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小妘是個活潑開朗、愛笑的小六生,最喜歡站上舞台表演,總能用流暢的口才和自信的台風吸引目光。只是,每當她大笑,上排擁擠外翻的虎牙就格外明顯,讓笑容多了幾分拘謹。爸媽發現孩子開始在意自己的牙齒,不再像以前那樣自在。身為老師的爸媽,很重視孩子的學習與心情,希望在調整牙齒的同時,也能守護小妘的自信,因此選擇了隱適美隱形矯正,陪伴孩子在青春期這個特別在意外表的階段,一步步找回整齊燦爛的笑容。

Yun is a lively sixth grader who loves the stage. Her confidence and bright smile always draw attention—until her crowded, slightly flared upper teeth make her laugh turn a bit reserved.Her parents noticed she was becoming self-conscious. Wanting to protect both her confidence and her growing smile, they chose Invisalign—a discreet option that helps teens feel comfortable while their teeth gradually fall into place.

隱適美科技,讓爸媽與孩子提前看見未來笑容

Invisalign Technology Lets Parents and Kids See Their Future Smile Sooner

隱適美 柯醫師 醫師經歷 (2400 x 2400 像素) - 柯瑾諭 醫師經歷 (2400 x 2400 像素) - 柯醫師醫師-正確
柯醫師掃描_Logo 隱適美口腔
柯醫師講解兒童隱適美 × 肌功能訓練:8歲孩子的早期矯正,從害羞到自信大笑的蛻變旅程

在朋友推薦下,小妘爸媽帶她來到蒔美牙醫找柯瑾諭醫師。柯醫師不僅是衛福部認證的齒顎矯正專科醫師,也獲得隱適美原廠鑽級認證,臨床經驗相當豐富。

​​在蒐集完整口腔資料時,小妘一開始有點緊張,因為聽說取模要把一大坨又黏又不舒服的材料塞進嘴裡。幸好,蒔美牙醫使用隱適美原廠 iTero 數位口掃機,只要像拍照一樣輕輕掃描,就能快速建立 3D 牙齒影像。聽完柯醫師耐心解釋,小妘慢慢放鬆下來,也發現檢查其實比想像中簡單得多,一點都不可怕。

蒔美還特別安排 RayFace 200 3D 臉部掃描,只需 0.5 秒,就能完整捕捉臉部輪廓、微笑曲線及牙齒與五官比例,協助醫師規劃出更符合臉型的笑容設計,確保最終笑容自然、協調。
最讓爸媽放心的是,還能透過隱適美原廠的 3D 模擬動畫,清楚看到牙齒一步步變整齊的過程。看著螢幕上的畫面,他們彷彿提前看見孩子未來的笑容,不僅對矯正計畫更有概念,也多了一份安心與期待。

Yun’s parents brought her to Smile Dental to see Dr. Ko, a board-certified orthodontist and Invisalign Diamond provider.

She was worried about messy impressions, but the iTero scanner made it quick and easy—more like taking photos than taking molds.

A RayFace 3D facial scan helped design a smile that fits her features, and Invisalign’s 3D simulation showed exactly how her teeth would move. Seeing that future smile gave her parents real peace of mind.

戽斗、牙弓太窄,複合狀況需審慎評估

Underbite and Narrow Arches: Complex Cases That Require Careful Evaluation

陳冠妘ANB角-改

柯醫師仔細檢查後發現,小妘的牙齒擁擠是因為「牙弓過窄」,造成空間不足,才會讓牙齒錯位。此外,透過Steiner測顱分析發現,小妘的ANB夾角只有0.82度,屬於骨性三級關係,也就是常說的「骨性戽斗」。

雖然,小妘從12歲開始接受矯正治療,當時牙齒和下巴都還有不少成長潛力,治療過程中必須謹慎觀察發育變化,以期在治療結束後達到最穩定、自然的咬合與笑容。

After examining Yun, Dr. Ko found that her crowding was caused by a narrow dental arch, leaving too little space for proper alignment. Steiner analysis also showed an ANB angle of 0.82 degrees—evidence of a skeletal Class III underbite.

Starting treatment at age 12 meant her teeth and lower jaw still had significant growth potential, so careful monitoring was key. This allowed Dr. Ko to guide her toward a stable, natural bite and a smile that would grow with her.

