Happy Independence Day Malaysia! 🇲🇾✨
Let’s take a look at this case where the central incisors decided to be “independent” of each other….Yeap, we’re talking about Median Diastema [spacing between your front teeth].🤗
Why not Braces? 🤔 Answer’s in the second part of this caption.☺️But first, let’s walk through the treatment. 🦷
To achieve this result:
Composite Restoration removal • Smile Design • In-office Dental Whitening • Mock-Up • 8 unit Composite Veneers
Patient initially came in with old, overhanging composite filling on her centrals (swipe left to see). Note that how the overhanging margins have caused Gingivitis!
We discussed about the treatment option of getting Orthodontics treatment (“braces”) to close the gap after filling removal, but before that, we have to consider 2 things:
🦷 Width of the Central Incisors and the Laterals might not be of the proper proportion after filling removal. IPR may be required on the laterals to balance out the ratio.
🦷Patient still has a Class III occlusion (lower teeth are in a more “frontward” position) despite having Braces done before. We might need lower IPR/premolar extractions/retraction with TADs if we were to close that upper teeth gap.
A few other treatment options were discussed and in the end, she decided to proceed with composite veneers.
It is important to discuss treatment options with the patient and go through the pros and cons with them. I always allow my patients to think about their treatment options for a few weeks prior finalising the treatment plan to better the outcome and expectations.☺️
Have a great holiday and a great week ahead yall!🤗
#SmileMakeover #Whitening #CeramicVeneer #CompositeVeneers #resin #MedianDiastema
#CompositeRestoration #AestheticDentistry #Dentistry #Compositefilling #DirectRestoration #ConservativeDentistry #RestorativeDentistry #Composite #Veneers #Aesthetic #Dentistry #AestheticDentistry #Dental #CeramicVeneers #Veneer #Dentist #DentalPhotography
同時也有1部Youtube影片,追蹤數超過5萬的網紅林榆芩牙醫師,也在其Youtube影片中提到,打骨釘會痛嗎?矯正骨釘:戴牙套終結嘴凸的最大功臣|林榆芩 骨釘是牙齒矯正中, 最有革命性貢獻的裝置之一。 骨釘Temporary Anchorage Device (TADs) or mini-screw, mini-implant 在亞洲很多上、下雙顎前凸(Bimaxillary protru...
「upper first premolar」的推薦目錄:
upper first premolar 在 林榆芩牙醫師 Youtube 的最佳貼文
打骨釘會痛嗎?矯正骨釘:戴牙套終結嘴凸的最大功臣|林榆芩
骨釘是牙齒矯正中,
最有革命性貢獻的裝置之一。
骨釘Temporary Anchorage Device (TADs) or mini-screw, mini-implant
在亞洲很多上、下雙顎前凸(Bimaxillary protrusion)的輪廓中,它提供了拔小臼齒治療計畫中,達到最大量前牙後退時所需的最大錨定Maximum anchorage,是終結嘴凸輪廓的最大功臣。
它的發明亦減少矯正治療計畫中,拔牙及使用頭帽的機率;
在輕微笑齦,或是開咬的狀況下,
它甚至可以減少需要正顎手術的機會。
當它施力的時候可以讓牙齒,完全朝同一個方向做移動,
即使不拔牙的狀況,也讓牙齒往後,
輪廓外觀改善幅度更大。
至於打骨釘會不會痛?
一起來看影片怎麼說吧!
💡影片重點
0:22 骨釘介紹
0:49 作用機制
1:50 拔牙(第一小臼齒)矯正
2:30 骨釘拉前牙,最大錨定(Maximum anchorage)
2:55 拔第一、二小臼齒差別
3:55 不拔牙治療
4:25 頭帽headgear
6:59 笑齦
8:05 骨釘價格
9:55 會痛嗎
影片Source來源:
TAD insertion surgery
https://m.youtube.com/watch?v=Rgp96bgNJbA
TAD incisor retraction
https://m.youtube.com/watch?v=yFf-39SGMJw
Orthodontic treatment for excessive lip support
https://m.youtube.com/watch?v=icT40hXrINY
Anchorage classifications
https://www.smileworksliverpool.co.uk/blog/anchorage-significance-orthodontics/
Maxillary molar distalization with miniscrews之論文連結
https://pdfs.semanticscholar.org/185d/be97aa2450ac1931dc327f64a6de570e4d3e.pdf
Upper first premolar extraction
https://m.youtube.com/watch?v=UQkA6GTiZac
Upper second premolar extraction
Atypical extraction pattern 拔右上第一小臼齒和左上第二小臼齒
https://www.ajodo.org/article/S0889-5406%2811%2900573-7/pdf
Malocclusions different types. Excessive overjet
https://m.youtube.com/watch?v=JFw3ImEYa2g
TAD distalization
https://m.youtube.com/watch?v=ANYwLtSKptA
Traditional headgear
https://m.youtube.com/watch?v=JFw3ImEYa2g
Is mandibular molar distalization feasible
https://www.jdao-journal.org/articles/odfen/pdf/2015/01/odfen2015181p104.pdf
https://pocketdentistry.com/class-iii-malocclusion-treated-with-distalization-of-the-mandibular-dentition-with-miniscrew-anchorage-a-2-year-follow-up/
Class III malocclusion treated with distalization of the mandibular dentition with miniscrew anchorage: A 2-year follow-up
Class III malocclusion corrected by miniscrews to Class I
https://www.ajodo.org/article/S0889-5406(15)01169-5/pdf
Surgical Orthodontic Treatment for Underbite or Crossbite - BSSO Mandibular Setback
https://m.youtube.com/watch?v=Wp5DIZa7N9c
Upper intrusion for gummy smile correction
https://www.slideshare.net/mobile/dr-aboualnaser-mohamad-orthodontist/125-miniimplantminiscrews-in-orthodonticscase-reportoussama-sandidmohamad-aboualnaserawatef-shaarorthodontistorthodontiste-95426884
上顎前牙骨釘intrusion
https://m.youtube.com/watch?v=D8es-TBaNlg
Correcting gummy smile
https://m.youtube.com/watch?v=I8Gb58IFzgY
音樂: Sunny
音樂家: Ilya Truhanov
網址: https://icons8.com/music/
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✉️歡迎追蹤
臉書粉專|https://follow-heart.com/tad_fb
IG追起來|https://follow-heart.com/tad_ig
#骨釘 #牙齒矯正 #牙套 #矯正牙齒 #拔牙矯正 #不拔牙矯正 #笑齦