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Surgical Correction of Anterior Open Bite with Gummy Smile - A Case Report

以正顎手術治療前牙開咬合併笑齦-案例報告

摘要


前牙開咬被認為是各種咬合不正情形中最難被矯治的一種,它的高復發率和多重病因常造成臨床醫師治療上的挑戰。笑齦通常被認為是一種不美觀的臨床表徵,治療方式可以根據不同病因來選擇。當上顎骨同時出現前牙開咬合併笑齦的情況時,治療上的選擇常變得無法以單一治療方式達到令人滿意的效果。本報告提出一例25歲女性,在矯正治療做到一個段落之後,矯正醫師將她轉介到口腔顎面外科醫師處做正顎手術的評估並完成手術階段治療的過程。

關鍵字

前牙開咬 笑齦 正顎手術

並列摘要


Anterior open bite (AOB) is one of the most difficult types of malocclusion to be corrected. It's high relapse rate and multifactorial etiology make clinicians a challenge to treat satisfactorily. Gummy smile is generally considered an esthetically compromised characteristic and can be improved by several treatment modalities according to different etiologies. When upper jaw presents gummy smile accompanying with anterior open bite, it becomes a more complicated clinical problem to be solved. The authors present a 25-year-old woman, whose orthodontist referred her to the surgeon for orthognathic surgery to correct the anterior open bite with gummy smile.

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