牙周病治疗要多少钱？会痛吗、要多久？先把疗程拆成五段再看报价｜證據鏈

牙周病治疗要多少钱？会痛吗、要多久？先把疗程拆成五段再看报价｜證據鏈

F-Units（事实单元帐）

每条标明来源、confidence、basis、期间、geo 与 caveat。basis 阶梯：law ＞ official_statement ＞ clinical_guideline ＞ peer_reviewed ＞ textbook。

• F1｜confidence: verified｜basis: internal_dataset（S29，非医学宣称）｜period: GSC 保留窗（2025-03-22 起）｜geo: TW｜本题选题依据＝14 诊所站搜寻资料全量对帐，4 词项、单站，逐笔可对帐；｜caveat: 曝光为资产级数字、非去重流量；内部数据，发布转档时整条不输出。
• F2［结构性整理］｜confidence: n/a｜basis: editorial（S30，非事实宣称，不得标待验）｜geo: universal｜本卡的「五段拆项」框架、三问（怎么组成／会不会痛／要多久）的分层、与牙龈肿痛卡／洗牙频率卡／齿槽骨卡／牙龈萎缩卡／水激光卡／全口重建卡的分工边界，以及「能给问法、不给总天数」的立场，皆为本站编辑定义的说明结构，非任何机关的收费项目分类，亦不含任何金额｜caveat: 非诊断工具、非临床指南，不取代牙医师评估。
• F3［证据缺口声明］｜confidence: n/a｜basis: editorial（非待验）｜geo: TW｜本次检索未取得以下项目的可引用证据，故本卡不写：①任何金额、区间或行情 ②台湾牙周病治疗的收费统计或健保申报金额分布 ③「牙周病治疗总疗程天数」的临床研究 ④支持性牙周治疗最佳间隔的随机试验（此点有 F16 的明文缺席纪录） ⑤保险理赔条款的内容与效力（属契约约定，本站不提供法律见解）｜caveat: 检索局限于 PubMed 英文文献、台湾法规资料库与主管机关公开页，未取得不等于已被推翻。
• F4｜confidence: verified（2026-08-06 efetch 取回摘要逐字比对）｜basis: clinical_guideline（S3 等级临床实务指引，PMID 32383274，欧洲牙周病联盟）｜period: 2020 刊出（2021 年有勘误）；2026-08-06 以 PubMed 检索，第 I 至 III 期之现行版本仍为本篇，另检得国家层级改编版（英国 BSP 版 PMID 33573801、台湾版 PMID 34294496）与第 IV 期指引（PMID 35688447），pubtype 无撤回标记｜geo: universal｜span: 「The S3 CPG approaches the treatment of periodontitis (stages I, II and III) using a pre-established stepwise approach to therapy that, depending on the disease stage, should be incremental, each including different interventions.」「(d) the necessary supportive periodontal care to extend benefits over time.」「synthesis of relevant research in 15 specifically commissioned systematic reviews」｜caveat: 本卡仅引用其阶梯式架构与介入分类，未引用任何个别介入的推荐强度、未引用任何间隔数字、未引用任何费用资讯；同锚亦用于 KM-DENTAL-43。
• F5｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: clinical_guideline（共识报告，PMID 34294496，台湾牙周病医学会专家共识）｜period: 2021 刊出（J Formos Med Assoc）｜geo: TW｜span: 「The treatment recommendations for the Taiwanese population were generally in parallel with the EFP CPG, and extra cautions during treatment and maintenance phases were advised due to the anatomical variations」「(e) surgical periodontal therapy; and (f) maintenance and supportive periodontal care.」｜caveat: 为学会层级之专家共识，非主管机关文件，亦非统合分析；本卡仅引用其「与欧洲指引方向一致」「治疗期与维护期需额外留意」「维护与支持性照护为独立主题」三项陈述，未引用其任何个别临床建议。
• F6｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（2017 世界工作坊分类框架，PMID 29926952；2018 年有勘误）｜period: 2018 刊出｜geo: universal｜span: 「Stage I to IV of periodontitis is defined based on severity (primarily periodontal breakdown with reference to root length and periodontitis-associated tooth loss), complexity of management (pocket depth, infrabony defects, furcation involvement, tooth hypermobility, masticatory dysfunction) and additionally described as extent (localized or generalized).」「Grade of periodontitis is estimated with direct or indirect evidence of progression rate in three categories: slow, moderate and rapid progression (Grade A-C). Risk factor analysis is used as grade modifier.」｜caveat: 为病例定义与分类框架，供临床、研究与流行病学使用；不是费用分级表，本卡引用它只为说明「处置复杂度本身就写在诊断里」。
