高嘉澤 醫師

演講主題:精準的早期矯正治療

The Accurate Early Orthodontic Treatment

台灣目前因肌功能矯正裝置的流行與兒童隱形矯正裝置的行銷推廣，多數家長都提早讓兒童接受所謂的早期矯正治療。過去以來，早期矯正治療之時機點一直是大家持續在爭議的議題，基於不同之矯正治療觀點，各自提出相對的治療邏輯，然而卻無法自圓其說的解決早期矯正治療所發生的問題。

臨床上是否有所謂精準早期矯正治療，答案應該是非常明顯，沒有！早期矯正治療只能說是合宜或是正確的早期矯正治療。

基本上十二至十四歲兒童，不論男、女，都可能還有生長發育，此階段應是屬於晚期混合齒列時期，於此時期啟動治療下，嚴格說不算是早期矯正治療。在時機點分隔上，早期矯正治療應該是指12歲以下或是9歲以下之兒童接受的矯正治療。

在目前無法達成精準早期矯正治療下，我們還是可以藉由不同之診斷方式，了解咬合不正之致病因，再給予最佳的矯正方式，盡量達成臨床所要的精準治療目標。因此本次演講將介紹：學者對於早期矯正治療之論證；介入早期矯正之時機；早期矯正治療之適合狀況，包括預防性或是阻斷性矯正。期望藉由此內容與大家分享，期望能對於兒童早期矯正治療提供最佳的方式。

Abstract

Currently, in Taiwan, due to the popularity of myofunctional correction devices and the marketing promotion of invisible correction devices for children, most parents opt to have their children undergo so-called early orthodontic treatment. The timing of early orthodontic treatment has been a continuous topic of debate, given various perspectives on orthodontic treatment. However, none of these viewpoints have been able to convincingly address the issues associated with early orthodontic treatment.

Clinically speaking, is there such a thing as precise early orthodontic treatment? The answer is quite clear: no. Early orthodontic treatment can only be deemed appropriate or correct for early orthodontic treatment.

In essence, children aged twelve to fourteen, regardless of gender, may still be in their growth and development phase. This stage is generally considered the late mixed dentition period. Initiating treatment during this period cannot be strictly categorized as early orthodontic treatment. Early orthodontic treatment should be defined as treatment received by children aged twelve or younger, or possibly nine or younger.

Given the absence of precise early orthodontic treatment, we can still, through different diagnostic approaches, understand the etiology of malocclusion and provide the best orthodontic approach to achieve the precise clinical treatment objectives. Therefore, this presentation will cover topics such as scholarly arguments regarding early orthodontic treatment, the timing of intervention, and suitable conditions for early orthodontic treatment, including preventive or interceptive orthodontics. It is hoped that by sharing this content, we can provide the best approach to early orthodontic treatment for children.