Acta Metallurgica Sinica

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

以生理牙合为导向的儿童咬合诱导思维与实践

黄华陈黎陈爱华冯华玉   

  1. 广西医科大学口腔医学院·附属口腔医院儿童牙病科,广西  南宁  530021
  • 作者简介:黄华,主任医师、硕士研究生导师。现任广西医科大学口腔医学院·附属口腔医院儿童牙病科主任。兼任中华口腔医学会儿童口腔医学专业委员会常务委员,中华医学会儿科学分会口腔学组委员会委员,广西优生优育协会常务理事,广西卫计委干部保健专家,广西口腔医学会理事,国际儿童齿科协会(IAPD)会员等职。擅长儿童咬合诱导以及儿童口腔保健。完成省部级科研课题5项,获教学及科研奖励13项,“乳牙可吸收桩膜”获国家发明专利,开发国内首款《儿童X线头影测量分析软件》,发表论文32篇,指导研究生21名。

Abstract:

Children are in the active stage of growth and development. Their craniofacial bones,dentition occlusion and facial soft tissues are in the process of dynamic change. How to give children perfect teeth is the problem we need to take into consideration. Orthodontic technique should be integrated into pediatric dentistry,according to the concept of oral preventive medicine. Besides,the clinical thinking and practice of occlusive guidance is proposed in children guided by physiological occlusion. To be specific,it means that during the period of growth and development in children,oral health examination,timely detection of oral health problems and intervention with advanced technology at the right time should be emphasized in order to obtain physiological occlusion,achieving stability,beauty and harmony of the appearance. Corresponding clinical practice includes the maintenance of the integrity of deciduous teeth and the length of dental arch,the intervention of disorders during mixed dentition and the orthodontic treatment for malocclusion in children,etc.

Key words: physiologic occlusion, pediatric dentistry, occlusive guidance

摘要:

儿童处于生长发育的活跃期,其颅面骨骼、牙列咬合及面部软组织均处于动态变化过程中。怎样“给孩子一口好牙”是我们应思考的问题。以口腔预防医学为理念,将口腔正畸技术融入儿童口腔疾病治疗中,提出以生理牙合为导向的儿童咬合诱导临床思维与实践,即定期对生长发育期间的儿童进行口腔健康检查,及时发现口腔健康问题,适时采用先进的技术予以干预,并引导建立生理牙合,达到咬合稳定、美观及容貌协调的目的。临床实践涵盖保持乳牙的完整性、维持牙弓长度、干预替牙障碍以及矫治儿童错牙合等方面的内容。

关键词: 生理牙合, 儿童口腔, 咬合诱导