Summer is the peak time of Orthodontics and orthodontics for children. Many children's dental clinics and dental hospitals are hard to find. "Children's orthodontics should be done as soon as possible", "don't let the front teeth cover the child's smile", "step early, let the child's appearance win at the starting line"... Similar advertising words are not uncommon in some commercial children's dental institutions and social platforms. According to the reporter's investigation, some businesses and institutions deliberately create anxiety. If they are too young or do orthodontics at an inappropriate stage of growth and development, they will not only make children bear a greater physical and mental burden, but also be detrimental to the stability of oral function, affect the development of tooth roots, and lead to serious problems such as tooth loss. Early "wearing braces" appearance win at the starting line? Fang Yiwen (a pseudonym), a primary school student who just changed her baby teeth, began her "braces life" before the summer vacation. Because the gap between the two front teeth was a little big, her mother, Ms. Chen, was worried that the gap between the teeth would affect her daughter's appearance, so she took her to a commercial children's dental institution in Hangzhou for treatment. "The receiving doctor said that my daughter should wear braces for orthodontics in this situation, and push the back teeth forward to narrow the gap." Ms. Chen said that her daughter was very uncomfortable at the beginning, often complaining about the pain in her teeth, and once thought of giving up, "but every time she went to the follow-up clinic, she saw that 'don't owe your child a confident smile because your teeth are not beautiful', so she encouraged her daughter to insist." The reporter saw in many dental institutions that children of all ages come to orthodontics, and some are only three or four years old. Many parents said that they were worried that their children's irregular teeth would affect their appearance, and then affect their self-confidence. "Many children in the class are wearing braces. If there are conditions at home, children cannot be afraid to laugh because of their teeth." Said the mother of a 10-year-old child. The reporter's investigation found that some institutions seize these parents' "appearance anxiety" and use various marketing scripts to sell corrective treatment for their children to parents, "don't let the front teeth cover the child's smile", "earlier, let the child's appearance win at the starting line"... Similar scripts have attracted many parents. Ye Yu, deputy chief physician of the Department of Stomatology of the maternity and Child Health Hospital of Guangxi Zhuang Autonomous Region, observed that some parents have insufficient understanding of early childhood correction. For some children who do not need correction after diagnosis, even if they patiently explained to their parents that "when they are five or six years old, seven or eight years old, or even nine years old, tooth disorder is normal, and they can slowly adjust later", However, some parents still said that "they can't wait and can't accept that their children have 'defects' in appearance". Many dental experts said that early orthodontics may bring risks to children's dental health, and even cause medical accidents. The reporter found that some dental institutions, through various marketing means, made some parents more confident about the wrong idea that "dental surgery must be put on the agenda". The reporter saw grass planting notes and experience experiences about children's orthodontics on several social platforms. Many mother and baby bloggers and childcare bloggers publicized and promoted invisible braces products, and published use experience and positive comments to attract customers. In fact, these bloggers are recruited by institutions or businesses, and the graphic content published is not their own real experience, but compiled according to the unified publicity copy. According to an administrative penalty information released by the Shanghai market supervision and Administration Bureau, on December 16, 2020, Zhengya dental signed a service order with Shanghai Chumo Culture Communication Co., Ltd., agreeing that Zhengya dental randomly recruited 400 traffic bloggers through Shanghai Chumo Culture Communication Co., Ltd. to promote its invisible braces products on an e-commerce platform app. After verification, these 400 bloggers are not the actual users of the products involved, and the published content is false. Qumo culture received a service fee of 339200 yuan from the above publicity and promotion services. Finally, the above-mentioned institutions were fined 450000 yuan by the relevant departments, and the promotional pictures and texts released by 400 bloggers have also been deleted from the shelves. In addition, some dental institutions use low prices to attract parents, and continue to increase various costs in the treatment process. At present, the general price of metal bracket correction project is more than 20000 yuan. The reporter saw on a group purchase website that the metal bracket correction project for children in a private dental clinic costs 4980 yuan. When calling to find out in detail whether the 4980 yuan includes all the expenses of the whole cycle, the customer service staff of the merchant made no comment, and said after repeated questioning that it also includes additional expenses. The film making fee of 100 yuan, the model taking fee of 200 yuan, the complex case fee of 3000 yuan, and the treatment fee of 3000 yuan all need to be paid separately. Many interviewed experts mentioned that many children will have temporary malocclusion during the dental replacement period. In order to make profits, some bad commercial dental institutions over treat their parents with statements such as "the earlier the treatment, the less the cost" and "the worry of no recurrence secondary correction", which not only wastes time and money to do useless work, but also early orthodontics may directly affect the development of deciduous teeth and the replacement of permanent teeth. Child psychologists said that children's excessive pursuit of "beauty" at a young age is not conducive to their physical and mental health development. Experts said that there are still risks for children to make blind correction during the dental replacement period: "the back teeth are not long enough, or the development of the whole jaw is not wide enough, which will appear slightly crowded. If you intervene the teeth at this time, and the root of the teeth are not well developed, the orthodontics may fall off." "Choosing the right time" is better than "the sooner the better." more and more parents begin to pay attention to children's dental correction. It is very good to have such awareness of health literacy. " Xubaohua, director of the stomatology center of China Japan Friendship Hospital and professor of Orthodontics at Peking University, said that the sooner the correction is, the better. "Looking for the best time and using the shortest time, such correction is the most scientific and humanized." According to xubaohua, malocclusion can be divided into functional, dental and bony. The cause of bony anti jaw is that the maxilla grows slowly and the mandible grows fast. "The maxilla and mandible are like two cars with different speeds. The top is slow and the bottom is fast, and the gap will become larger and larger with age. Even if the anti jaw problem is solved at the age of twoorthree, it may recur." Another example is that the small chin, facial asymmetry, serious buckteeth, etc. belong to skeletal dental deformities. Experts said that it is necessary to conduct a comprehensive examination of children's dental and maxillofacial surfaces, analyze the type, severity and bone age of malocclusion, and choose the right time to start orthodontics, rather than the sooner the treatment is better. For the problems that affect the normal development of facial bones and oral function, such as bad habits and abnormal facial muscle function, as long as the child cooperates, the sooner the correction effect is better, but generally after the age of 4. Wuzhifang, director of children's Department of Stomatology at the Affiliated Stomatological Hospital of Zhejiang University School of medicine, said that parents need to grasp some principled issues to avoid some misunderstandings and traps. For example, they must go to a formal dental institution to find a professional doctor for face-to-face treatment, rather than buying appliances on the Internet platform to correct at home when they see advertisements; In addition, other orthodontic cases cannot be mechanically applied to their children. Early orthodontics are personalized. The interviewed experts suggested that medical institutions should follow medical standards and norms and strictly abide by the principles of scientific treatment. Industry associations should explore the development of orthodontic treatment standards for children, determine the age group suitable for orthodontic treatment, and guide the scientific and reasonable development of early childhood orthodontics. (outlook new era)