骨性第三類型咬合不正合併反咬

(上顎骨發育不足、下顎骨突出)

手術計畫 

3D客製化正顎(上下顎手術)

下巴雕塑手術

【謝明吉醫師】

對於戽斗(骨性第三類咬合不正)的年輕女性，在治療上有幾個重點。

首先是透過雙顎正顎手術的順時針旋轉，來柔化下三分之一臉(下顎骨)的線條，同時減少下臉的面積，達到小臉的效果；

上顎骨的順旋往前，除了可以給凹陷的中臉多一點支撐之外，也可以增加上排前牙的露出量，並美化微笑曲線；

另外，有許多研究都支持，正顎手術可以軟化表情以增進情感的表達，特別是表達正面開心的情緒；

最後是舌頭以及嘴唇位置的改善，對於說話以及吞嚥功能，都獲得很大的改善。

For young female patients with mandibular prognathism (skeletal Class III malocclusion), surgical treatment was guided by several key considerations.

First, clockwise rotation through bimaxillary orthognathic surgery helps soften the contours of the lower third of the face (mandible), reducing the prominence and surface area of the lower face to achieve a more delicate and refined appearance. Advancing the maxilla in a clockwise vector not only provides additional support to a deficient midface but also increases upper incisor display and enhances the smile arc. Moreover, numerous studies support that orthognathic surgery can soften facial expressions and improve emotional expressivity—particularly in conveying positive emotions such as happiness. Finally, improvements in tongue and lip posture following surgery contribute significantly to enhanced speech and swallowing function.

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

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牙齒咬合對比

 手術成效因人而異，需由專業醫師評估

手術前後電腦斷層掃描影像

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估

 手術成效因人而異，需由專業醫師評估