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.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Aug 1;39(4):369-376. doi: 10.7518/hxkq.2021.04.001.
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.
错颌畸形是世界卫生组织(WHO)报告的三大口腔常见病之一。在中国,其发病率呈上升趋势。错颌畸形严重影响着我国近 2.6 亿儿童的牙颌面功能、颜面美观和生长发育,更影响着他们的身心健康发展。错颌畸形的发生与遗传和环境因素有关。早期矫治错颌畸形,可以为儿童创造良好的牙颌面发育环境,纠正异常生长发育,控制异常遗传因素的不良影响,有效降低儿童错颌畸形的患病率,增强儿童的身心健康。这是从我国社会经济角度出发的迫切需求,因此具有重要的现实意义和社会意义。由国家卫生健康委医院管理研究所发起的项目组“儿童错颌畸形早期矫治技术规范及流程的专家共识”撰写了《儿童错颌畸形预防性和阻断性矫治专家共识》,旨在指导和规范临床实践,提高临床理论和实践水平,加速我国儿童错颌早期治疗的学科发展。共识阐述了错颌畸形的危害性和早期治疗的必要性,提出了原则和基本内容。本共识依据牙颌面发育规律,提出了从胎儿至替牙期恒牙早期不同发育阶段的预防性和阻断性治疗的指导建议,是一个促进和规范错颌早期治疗的系统工程。通过科学、全面的分层临床实践和专业培训,最终将完善我国的错颌早期治疗临床体系,从而全面呵护儿童的牙颌面健康,提升我国儿童的口腔和身心健康水平。