早期矫治的现状思考

doi:10.7518/hxkq.2025.2024323

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (2): 151-157.doi: 10.7518/hxkq.2025.2024323

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早期矫治的现状思考

李煌()

南京大学医学院附属口腔医院，南京市口腔医院，南京大学口腔医学研究所，南京210009

收稿日期:2024-08-30 修回日期:2024-12-30 出版日期:2025-04-01 发布日期:2025-03-25
通讯作者: 李煌 E-mail:lihuang76@nju.edu.cn
作者简介:李煌，主任医师、教授、博士研究生导师，任南京大学医学院附属口腔医院正畸科主任。兼任中华口腔医学会口腔正畸专业委员会常务委员、中华口腔医学会颞下颌关节病学及学专业委员会常务委员、江苏省口腔医学会第四届口腔正畸专业委员会主任委员。入选江苏省“333高层次人才培养工程”第二层次培养对象、江苏省“六大人才高峰”高层次人才、江苏省卫生拔尖人才、江苏省卫生医学重点人才、南京市中青年学术带头人等。主持多项国家和省市级课题，对力学作用下骨改建的机制进行了深入的研究。|李煌，教授，博士，E-mail：lihuang76@nju.edu.cn
基金资助:
江苏省卫生健康委医学科研重点项目(ZD2022025);江苏省自然科学基金面上项目(SBK20211010);南京大学医学院附属口腔医院学科带头人后备人才项目(2015)

Reflections on the current state of early orthodontic treatment

Li Huang()

Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing 210009, China

Received:2024-08-30 Revised:2024-12-30 Online:2025-04-01 Published:2025-03-25
Contact: Li Huang E-mail:lihuang76@nju.edu.cn
Supported by:
Medical Research Key Project of Jiangsu Commission of Health(ZD2022025);General Project of Jiangsu Provincial Natural Science Foundation(SBK20211010);Discipline Leader Reserve Talent Project of Nanjing Stomatological Hospital, Medical School of Nanjing University(2015)

摘要/Abstract

摘要：

早期矫治是近年来口腔正畸、儿童口腔，乃至全科口腔医生的发展热点和关注焦点，但仍存在一些误区，如过早或过度进行干预，适应证把控不严，夸大早期矫治的作用等。本文以国内早期矫治的现状分析为切入点，逐一剖析口腔医生乃至大众关心的9个问题，包括早期矫治是否是新兴概念，早期矫治是否有必要，早期矫治的时机，早期矫治的适应证，早期矫治能否提供一个不拔牙或不手术的机会，早期矫治能否彻底改变面型和下颌生长型，早期矫治能否治疗口呼吸或腺样体面容或阻塞性睡眠呼吸暂停综合征，硅胶类口腔功能训练器在早期矫治中的作用，透明矫治器在早期矫治中是否优于传统矫治器，旨在促进早期矫治的规范化。早期矫治一定要选择好适应证，掌握正畸的基本原理和技术，选择最合适患儿的治疗方式和治疗时机。

关键词: 错牙合畸形, 早期矫治, 正畸

Abstract:

Early orthodontic treatment has been a hot spot and focus of development in recent years in the field of orthodontics, pediatric dentistry, and general practice dentistry. However, there are still some misconceptions, such as excessive or premature intervention, strict control of indications, exaggeration of the role of early orthodontic treatment. This article starts from the analysis of the current status of early orthodontic treatment in China and combines the latest literature and reviews at home and abroad to analyze the nine issues that dentists and the public are concerned about one by one, including whether early orthodontic treatment is a new concept, whether it is necessary, the timing of early orthodontic treatment, the indications for early orthodontic treatment, whether it can provide a non-tooth extraction or non-surgical opportunity, whether it can completely change the facial profile such as retrognathia and growth pattern of the mandible, whether it can treat habitual mouth breathing or adenoid face or obstructive sleep apnea, the role of myofunctional therapy with prefabricated appliances in early orthodontic treatment, whether transparent aligners are superior to traditional aligners in early orthodontic treatment, with the aim of promoting the standardization of early orthodontic treatment. Early orthodontic treatment must choose the right indications, master the basic principles and techniques of orthodontics, and choose the most suitable treatment method and timing for the child.

Key words: malocclusion, early treatment, ortho-dontic

中图分类号:

R783.5

李煌. 早期矫治的现状思考[J]. 华西口腔医学杂志, 2025, 43(2): 151-157.

Li Huang. Reflections on the current state of early orthodontic treatment[J]. West China Journal of Stomatology, 2025, 43(2): 151-157.

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早期矫治的现状思考

Reflections on the current state of early orthodontic treatment

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