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與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，矯正時間1年半後，置放四隻骨釘，拔除四顆小臼齒，目前拔牙空間已經關閉。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.
完美了嗎？ No
未來的時間與矯正重點，將是繼續將齒列後移，讓下巴的型態更為立體，鼻唇角更為明顯。在沒有手術輔助之下，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.
Is is perfect? No
The future treatment will focus on the whole dentition distillation to make the chin and nose more prominent. 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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