隱適美擴弓+不拔牙矯正,成功保留孩子原有的自然線條

Invisalign Expansion and Non-Extraction Treatment: Preserving a Child’s Natural Facial Lines

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幸好,小妘的唇部支撐相當自然,笑起來線條柔和、神情輕鬆。她的 E line(美學線,esthetic line)也落在理想範圍內,這條假想線從鼻尖連到下巴尖,用來評估上下唇的位置是否協調、比例是否恰當。

基於這樣的條件,我們決定採取「不拔牙」的治療策略,既能維持原本好看的唇形,又能替牙齒創造足夠的排列空間。治療過程中,藉由隱適美進行擴弓、微幅後退以及牙縫的精細調整,讓原本擁擠的虎牙得以重新歸位,避免整齊卻突出的暴牙感。最終,小妘的牙齒排列整齊,微笑時依舊完美落在理想的 E line 上,呈現出自然、平衡又充滿自信的笑容。

Fortunately, Yun already had good lip support—her smile looked soft and naturally balanced, with her E-line falling in the ideal range. Given these favorable features, we chose a non-extraction plan to preserve her lip profile while creating room for her teeth.

With Invisalign expansion, slight retraction, and precise space adjustments, her crowded canines settled into place without making her smile look protrusive. In the end, her teeth aligned well, and her smile remained harmonious with the E-line—natural, balanced, and confident.

下顎前突,不動手術也可能透過矯正逐步改善

Lower-Jaw Protrusion: In Some Cases, Orthodontics Alone Can Gradually Improve It

中途因疫情影響,
小妘有近一到兩年的時間回診頻率降低,
反而成了觀察她下巴生長發育的好機會。
從 X 光片重疊影像可以發現,
她的鼻子與下巴都有明顯的成長變化,
但所幸前牙並未發展成
我們較為擔心的反咬(negative overjet)問題。

Because the pandemic reduced Yun’s visit frequency for nearly two years, it unexpectedly gave us a clearer window into her jaw growth. Superimposed X-rays showed noticeable changes in both her nose and chin, but thankfully her front teeth never shifted into a negative overjet, which is a common concern in skeletal Class III cases.

對於骨性三級(下顎較前突)的孩子來說,下顎持續生長時,上排門牙常會自然地略微外傾,藉此覆蓋下排牙齒,這是一種身體自行調整的「牙齒補償」。在不動手術、僅以矯正治療的情況下,醫師必須持續觀察門牙的角度,避免過度外翻。幸好,小妘的門牙角度始終維持在自然範圍內,微笑時齒切面完整、微笑曲線柔和,看起來自然又美觀。

As the lower jaw grows, upper incisors often tip forward slightly as a natural form of compensation to maintain overlap. When treating without surgery, it’s crucial to monitor this angle to prevent excessive flaring. Fortunately, Guanyun’s incisors stayed within a healthy range, giving her a smooth smile arc and a naturally balanced look.

隱適美一定要常常回診嗎?忙碌的爸媽也能安心跟上進度

Do kids really need frequent Invisalign checkups? Even busy parents can keep up.

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很多爸媽最擔心的一件事,就是矯正是否需要每個月都回診。隱適美在回診便利性上彈性許多,僅需 6~8 週回診一次。醫師會依照孩子的配戴情況與矯正、發育狀況調整,不用像傳統矯正那樣頻繁報到,更符合家庭忙碌的生活節奏。

但如果真的抽不出時間,也別擔心。蒔美提供來自法國、高精度的 Dental Monitoring 遠端監測系統,爸媽只要用手機 App 幫孩子拍照、上傳,醫師便可以即時確認牙齒是否乖乖照著計畫移動。遇到需要微調的地方,也能及早提醒,避免拖延到下一次門診。

這樣的遠端追蹤方式,讓孩子就算碰上考試季、營隊活動、家庭旅行或爸媽加班忙不開,療程依然可以順利照計劃前進。

Most families assume orthodontics requires monthly visits, but Invisalign is far more flexible: children typically come in every six to eight weeks, with adjustments made based on wear and development. It’s far easier to fit into a busy schedule than traditional braces.

For parents who can’t always make it in, there’s Dental Monitoring. By uploading quick photos through the app, doctors can track progress remotely and catch small issues early.

This approach keeps treatment moving smoothly—even during exams, camps, family trips, or hectic workweeks.

隱適美改變的不只是牙齒,更讓孩子自信蛻變

Invisalign Doesn’t Just Straighten Teeth — It Helps Kids Grow in Confidence

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雖然矯正過程有挑戰,但看到小妘最後展開自信笑容,爸媽覺得一切都值得。蒔美是隱適美示範中心,院內配備完整的原廠高階儀器,再加上柯醫師專業又有耐心,讓他們一路都很放心。

小妘的牙齒變整齊,笑容更有自信,也慢慢養成了自律習慣,這份成長是爸媽心中最珍貴的收穫。

The process wasn’t always easy, but seeing Yun’s confident smile made it all worthwhile. With Smile Dental’s advanced Invisalign equipment and Dr. Ko’s patient guidance, her parents felt reassured throughout.

Yun now has a straighter smile and a brighter sense of confidence—along with new habits of discipline her parents consider the most meaningful part of her growth.