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."

 

 

    牙齦外露一直是矯正治療中的難症，有許多的患者因為尋求單靠矯正來解決該問題，而慘遭醫師拒絕。笑起來露牙齦的原因有許多，舉例來說上顎骨垂直的高度過長，和骨骼過於突出是主因。所以矯正治療中需要拔除上顎小臼齒，以讓前牙後移。我們利用迷你骨釘作為錨定作用，以讓上顎牙齒上移，並輔以牙周手術，去除過多的牙肉以讓牙齒形態更為完美。

 

    Gummy smile is one of the hardest treatment in orthodontics. Many patients want this problem to be corrected by braces only, however the answer may be no in many situation according to the patient-doctor's consultation.

 

    In the following patient, her gummy smile problem is from vertical too-long skeletal structure. Too much forward projection of the maxilla bone is also noticed. Therefore, we decide to extract upper teeth to retract the upper jaw and push the upper teeth upward by miniscrews as anchorage. The final procedure is periodontal surgery to reduce the excessive gingival tissue and to make the smile more beautiful.

 

 

 

 

 

 

 

    如果只是考慮上顎前牙的上提或壓入，而忽略掉其實齒列矯正必須同時也將後方牙齒上移，否則就會產生『前牙開咬』的現象，『開咬 Open Bite』的副作用。所以齒顎矯正牙齦外露，絕非單純而又容易的事。再將前排牙齒上移的過程，同時必須注意是否左右邊的牙齒切端是否有對稱，是否有形成理想的曲線。

   

     If we only consider intrusion or lift the upper anterior teeth without moving the posterior teeth upward, the open bite will happen. Therefore, correction of the gummy smile problem is never easy. In the correcting process, the doctor also needs to verify if the left and right teeth are symmetrical or balanced (so called smile arc).

 

 

 

 

 

 

 

 

 

 

 

    

 

 

 

 

    

   到了齒顎矯正的後期，牙齒已經移動至理想的顱顏位置，包含側面的臉型是否已經滿意，門牙的角度是否理想，咬合是否已經理想等等考量後。牙周覆蓋會影響牙齒所露出的形狀大小，此時才是利用雷射或牙周手術的絕佳時機。因為當齒列理想了，牙周整形後的牙齒形態就有了畫龍點睛的效果，不僅告別笑起來露牙齦！臉型的改正更是令人驚豔的！

 

    After the dentition is moved in the great position, now we need to consider if the facial profile, the anterior angulations, the bite are perfect to enter the final stage of the orthodontic treatment. The periodontal tissue covered the teeth, so it affects the look of the smile. We can choose laser or other surgical tools to remove the excessive gum tissue. Not only the gummy smile can be corrected, but the face is most desirable result that amazes us!