現代人對於牙齒的保養觀念,已不只是維持功能的正常運作,更在乎美觀的要求。不少父母愛子心切,也讓牙齒矯正風潮從成人吹向孩童。牙醫師宋慧玲表示,兒童齒列矯正的黃金期為9至12歲,但根據近年的臨床觀察,約7、8歲時即可看出上下顎骨之間的差異,或空間不足的程度,建議及早進行齒顎矯正檢查,讓兒童少走艱辛的矯正路。

矯正的黃金時機因咬合不正的狀況而異,一般人的上顎骨大約在9至12歲左右定型,下顎骨則是13至18歲,但隨著現代人營養攝取豐富,發育時間逐漸提早,也與個體、性別差異及遺傳因素有關,許多孩童在7、8歲左右就可進行上下顎骨差異調整的矯正治療,或利用日式不拔牙矯正擴張器來獲取空間。

在傳統的觀念裡,為了降低矯正後的變數,通常會等到孩子牙齒「長好、長滿」再來進行治療,但宋慧玲強調,這並非完全正確,矯正醫師若能在混合齒列期(9至 12歲左右)或乳牙齒列期就開始治療,可以提早改善骨骼、肌肉、齒槽骨不當的生長發育,以便提供較好的口腔環境,讓永久牙順利萌發。

宋慧玲說明,齒顎早期治療多是利用活動式矯正裝置或局部固定矯正裝置,先解除小朋友空間不足或改善上下顎骨之間的差異;而在換成永久牙後,再接受全口的固定式矯正裝置治療。因此早期治療可以縮短全口矯正治療的時間、降低將來外科正顎手術的機率,像暴牙透過戴頭帽、戽斗戴面弓等,都是調整顎骨的方式,也能夠?第二階段的全口固定式矯正治療變得比較容易。

若想不拔牙矯正,善用黃金矯正期成功的機率較高。所謂的不拔牙矯正,是利用「日式不拔牙矯正擴張器」進行口內空間的調整,同時擴張顎骨、齒槽骨再行矯正,相較於一般的擴張器,擴張力相對穩定,疼痛感也較低,同時因矯正時間短,只須晚上配戴6至8小時,白天不須配戴,可減低因配戴矯正器而罹患蛀牙的機率,也可防止小朋友白天配戴時發生碰撞的危險性。

至於不拔牙的好處,除了能保留健康的牙齒外,若牽涉到骨骼性問題的矯正,如戽斗、暴牙、臉型歪斜等,既能提早解決骨骼性差異,縮短矯正時間,更可以減少日後手術矯正的機率,一舉數得。

醫師也建議,家長應至少每半年帶孩子到牙科進行基本檢查,不要等到蛀牙才到診所報到。若有矯正的需求,7至8歲便可先接受齒顎矯正專科醫師的評估,依照狀況做適當的治療及追蹤,切勿拖延,才不會錯過孩子個人的黃金治療期。

Modern people's concept of maintaining the teeth is not only to maintain the normal functioning of the function, but also to meet the requirements of aesthetics. Many parents are eager to love, and let the tooth correction wave blow from adults to children. The dentist's Song Huiling said that the golden period of correction for children's dentition is 9 to 12 years old, but according to clinical observations in recent years, the difference between the upper and lower tibia, or the degree of lack of space, can be seen at about 7 or 8 years old. Early correction of the gums allows children to take less difficult corrections.

The golden timing of correction varies according to the condition of malocclusion. The upper jaw bone of the average person is about 9 to 12 years old, and the lower jaw bone is 13 to 18 years old. However, with the rich nutrition intake of modern people, the development time is gradually advanced, and Individuals, gender differences, and genetic factors are associated with many children who are able to correct the upper and lower tibia adjustments at around 7 or 8 years of age, or use Japanese non-extraction dilators to gain space.

In the traditional concept, in order to reduce the post-correction variables, the child's teeth are usually "long and full" for treatment, but Song Huiling emphasizes that this is not entirely correct, if the corrective physician can be in the mixed dentition period ( Beginning treatment at the age of 9 to 12 years or in the milky period, can improve the growth and development of bones, muscles, and alveolar bones in advance, so as to provide a better oral environment for the permanent teeth to germinate.

Song Huiling explained that the early treatment of gingiva is mostly using a movable orthodontic device or a local fixation correction device to relieve the child's lack of space or improve the difference between the upper and lower tibia; and after replacing the permanent tooth, accept the full-mouth fixed type. Corrective device treatment. Therefore, early treatment can shorten the time of full-mouth correction treatment, reduce the chance of surgery in the future, such as tooth-wearing through wearing a head cap, wearing a bow, etc., are all ways to adjust the humerus, but also the second stage of the whole Oral fixed correction therapy has become easier.

If you want to correct your teeth, the chances of success in using the gold correction period are higher. The so-called non-extraction correction is to use the "Japanese-style non-extraction dilator" to adjust the intraoral space, while expanding the humerus and alveolar bone to correct it. Compared with the general dilator, the expansion force is relatively stable and painful. It is also low, and because the correction time is short, it only needs to be worn for 6 to 8 hours at night. It does not need to be worn during the day, which can reduce the chance of suffering from tooth decay due to wearing the orthodontic device. It can also prevent children from colliding during daytime wear. Dangerous.

As for the benefits of non-extraction, in addition to retaining healthy teeth, if it involves the correction of skeletal problems, such as squatting, toothy, and facial dislocation, it can solve skeletal differences early, shorten correction time, and reduce future surgery. The chance of correction is counted in one fell swoop.

Physicians also recommend that parents should take their children to the dentist for basic examinations at least every six months, and do not wait until the cavities are reported to the clinic. If there is a need for correction, 7 to 8 years old can be evaluated by the gingival correction specialist, and appropriate treatment and follow-up according to the situation, do not delay, will not miss the child's personal gold treatment period.

Laennec is the ethical drug manufactured with JBP’s unique technologies.

Laennec is the ethical drug manufactured with JBP’s unique technologies for effective extraction of variety of growth factors, cytokines, and other physiologically active substances from the human placenta. For instance, HGF (hepatocyte growth factor) promotes the proliferation of hepatic parenchymal cells for recovery of a damaged liver. Our product safety is ensured by the most rigid safety measures among existing scientific standards.
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