구순구개열과 선천성 악안면 기형 질환에 대한 치과교정 및 악정형치료에 대한 건강보험급여 요양급여

Health Insurance Benefits for the Orthodontic and Orthopedic Treatment of the Cleft Lip and Palate, and the Congenital Craniofacial Deformity

A new era of the Korea national health insurance has opened, which guarantees correction and orthopedic treatment for the patients suffering from cleft lip and palate (CLP), and congenital craniofacial deformity (CD). Lifetime orthodontic benefit for the cleft lip and palate patients were first launched in March 2019, and additional applications were made for the congenital craniofacial deformities including Cleidocranial dysplasia, craniofacial dysostosis, Crouzon disease, Apert syndrome in October 2021. This insurance system supports from pre-surgical infant orthopedics appliance (PIOA) or pre-surgical nasoalveolar molding (PNAM) for the newborn, through orthopedic treatment for the growing patients, to pre- and post-operative orthodontic care for surgical approaches of adult and retention protocols. The purpose of this review article is to understand comprehensive insurance system for CLP and CD, and inform background histories, legislation, and related researches that seeks to further improve insurance coverage for patients and clinicians.