Wehrbein H, Wriedt S, Jung B A
Poliklinik für Kieferorthopädie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Sep;54(9):1110-5. doi: 10.1007/s00103-011-1330-1.
Long-term prophylaxis achievements, demographic changes, scientific progress, patient requirements, and political regulations through social legislation will fundamentally change the future of orthodontics, i.e., a reduction in children and adolescent therapy as well as an increase in interdisciplinary complex treatments for adult patients mostly outside the social security system. Health care research at a high evidence level needs to be intensified due to social-political reasons. In addition to well-proven appliances, modern sometimes even invisible appliances (CAD-CAM) will be used in future orthodontic therapy. Three-dimensional diagnostics could improve treatment planning. Whether improved prenatal diagnosis will alter the number of newborns with dentofacial malformations (cleft lip and palate) or syndromes (e.g., Down syndrome), thus, changing treatment needs in the future, cannot be predicted today, due to the multiple influencing factors. A well-structured 4-year specialist training according to European guidelines will also be necessary in the future to comply with complex treatment needs be it within or outside the social security system (quality assurance).
长期预防成果、人口结构变化、科学进步、患者需求以及社会立法带来的政治法规，将从根本上改变正畸学的未来，即儿童和青少年治疗减少，而针对成年患者的跨学科复杂治疗增加，且大多不在社会保障体系范围内。出于社会政治原因，需要加强高证据水平的医疗保健研究。除了经过充分验证的矫治器外，现代有时甚至是隐形矫治器（计算机辅助设计与制造）将用于未来的正畸治疗。三维诊断可以改善治疗计划。由于存在多种影响因素，目前无法预测改善的产前诊断是否会改变患有牙颌面畸形（唇腭裂）或综合征（如唐氏综合征）的新生儿数量，从而改变未来的治疗需求。未来还需要按照欧洲指南进行结构完善的4年制专科培训，以满足社会保障体系内外的复杂治疗需求（质量保证）。