• F7｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review，PMID 31889320，EFP 指引之委托系统性回顾之一）｜period: 检索至 2019-03，2020 刊出｜geo: universal｜span: 「As only one RCT addressed the efficacy of subgingival instrumentation compared with supragingival cleaning alone (PICOS-1), baseline and final measures from 9 studies were considered.」「The weighted pocket depth (PD) reduction was 1.4 mm (95%CI: 1.0 1.7) at 6/8 months, and the proportion of pocket closure was estimated at 74% (95%CI: 64-85).」「Six RCTs compared hand and sonic/ultrasonic instruments for subgingival instrumentation (PICOS-2). No significant differences were observed between groups by follow-up time point or category of initial PD.」「Thirteen RCTs evaluated quadrant-wise versus full-mouth approaches (PICOS-3). No significant differences were observed between groups irrespective of time-points or initial PD. Five studies reported patient-reported outcomes, reporting no differences between groups.」｜caveat: ⚠️ 1.4 毫米与 74% 两个数字取自 9 篇研究的治疗前后测量，不是对照组比较（原文明示只有 1 篇随机对照试验直接比较龈下清创与只做牙龈上清洁），禁改写成「比不治疗多降低 1.4 毫米」或任何疗效对比句；数字为人群层级估计，不可外推为个人预后。
• F8｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（Cochrane systematic review，PMID 35763286，CD004622.pub4）｜period: 检索至 2021-06-17，2022-06-28 刊出｜geo: universal｜版本链: 以 CD004622 检得 3 笔（PMID 18254056 / 25884249 / 35763286），pub4 为现行版，esummary pubtype 无撤回标记｜span: 「Conventional treatment is quadrant scaling and root planing (the second step of periodontal therapy), which comprises scaling and root planing of teeth in one quadrant of the mouth at a time, with the four different sessions separated by at least one week.」「We included 20 RCTs, with 944 participants, in this updated review. No studies assessed the primary outcome tooth loss.」「There is still no clear evidence that FMS or FMD approaches provide additional clinical benefit compared to conventional mechanical treatment for adult periodontitis.」「In practice, the decision to select one approach to non-surgical periodontal therapy over another should include patient preference and the convenience of the treatment schedule.」「The most important harm identified was an increase in body temperature.」｜caveat: 纳入人群依 1999 年分类诊断为（慢性）牙周炎，排除有全身性疾病、正在服用抗生素或诊断为侵袭性牙周炎者；证据确定性多数评为低或极低；「没有测到差异」不等于「证明相同」；体温升高一项来自 13 篇预先定义不良事件的研究中 3 篇的报告。
• F9｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review・meta-analysis，PMID 31970821，EFP 指引之委托系统性回顾之一）｜period: 2020 刊出｜geo: universal｜span: 「AFs resulted in a significantly greater PD reduction in deep pockets (>6 mm or ≥6 mm), as compared to subgingival debridement, in short-…and long-term studies」「AFs resulted in greater PD reduction in the treatment of deep and moderate pockets.」｜caveat: 本卡只引用深与中等深度囊袋的结论；该篇另报告浅囊袋（1-3 或 1-4 毫米）之临床附连水准结果（加权平均差 -0.43 毫米），其方向须看全文才能正确解读，本卡不引用该项亦不外推；手术与否为临床判断，本卡不作建议。
• F10｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review・meta-analysis，PMID 40743404）｜period: 检索至 2024-12，2025-08 刊出｜geo: universal｜span: 「The management of residual periodontal pockets remains a challenge for Step 3 periodontal therapy.」「Five RCTs were included, involving 155 subjects and 4072 sites.」「No significant differences were observed between EASD and AFPS in the changes of CAL, PPD and prevalence of pocket resolution (PPD ≤ 4 mm).」｜caveat: 本卡引用其「残余囊袋属第三步骤的课题」与「内视镜辅助与翻瓣手术之间未测到差异」两项；该篇另报告内视镜辅助优于重复牙根表面清创，作者标明该比较之整体证据确定性为低（对翻瓣手术之比较为中等）；本站不推荐任何器械或术式。
