"四层双轴"口腔疾病修复重建综合诊疗体系的专家共识OA

Traditionally,prosthodontics has adhered to a clinical diagnosis and treatment model centered on"tooth de-fects,partial edentulism,and complete edentulism",which show insufficient alignment with the modern"biopsychoso-cial"medical model.The demand of high-quality medical services continues to increase with the nation's growing pros-perity and the continuous extension of average life expectancy.Facing these heightened medical demands,particularly the challenges of oral frailty and multimorbidity in an aging society,the traditional diagnostic and therapeutic system for prosthodontics increasingly reveals limitations,including insufficient information coverage,obscuring the underlying etio-logy,the neglect of individual psychological needs,and a lack of holistic consideration for multimorbidity.This consen-sus proposes the"Four-Level and Dual-Axis"comprehensive diagnostic and therapeutic system for prosthetic rehabilita-tion of oral diseases to address these bottlenecks in disciplinary development.This system classifies the diagnostic scope from micro to macro into four functional levels of"tooth-pulp","dentition-occlusion","occlusion-temporomandib-ular joint",and"maxillofacial-systemic"emphasizing the pathological cascade reactions between levels and a bidirectional diagnostic logic.Simultaneously,it introduces a subjective-objective dual-axis assessment model compris-ing"individual psychology and prosthetic needs(axis A)"and"etiology and patho-anatomical diagnosis(axis B),"achieving an integration of medical rationality and humanistic care.By reconstructing diagnostic logic and implementing standardized sequential treatment pathways,this consensus aims to facilitate the continuous transition of prosthodontics toward the"biopsychosocial"medical model,shifting from a"prosthesis-centered"approach to a"patient-centered and disease-focused"model of precision personalized prosthetic rehabilitation.