山西地区选择不同矫治器的成人正畸患者人口学特点及临床指征对比分析  

Comparative analysis of demography characteristics and clinical indications of adult orthodontic patients with different appli⁃ances in Shanxi region

作　　者：张颖 杨彤彤 刘亚丽 ZHANG Ying;YANG Tongtong;LIU Yali(School of Stomatology,Affiliated Stomatological Hospital,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学口腔医学院·附属口腔医院正畸科,山西太原030001

出　　处：《口腔生物医学》2024年第5期281-286,共6页Oral Biomedicine

摘　　要：目的:通过对山西地区选择不同矫治器的成人正畸患者一般人口学特点及临床指征进行对比分析,为正畸医生帮助患者选择合适的矫治器提供参考。方法:180例成人正畸患者根据矫治器类型分组(隐形矫治器组122例,固定矫治器组58例),发放并收集一般人口学资料调查表,采集治疗前的口内照片、正畸寄存模型和X线片,评估错牙合畸形安氏分类、矢状向骨面型分类、侧貌面型、龋失补指数、牙龈指数及菌斑指数,分析对比两组患者的一般人口学特点及临床指征。结果:隐形矫治器组相比于固定矫治器组,年龄较大,家庭收入较高,且常居地为异地患者较多,差异具有统计学意义(P<0.05)。两组患者错牙合畸形牙性分类及矢状向骨性分类比例相似,差异均无统计学意义(P>0.05)。侧貌评估,固定矫治器组的下唇突出度大于隐形矫治器组(P<0.05)。两组患者平均龋失补指数为2.6且固定组高于隐形组(P<0.05),其变量中只有龋坏牙数是固定组高于隐形组,其他变量差异均无统计学意义(P>0.05)。两组患者的牙龈指数和菌斑指数相比差异均无统计学意义(P>0.05)。结论:山西地区年龄较大、常居外地及家庭收入较高的患者多选择隐形矫治器;选择固定矫治器的患者下唇更突出,侧貌欠佳,且口内龋坏牙齿更多,正畸医生可依据以上特点指导患者选择更合适的矫治器。Objective:To compare and analyze the general demography characteristics and clinical indications of adult orthodontic patients who choose different orthodontic devices,and help patients to choose appropriate orthodontic devices.Method:180 adult or⁃thodontic patients were divided into 2 groups:invisible appliances group(122)and fixed appliances group(58).Intraoral photos,or⁃thodontic storage models and X⁃ray films before treatment were collected.The classification of malocclusion,sagittal bone surface clas⁃sification,profile type,decayed missing filled tooth,gingival index,and plaque index were evaluated.The general demography charac⁃teristics and clinical indications of 2 groups were analyzed and compared.Results:The patients in the invisible appliance group were older and had a higher family income than those in the fixed appliance group(P<0.05).There were more patients coming from other areas in the invisible appliance group.There was statistical significance between the 2 groups(P<0.05).The proportion of classifica⁃tion of malocclusion and sagittal skeletal relationship between the 2 groups is similar,and there is no statistical significance between the 2 groups(P>0.05).In the profile assessment,patients in the fixed appliance group exhibited a more prominent lower lip.The average DMFT of the 2 groups was 2.6 and the fixed appliance group was higher(P<0.05).Among the variables included in the DMFT evalua⁃tion,only the number of decayed teeth was higher in the fixed appliance group,other variables were not statistically significant(P>0.05).There was no statistically significant difference in gingival index and plaque index between the 2 groups(P>0.05).Conclu⁃sions:Compared with patients who choose fixed appliances,those patients from Shanxi region who are older,who have a permanent residence in another city,or those who have a higher family income,tend to choose invisible appliances.Compared with patients who choosed invisible appliances,patients who choose fixed appliances have a more prominent

关 键 词：隐形矫治器 固定矫治器 成人正畸患者 一般人口学特点 临床指征 

分 类 号：R780.2[医药卫生—口腔医学]