• F11｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（观察性研究，PMID 29078012）｜period: 2018-01 刊出（线上 2017-11）｜geo: universal｜span: 「The sample consisted of 218 patients with chronic periodontitis, submitted to non-surgical scaling and root planing under local anaesthesia at a public dental service in southern Brazil.」「A total of 52.3% of the patients reported mild intensity pain at some point during the 48 hr after scaling and root planing with local anaesthesia.」「Moreover, 46.8% of the subjects used analgesics at some time during the 48-hr follow-up period」「Smoking, severe periodontal inflammation and dental anxiety were identified as factors associated with pain after non-surgical scaling and root planing with local anaesthesia.」｜caveat: 单一机构、巴西公立牙科服务、由牙科学生执行的观察性研究，非随机试验；原文写的是「轻度强度」的疼痛，禁改写成「半数会痛」或「半数剧痛」；止痛药使用比例与焦虑相关，本卡不提供任何用药建议；数字为人群层级，不可读为个人预期值。
• F12｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review・meta-analysis，PMID 28843499）｜period: 2017-11 刊出；2026-08-06 以标题词并 2018-2026 刊期检索，未见取代本篇之新统合分析｜geo: universal｜span: 「From 976 articles identified, 6 remained in the qualitative synthesis (4 at low and 2 at unclear risk of bias).」「Injected anesthetic produced lower pain intensity than did anesthetic gel (P = .03) and required less rescue anesthetic than did topical anesthetic (P < .0001). There was no difference in patient preference (P = .09).」｜caveat: 比较的是治疗当下的疼痛，不是术后疼痛；麻醉方式的选择属临床判断，本卡不提供选择建议、不载任何药品名称与剂量。
• F13｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review，PMID 12787217）｜period: 2002 刊出｜geo: universal｜span: 「The prevalence of root sensitivity was 9-23% before and 54-55% after periodontal therapy.」「An increase in the intensity of root sensitivity occurred 1-3 weeks following therapy, after which it decreased.」「based on the scarce evidence from only two studies, root sensitivity occurs in approximately half of the patients following subgingival scaling and root planing」｜caveat: 作者自陈随机对照试验不足以充分回答该问题，盛行率仅来自两篇研究；同 KM-DENTAL-43 卡锚；与 F14 纳入研究与时点不同，数字不可互换。
• F14｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review，PMID 23193405）｜period: 文献检索至 2009-12-31，2012 刊出｜geo: universal｜span: 「the reported prevalence for DH/RS (following nonsurgical therapy) was between 62.5% and 90% one day after treatment decreasing to approximately 52.6% to 55% after one week」「The prevalence of DH/RS following surgical therapy was between 76.8% and 80.4% one day after treatment subsequently decreasing over time to 36.8% after 1 week, 33.4% after 2 weeks, 29.6% after 4 weeks, and 21.7% after 8 weeks.」「Most of the studies included in this paper would tend to suggest that DH/RS may be relatively mild/moderate in nature and transient in duration.」｜caveat: 仅 12 篇纳入、未做统合分析；检索止于 2009；区间跨研究差异大，属群体估计非个人预期值；同 KM-DENTAL-43 卡锚。
