人中過長，外突及嘴角下垂問題的外觀矯正解決方案 Pure Orthodontic Solution-Prolong Philtrum & Dropped Mouth Corner

    我的矯正門診治療中出現越來越多非單純齒列矯正問題的客人，然而卻盼望單純矯正治療來解決顏面的美觀問題。

    與您分享的暴牙案例，有過於突兀的下顏面，伴隨過長的人中，不自然的放鬆臉部表情，以及無法展現自信的笑容。我會說，這是個困難即有可能需要手術的案例。

    然而，患者本身和醫師的立場是有截然不同的看法的。第一、她覺得自己不算太暴，第二、沒有嚴重道需要手術，第三、牙齒其實不算太亂。

    我想，身為專業矯正醫師，每天處理這樣的案例，因為具備極高的敏銳度，應該需要給與充份的溝通與討論，讓患者知道，她為何需要拔牙，而我的矯正治療有何不同，結果會看起來如何，讓每分錢都花在刀口上。

    There are getting more and more patients who asked for the orthodontic treatment, but not having the pure dentition alignment problem alone. However, they will want me to resolve their problems by orthodontic itself, instead of having orthognathic surgery.

    Here is the case, she has a extraordinary long philtrum, unpleasant facial appearance when relaxed, can't express confident smile. 

    However, I feel this way: patient would have different thinking as orthodontist does from the following. First, she doesn't feel her bimaxillary jaws are protrusive. Second, she doesn't want to have surgery. Third, she feel her alignment of teeth are not too crowded.  

    As a professional orthodontist, I have very accurate sense of face and dentition. I alway let my patients know why they need to be extracted, why so expensive and how will the results look like.

    矯正解決方案包含將上下顎前牙往後移動至最遠以改善外突，改變咬合平面位置與微笑排列以改善嘴角下垂，上顎齒列向上移動以掩飾人中過長問題，下顎骨向上與向前的旋轉以改善下巴立體感。
    Our treatment solution includes retraction of upper and lower anterior teeth to improve the protrusive face, rotation of the occusal plane and 2nd-order mesiodistal anterior esthetic alignment to eliminate the mouth corner dropped problem. The mandible is also auto-roation more forward and upward.

對於上顎骨發育過度、下顎骨較短的人中過長表現，這時除了將上顎牙齒向上向後移動，旋轉下顎骨角，使其向前向上旋轉後，也可改善原本下巴不足的感覺。