2020年11月1日 星期日

矯正前 矯正後 アート 嚴重骨性暴牙的頂級治療殿堂 | Severe Bimaxillary Protrusion without Surgery

    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."  -Dr. CLY    



    這是一位極難的雙顎前凸、開咬、骨性暴牙、咬合平面太傾斜,幾乎無法單靠矯正的案例。在後牙區,有了金屬與陶瓷假牙,但是因為『咬合』,讓牙齒都做的非常短小,幾乎不可能放上矯正裝置(尤其是右下方的後牙區)。這當然會是大部分矯正醫師完全無法發揮的案例!

    This article shares the almost impossible orthodontic treatment alone case. She is a bimaxillary protrusion with open bite and steep FMA patient. As you can see the crown length in the posterior teeth is so short due to the occlusion. We almost can't find the space for the placement of the brackets. So, it's impossible for orthodontist to treat!


    當病患選擇相信診斷和以『非手術』為前提的最佳治療計畫下,我們開始了辛苦又充滿挑戰的治療,置放四隻骨釘,拔除四顆小臼齒,拔牙空間已經關閉。就顏面上已經改善許多,然而我們並沒有認定已經結束。

    However, she is very cooperative and trust what I said for the diagnosis and treatment plan without surgery. Then we started the long journey. The treatment plan included extraction of the premolars with 4 miniscrews for the anchorage.  The treatment time is 1 and half year so far. The extraction space is almost closed. However, we haven't said it's finished.







    於是我們繼續將齒列後移,在沒有拔牙空間的情形下,齒列的後移,已經變成了全齒列移動。 讓下巴的型態更為立體,鼻唇角更為明顯。

    在完全沒有手術輔助之下,盡量做到迷人的線條、精準的比例,這一直都是追求美的目標。
    
    如蕭伯納 (George Bernard Shaw)所說:如果這世界完好,一點問題都沒有,我們不就無事可做了。 If there was nothing wrong in the world, there wouldn't be anything for us to do.

    
    The whole dentition distillation to make the chin and nose more prominent, after there is no space of extraction sites. We want to have more amazing curvature between the lips, nose and chin. We want to have more proper proportion without the help of surgery. As Bernard Shaw says: if there was nothing wrong in the world, there wouldn't be anything for us to do. 

















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