[Reflections on the current state of early orthodontic treatment].

Huang Li
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Abstract

Early orthodontic treatment has been a hot spot and focus of development in recent years in the field of orthodontics, pediatric dentistry, and general practice dentistry. However, there are still some misconceptions, such as excessive or premature intervention, strict control of indications, exaggeration of the role of early orthodontic treatment. This article starts from the analysis of the current status of early orthodontic treatment in China and combines the latest literature and reviews at home and abroad to analyze the nine issues that dentists and the public are concerned about one by one, including whether early orthodontic treatment is a new concept, whether it is necessary, the timing of early orthodontic treatment, the indications for early orthodontic treatment, whether it can provide a non-tooth extraction or non-surgical opportunity, whether it can completely change the facial profile such as retrognathia and growth pattern of the mandible, whether it can treat habitual mouth breathing or adenoid face or obstructive sleep apnea, the role of myofunctional therapy with prefabricated appliances in early orthodontic treatment, whether transparent aligners are superior to traditional aligners in early orthodontic treatment, with the aim of promoting the standardization of early orthodontic treatment. Early orthodontic treatment must choose the right indications, master the basic principles and techniques of orthodontics, and choose the most suitable treatment method and timing for the child.

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【对早期正畸治疗现状的思考】。
早期正畸治疗是近年来口腔正畸、儿童牙科和全科牙科领域的热点和发展重点。但目前仍存在一些误区,如过度或过早干预、严格控制适应症、夸大早期正畸治疗的作用等。本文从分析国内早期正畸治疗的现状入手,结合国内外最新文献和综述,逐一分析了牙医和公众关心的九个问题,包括早期正畸治疗是否是一个新概念、是否有必要、早期正畸治疗的时机、早期正畸治疗的指征、是否可以提供非拔牙或非手术的机会,是否可以完全改变下颌后颌和生长模式等面部轮廓,是否可以治疗习惯性口呼吸或腺样脸或阻塞性睡眠呼吸暂停,预制矫治器肌功能治疗在早期正畸治疗中的作用,透明矫治器在早期正畸治疗中是否优于传统矫治器,旨在促进早期正畸治疗的规范化。早期正畸治疗一定要选择合适的适应症,掌握正畸的基本原理和技术,选择最适合孩子的治疗方法和时机。
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