正畸患者治疗难度、改善程度及客观治疗需要的评价  

Assessment of orthodontic treatment complexity,outcome and objective treatment need

作　　者：唐怡[1] 邵元春[2] 郭泾[3] 

机构地区：[1]四川省成都市第五人民医院口腔科,成都611130 [2]山东省菏泽医学专科学校口腔教研室,菏泽274000 [3]山东大学口腔医院正畸科,济南250012

出　　处：《国际口腔医学杂志》2012年第6期726-729,共4页International Journal of Stomatology

基　　金：山东省国际科技合作基金资助项目(21350005281024);中国博士后基金资助项目(20090451410)

摘　　要：目的用正畸治疗难度、结果、需要指数(ICON)评价患者的治疗难度,客观治疗需要,以及治疗前后的改善程度。方法随机选取16岁以上的患者114例,用ICON评价治疗前的石膏模型,分析正畸治疗难度和客观治疗需要;随机选取矫治完成的患者20例,用ICON为治疗前后的模型评分,评价错畸形的改善程度。结果正畸治疗难度方面,"容易"的占11.4%,"较容易"的占22.8%,"中等"的占18.4%,"困难"的占25.4%,"非常困难"的占22.0%;治疗需要方面,不需要的占28.9%,需要的占71.1%;改善程度方面,"很大"的占75.0%,"较大"的占20.0%,"中等程度"的占5.0%,"轻微改善"和"没有改善或更糟"者均为0例。结论近一半的正畸患者治疗难度较大;就诊的患者中有过度治疗现象;绝大部分患者能得到满意的治疗效果。Objective To assess the orthodontic treatment complexity, degree of improvement and objective treatment need of patients by using the index of complexity, outcome and need （ICON）. Methods 114 cases were randomly selected from Hospital of Stomatology, Shandong University. The ICON was used to assess the pre-treatment study models for orthodontic treatment need and complexity for the cases. 20 pairs pre- and post-treatment study models were randomly selected. The ICON was used to assess the pre- and post-treatment study models for orthodontic treatment outcome and treatment improvement. Results In treatment complexity, there were 13（11.4%） cases was easy, 26（22.8%） cases was mild, 21 （18.4%） cases was moderate, 29（25.4%） cases was difficult, 25 （22.0%） cases was very difficult in 114 cases. There were 33 （28.9%） cases did not need treatment, while 81 （71.1%） cases needed treatment in 114 cases. In treatment outcome, there were 15 （75.0%） cases had ＂greatly improved＂, 4（20.0%） cases had ＂substantially improved＂, 1 （5.0%） case had ＂moderatet ,proved＂, while there was no patient had ＂minimally improved＂ and ＂not improved or worse＂. Conclusion Most patients were difficult to orthodontic treatment. There were partly over-treatment patients. The orthodontic treatment outcome of most patients were satisfied.

关 键 词：错[牙合]畸形 骀指数 正畸治疗难度、结果、需要指数 

分 类 号：R783.5[医药卫生—口腔医学]