達,標題與提供機關逐字對得上)
- S22 衛生福利部中央健康保險署「醫材比價網」兩查詢軌之品項分類(跨卡已驗事實,同錨)。info.nhi.gov.tw INAE2000/INAE2010S01(2026-08-05 由 KM-DENTAL-03 卡以 ego-browser 實測並經 OP 複驗,紀錄見 km-compliance/VERIFIED-FACTS.md;本卡未重複實測)
- S23 內部資料:`analysis/reports/km-dental-backlog.md` 第 11 題附錄(14 診所站 GSC 全量,資料窗 2025-03~2026-08),14 詞項跨 4 站,逐筆可對帳。非醫學事實 basis,僅為選題依據,發布時不進可見層。
- S24 編輯框架(無外部來源):本卡的六塊拆項結構、與固定假牙費用卡的分工邊界,見 F2、F3。
内部引用链
- 同族分流卡(必读):做一颗固定假牙要多少钱?先分清楚你要做的是牙冠还是牙桥(KM-DENTAL-03,草稿)。两张卡的 canonical 边界:归该卡的是固定假牙三分流框架、牙桥(含悬臂式与粘接式)的存留率与并发症、种植体支持假牙的入口、临时假牙脱落的临床试验;归本卡的是单颗牙冠的适应判断(根管后与大范围缺损)、环箍与剩余齿质条件、部分覆盖的替代方案、单冠各材料五年存留率与并发症的完整数据、单颗牙冠的报价拆项。本卡在重叠处只留一句简述并指向该卡,不重复铺陈;两卡共用同一组台湾制度锚(台湾医疗法第 21、22、81 条、台湾全民健康保险法第 51 条)与 F9、F14、F17 三条文献锚。法规和英文 span 均按引用级要求逐字一致。
- 同族决策卡:龋齿了一定要补吗?补牙怎么补?(KM-DENTAL-12,草稿)。如果你的情况是“龋齿还没大到要做冠”,修复层级的选择与判准在该卡;本卡承接的是齿质已经大量缺损、被建议做冠之后的那一段。
- 前置处置卡:牙冠延长术是什么?费用、保险、会不会痛(KM-DENTAL-17,草稿)。本卡第 2 块费用组成提到“做不出环箍怎么办”,其中一条路径就是该卡讨论的处置;适应症与费用组成请看那里。
- 词义分流卡:“牙套”要多少钱?正畸牙套与假牙牙套是两回事(KM-DENTAL-08,草稿)。搜索“牙套价格”却其实想问矫治器的读者,应从该卡开始。
FAQ
- 做完根管治疗一定要做牙套吗?
- 文献不会给出是或否。随机试验层级的证据不足以判断全冠与常规充填的效果差异[F5];回顾性队列研究观察到未做牙冠者的牙齿丧失速率较高[F4];2024 年回顾则将重点放在剩余冠部齿质、环箍等牙齿层面因素[F6]。合理的做法是请医师说明这颗牙还剩多少齿质、为什么建议这个做法,以及不做的替代方案与风险。[F20]
- 根管治療を終えたら、必ずクラウンを作る必要がありますか? — 文献ははい/いいえを与えません。無作為試験レベルの根拠は全冠と通常充填の効果差を判断するには不足しており[F5]、後ろ向きコホートは歯冠を装着しない歯で歯の喪失率が高いことを観察しました[F4]。2024 年のレビューは残存歯冠部歯質やフェルールなど歯レベルの因子に焦点を置いています。[F6] 合理的なのは、歯科医師にこの歯の残存歯質、なぜこの方法を勧めるのか、行わない場合の代替案とリスクを説明してもらうことです。[F20]
- Must I get a crown after root-canal treatment? — Literature does not give a yes-or-no answer. Randomised-trial evidence is insufficient to determine the difference in effects between a full crown and conventional filling[F5]; a retrospective cohort observed a higher tooth-loss rate without a crown[F4]; and the 2024 review focused on tooth-level factors such as remaining coronal tooth structure and ferrule.[F6] A reasonable next step is to ask the clinician how much tooth structure remains, why this approach is suggested, and what alternatives and risks apply if you do not have it.[F20]
- 牙冠有健保给付吗?
- 台湾全民健康保险法第 51 条第 11 款将义齿等“非具積極治療性之裝具”排除在给付范围外[F21],牙冠即在这一侧。同一疗程中的其他处置(例如根管治疗)是否给付,应以健保署现行公告为准;自费部分的收费标准则回到就诊县市的核定标准查看。[F18]
- 歯冠は全民健康保険の給付対象ですか? — 台湾《全民健康保険法》第 51 条第 11 款は、義歯など「積極的治療性を持たない装具」を給付範囲から外しています(本サイト仮訳・中文正文為準)。[F21] 歯冠はこの側にあります。同じ治療中のほかの処置、たとえば根管治療が給付されるかは、健保署の現行公告によります。自費部分の料金基準は、受診する県市の認定基準を確認してください。[F18]
- Does National Health Insurance cover a crown? — Item 11 of Article 51 of Taiwan's National Health Insurance Act excludes dentures and other equipment not actively therapeutic from coverage[F21], and crowns are on that side. Whether other procedures in the same treatment course, such as root-canal treatment, are covered depends on the current National Health Insurance Administration notice. For self-pay charges, refer to the approved standard in the city or county where you receive care.[F18]
- 全瓷冠是否比金属烤瓷更耐用?
