戽斗矯正 Correction Pseduo-Class III Occlusion 非手術 未拔牙案例

        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."

    這位患者來初步咨詢時，由矯正用的側顱X光片即可看出下排牙齒完全在上排牙齒的外面，而患者也為這樣的咬合與顏面外觀困擾很久。

    什麼是假性戽斗？事實上患者在牙齒閉合過程中，產生了咬合干擾，而必須將下排牙齒前移，才能處於穩定的位置，最後產生了錯咬，戽斗的咬合，所以稱為假性的戽斗，並非真正的骨骼問題。真正的骨骼問題，就得手術了。當病患得知測量結果，並非手術才能解決，真的是莫大的喜悅。

    When this patient came to my clinic and asked for braces, we noticed that her lower teeth were completely cover the upper teeth. She said it's very sad for this bite for a long time.

    What is "pseudo-class III occlusion"? It is defined by when we want to bit together, the lower teeth can not be occluded directly due to the interference. So there is another better bite position to make the bite more comfortably. However, the lower teeth become more front of the upper teeth. So, we call this situation: pseudo-class III. It means it not really skeletal problem. If the skeletal problem happens, only surgery can help it. 

    When this patient knew she is not a really class III problem, as you can imagine how happy she was. 

    

    

由於患者本身有許多的牙齒間隙，這些零星空間加起來，再加上全齒列的後移，可以避免拔牙！哇！太幸運了！正確的『診斷與治療計劃』，真的是矯正治療中最重要的一環！請欲咨詢我的矯正患者能了解，因為在完全巨細靡遺的診斷與模擬圖後才能避免矯正的錯誤與不完美。診斷與治療計劃討論，真的非常值得我們治療開始前，再三思考與了解，畢竟矯正是這輩子的事，慎選矯正計劃也再重要不過了！豈能輕易相信主觀的決定？！

    When we look at the lower dentition, there are many space between different teeth. So, if we close all of them and try to move the whole dentition back, the extraction is avoid!!!

    The correct diagnosis and treatment planning is more important than everything! Because after the most decent treatment planning and discussion, you will understand where is the limit of the orthodontic treatment. We don't want any subjective thinning instead of not looking at the data. It's a life-long issue!