儿童和青少年早期错畸形诊治策略的专家共识

doi:10.19439/j.sjos.2021.05.001

上海口腔医学 ›› 2021, Vol. 30 ›› Issue (5): 449-455.doi: 10.19439/j.sjos.2021.05.001

儿童和青少年早期错畸形诊治策略的专家共识

房兵¹, 金作林², 白玉兴³, 王林⁴, 赵志河⁵, 李巍然⁶, 白丁⁵, 贺红⁷, 刘月华⁸, 胡敏⁹, 宋锦璘¹⁰, 陈莉莉¹¹, 曹阳¹², 吴亭熹¹³, 厉松³, 李煌¹⁴, 施洁珺¹⁵, 唐国华¹, 储沨婷¹

1.上海交通大学医学院附属第九人民医院口腔正畸科,上海 200011;
2.空军军医大学口腔医院正畸科,陕西西安 710032;
3.首都医科大学口腔医学院正畸科,北京 100050;
4.南京医科大学附属口腔医院正畸科,江苏南京 210029;
5.四川大学华西口腔医院正畸科,四川成都 610041;
6.北京大学口腔医学院口腔医院正畸科,北京 100081;
7.武汉大学口腔医学院口腔正畸一科,湖北武汉 430079;
8.复旦大学附属口腔医院口腔正畸科,上海 200001;
9.吉林大学口腔医学院正畸科,吉林长春 130021;
10.重庆医科大学附属口腔医院正畸科,重庆 401147;
11.华中科技大学同济医学院附属协和医院口腔医学中心,湖北武汉 430022;
12.中山大学光华口腔医学院附属口腔医院正畸科,广东广州 510055;
13.哈佛大学口腔医学院附属福赛斯口腔研究院/口腔医院正畸科, 美国波士顿 02142;
14.南京大学医学院附属口腔医院南京市口腔医院正畸科,江苏南京 210008;
15.浙江大学医学院附属口腔医院正畸科,浙江杭州 310006

收稿日期:2021-03-18 修回日期:2021-05-26 出版日期:2021-10-25 发布日期:2021-11-08
通讯作者: 房兵,E-mail：braces_dr@hotmail.com
作者简介:房兵（1963-）,女,博士,教授、主任医师
基金资助:
上海申康医院发展中心临床三年行动计划（SHDC2020CR3009A）; 上海市科学技术委员会科研项目（19441906200）; 中华口腔医学会青年临床科研基金口腔正畸研究项目（CSA-O2020-04）

Experts consensus on diagnostic and therapeutic strategies for malocclusions at early developing stage

FANG Bing¹, JIN Zuo-lin², BAI Yu-xing³, WANG Lin⁴, ZHAO Zhi-he⁵, LI Wei-ran⁶, BAI Ding⁵, HE Hong⁷, LIU Yue-hua⁸, HU Min⁹, SONG Jin-lin¹⁰, CHEN Li-li¹¹, CAO Yang¹², WU Ting-xi¹³, LI Song³, LI Huang¹⁴, SHI Jie-jun¹⁵, CHU Feng-ting¹

1. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. Department of Orthodontics, School of Stomatology, Air Force Medical University. Xi'an 710032, Shaanxi Province;
3. Department of Orthodontics, Capital Medical University School of Stomatology. Beijing 100050;
4. Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University. Nanjing 210029, Jiangsu Province;
5. Department of Orthodontics, West China College of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
6. Department of Orthodontics, Peking University School and Hospital of Stomatology. Beijing 100081;
7. Department of Orthodontics Division 1, School of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
8. Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
9. Department of Orthodontics,Stomatology Hospital,Jilin University. Changchun 130021, Jilin Province;
10. Department of Orthodontics, Stomatological Hospital of Chongqing Medical University. Chongqing 401147;
11. Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology. Wuhan 430022, Hubei Province;
12. Department of Orthodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
13. The Forsyth Institute, Orthodontic Department. Boston 02142, USA;
14. Department of Orthodontics, Nanjing Stomatology Hospital, Stomatology Hospital Affiliated to College of Medicine, Nanjing University. Nanjing 210008, Jiangsu Province;
15. Department of Orthodontics, Stomatological Hospital, Medical College of Zhejiang University. Hangzhou 310006, Zhejiang Province, China

Received:2021-03-18 Revised:2021-05-26 Online:2021-10-25 Published:2021-11-08

摘要/Abstract

摘要： 儿童和青少年早期矫治是口腔行业的热点。除专业的口腔正畸医师外,大量其他学科的口腔医师也参与其中。儿童和青少年的口腔及颜面发育受到复杂的遗传和环境因素影响,因此,对最终治疗效果的预测和对并发症的控制非常重要,要充分做到知情同意,这对经治医师相关正畸专业理论知识的储备及实践经验均有很高的要求。为进一步统一和规范儿童和青少年早期矫治,促进早期矫治工作健康有序开展,本共识总结了全国多位著名口腔正畸专家和美国哈佛大学口腔医学院附属福赛思口腔研究院口腔正畸专家的理论知识和临床经验,为错畸形早期矫治提供参考策略。

关键词: 口腔颜面生长发育, 早期错畸形, 早期矫治, 专家共识

Abstract: Early orthodontic intervention remains a controversial notion in current dental care regime. Whilst early orthodontic treatment for children is the province for orthodontic specialists, a growing number of general practitioners, who may not possess sufficient specialty knowledge, are also involved, raising the concerns about the propriety and quality of their treatment modalities. However, orofacial development of children and adolescents is in a very complicated environment. Comprehensive theoretical knowledge and a great wealth of practical experience are required to ensure the final treatment effect. The possible complications should be kept under control and fully informed to patients and their parents. In order to unify and standardize early orthodontic treatment protocol and help to promote healthy and orderly development of early orthodontic treatment, this consensus summarized the practical experience of orthodontic experts from many famous colleges and affiliated hospitals for clinical reference.

Key words: Oral and facial deformity, Early orthodontic treatment, Growth and development, Expert consensus

中图分类号:

R783.5

房兵, 金作林, 白玉兴, 王林, 赵志河, 李巍然, 白丁, 贺红, 刘月华, 胡敏, 宋锦璘, 陈莉莉, 曹阳, 吴亭熹, 厉松, 李煌, 施洁珺, 唐国华, 储沨婷. 儿童和青少年早期错畸形诊治策略的专家共识[J]. 上海口腔医学, 2021, 30(5): 449-455.

FANG Bing, JIN Zuo-lin, BAI Yu-xing, WANG Lin, ZHAO Zhi-he, LI Wei-ran, BAI Ding, HE Hong, LIU Yue-hua, HU Min, SONG Jin-lin, CHEN Li-li, CAO Yang, WU Ting-xi, LI Song, LI Huang, SHI Jie-jun, CHU Feng-ting. Experts consensus on diagnostic and therapeutic strategies for malocclusions at early developing stage[J]. Shanghai Journal of Stomatology, 2021, 30(5): 449-455.

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儿童和青少年早期错畸形诊治策略的专家共识

Experts consensus on diagnostic and therapeutic strategies for malocclusions at early developing stage

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