• F15｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（randomized clinical trial，PMID 17716314）｜period: 2007-09 刊出｜geo: universal｜span: 「Sixty psychologically and socio-demographically matched periodontitis patients were randomly divided into three groups」「the patients treated by surgery had reported that they had experienced a worse OHQoL compared with the NS and S+EMD groups」「These findings need to be confirmed in further studies with larger populations.」｜caveat: 小样本（60 人）、单一中心、2007 年；评估窗仅术后一周；作者自述需更大人群研究确认；不得读为「手术比较差」或任何术式优劣结论。
• F16｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（Cochrane systematic review，PMID 29291254，CD009376.pub2）｜period: 检索至 2017-05-08，2018-01 刊出；2026-08-06 以 CD009376 检索仅得本笔，pubtype 无撤回标记｜geo: universal｜span: 「We included four trials involving 307 participants aged 31 to 85 years, who had been previously treated for moderate to severe chronic periodontitis.」「We did not identify any RCTs evaluating the effects of SPT versus monitoring only, or of providing SPT at different time intervals, or that compared the effects of mechanical debridement using different approaches or technologies.」「Overall, there is insufficient evidence to determine the superiority of different protocols or adjunctive strategies to improve tooth maintenance during SPT.」｜caveat: 这是证据缺席，不是疗效否定——原文是「没有找到符合条件的随机试验」，禁改写为「支持性治疗没有效果」或「间隔没有差别」；检索截止 2017；同 KM-DENTAL-43 卡锚。
• F17｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review・meta-analysis，PMID 38317331）｜period: 检索至 2023-08-28，2024 刊出｜geo: universal｜span: 「From among the 1323 potentially eligible reports, 41 studies (5584 patients, 29,908 molars retained at the beginning of maintenance therapy, mean follow-up duration of 14.7 years) were included.」「The pooled survival rate of the molars during maintenance therapy was 82% (95% CI: 80%-84%).」「The average loss of molars was 0.05 per patient per year (95% CI: 0.04-0.06) among the patients receiving long-term periodontal maintenance (PM) therapy.」「Six patient-related factors (older age, lack of compliance, smoking, bruxism, diabetes and lack of private insurance) and five tooth-related factors (maxillary location, high probing pocket depth, furcation involvement, higher mobility and lack of pulpal vitality) were identified as risk factors for molar loss during maintenance therapy.」｜caveat: 纳入为纵贯性观察研究；存活率非成功率；人群限已接受专业牙周治疗并持续维护者；风险因素为关联非因果，且「缺乏私人保险」一项反映纳入研究所在之医疗给付环境，不可直接套用台湾制度；同 KM-DENTAL-39／43 卡锚。
• F18｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review，PMID 41114452）｜period: 2025-10-20 刊出｜geo: universal｜span: 「Across these, adherence to supportive care was consistently associated with improved clinical outcomes, including reduced probing depths, lower bleeding on probing, and reduced tooth or implant loss.」「Due to the heterogeneity of the data, no meta-analysis was performed.」「Adherence to SPT/SPIC was consistently associated with more favorable clinical outcomes in the included studies.」｜caveat: 纳入 7 篇比较性纵贯研究、未做统合分析（作者因异质性放弃合并）；配合度定义在各研究间不一致（作者列为后续研究待改善项）；观察性关联非因果；本条为 F19（2015）之较新同题证据，两者并列而非互相取代。
