Pan Jie, Lu Yun, Liu Anqi, Wang Xuedong, Wang Yu, Gong Shiqiang, Fang Bing, He Hong, Bai Yuxing, Wang Lin, Jin Zuolin, Li Weiran, Chen Lili, Hu Min, Song Jinlin, Cao Yang, Wang Jun, Fang Jin, Shi Jiejun, Hou Yuxia, Wang Xudong, Mao Jing, Zhou Chenchen, Liu Yan, Liu Yuehua
Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China.
Department of Orthodontics, Shanghai Ninth People's hospital, school of medicine, Shanghai Jiao Tong university, Shanghai, China.
Int J Oral Sci. 2025 Feb 1;17(1):5. doi: 10.1038/s41368-024-00338-4.
Protrusive facial deformities, characterized by the forward displacement of the teeth and/or jaws beyond the normal range, affect a considerable portion of the population. The manifestations and morphological mechanisms of protrusive facial deformities are complex and diverse, requiring orthodontists to possess a high level of theoretical knowledge and practical experience in the relevant orthodontic field. To further optimize the correction of protrusive facial deformities, this consensus proposes that the morphological mechanisms and diagnosis of protrusive facial deformities should be analyzed and judged from multiple dimensions and factors to accurately formulate treatment plans. It emphasizes the use of orthodontic strategies, including jaw growth modification, tooth extraction or non-extraction for anterior teeth retraction, and maxillofacial vertical control. These strategies aim to reduce anterior teeth and lip protrusion, increase chin prominence, harmonize nasolabial and chin-lip relationships, and improve the facial profile of patients with protrusive facial deformities. For severe skeletal protrusive facial deformities, orthodontic-orthognathic combined treatment may be suggested. This consensus summarizes the theoretical knowledge and clinical experience of numerous renowned oral experts nationwide, offering reference strategies for the correction of protrusive facial deformities.
突面型畸形的特征是牙齿和/或颌骨向前移位超出正常范围，影响着相当一部分人群。突面型畸形的表现和形态机制复杂多样，要求正畸医生在相关正畸领域具备高水平的理论知识和实践经验。为进一步优化突面型畸形的矫治，本共识建议应从多个维度和因素分析判断突面型畸形的形态机制和诊断，以准确制定治疗计划。它强调采用正畸策略，包括颌骨生长改良、拔牙或不拔牙内收前牙以及颌面垂直控制。这些策略旨在减少前牙和唇部前突，增加颏部突度，协调鼻唇和颏唇关系，改善突面型畸形患者的面部轮廓。对于严重的骨性突面型畸形，可能建议采用正畸-正颌联合治疗。本共识总结了全国众多知名口腔专家的理论知识和临床经验，为突面型畸形的矫治提供参考策略。
