Expert consensus on orthodontic treatment of protrusive facial deformities

Abstract 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 ort...

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Main Authors: Jie Pan, Yun Lu, Anqi Liu, Xuedong Wang, Yu Wang, Shiqiang Gong, Bing Fang, Hong He, Yuxing Bai, Lin Wang, Zuolin Jin, Weiran Li, Lili Chen, Min Hu, Jinlin Song, Yang Cao, Jun Wang, Jin Fang, Jiejun Shi, Yuxia Hou, Xudong Wang, Jing Mao, Chenchen Zhou, Yan Liu, Yuehua Liu
Format: Article
Language:English
Published: Nature Publishing Group 2025-02-01
Series:International Journal of Oral Science
Online Access:https://doi.org/10.1038/s41368-024-00338-4
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author Jie Pan
Yun Lu
Anqi Liu
Xuedong Wang
Yu Wang
Shiqiang Gong
Bing Fang
Hong He
Yuxing Bai
Lin Wang
Zuolin Jin
Weiran Li
Lili Chen
Min Hu
Jinlin Song
Yang Cao
Jun Wang
Jin Fang
Jiejun Shi
Yuxia Hou
Xudong Wang
Jing Mao
Chenchen Zhou
Yan Liu
Yuehua Liu
author_facet Jie Pan
Yun Lu
Anqi Liu
Xuedong Wang
Yu Wang
Shiqiang Gong
Bing Fang
Hong He
Yuxing Bai
Lin Wang
Zuolin Jin
Weiran Li
Lili Chen
Min Hu
Jinlin Song
Yang Cao
Jun Wang
Jin Fang
Jiejun Shi
Yuxia Hou
Xudong Wang
Jing Mao
Chenchen Zhou
Yan Liu
Yuehua Liu
author_sort Jie Pan
collection DOAJ
description Abstract 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.
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spelling doaj-art-395214e8b75b4a2aa73b7091899b7a922025-02-02T12:11:29ZengNature Publishing GroupInternational Journal of Oral Science2049-31692025-02-0117111010.1038/s41368-024-00338-4Expert consensus on orthodontic treatment of protrusive facial deformitiesJie Pan0Yun Lu1Anqi Liu2Xuedong Wang3Yu Wang4Shiqiang Gong5Bing Fang6Hong He7Yuxing Bai8Lin Wang9Zuolin Jin10Weiran Li11Lili Chen12Min Hu13Jinlin Song14Yang Cao15Jun Wang16Jin Fang17Jiejun Shi18Yuxia Hou19Xudong Wang20Jing Mao21Chenchen Zhou22Yan Liu23Yuehua Liu24Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan UniversityDepartment of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan UniversityDepartment of Orthodontics, Shanghai Ninth People’s hospital, school of medicine, Shanghai Jiao Tong universityDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral DiseaseDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral DiseaseCenter of Stomatology, Tongji Hospital & School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology & Hubei Province Key Laboratory of Oral and Maxillofacial Development and RegenerationDepartment of Orthodontics, Shanghai Ninth People’s hospital, school of medicine, Shanghai Jiao Tong universityOrthodontic Department, Stomatological School, Wuhan UniversityDepartment of Orthodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical UniversityCollege of Stomatology, Nanjing Medical UniversityDepartment of Orthodontics, School of Stomatology, The fourth military medical universityDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral DiseaseCenter of Stomatology, Tongji Hospital & School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology & Hubei Province Key Laboratory of Oral and Maxillofacial Development and RegenerationDepartment of Orthodontics, School and Hospital of Stomatology, Jilin UniversityCollege of Stomatology & Chongqing Key Laboratory of Oral Diseases & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing Medical UniversityHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of StomatologyState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityDepartment of Orthodontics, School of Stomatology, The fourth military medical universityDepartment of Orthodontics, Zhejiang University Affiliated Stomatological HospitalDepartment of Orthodontics, College of Stomatology, Xi’an Jiaotong UniversityDepartment of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical SciencesCenter of Stomatology, Tongji Hospital & School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology & Hubei Province Key Laboratory of Oral and Maxillofacial Development and RegenerationState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral DiseaseDepartment of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan UniversityAbstract 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.https://doi.org/10.1038/s41368-024-00338-4
spellingShingle Jie Pan
Yun Lu
Anqi Liu
Xuedong Wang
Yu Wang
Shiqiang Gong
Bing Fang
Hong He
Yuxing Bai
Lin Wang
Zuolin Jin
Weiran Li
Lili Chen
Min Hu
Jinlin Song
Yang Cao
Jun Wang
Jin Fang
Jiejun Shi
Yuxia Hou
Xudong Wang
Jing Mao
Chenchen Zhou
Yan Liu
Yuehua Liu
Expert consensus on orthodontic treatment of protrusive facial deformities
International Journal of Oral Science
title Expert consensus on orthodontic treatment of protrusive facial deformities
title_full Expert consensus on orthodontic treatment of protrusive facial deformities
title_fullStr Expert consensus on orthodontic treatment of protrusive facial deformities
title_full_unstemmed Expert consensus on orthodontic treatment of protrusive facial deformities
title_short Expert consensus on orthodontic treatment of protrusive facial deformities
title_sort expert consensus on orthodontic treatment of protrusive facial deformities
url https://doi.org/10.1038/s41368-024-00338-4
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