• F19｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（systematic review・meta-analysis，PMID 25818586）｜period: 2015 刊出｜geo: universal｜span: 「Eight studies, which had a regular-compliance (RC) group and an erratic-compliance (EC) group with at least a 5-y follow-up period, qualified for the meta-analysis.」「The risk of tooth loss in the RC group was significantly lower than that in the EC group (pooled RRTL: 0.56 [confidence interval (CI): 0.38, 0.82]; pooled RDTL: -0.05 [CI: -0.08, -0.01])」｜caveat: 「配合度」定义在各研究间不一致，属观察性关联；比较的是「有没有规律回来」，不是「间隔订几个月」，禁用以支持任何特定间隔；同 KM-DENTAL-39／43 卡锚。
• F20｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: clinical_guideline（S3 等级临床实务指引，PMID 35688447，欧洲牙周病联盟）｜period: 2022-06 刊出｜geo: universal｜span: 「Stage IV periodontitis shares the severity and complexity characteristics of stage III periodontitis, but includes the anatomical and functional sequelae of tooth and periodontal attachment loss (tooth flaring and drifting, bite collapse, etc.), which require additional interventions following completion of active periodontal therapy.」｜caveat: 本卡仅引用其对第四期定义与「主动治疗后仍需额外介入」之陈述，未引用任何个别重建建议；重建费用结构属 KM-DENTAL-32。
• F21｜confidence: verified（2026-08-06 efetch 逐字比对）｜basis: peer_reviewed（Cochrane systematic review，PMID 35420698，CD004714.pub4）｜period: 检索至 2021-09-07，2022-04 刊出；为 2015 年 pub3 之更新版，pubtype 无撤回标记｜geo: universal｜span: 「Treatment for periodontitis involves subgingival instrumentation, which is the professional removal of plaque, calculus, and debris from below the gumline using hand or ultrasonic instruments.」「This is known variously as scaling and root planing, mechanical debridement, or non-surgical periodontal treatment.」「supragingival scaling (also known as PMPR, professional mechanical plaque removal)」｜caveat: 本卡仅引用其对术语与处置范围的定义，未引用该回顾关于糖化血色素的疗效结果，亦不作任何血糖控制之宣称；同 KM-DENTAL-43 卡锚。
• F22｜confidence: verified（2026-08-06 以 ego-browser 实载、页面标题「醫療法§21-全國法規資料庫」、条文逐字对得上）｜basis: law（S19）｜period: 现行条文｜geo: TW｜逐字：「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。」｜caveat: 条文引述，非法律意见。
• F23｜confidence: verified（2026-08-06 以 ego-browser 实载，两项条文逐字对得上）｜basis: law（S20）｜period: 现行条文｜geo: TW｜逐字：「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。」｜caveat: 条文引述，非法律意见。
• F24｜confidence: verified（2026-08-06 以 ego-browser 实载，条文逐字对得上）｜basis: law（S21）｜period: 现行条文｜geo: TW｜逐字：「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。」｜caveat: 条文引述，非法律意见。
• F25｜confidence: verified（2026-08-06 以 ego-browser 实载，两项条文逐字对得上）｜basis: law（S22）｜period: 现行条文｜geo: TW｜逐字：「医学新知或研究报告之发表、病人卫生教育、学术性刊物，未涉及招徕医疗业务者，不视为医疗广告。」｜caveat: 本条为本卡合规注记之定位依据。
• F26｜confidence: verified（2026-08-06 以 ego-browser 实载，第 1 项条文逐字对得上）｜basis: law（S23）｜period: 现行条文｜geo: TW｜逐字：「医疗服务给付项目及支付标准，由保险人与相关机关、专家学者、被保险人、雇主及保险医事服务提供者等代表共同拟订，报主管机关核定发布。」｜caveat: 本卡据此把给付问题指向健保署现行公告，不作个案给付判定；同锚亦用于 KM-DENTAL-26／43。
• F27｜confidence: verified（2026-08-06 以 ego-browser 实载，十二款全文取得，第 11 款逐字对得上）｜basis: law（S24）｜period: 现行条文｜geo: TW｜逐字：「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。」｜caveat: 条文列举不等于个案结论，本卡不作涵摄判断；同 KM-DENTAL-11／18／26 卡锚。
