臨床上常會遇到三級異常咬合伴隨下顎前突與偏斜的情形發生,若是患者本身不接受較侵犯的治療方式且屬於輕、中度的異常咬合,則可嘗試非手術治療。本篇病例報告為一25歲女性,主訴下頓前突、前牙錯咬、前牙間有空隙,診斷為骨性安格氏三級異常咬合,合併下顎前突。齒列咬合亦為三級異常情形,同時有前牙錯咬問題。使用全口固定式矯正裝置及Modified Multiloop Edgewise Archwire (MEAW)Technique搭配不對稱elastics來改善三級異常咬合、齒列中線以及修正偏斜下顎。經過一年八個月的治療後,齒列排列整齊,外觀有良好的改善。六個月的追蹤回診,咬合保持穩定狀態。(J. Taiwan Assoc.Orthod. 24(1): 46-54, 2012)
Class III malocclusion with mandibular protrusion and lateral displacement are commonly observed at orthodontic clinic. If patients don't accept orthognathic surgery and belong to mild to moderate malocclusion, non-surgery treatment will be available. This was a 25-year-old female; her chief complaint was anterior crossbite with anterior spacing and mandibular protrusion. The diagnosis was dental and skeletal Class III malocclusion with mandibular prognathism. The patient was successfully treated with fixed orthodontic appliance by modified Multiloop Edgewise Archwire (MEAW) Technique and asymmetric elastics. The total treatment time was one year and 8 months. Good alignment and occlusion with coincident dental midline, and improved facial profile were obtained. Follow-up for 6 months the occlusion maintained stable. (J. Taiwan Assoc. Orthod. 24(1): 46-54, 2012)