How to change the profile without sacrificing the tooth show?
This young man complained about protrusion and malalignment after some relapse of prior orthodontic treatment.
He already had four premolars extracted.
With a pretty acceptable tooth show, we reduced the vertical dimension by double arch intrusive distalization instead of retraction only.
Profile had some improvement because of the counterclockwise rotation of the mandible, soft tissue strain had improved.
He still has a nice and broad smile after the retreatment.
這位帥氣的陽光男孩第一次矯正已拔除四顆小臼齒,來院評估時希望改善矯正後移位的排列和微凸的嘴形。
然而,在這種牙齒已經不會暴的案例,要有感地改善患者的側臉,
需要做足“垂直向”的控制,以避免單純後移而看起來前牙太後縮。
在雙顎全齒列上移,下顎逆時針旋轉後側臉變得更為協調,患者仍保有年輕朝氣的陽光燦笑。