• F28［部分待验］｜confidence: verified（对页面存在与档案清单；2026-08-06 以 ego-browser 实载、页面标题与四笔档案清单逐字读取）｜basis: official_statement（S25）｜period: 2026-08-06 实载｜geo: TW｜健保署「全民健康保险医疗服务给付项目及支付标准」公告页提供现行支付标准档案下载，清单载有「支付标准压缩档(NHI Fee Schedule)(.doc)(115.07.01生效)」与「醫療服務給付項目(114.08.11起可逕至資料開放平台下載CSV檔)」｜caveat: 本卡未开启支付标准压缩档逐条比对牙周项目之给付条件，故「本题各项目之给付条件」仍属未查证范围，本卡不作判定。
• F29｜confidence: verified（2026-08-06 以 ego-browser 实载资料集页逐字比对，并以其资料资源下载网址实际取回 CSV：HTTP 200、1,692,784 bytes、6,098 列，逐列检索）｜basis: official_statement（S26）｜period: 资料集诠释资料更新时间 2026-08-06 07:05；档案更新时间 2026-08-06 07:00:52｜geo: TW｜资料集名称「医疗服务给付项目及支付标准(csv档)」，提供机关卫生福利部中央健康保险署，主要栏位「诊疗项目代码、健保支付点数、生效起日、生效迄日、英文项目名称、中文项目名称、备注」，更新频率「每1日」；本站下载之 CSV 中，中文项目名称含「牙周」者共 28 笔，包含 91021C 牙周病统合治疗第一阶段支付、91022C 牙周病统合治疗第二阶段支付、91023C 牙周病统合治疗第三阶段支付、91018C 牙周病支持性治疗、91006C／91007C／91008C 齿龈下括除术(含牙根整平术)之全口／二分之一颚／局部、91009B／91010B 牙周骨膜翻开术之局部与三分之一颚、91001C 牙周紧急处置、91002C 牙周敷料、91088C 牙周病转出医疗院所之转诊费用｜caveat: 本条仅记录「清单中存在这些项目名称」，不等于任何个案符合给付条件，也不代表适用范围或次数限制；本卡未引用该档之健保支付点数与备注栏内容；给付条件一律以健保署现行公告与院所说明为准。
• F30｜confidence: verified（2026-08-06 以 ego-browser 实载，页面标题与附件名称逐字比对）｜basis: official_statement（S27）｜period: 页面资料更新 115-07-15；收费标准表 1090117 核定｜geo: TW｜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)」，相关档案「臺北市醫療機構牙科收費標準表(奉核版-1090117)」（pdf）｜caveat: 本卡未开启该 PDF 逐项比对，也不引用其中任何数字；此为「自费收费标准由县市核定」之制度锚与查证入口，其他县市请改查该县市卫生局；同 KM-DENTAL-03／11／18／26／43 卡锚。
• F31｜confidence: verified（跨卡已验事实，同锚；2026-08-05 由 OP 以 ego-browser 实测并复验）｜basis: official_statement（S28）｜period: 2026-08-05 实测｜geo: TW｜健保署「醫材比價網」两个查询轨之品项分类皆不含牙科，页面全文无「牙」字，牙科自费品项无法由该网查证｜caveat: 本卡未重复实测，沿用 km-compliance/VERIFIED-FACTS.md 之纪录；官方资料库可能更新，引用时请注明查证日期。
• F32［待验］｜confidence: low｜basis: 待补（未取得可公开引用之保单条款样本）｜geo: TW｜商业保险是否理赔牙周病治疗相关项目，依保单条款而定｜caveat: 本站不提供理赔见解（编辑政策），仅陈述「依保单条款而定」；本卡正文未就保险作任何陈述，本条保留供后续理赔题专卡使用。

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（医疗法 87 条）[F25]，非医疗广告，不推荐特定院所，且不提供任何金额或价格区间。牙周病治疗具风险与禁忌症，可能出现治疗后疼痛与不适、牙根敏感、手术后短期生活品质下降、囊袋未完全关闭而需再处置，以及疾病复发等情形；实际治疗方式与效果因人而异，须由牙医师评估。本卡不对任何项目是否属健保给付作判定，给付与收费一律以健保署现行公告与就诊县市核定之收费标准为准。本文亦不提供保险理赔或契约条款之法律见解，相关问题依保单与契约条款而定。

来源清单

• S1 Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS; EFP Workshop Participants and Methodological Consultants. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020 Jul;47 Suppl 22(Suppl 22):4-60. PMID 32383274. pubmed.ncbi.nlm.nih.gov/32383274（取用 2026-08-06，efetch 摘要逐字對得上）
• S2 Chen JT, Wu IT, Huang RY, et al. Recommendations for treating stage I-III periodontitis in the Taiwanese population: A consensus report from the Taiwan Academy of Periodontology. J Formos Med Assoc. 2021 Dec;120(12):2072-2088. PMID 34294496. pubmed.ncbi.nlm.nih.gov/34294496（取用 2026-08-06）
• S3 Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. PMID 29926952. pubmed.ncbi.nlm.nih.gov/29926952（取用 2026-08-06）
• S4 Suvan J, Leira Y, Moreno Sancho FM, Graziani F, Derks J, Tomasi C. Subgingival instrumentation for treatment of periodontitis. A systematic review. J Clin Periodontol. 2020 Jul;47 Suppl 22:155-175. PMID 31889320. pubmed.ncbi.nlm.nih.gov/31889320（取用 2026-08-06）
