华西口腔医学杂志 ›› 2021, Vol. 39 ›› Issue (4): 369-376.doi: 10.7518/hxkq.2021.04.001

• 专家共识 •    下一篇

中国儿童错𬌗畸形早期矫治专家共识

李小兵1(), 叶全富2, 贺红3, 卢海平4, 朱敏5, 姜若萍6, 邹淑娟1, 韩向龙1, 周力1, 陈柯7, 袁晓8, 张军梅9, 谭理军1, 尹畅2, 贺周10, 李昂11, 程斌12, 阮文华13, 黄芳12, 刘娟14, 马兰15, 邹蕊11, 杨芳16, 张卫兵17, 田玉楼18, 蒋备战19, 邵林琴20, 黄洋21, 唐丽琴22, 高黎23, 周陈晨1   

  1. 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,成都 610041
    2.国家卫生健康委医院管理研究所,北京 100044
    3.武汉大学口腔医院,武汉 430070
    4.浙江中医药大学附属口腔医院,杭州 310014
    5.上海交通大学医学院附属第九人民医院,上海 200011
    6.北京大学口腔医院,北京 100081
    7.南方医科大学口腔医院,广州 510260
    8.青岛大学附属医院,青岛 266000
    9.贵州医科大学附属口腔医院,贵阳 550004
    10.北京华景齿科,北京 100000
    11.西安交通大学口腔医院,西安 710004
    12.中山大学光华口腔医学院附属口腔医院,广州 510055
    13.浙江大学医学院附属儿童医院,杭州 310003
    14.昆明医科大学附属口腔医院,昆明 530102
    15.山西省儿童医院,太原 300013
    16.青岛市市立医院,青岛 266011
    17.南京医科大学附属口腔医院,南京 210000
    18.中国医科大学附属口腔医院,沈阳 110122
    19.同济大学附属口腔医院,南京 200072
    20.济南市口腔医院,济南 370112
    21.吉林大学口腔医院,长春 130021
    22.无锡口腔医院,无锡 214000
    23.郑州大学第一附属医院,郑州 450052
  • 收稿日期:2021-05-08 修回日期:2021-06-21 出版日期:2021-08-01 发布日期:2021-08-10
  • 通讯作者: 李小兵 E-mail:909984963@qq.com
  • 作者简介:李小兵,教授,博士,E-mail:909984963@qq.com。教授/主任医师,硕士研究生导师,现任四川大学华西口腔医学院儿童口腔科副主任,儿童早期矫治专科主任。担任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”主任委员,中华医学会儿科学分会口腔医学学组组长,中华口腔医学会儿童口腔医学专业委员会常务委员,四川省口腔医学会儿童口腔专业委员会副主任委员,四川省口腔医学会口腔正畸学专业委员会常务委员,贵州省人民政府“医疗卫生援黔专家团核心专家”,国际牙医师学院院士,四川省侨联特聘专家委员会特聘专家,中华医学会儿科学分会中国青少年隐形矫治专家组组长。英国爱丁堡皇家外科学院海外院员(2002—2005年),《中华口腔医学杂志》《华西口腔医学杂志》《国际口腔医学杂志》杂志审稿专家。承担8项省市级课题、1项国际合作课题、1项药物临床试验质量管理规范课题。荣获中华医学科技奖1项,省市科技进步奖5项。作为第一或通讯作者,发表40余篇SCI及核心期刊论文。主编《中国青少年隐形矫治专家共识2018》《中国青少年隐形矫治专家共识》《儿童口腔科诊疗与操作规范常规》,主审《儿童口腔早期矫治》,参编《中华口腔科学》《华西口腔住院医师手册》《口腔正畸学——基础、技术与临床》等6部专著。

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

Li Xiaobing1(), Ye Quanfu2, He Hong3, Lu Haiping4, Zhu Min5, Jiang Ruoping6, Zou Shujuan1, Han Xianglong1, Zhou Li1, Chen Ke7, Yuan Xiao8, Zhang Junmei9, Tan Lijun1, Yin Chang2, He Zhou10, Li Ang11, Cheng Bin12, Ruan Wenhua13, Huang Fang12, Liu Juan14, Ma Lan15, Zou Rui11, Yang Fang16, Zhang Weibing17, Tian Yulou18, Jiang Beizhan19, Shao Linqin20, Huang Yang21, Tang Liqin22, Gao Li23, Zhou Chenchen1   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China
    2.National Institue of Hospital Administration,NHC,Beijing 100044,China
    3.Hospital of Stomatology,Wuhan University,Wuhan 430070,China
    4.The Affiliated Stomatology Hospital of Zhejiang Chinese Medical University,Hangzhou 310014,China
    5.Shanghai Ninth People,s Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200011,China
    6.Peking University Hospital of Stomatology,Beijing 100081,China
    7.Stomatological Hospital,Southern Medical University,Guangzhou 510260,China
    8.The Affiliated Hospital,Qingdao University,Qingdao 266000,China
    9.Affiliated Stomatological Hospital of Guizhou Medical University,Guiyang 550004,China
    10.Beijing Vision Dental Clinic,Beijing 100000,China
    11.Hospital of Stomatology,Xi,an Jiaotong University,Xi,an 710004,China
    12.Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University,Guangzhou 510055,China
    13.The Children,s Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China
    14.The Affiliated Stomatological Hospital of Kunming Medical University,Kunming 530102,China
    15.Shanxi Chindren,s Hospital,Taiyuan 300013,China
    16.Qingdao Municipal Hospital,Qingdao 266011,China
    17.The Affiliated Stomatology Hospital of Nanjing Medical University,Nanjing 210000,China
    18.China Medical University School and Hospital of Stomatology,Shenyang 110122,China
    19.School of Stomatilogy,Tongji University,Nanjing 200072,China
    20.Jinan Stomatological Hospital,Jinan 370112,China
    21.Hospital of Stomatology,Jilin University,Changchun 130021,China
    22.Wuxi Stomatology Hospital,Wuxi 214000,China
    23.First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China
  • Received:2021-05-08 Revised:2021-06-21 Online:2021-08-01 Published:2021-08-10
  • Contact: Li Xiaobing E-mail:909984963@qq.com

摘要:

错𬌗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。错𬌗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𬌗畸形的发病率,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“中国儿童错𬌗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。共识阐述了错𬌗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。

关键词: 错𬌗畸形, 牙颌面生长发育, 早期矫治, 专家共识

Abstract:

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 will eventually be perfected, so as to comprehensively care for children's dental and maxillofacial health, and improve their oral and physical health in China.

Key words: malocclusion, dental and maxillofacial development, early treatment, experts' consensus

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