混合牙列期间隙管理的专家共识  

Experts’consensus on space management of mixed dentition

作　　者：郭维华[1] 汪俊[2] 陈旭[3] 王小竞 赵玮[5] 宋光泰 吴礼安 蒋备战[7] 张琼[1] 王军[8] 李宇[8] 赵宁[9] 谭家莉[10] 李煌[11] 舒睿[1] 周陈晨[1] 傅蕾 陈学鹏[13] 邹静[1] Guo Weihua;Wang Jun;Chen Xu;Wang Xiaojing;Zhao Wei;Song Guangtai;Wu Li’an;Jiang Beizhan;Zhang Qiong;Wang Jun;Li Yu;Zhao Ning;Tan Jiali;Li Huang;Shu Rui;Zhou Chenchen;Fu Lei;Chen Xuepeng;Zou Jing(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;Dept.of Pediatric Dentistry,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University,National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology,Shanghai 200011,China;Dept.of Pediatric Dentistry,School and Hospital of Stomatology,China Medical University&Liaoning Province Key Laboratory of Oral Disease,Shenyang 110002,China;Dept.of Pediatric Dentistry,School of Stomatology,The Fourth Military Medical University,State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Provincial Clinical Research Center for Oral Diseases,Xi’an 710032,China;Dept.of Pediatric Dentistry,Guanghua School of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China;Dept.of Pediatric Dentistry,School and Hospital of Stomatology,Wuhan University&State Key Laboratory Breeding Base of Basic Science of Stomatology,Hubei Province&Key Laboratory of Oral Biomedicine(Wuhan University),Ministry of Education,Wuhan 430000,China;Dept.of Pediatric Dentistry,The Affiliated Stomatology Hospital of Tongji University,Shanghai 200010,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Orthodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;Dept.of Orthodontics,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University,National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatolog

机构地区：[1]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儿童口腔科,成都610041 [2]上海交通大学医学院附属第九人民医院儿童口腔科上海交通大学口腔医学院国家口腔疾病临床医学研究中心上海市口腔医学重点实验室,上海200011 [3]中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病重点实验室,沈阳110002 [4]第四军医大学口腔医院儿童口腔科军事口腔医学国家重点实验室国家口腔疾病临床医学研究中心陕西省口腔疾病临床医学研究中心,西安710032 [5]中山大学光华口腔医学院·附属口腔医院儿童口腔科,广东省口腔医学重点实验室,广州510055 [6]武汉大学口腔医院儿童口腔科,湖北省口腔基础医学重点实验室−省部共建国家重点实验室培育基地,口腔生物医学教育部重点实验室(武汉大学),武汉430000 [7]同济大学口腔医学院·附属口腔医院儿童口腔科,上海200010 [8]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正畸科,成都610041 [9]上海交通大学医学院附属第九人民医院正畸科上海交通大学口腔医学院国家口腔疾病临床医学研究中心上海市口腔医学重点实验室,上海200011 [10]中山大学光华口腔医学院·附属口腔医院正畸科,广东省口腔医学重点实验室,广州510055 [11]南京大学医学院附属口腔医院正畸科,南京210008 [12]南昌市第一医院口腔科,南昌330008 [13]浙江大学医学院附属口腔医院正畸科·浙江大学口腔医学院浙江省口腔疾病临床医学研究中心浙江省口腔生物医学研究重点实验室浙江大学癌症研究院,杭州310006

出　　处：《华西口腔医学杂志》2022年第3期264-270,共7页West China Journal of Stomatology

摘　　要：混合牙列期是乳牙列向恒牙列转化的过渡期,生物学过程复杂多变,伴随颌骨生长、继承恒牙胚发育、乳牙牙根的生理性吸收、周围牙槽骨的改建及软组织的生长和功能的建立。混合牙列期的乳恒牙是否正常替换,对颌骨的正常发育、良好咬合关系的建立和软组织的发育及其功能发挥起着十分重要的影响。而乳恒牙的正常替换与恒牙萌出间隙密切相关。混合牙列间隙异常不仅直接关系此期错[牙合]畸形的发生、发展,甚至影响[牙合]、颌及面的正常生长发育。因此,混合牙列期的间隙管理是预防、降低错[牙合]畸形发生率及严重程度的重要手段。本文从混合牙列期可能出现的间隙问题、影响间隙大小的原因、混合牙列期间隙管理需要评估的内容和间隙管理的方法等方面进行讨论和分析,以期为规范化混合牙列期间隙管理提供参考。The mixed dentition stage is the period between primary and permanent dentition.The following biological processes are complicated and variable:jaw growth,development of inherited permanent teeth embryo,physiological absorption of primary teeth,restoration of surrounding alveolar bones,and growth and function establishment of soft tissues.For the normal development of the jaw,the establishment of the good occlusion relationship,development,and function of soft tissue is very important,whether or not the primary teeth are normally replaced by the permanent teeth in the mixed dentition stage.The eruption space is linked to the normal replacement of primary and permanent teeth.The presence of a mixed dentition space results in the incidence and progression of malocclusion and impacts the normal growth and development of the occlusion,jaw,and face.Space management in the mixed dentition stage is a crucial means to prevent and reduce malocclusion.The following were discussed and analyzed:the possible space problems,why the size of the space was affected,the content that needs to be assessed,and the methods of space management in the mixed dentition that can be used to unify and standardize the management of mixed dentition.This paper was developed to serve as a guide for regulated space management during the mixed dentition period.

关 键 词：混合牙列 错[牙合]畸形 间隙管理 早期矫治 专家共识 

分 类 号：R783.5[医药卫生—口腔医学]