『非拔牙解決上顎嚴重擁擠和下顎外突』 Non-surgical approach for class III occlusion

『非拔牙解決上顎嚴重擁擠和下顎外突』

    近日有可愛的年輕患者尋求戽斗（反咬）的矯正治療，問及是否該合併手術的矯正方式。事實上，矯正醫師並無法改正骨頭的長度，僅能改正齒列及其周圍支持組織，然而對於抗拒手術的患者，我們於是尋求非手術又必須兼顧顏面美觀的解決方案。對於希望徹底改變骨頭長短，而有所謂變臉效果的患者，當然合併正顎手術的矯正治療，為最迅速有效的解決方案。長期與外科醫師合作的我，也非常熟稔於該治療，並可提供理想的外科醫師與您溝通顏面。

上顎擁擠幾乎將側門牙蓋住的牙弓，看似必須經過拔牙，才能得到最好的解決效果。卻因為她原本太過凹陷的鼻側，讓我決定將上顎前牙帶出，以讓上唇飽滿。並將下顎前牙適度後移，以創造出更為勻稱的外觀。

"Non-surgical approach to resolve severe crowding of upper jaw and protrusive mandible"

In the following case, the severe dentition almost makes the lateral incisors  "invisible". Almost most orthodontists will choose extraction to have the easier result. However, I did not extract any tooth in order to make the front teeth forward to have the fullness of upper lip. To push the lower anterior teeth backward, to have the more balance and symmetrical face. 

『拔牙解決外突上下唇關係』

    

相較於太過於前方的反咬戽斗案例，在外觀首先考慮的治療美學前提，同樣可以得到患者需求的矯正結果。沒有了侵略性的手術，對沒有接受讓人認不出的整形手術的患者中，猶如畫作般，協調與簡單的優雅曲線，一樣有令人驚歎的矯正效率與結果。

"Extraction to resolve the protrusive upper and lower lip"

Compared to the previous case, the "face-oriented" treatment philosophy help me decide to do extraction to have the better lip relationship.  In the world of pure orthodontic treatment without invasive surgery, we also can have astonished, like the painting, balance and simple elegant cures to describe best orthodontic results.