跨科治療以達到理想的咬合功能及美觀：病例報告

To Achieve an Ideal Functional Occlusion and Esthetical Outcome by Interdisciplinary Treatment – A Case Report

有許多因素會影響臉部外觀的和諧，包括骨架、齒列、甚至牙齒周圍軟組織，因此要改善病人的美觀問題必須有適當的診斷跟治療計劃。此病例牽涉矯正合併手術治療，而以手術優先的方式提供許多優點，最後再利用假牙做一些美觀上的細部調整，完成一個跨科的治療。

A harmonious face may involve the proper skeletal and dental relationship, in combination with the color, contour, and position of surrounding soft tissue. A 51-year-old female patient complained about her protrusive teeth and asked for improvement of her facial profile. The clinical examination of the patient revealed bimaxillary protrusion, gummy smile, and several ill-fitted fixed partial dentures. The “surgery-first” approach was chosen to improve her facial esthetics and to achieve a normal occlusion by reducing orthodontic treatment time. There was still 2~3mm space remaining between upper left canine and second premolar after orthodontic treatment, and this problem was resolved by prosthetic replacement. All the fixed prostheses were removed and replaced with provisional restorations. The patient was satisfied with the provisional restorations in aspect of esthetics and occlusion following endodontic and periodontal treatments. The definitive prosthesis duplicated the occlusion and morphology of the provisional prosthesis. The final result was satisfactory via interdisciplinary cooperation.