中国实用口腔科杂志

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儿童牙列全程发育管理策略

阮文华   

  1. 浙江大学医学院附属儿童医院口腔科,浙江  杭州 310052
  • 出版日期:2018-05-15 发布日期:2018-06-05
  • 作者简介:阮文华,主任医师,硕士研究生导师。现任浙江大学医学院附属儿童医院口腔科主任、浙江大学口腔医学院儿童口腔预防医学教研室副主任。兼任中华口腔医学会儿童口腔医学专业委员会常务委员,中华医学会儿科分会口腔学组副组长,浙江省口腔医学会理事、儿童口腔专业委员会主任委员、口腔正畸专业委员会委员,国际儿童牙科学会(IAPD)会员,世界正畸联盟(WFO)Fellow。研究方向为儿童牙颌畸形(Ⅲ类错牙合)机制与临床防治。擅长儿童Ⅲ类错牙合畸形的诊治、儿童牙颌畸形的序列化诱导治疗及早期矫正、儿童牙齿发育异常的诊治、婴幼儿龋病综合防治、儿童系统性疾病的口腔表征诊治等。

  • Online:2018-05-15 Published:2018-06-05

摘要:

牙颌畸形大部分是可防可控的,做好儿童牙列全程发育管理,即可实现上述目标。牙列发育过程漫长,需经历无牙列期、乳牙列期、替牙列期和恒牙列期等,在整个发育过程中,牙列形成受到诸多因素影响。去除这些影响因素,有利于释放牙列的生长发育潜力,减轻或消除牙颌畸形的发生。文章从牙列发育的各个阶段入手,分析各时期影响牙列发育的致病因素,探讨这些致病因素对牙列生长发育的影响,提出相应的临床管理策略。

关键词: 牙列发育, 牙颌畸形, 早期矫正

Abstract:

Most of the malocclusions are preventable and controllable. The above goal can be achieved through the complete management during the whole dentition development. The dentition development is a long process and it can be divided into several stages,such as pre-eruption phase of deciduous teeth,deciduous teeth phase, transitional teeth phase and permanent teeth phase. At the same time,it can be affected by a lot of pathogenic factors and finally,some kind of malocclusions will be produced. Therefore,we should try to get rid of all these pathogenic factors in order to unlock the full potential of the dentition development,and to reduce or even clear off the malocclusions. Here we highlight some clinical management strategies for different dentition development stages by analyzing the pathogenic factors of the corresponding dentition phase and probing into their effects on the corresponding dentition development.

Key words: dentition development, malocclusion, early orthodontic treatment