齒顎矯正專科｜骨性暴牙與露牙齦與的頂級矯正治療 Gummy Smile/Bimaxillary Protrusion Correction

我們不希望矯正的目的是為了齒列整齊而已，同樣是矯正治療，但是經過了二年、五年、甚至十年，這樣的排列給了患者什麼樣的表情與意義？我們希望患者是自信的、是感謝的。我們追求細節，就是對追求-美麗臉部自然的尊崇。這樣才有可能雋永。』

    “We don't want the orthodontic treatment is for aligning teeth only. We always think about this way: what would it be after 2 year, 5 year or even 10 year? What would be the role of the treatment result?”

    "We hope the patients are confident and grateful. We pursue the excellence of details, and this is the respect of nature. So, it is possible to become timeless."

        
    這位是我的朋友病人，她在做矯正前， 主要是不喜歡自己笑起來『會露牙齦』， 還有『上下顎骨覺得太突出』。

    經過檢查發現她少了一顆下顎的門牙，所以我告訴她矯正可以幫忙她改善在意的問題。
但是這種矯正治療的時間會比起『合併正顎手術』的矯正治療長，結果會類似手術方法，但是改變的量並沒有手術來得大。矯正完後的咬合會有牙齒中線上下無法對齊的情況（因為下方只有3顆門牙）。

    她告訴我: 『改善外觀和笑容』是她想做矯正的最重要因素，她也無法接受全身麻醉的外科手術治療。所以還是決定利用單純的『非手術矯正』來解決她的問題。




    我想對於顎骨或齒列造成的過度突兀和露牙齦問題，對臨床治療而言常常須要拔牙治療來創造空間，也需要借助自己的骨骼作為錨定來把牙齒坐較遠距離的移動。（Skeletal Anchorage 骨性錨定即不是利用牙齒之間的互相拉動來將拔牙空間關閉，而是藉由本身顎骨上方的矯正裝置來拉動需要移動的牙齒）
    

  This is my so-called patient friend, Vivian. She complained of protrusive face and smile with unpleasant appearance.  After the full orthodontic and dental check-up. I noticed she is a bimaxillary protrusion with gummy smile patient. This is very common in the Asian society. Therefore, I explain the possible treatment plan for her and deicide to take out 4 bicuspids in order to improve her facial profile.

However, the missing lower one incisor would definitely make my treatment result not perfect. But, she expressed the best thing for her braces done is the facial smile and the pleasant appearance.  I've done my best to make her orthodontic second to none!!!

Dr. Chin-Liang Yeh, DDS, MS
Limited to Orthodontics, Taipei, Taiwan