中国儿童错[牙合]畸形早期矫治专家共识  

China experts' consensus on preventive and interceptive orthodontic treatments of malocclusions of children

作　　者：国家卫生健康委医院管理研究所“儿童早期矫治规范化诊疗项目”专家组 李小兵[2] 叶全富 贺红 卢海平[5] 朱敏[6] 姜若萍[7] 邹淑娟[2] 韩向龙[2] 周力[2] 陈柯 袁晓[9] 张军梅 谭理军[2] 尹畅 贺周 李昂[12] 程斌[13] 阮文华[14] 黄芳[13] 刘娟[15] 马兰[16] 邹蕊[12] 杨芳[17] 张卫兵[18] 田玉楼[19] 蒋备战 邵林琴[21] 黄洋[22] 唐丽琴 高黎[24] 周陈晨[2] National Health Institute of Hospital Administration,The Experts,Group of the Project of Standard Diagnose and Treatment Protocols for Early Orthodontic Interventions of Malocclusions of Children;Li Xiaobing;Ye Quanfu;He Hong;Lu Haiping;Zhu Min;Jiang Ruoping;Zou Shujuan;Han Xianglong;Zhou Li;Chen Ke;Yuan Xiao;Zhang Junmei;Tan Lijun;Yin Chang;He Zhou;Li Ang;Cheng Bin;Ruan Wenhua;Huang Fang;Liu Juan;Ma Lan;Zou Rui;Yang Fang;Zhang Weibing;Tian Yulou;Jiang Beizhan;Shao Linqin;Huang Yang;Tang Liqin;Gao Li;Zhou Chenchen(不详;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;National Institue of Hospital Administration,NHC,Beijing 100044,China;Hospital of Stomatology,Wuhan University,Wuhan 430070,China;The Affiliated Stomatology Hospital of Zhejiang Chinese Medical University,Hangzhou 310014,China;Shanghai Ninth People,s Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200011,China;Peking University Hospital of Stomatology,Beijing 100081,China;Stomatological Hospital,Southern Medical University,Guangzhou 510260,China;The Affiliated Hospital,Qingdao University,Qingdao 266000,China;Affiliated Stomatological Hospital of Guizhou Medical University,Guiyang 550004,China;Beijing Vision Dental Clinic,Beijing 100000,China;Hospital of Stomatology,Xi,an Jiaotong University,Xi,an 710004,China;Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University,Guangzhou 510055,China;The Children,s Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;The Affiliated Stomatological Hospital of Kunming Medical University,Kunming 530102,China;Shanxi Chindren,s Hospital,Taiyuan 300013,China;Qingdao Municipal Hospital,Qingdao 266011,China;The Affiliated Stomatology Hospital of Nanjing Medical University,Nanjing 210000,China;China Medical University School and Hospital of Stomatology,Shenyang 110122,China;School of Stomatilogy,Tongji University,Nanjing 200072,China;Jinan Stomatologi

机构地区：[1]不详 [2]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院,成都610041 [3]国家卫生健康委医院管理研究所,北京100044 [4]武汉大学口腔医院,武汉430070 [5]浙江中医药大学附属口腔医院,杭州310014 [6]上海交通大学医学院附属第九人民医院,上海200011 [7]北京大学口腔医院,北京100081 [8]南方医科大学口腔医院,广州510260 [9]青岛大学附属医院,青岛266000 [10]贵州医科大学附属口腔医院,贵阳550004 [11]北京华景齿科,北京100000 [12]西安交通大学口腔医院,西安710004 [13]中山大学光华口腔医学院附属口腔医院,广州510055 [14]浙江大学医学院附属儿童医院,杭州310003 [15]昆明医科大学附属口腔医院,昆明530102 [16]山西省儿童医院,太原300013 [17]青岛市市立医院,青岛266011 [18]南京医科大学附属口腔医院,南京210000 [19]中国医科大学附属口腔医院,沈阳110122 [20]同济大学附属口腔医院,南京200072 [21]济南市口腔医院,济南370112 [22]吉林大学口腔医院,长春130021 [23]无锡口腔医院,无锡214000 [24]郑州大学第一附属医院,郑州450052

出　　处：《华西口腔医学杂志》2021年第4期369-376,共8页West China Journal of Stomatology

摘　　要：错[牙合]畸形是世界卫生组织公布的口腔三大疾病之一,其发病率在我国有升高的趋势,严重影响我国近2.6亿儿童牙颌面功能、颜面美观及生长发育,甚至影响儿童全身及心理健康发育。错[牙合]畸形发生涉及遗传及环境因素,早期矫治创建良好的牙颌面生长环境,纠正异常牙颌面生长、控制异常遗传因素,能有效地降低儿童错[牙合]畸形的发病率,维护我国儿童身心健康,这是我国社会经济发展的迫切需要,具有重大的现实和社会意义。中国国家卫生健康委医院管理研究所“儿童早期矫治规范化诊疗项目”专家组撰写“中国儿童错[牙合]畸形早期矫治专家共识”,旨在引导和普及我国儿童早期矫治临床治疗,促进我国儿童早期矫治理论与临床水平的提高,加速我国儿童早期矫治专业发展。共识阐述了错[牙合]畸形的危害性及早期矫治的必要性,提出了儿童早期矫治的原则和基本内容。在遵循牙颌面发展规律的基础上,提出从孕期到恒牙列初期儿童牙颌面生长发育不同时期分阶段的预防与阻断治疗的指导性建议。错𬌗畸形早期矫治的推广和规范是一个系统工程,通过科学的、全面的分级医疗及专业培训将最终完善我国儿童早期矫治临床体系,达到全面呵护我国儿童牙颌面健康,提高我国儿童口腔健康及全身健康水平的目的。Malocclusion is one of the three most common oral diseases reported by World Health Organization(WHO). In China, its incidence rate is rising. Malocclusion seriously affects the dental and maxillofacial function, facial appearance and growth development of nearly 260 million children in China, and what is more, it affects their physical and mental health development. Malocclusion occurrence is related to genetic and environmental factors. Early treatment of malocclusion can create a good dental and maxillofacial development environment, correct abnormal growth and control the adverse effects of abnormal genetic factors. It can effectively reduce the prevalence of children’s malocclusion and enhance their physical and mental health. This is an urgent need from the economic perspective of our society, so it has great practical and social significance. Experts from the project group"standard diagnose and treatment protocols for early orthodontic intervention of malocclusions of children"which initiated by China National Health Institute of Hospital Administration wrote the"China Experts’ Consensus on Preventive and Interceptive Orthodontic Treatments of Malocclusions of Children", which aims to guide and popularize the clinical practice, improve the clinical theory and practice level, and accelerate the disciplinary development of early treatment of children’s malocclusion in China. The consensus elaborates the harmfulness of malocclusion and the necessity of early treatment, and brings up the principles and fundamental contents. Based on the law of dental and maxillofacial development, this paper puts forward the guiding suggestions of preventive and interceptive treatments in different stages of dental development ranging from fetus to early permanent dentition. It is a systematic project to promote and standardize the early treatment of malocclusion. Through scientific and comprehensive stratified clinical practice and professional training, the clinical system of early treatment of malocclusion in China wi

关 键 词：错[牙合]畸形 牙颌面生长发育 早期矫治 专家共识 

分 类 号：R783.5[医药卫生—口腔医学]