
極難的開咬與歪斜矯正治療
矯正醫師對於歪斜與開咬,一直視為非常困難的案例之ㄧ。通常在台灣,這些案例也伴隨上下唇的外突。
尤其本文案例,更已經缺少了左上第一大臼齒,筆者決定在矯正治療過程中利用其空間來後移,而避免後續的植牙問題。
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這是一位有歪斜、暴牙、開咬與下顎後縮,綜合非單一顏面美觀問題的患者。初次看到這位患者,也許會優先想到拔牙,以取得空間來把牙齒排好。然而,優美和諧與對稱的顏面外觀,是我覺得最大的挑戰。
The following patient actually has combined facial asymmetry, bimaxillary protrusion and small chin problems. Most doctors will think of extraction to align the teeth perfectly. However, the harmonized, balanced, and symmetrical facial profile is what I'm looking for in the first sight. Also, it's very challenge.
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