- 从五年存留率的人群估计来看,2026 年荟萃分析显示二硅酸锂与氧化锆类全瓷单冠和金属烤瓷相当,而单体式设计的陶瓷断裂与崩瓷较少[F14]。但 2025 年系统综述综览提醒,该领域超过 5 年的长期资料有限,研究集中于少数产品,结果应谨慎解释[F15]。也就是说,材料选择属于临床判断,应由牙医师依你的口腔条件与需求评估,不是照排行榜挑选。[F2]
- オールセラミック冠は金属セラミック冠より耐久性がありますか? — 5 年存留率の集団推定では、2026 年メタ解析は二ケイ酸リチウムとジルコニア系オールセラミック単冠が金属セラミックと同等で、単体設計のセラミック破折とチッピングは少ないとしました。[F14] ただし 2025 年の概説は、5 年を超える長期データが限られ、研究が少数の製品に集中しているため、結果を慎重に解釈するよう注意しています。[F15] つまり材料選択は、順位表で選ぶものではなく、あなたの口腔条件と希望に基づいて歯科医師が評価する臨床判断です。[F2]
- Is an all-ceramic crown more durable than a metal-ceramic crown? — For population estimates of five-year survival, the 2026 meta-analysis found lithium-disilicate and zirconia all-ceramic single crowns comparable to metal-ceramic crowns, with less ceramic fracture and chipping in monolithic designs.[F14] But the 2025 overview cautions that long-term data beyond 5 years are limited and studies are concentrated in a small number of products, so the findings need careful interpretation.[F15] Material choice is therefore a clinical judgement for a dentist to assess from your oral condition and needs, not a ranking to choose from.[F2]
来源锚定
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- Aquilino SA, Caplan DJ. Relationship between crown placement and the survival of endodontically treated teeth. J Prosthet Dent. 2002;87(3):256-63. PMID… · https://pubmed.ncbi.nlm.nih.gov/11941351/
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- Ercoli C, Caton JG. Dental prostheses and tooth-related factors. J Periodontol. 2018;89 Suppl 1:S223-S236. PMID 29926939. [pubmed.ncbi.nlm.nih.gov/29926939](… · https://pubmed.ncbi.nlm.nih.gov/29926939/
- 醫療法 第 21 條(全國法規資料庫)。[law.moj.gov.tw pcode=L0020021 flno=21]( 2026-08-06,HTTP 200,條文逐字對得上 · https://law.moj.gov.tw/LawClass/LawSingle.aspx?pcode=L0020021&flno=21
- 醫療法 第 22 條(全國法規資料庫)。[law.moj.gov.tw pcode=L0020021 flno=22]( 2026-08-06,HTTP 200,兩項條文逐字對得上 · https://law.moj.gov.tw/LawClass/LawSingle.aspx?pcode=L0020021&flno=22
- 醫療法 第 81 條(全國法規資料庫)。[law.moj.gov.tw pcode=L0020021 flno=81]( 2026-08-06,HTTP 200,條文逐字對得上 · https://law.moj.gov.tw/LawClass/LawSingle.aspx?pcode=L0020021&flno=81
- 全民健康保險法 第 51 條(全國法規資料庫)。[law.moj.gov.tw pcode=L0060001 flno=51]( 2026-08-06,HTTP 200,第 11 款逐字對得上 · https://law.moj.gov.tw/LawClass/LawSingle.aspx?pcode=L0060001&flno=51
- 醫療法 第 87 條(全國法規資料庫)。[law.moj.gov.tw pcode=L0020021 flno=87]( 2026-08-06,HTTP 200,第 2 項逐字對得上 · https://law.moj.gov.tw/LawClass/LawSingle.aspx?pcode=L0020021&flno=87
- 臺北市政府衛生局-收費標準:「臺北市醫療機構牙科收費標準表」(1090117核定)。[health.gov.taipei 收費標準頁]( 2026-08-06,ego-browser 實測可達,頁面標題逐字對得上 · https://health.gov.taipei/News_Content.aspx?n=A0420FBE55D1F966&sms=B8B153B383FA969F&s=002671406AFBBB67
- 政府資料開放平臺 資料集 121913「臺北市醫療收費標準」。[data.gov.tw/dataset/121913]( 2026-08-06,ego-browser 實測可達,標題與提供機關逐字對得上 · https://data.gov.tw/dataset/121913
- 衛生福利部中央健康保險署「醫材比價網」兩查詢軌之品項分類(跨卡已驗事實,同錨)。[info.nhi.gov.tw INAE2000/INAE2010S01]( 由 KM-DENTAL-03 卡以 ego-browser 實測並經 OP 複驗,紀錄見… · https://info.nhi.gov.tw/INAE2000/INAE2010S01
引用本文
km 編輯部・《做一颗牙冠(假牙牙套)要多少钱?根管治疗或大龋齿后被建议做牙套,先看懂报价单|證據鏈》・IDAEO 知識庫・2026-08-13・https://km.idaeo.ai/reports/dental-crown-cost-evidence