Treatment covered under Japanese medical insurance

Treatment covered under Japanese medical insurance

　Disease categories covered by Japanese medical insurance for orthodontic treatment.

1) The list of diseases established by the Ministry of Health, Labor, and Welfare of Japan

  1. Cleft lip, alveolus, and palate
  2. Goldenhar syndrome (with DiGeorge syndrome)
  3. Cleidocranial digital dysostosis
  4. Crouzon syndrome
  5. Treacher Collins syndrome
  6. Pierre Robin syndrome
  7. Down syndrome
  8. Russell-Silver syndrome
  9. Turner syndrome
  10. Beckwith-Wiedemann syndrome
  11. Acrocephalosyndactyly
  12. Congenital structural myopathy
  13. Hemifacial hypertrophy
  14. Ellis-van Creveld syndrome
  15. Achondroplasia
  16. Ectodermal dysplasia
  17. Neurofibromatosis
  18. Basal cell nevus syndrome
  19. Noonan’s syndrome
  20. Marfan syndrome
  21. Prader-Willi syndrome
  22. Facial cleft
  23. Muscular dystrophy
  1. Osteopetrosis
  2. Incontinentia pigmenti
  3. Orofacial digital syndrome
  4. Mebius syndrome
  5. Kabuki syndrome
  6. Klippel-Tr?naunay-Weber syndrome
  7. Williams syndrome
  8. Binder syndrome
  9. Stickler syndrome
  10. Microglossia
  11. Craniosynostosis
  12. Osteogenesis imperfecta
  13. Whistling face syndrome
  14. Rubinstein-Taybi syndrome
  15. Autosome deletion syndrome
  16. Larsen syndrome
  17. Pycnodysostosis
  18. Partial anodontia of more than 6 teeth
  19. CHARGE association syndrome
  20. Marshall syndrome
  21. Hypophyseal dwarfism
  22. Fragile X syndrome (Klinefelter's syndrome)
  23. Ring 18 syndrome

Total 54 syndromes as of Oct , 2018

In our clinic, orthodontic treatment of the above-mentioned syndromes is started at the age of 3 or 4 years in ‘early cases’, or 6 or 7 years in typical cases. Treatment is required until adulthood.

In the initial stages, our treatment is aimed at modifying growth between the maxilla and the mandible, and at improving sequentially abnormal dental development. After the jaw-growing phase, we align the teeth using a multi-bracket system. In cases of severe dentofacial deformity, orthognathic surgery is performed. Medical insurance is applicable in the orthodontic treatment of such patients.

2) Dentofacial deformity needing orthognathic surgery

 

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