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April 24, 2006

抜歯か非抜歯か

矯正を始めて1年経ち、ほぼ抜歯跡も埋まり、歯並びも一見キレイになった。これからは噛み合わせの調整などが行われるであろう。

そのような状態になって最近思うことがある。

「抜歯をしてよかったのか?」

私は上下左右の4番、計4本を抜歯した。
抜歯をした理由としては、よく言う、
「6人掛けのソファに7人座ってる」というヤツだと思う。
もしくはソファは7人掛けソファなんだけど、座ってるヤツが全員力士級とか。

この理由(いいわけ?)に関しては、私としては少々?である。なぜなら、ソファを大きくしたり、デブをダイエット(歯を削る)したりすることも可能なわけだから。ただ成人になるとソファもなかなか大きくできなかったり、デブをダイエットさせすぎて病気(知覚過敏・虫歯)になりやすくなることもある。ソファのクッション(歯肉)も足りなくなるのではという不安もある。

私は出来れば抜歯しないにこしたことはなかったが、それほど抜歯に抵抗感もなかったので抜歯と言われて、
「はいそうですか。」
と、素直に抜歯治療を行ったわけだが。

以前、「親知らずを抜くと、小顔になる」というトリビアともガセビアとも思える情報を聞いて、
「歯を抜いても骨格は変わらないのに、んなバカな。」とマークX部長・佐藤浩市もビックリするような情報だなと思っていたことがある。
しかし、抜歯矯正を始めて周囲の人に
「痩せたね~。顔周りがスッキリしてる。」と言われることが多くなった。
体重は変化無し(むしろ、時によりup↑)なのになあ~と、一種の詐欺なのかしらんと申し訳なく思ったり。確かに、寄る年波とともに襲ってきた口の両側のタルミが無くなった。これも抜歯の賜だろうか。
あと、良いのか悪いのかはわからないが、口が小さくなったと思う。八重歯で出っ張ってたところが無くなって、口元全体が引っ込んだからだと思う。悪く言えば、貧弱なような。

抜歯だと口元が引っ込みすぎて、鼻横から口角までに出来るシワ(ホウレイ線)が深くなるという話も聞くが、元々私は笑ってもホウレイ線が出ないタイプなので、ホウレイ線のある笑顔にあこがれていた。しかし、未だにホウレイ線とやらは出てくれないので、ちょっとガッカリ。人相学的にホウレイ線が口の下まで来るのは部下運があるらしい。

抜歯をしないで並べた場合は、やや口元が突出することがあると聞く。
イメージとしては、明石家さんまとか柴田理恵とか?あの二人のいわゆる出っ歯に属すると思われるが、歯はきれいに並んではいる。最近気になるのが、グラビアアイドル和希沙也である。彼女は以前は八重歯があったが審美的に治療したらしく、口元の歯がものすごく主張しているように見える。抜歯しなかった場合はああいう感じになるのだろうか~?

よく言うEラインというのも、鼻先とアゴを結んだ線の中に唇が入ると良いと言われているが、これも流行があるようで、アメリカの東海岸ではラインの内側、ところが西海岸ではラインからちょっとはみ出るくらいの唇が色っぽいとされている、という話を聞いたことがある。アンジェリーナ・ジョリーみたいな口元だろうか。まぁ、西洋人は鼻も高いし、アゴも結構突き出てるのでその流行を日本人に当てはめると簡単に西海岸顔になれるだろう。アンジェリーナ・ジョリーも矯正を経験しているようだが。

抜歯の場合、非抜歯の場合、どういう横顔になるかをシミュレーション出来るような設備がある矯正歯科だとわかりやすくていいかも。

私の場合ソファは小さいし、座ってる人たちはデブだし、鼻は低いしということで抜歯はアタリマエ~と思っていたのだが、最初に行った歯科での片方の歯1本だけを抜くという治療法には納得いかなかった。元々欠損歯があったわけでもなく、正中がゆがんでいるわけでもない。両方の歯の数が違うということは、正中にゆがみが生じる恐れがあるととあるサイトで知った。健康な歯を1本だけ抜けばいいのと4本抜かなきゃならないんだったら、1本の方がいいじゃない?という考えもあるだろう。そういう方は1本抜歯を選べばいいわけである。

矯正治療法は、歯科医師によって方針が多々ある。と言うことは患者自身が歯科医師を選ぶこと=治療法を選べるということだ。どっちにしても、抜いた歯は二度と生えない。これから矯正を始める方は、ぜひ自分の納得した治療法で始めていただきたい。

何が何でも非抜歯で!という信念でやっている歯科医師の元に行けば、私でも非抜歯で治療してくれただろう。その場合、治療期間も考慮に入れなければならない。そう思うと、今となってはこんなにキレイに並んでくれて、抜歯治療で良かったかなと思っている。

マジメに終了。


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