比较无托槽隐形和固定矫治对青少年患者生活质量的影响  

Comparing the effects of clear aligners and fixed braces on the quality of life of adolescent patients

作　　者：娄姝 采晓燕 张驰 张元[1,2,3] 韩旻轩[1,2,3] 管兆兰 LOU Shu;CAI Xiaoyan;ZHANG Chi;ZHANG Yuan;HAN Minxuan;GUAN Zhaolan(Department of Orthodontics,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院正畸科,江苏南京210029 [2]口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学),江苏南京210029 [3]江苏省口腔转化医学工程研究中心,江苏南京210029

出　　处：《口腔医学》2024年第11期841-846,共6页Stomatology

基　　金：中国牙病防治基金会种子基金(A2021⁃025);江苏省科教能力提升工程——江苏省研究型医院(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)。

摘　　要：目的研究行无托槽隐形矫治器与固定矫治器青少年正畸患者的治疗体验和生活质量差异。方法选取2022年1月—6月在南京医科大学附属口腔医院使用无托槽隐形矫治器或固定矫治器的104例青少年作为研究对象,按照矫治器种类分为2个治疗组,各52例。青少年正畸患者在使用无托槽隐形矫治器或固定矫治器6个月内,调查青少年口腔健康影响简表19(COHIP⁃SF 19),以及其他单独项目。采用独立样本t检验比较平均满意度、生活质量和领域得分的差异,采用Wilcoxon秩和检验比较主观响应的差异。结果两组之间的平均生活质量及领域得分基本没有显著性差异,隐形矫治的患者具有更高的满意度。隐形矫治组报告进食困难的影响更大,固定矫治器患者易产生更大的负面情绪。此外,在矫治器适应时间、保持牙齿清洁以及觉得自己很有魅力方面两组间无显著差异。结论两组患者对治疗方式总体满意。接受无托槽隐形矫治器与固定矫治器治疗至少6个月的青少年正畸患者的总体生活质量相似。Objective To investigate the differences in treatment experience and quality of life between adolescent orthodontic patients using clear aligners and fixed braces.Methods A total of 104 adolescent patients were selected who underwent orthodontic treatment with either clear aligners or fixed braces at Nanjing Medical University Affiliated Stomatological Hospital from January 2022 to June 2022.The patients were divided into two treatment groups based on the type of orthodontic appliance,with 52 patients in each group.Within a 6⁃month period of using clear aligners or fixed braces,adolescent orthodontic patients were surveyed using the child oral health impact profile⁃short form 19(COHIP⁃SF19)and other individual items.The differences in mean satisfaction,quality of life,and statistical scores were compared using independent samples t⁃tests,while the differences in subjective responses were compared using the Wilcoxon rank⁃sum test.Results There were no significant differences in mean quality of life and statistical scores between the two groups,but patients in the clear aligner group reported higher satisfaction.The clear aligner group reported greater difficulty with eating,while patients with fixed braces were more likely to experience negative emotions.Additionally,there were no significant differences between the two groups in terms of adaptation time to the appliance,maintaining dental hygiene,and feeling attractive.Conclusion Patients in both groups were generally satisfied with their treatment.Adolescent orthodontic patients treated with clear aligners or fixed braces for at least 6 months exhibit similar overall quality of life.

关 键 词：青少年 口腔健康相关生活质量 隐形矫治 固定矫治 心理状态 

分 类 号：R783.5[医药卫生—口腔医学]