『非拔牙解决上颚严重拥挤和下颚外突』

 

    近日有可爱的年轻患者寻求戽斗（反咬）的矫正治疗，问及是否该合并手术的矫正方式。事实上，矫正医师并无法改正骨头的长度，仅能改正齿列及其周围支持组织，然而对于抗拒手术的患者，我们于是寻求非手术又必须兼顾颜面美观的解决方案。对于希望彻底改变骨头长短，而有所谓变脸效果的患者，当然合并正颚手术的矫正治疗，为最迅速有效的解决方案。长期与外科医师合作的我，也非常熟稔于该治疗，并可提供理想的外科医师与您沟通颜面。

 

 

上颚拥挤几乎将侧门牙盖住的牙弓，看似必须经过拔牙，才能得到最好的解决效果。却因为她原本太过凹陷的鼻侧，让我决定将上颚前牙带出，以让上唇饱满。并将下颚前牙适度后移，以创造出更为匀称的外观。

 

"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. 

 

 

 

 

『拔牙解决外突上下唇关系』

    

相较于太过于前方的反咬戽斗案例，在外观首先考虑的治疗美学前提，同样可以得到患者需求的矫正结果。没有了侵略性的手术，对没有接受让人认不出的整形手术的患者中，犹如画作般，协调与简单的优雅曲线，一样有令人惊叹的矫正效率与结果。

 

"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.