• S5 Jervøe-Storm PM, Eberhard J, Needleman I, Worthington HV, Jepsen S. Full-mouth treatment modalities (within 24 hours) for periodontitis in adults. Cochrane Database Syst Rev. 2022 Jun 28;6(6):CD004622. PMID 35763286. pubmed.ncbi.nlm.nih.gov/35763286（取用 2026-08-06；版本鏈與撤回狀態已查，見 S18）
• S6 Sanz-Sánchez I, Montero E, Citterio F, Romano F, Molina A, Aimetti M. Efficacy of access flap procedures compared to subgingival debridement in the treatment of periodontitis. A systematic review and meta-analysis. J Clin Periodontol. 2020 Jul;47 Suppl 22:282-302. PMID 31970821. pubmed.ncbi.nlm.nih.gov/31970821（取用 2026-08-06）
• S7 Ho KD, Fok MR, Li KY, Pelekos G, Leung WK. Effectiveness of Endoscope-Assisted Subgingival Debridement Versus Repeated Root Surface Debridement or Access Flap Periodontal Surgery in Step 3 Periodontal Therapy: A Systematic Review and Meta-Analysis. Clin Exp Dent Res. 2025 Aug;11(4):e70196. PMID 40743404. pubmed.ncbi.nlm.nih.gov/40743404（取用 2026-08-06）
• S8 Schirmer C, Dos Santos GO, Rost JF, Ferreira MBC, Weidlich P. Factors associated with pain and analgesic consumption following non-surgical periodontal therapy under local anaesthesia and carried out by dental students. J Clin Periodontol. 2018 Jan;45(1):68-77. PMID 29078012. pubmed.ncbi.nlm.nih.gov/29078012（取用 2026-08-06）
• S9 Wambier LM, de Geus JL, Boing TF, et al. Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients: Systematic review and meta-analysis. J Am Dent Assoc. 2017 Nov;148(11):814-824.e2. PMID 28843499. pubmed.ncbi.nlm.nih.gov/28843499（取用 2026-08-06）
• S10 von Troil B, Needleman I, Sanz M. A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol. 2002;29 Suppl 3:173-7. PMID 12787217. pubmed.ncbi.nlm.nih.gov/12787217（取用 2026-08-06；同 KM-DENTAL-43 卡錨）
• S11 Lin YH, Gillam DG. The Prevalence of Root Sensitivity following Periodontal Therapy: A Systematic Review. Int J Dent. 2012;2012:407023. PMID 23193405. pubmed.ncbi.nlm.nih.gov/23193405（取用 2026-08-06；同 KM-DENTAL-43 卡錨）
• S12 Ozcelik O, Haytac MC, Seydaoglu G. Immediate post-operative effects of different periodontal treatment modalities on oral health-related quality of life: a randomized clinical trial. J Clin Periodontol. 2007 Sep;34(9):788-96. PMID 17716314. pubmed.ncbi.nlm.nih.gov/17716314（取用 2026-08-06）
• S13 Manresa C, Sanz-Miralles EC, Twigg J, Bravo M. Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis. Cochrane Database Syst Rev. 2018 Jan 1;1(1):CD009376. PMID 29291254. pubmed.ncbi.nlm.nih.gov/29291254（取用 2026-08-06；同 KM-DENTAL-43 卡錨）
• S14 Wang CW, Chen YW, Chen HY, et al. The survival of periodontally treated molars in long-term maintenance: A systematic review and meta-analysis. J Clin Periodontol. 2024 May;51(5):585-600. PMID 38317331. pubmed.ncbi.nlm.nih.gov/38317331（取用 2026-08-06；同 KM-DENTAL-39／43 卡錨）
• S15 Bush Gissler B, Kroeger A, Würfl G, Mombelli A, Sculean A, Kebschull M. Does Patient Adherence Influence the Ability of Supportive Periodontal Therapy to Maintain Stability Around Teeth and Dental Implants - A Systematic Review. Oral Health Prev Dent. 2025 Oct 20;23:615-627. PMID 41114452. pubmed.ncbi.nlm.nih.gov/41114452（取用 2026-08-06）
