无牙颌患者人格特征对面部美学满意度的影响  

The effect of personality characteristics on the facial esthetic satisfaction of edentulous patients

作　　者：唐金鑫 汤春波[2] 郎艺远 芮娜[1] 王琛[4] TANG Jinxin;TANG Chunbo;LANG Yiyuan;RUI Na;WANG Chen(Department of Stomatology,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)口腔科,江苏南京210006 [2]南京医科大学附属口腔医院种植科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京210029 [3]南京医科大学第三临床医学院,江苏南京210029 [4]南京医科大学附属口腔医院修复科,江苏省口腔疾病研究重点实验室,江苏南京210029

出　　处：《口腔医学》2024年第9期648-651,共4页Stomatology

基　　金：国家自然科学基金(82170993)。

摘　　要：目的探讨人格特征在无牙颌患者自我面部美学评价中的作用,为提升患者全口义齿修复后的美学满意度提供借鉴。方法随机选取行全口义齿修复治疗的无牙颌患者22例,在治疗前,艾森克人格问卷(EPQ)N量表被用于评估患者的情绪稳定性。在治疗前和治疗后3个月,面部美学评分问卷和三维摄影测量系统(3dMD)被分别应用于评估患者对面部外观的满意度及颌面软组织的变化。此外,利用N量表评分、面部美学测量指标和面部美学评分,建立多重线性回归模型。结果治疗后,患者面中部与面下部的比例与面型正常人群的差值缩小了(3.85±2.63)%,鼻唇角与正常人群的差值缩小了(6.66±5.39)°。多重线性回归模型结果显示:N量表评分及治疗前后面部比例与正常面型差值的变化值均可影响患者正面美学满意度,而N量表评分及鼻唇角与正常面型差值的变化值均可影响患者侧面美学满意度。纳入模型的两个自变量(N量表评分和颌面软组织变化)对于正面和侧面美学满意度的影响均具有统计学意义(P<0.001)。其中,N量表评分增加时,患者正面和侧面美学满意度均下降(B<0)。结论人格特征可影响无牙颌患者面部美学满意度,故在全口义齿修复治疗中应为不同人格的患者制定合理的诊疗方案,从而达到提高患者面部美学满意度的目标。Objective To explore the effect of personality characteristics on the facial esthetic satisfaction of edentulous patients,in order to provide reference for improving esthetic satisfaction after complete denture restoration.Methods Twenty-two edentulous subjects were randomly selected.Before complete denture treatment,the emotional stability of patients was assessed by Eysenck personality questionnaire N scale score(EPQ-N).Before and three months after treatment,patients completed the orofacial esthetic questionnaire,and 3D stereophotogrammetry was performed to evaluate the changes in facial appearance.In addition,multiple linear regression model was established by using N scale score,changes in facial appearance and facial esthetic satisfaction score.Results After complete denture treatment,the difference in the ratio of the middle and lower parts of the face between patients and the normal group was reduced by(3.85±2.63)%,and the difference of the nasolabial angle between patients and the normal group was reduced by(6.66°±5.39°).The multiple linear regression model showed that N scale score and changes of the differencein the facial proportion between edentulous subjects and normal population were influencing factors of patients’esthetic satisfaction on the facial appearance,and the N scale score and changes of the difference inthe nasolabial anglebetween patients and normal population were influencing factors of the patients’aesthetic satisfaction on the facial profile.Moreover,the effect of two independent variables(N scale score and facial soft tissue change)on the aesthetic satisfaction of facial appearance and facial profile was statistically significant(P<0.001).Furthermore,when the N score increased,the patients’aesthetic satisfaction on the facial appearance and facial profile decreased(B<0).Conclusion Personality can affect the aesthetic satisfaction of edentulous patients.Consequently,we should take reasonable measures for patients with different personality in the process of complete denture

关 键 词：全口义齿 艾森克人格问卷 面部美学 三维摄影测量系统 

分 类 号：R783.4[医药卫生—口腔医学]