暴牙矯正一直是日常矯正門診中常見的病例，然而遇到骨性暴牙伴隨牙周病的成人，矯正治療似乎變成天方夜譚。
有如ㄧ場比賽般，開始前必須有旺盛的企圖心與決心，即便輸了，也能告訴對方，我期待下ㄧ次的遭遇。這種無與倫比的決心與勇氣，必然會為比賽帶來勝利，而非陪賽而已。
矯正治療更需要患者的信任、配合與樂觀，讓目的地變得清晰，而非左右搖擺，一下要拔牙還是不拔牙？是不是可以靠隱適美？是不是可以不手術？是不是可以不要骨釘等等。事實上，『診斷』與『準確的計劃』正是矯正醫師的決心與信心來源。
Bimaxillary protrusion is very common problem in our daily clinic. However, when it comes with the periodontal disease, the orthodontic treatment become almost impossible.
I would say this kind of orthodontic treatment is almost like a game. We need plenty of ambition to win the game. Even lose the game, we will let the enemy understand we would like to compete again.
Orthodontic treatment needs patient's trust, cooperation and optimism. It's not about extraction or not, surgery or not, or can it be done by invisialign? Can we don without miniscrews?
Diagnosis and treatment planning still are the most important decision before it starts.
本案例耗時三年，拔除了四顆小臼齒，患者本身原來有較強大的咀嚼肌，也因為矯正治療的長期影響，因為施力降低，有了類似肉毒桿菌的瘦臉效果。
她和我之間的長期信任與合作，也產生了良好的情誼！徵求她同意後，也非常開心的與讀者分享！期望大家能對矯正治療的高水準表現予以肯定。
This case takes us 3 years of treatment. She was taken out 4 bicuspids. She also had so call BTX effect, which is due to the prolong treatment of lacking bite forces. And we become very good friend. I'm so happy when she got the braces off!!!