• S16 Lee CT, Huang HY, Sun TC, Karimbux N. Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy: A Systematic Review and Meta-analysis. J Dent Res. 2015 Jun;94(6):777-86. PMID 25818586. pubmed.ncbi.nlm.nih.gov/25818586（取用 2026-08-06；同 KM-DENTAL-39／43 卡錨）
• S17 Herrera D, Sanz M, Kebschull M, et al. Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline. J Clin Periodontol. 2022 Jun;49 Suppl 24:4-71. PMID 35688447. pubmed.ncbi.nlm.nih.gov/35688447（取用 2026-08-06）
• S18 版本時效與撤回查核紀錄（2026-08-06 於 PubMed 實跑）：以 `CD004622` 檢索得 3 筆（PMID 18254056 / 25884249 / 35763286），2022 年 pub4 為現行版；以 `CD009376` 檢索僅得 1 筆（PMID 29291254）；以 EFP S3 指引為題檢索得 5 筆，第 I 至 III 期之現行版仍為 2020 年本篇，另有國家改編版（英國 PMID 33573801、台灣 PMID 34294496）與第 IV 期指引（PMID 35688447）；以麻醉併洗牙根整平限 2018-2026 刊期檢索，未見取代 PMID 28843499 之新統合分析。上列 18 篇入卡文獻的 esummary pubtype 逐筆檢視，無 Retracted Publication、無 WITHDRAWN。另附 Cochrane 牙周炎與糖尿病回顧 CD004714.pub4（PMID 35420698，僅用於術語定義，同 KM-DENTAL-43 卡錨）。
• S19 醫療法 第 21 條（全國法規資料庫）。law.moj.gov.tw pcode=L0020021 flno=21（2026-08-06 以 ego-browser 實載，頁面標題「醫療法§21-全國法規資料庫」，條文逐字對得上）
• S20 醫療法 第 22 條（全國法規資料庫）。law.moj.gov.tw pcode=L0020021 flno=22（2026-08-06 以 ego-browser 實載，兩項條文逐字對得上）
• S21 醫療法 第 81 條（全國法規資料庫）。law.moj.gov.tw pcode=L0020021 flno=81（2026-08-06 以 ego-browser 實載，條文逐字對得上）
• S22 醫療法 第 87 條（全國法規資料庫）。law.moj.gov.tw pcode=L0020021 flno=87（2026-08-06 以 ego-browser 實載，兩項條文逐字對得上）
• S23 全民健康保險法 第 41 條（全國法規資料庫）。law.moj.gov.tw pcode=L0060001 flno=41（2026-08-06 以 ego-browser 實載，第 1 項條文逐字對得上）
• S24 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 以 ego-browser 實載，十二款全文取得，第 11 款逐字對得上）
• S25 衛生福利部中央健康保險署「全民健康保險醫療服務給付項目及支付標準」公告頁。nhi.gov.tw/ch/lp-3778-1.html（2026-08-06 以 ego-browser 實載，頁面標題與四筆檔案清單逐字讀取；本卡未開啟支付標準壓縮檔）
• S26 政府資料開放平臺 資料集「醫療服務給付項目及支付標準(csv檔)」，提供機關衛生福利部中央健康保險署。data.gov.tw/dataset/174450（2026-08-06 以 ego-browser 實載，標題、提供機關、欄位說明與更新頻率逐字對得上；CSV 由頁面所列資料資源下載網址實際取回，HTTP 200，逐列檢索「牙周」）
• S27 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 以 ego-browser 實載，頁面標題與附件名稱逐字對得上）
• S28 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 OP 以 ego-browser 實測並複驗，紀錄見 km-compliance/VERIFIED-FACTS.md；本卡未重複實測）
• S29 內部資料：`analysis/reports/km-dental-backlog.md` 第 48 題附錄（14 診所資產 GSC 全量對帳，資料窗 2025-03 起），4 詞項、單站，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。
• S30 編輯框架（無外部來源）：本卡的五段拆項結構、三問分層、與同族卡的分工邊界，見 F2、F3。

内部引用链

• 症状分流卡（先看这张）：牙龈肿痛怎么快速消？什么情况要就医？（KM-DENTAL-05，草稿）。两卡的 canonical 边界：归该卡的是——肿痛当下的分级、居家能做与做不到的事、必须立即就医的红旗；归本卡的是——确诊牙周病之后整条疗程的费用组成、疼痛的文献描述与疗程长度的证据边界。本卡不提供任何症状处置或急症判准。
• 维护间隔 canonical：多久洗一次牙？洗牙要花多少钱？（KM-DENTAL-43，草稿）。维护间隔、洗牙与牙周支持性治疗的差异、以及「证据缺席不等于疗效否定」的完整读法在该卡。两卡共用 F13／F14（牙根敏感）、F16（Cochrane 支持性治疗）、F17（维护期臼齿存活）、F19（配合度与牙齿丧失）、F21（术语定义）五条文献锚，以及健保法 41 条、健保署公告页、台北市收费标准、醫材比價網同一组制度锚，英文 span 与法条逐字一致；本卡不重写间隔建议。
• 治疗后骨变化 canonical：齿槽骨流失还能自然再生吗？（KM-DENTAL-39，草稿）。牙周病造成的骨缺损能否再生、再生手术的证据在该卡，本卡的手术段落只讲费用位置与证据强弱，不重写再生术式。
• 同族费用题：牙龈萎缩还能救吗？治疗要多少钱？（KM-DENTAL-27，草稿）与全口重建要多少钱？（KM-DENTAL-32，草稿）。第四期牙周炎在主动治疗后仍需额外介入 [F20]，那一段的费用结构在全口重建卡。
• 加价器械题：水雷射治疗值得做吗？费用与缺点（KM-DENTAL-41，草稿）。雷射类辅助治疗的证据与费用定位在该卡，本卡不评论任何特定器械。

发布闸门提醒：本卡为 draft。F28（本题各项目之健保给付条件）、F32（商业保险）待验未清前不得标 published；四语（zh-Hans／en／ja）未产前不得进 km_entries。