Expert consensus on orthodontic treatment of protrusive facial deformities.

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

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Expert consensus on orthodontic treatment of protrusive facial deformities.

Author: Jie PAN ¹ ; Yun LU ¹ ; Anqi LIU ² ; Xuedong WANG ³ ; Yu WANG ³ ; Shiqiang GONG ⁴ ; Bing FANG ² ; Hong HE ⁵ ; Yuxing BAI ⁶ ; Lin WANG ⁷ ; Zuolin JIN ⁸ ; Weiran LI ³ ; Lili CHEN ⁴ ; Min HU ⁹ ; Jinlin SONG ¹⁰ ; Yang CAO ¹¹ ; Jun WANG ¹² ; Jin FANG ⁸ ; Jiejun SHI ¹³ ; Yuxia HOU ¹⁴ ; Xudong WANG ¹⁵ ; Jing MAO ⁴ ; Chenchen ZHOU ¹⁶ ; Yan LIU ¹⁷ ; Yuehua LIU ¹⁸
Author Information

1. Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China.
2. Department of Orthodontics, Shanghai Ninth People's hospital, school of medicine, Shanghai Jiao Tong university, Shanghai, China.
3. Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Disease, Beijing, China.
4. Center 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 Regeneration, Wuhan, China.
5. Orthodontic Department, Stomatological School, Wuhan University, Wuhan, China.
6. Department of Orthodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University, Beijing, China.
7. College of Stomatology, Nanjing Medical University, Nanjing, China.
8. Department of Orthodontics, School of Stomatology, The fourth military medical university, Xi'an, China.
9. Department of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, China.
10. College of Stomatology & Chongqing Key Laboratory of Oral Diseases & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing Medical University, Chongqing, China.
11. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
12. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
13. Department of Orthodontics, Zhejiang University Affiliated Stomatological Hospital, Hangzhou, China.
14. Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
15. Department 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 Sciences, Shanghai, China.
16. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China. chenchenzhou5510@scu.edu.cn.
17. Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Disease, Beijing, China. orthoyan@bjmu.edu.cn.
18. Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology &Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China. liuyuehua@fudan.edu.cn.
Publication Type:Research Support, Non-U.S. Gov't
MeSH: Humans; Orthodontics, Corrective/methods*; Consensus; Malocclusion/therapy*; Patient Care Planning; Cephalometry
From: International Journal of Oral Science 2025;17(1):5-5
CountryChina
Language:English
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.