Patients’ and parents’ expectations of orthodontic treatment

Abstract

Objective: To investigate the expectations of children and their primary care-givers towards orthodontic treatment and to compare the results with those of a UK sample.

Design: A questionnaire survey of children and their primary care-givers attending for their first consultation.

Setting: The Department of Orthodontics at the Academic Centre for Dentistry Amsterdam (ACTA), the Netherlands.

Subjects and methods: A total of 168 subjects (84 patients and 84 parents) completed the questionnaire. The children were aged 10 to 14 years. The responses of the children and parents and differences between boys and girls were examined using parametric statistical methods. The data from the Dutch sample were compared with a similar UK sample.

Results: Patients and parents shared similar expectations of orthodontic treatment, with the exception of expectations of having a brace fitted at the first appointment, orthodontic treatment involving headgear, any problems with orthodontic treatment, duration of orthodontic treatment and concerning reactions from the public. Among the child participants, boys and girls only differed in their expectations of orthodontic treatment involving jaw surgery. Differences between Dutch and English participants were found regarding the first visit, type of orthodontic treatment, reactions from the public, and pain and problems with orthodontic treatment.

Conclusions: Since the expectations of patients and their parents differ on several aspects, effective communication between the orthodontist, patient and parent is considered to be essential. Our hypothesis that Dutch patients’ and parents’ expectations of orthodontic treatment differ from the expectations of English patients and parents was supported.     

正畸牙移动早期牙根吸收的临床研究

目的 应用锥体束计算机断层(Cone beam computed tomography,CBCT)技术分析正畸牙移动早期牙根吸收的发生情况及其影响因素.方法 选择108例正畸患者,432颗上切牙,治疗前及治疗5～9个月,平均(6.9±1.24)个月后分别拍摄上颌4个切牙CBCT.记录患者性别、初诊年龄、拔牙与否、安氏分...     

Peer Assessment Rating (PAR) index outcomes for orthodontic and orthognathic surgery patients

The Peer Assessment Rating (PAR) index is commonly used to evaluate occlusal outcomes after orthodontic treatment. We compared the PAR outcomes of 40 consecutively treated orthodontic patients and 40 orthognathic patients to evaluate the standard of care given. A patient-centred questionnaire was used to examine patients’ perceptions of the benefits of orthognathic treatment. PAR scores of orthodontic and orthognathic patients improved by a mean of 77% and 74%, respectively, after treatment indicating that excellent to good occlusal results were achieved for both groups. A high quality occlusal outcome is important for all patients as good intercuspation at the end of treatment is thought to improve stability. Most orthognathic patients reported improvements in their dental and facial appearance and thought that the treatment had been beneficial.     

青少年错畸形患者正畸治疗相关因素分析

目的研究影响青少年错畸形患者正畸治疗的相关因素。方法对153例青少年正畸患者进行问卷调查。问卷调查内容包括正畸治疗的原因、矫治器种类选择、是否认可正畸拔牙、治疗前是否了解过正畸治疗的相关知识等。结果本次调查中,男孩66例,占43.14%,女孩87例,占56.86%;美观是患者寻求正畸治疗的主要原因,其次是家长的要求。大部分的青少年对矫治器的选择无特殊要求,选择陶瓷矫治器的患者中,女孩多于男孩,两者之间差异有统计学意义(χ2=11.369,P<0.05)。在正畸拔牙方面,女孩的接受程度高于男孩(χ2=7.048,P<0.05),而且,24.2%的男孩和44.8%的女孩在就诊前了解过正畸相关知识,男女差异有统计学意义(χ2=6.907,P<0.05)。结论青少年就诊意愿受多种因素影响,应该加强青少年对正畸治疗的认识,促进正畸治疗的全面开展。     

A novel β-titanium alloy orthodontic wire

This literature review investigated a recently developed orthodontic wire composed of a β-titanium alloy known as “Gum Metal” and compared its properties with those of conventional wires. The attractive properties of Gum Metal include an ultra-low Young's modulus, non-linear elastic behavior, ultra-high strength, high yield strain, high ductility, and superplastic deformability without work hardening at room temperature. The unique multifunctional characteristics of this new orthodontic wire make it almost ideal for orthodontic applications. The results of this literature review indicate the strong potential use of Gum Metal wire for improving and enhancing the effectiveness of orthodontic treatment.     

自锁托槽矫治器在慢性广泛型牙周炎患者正畸治疗中的应用效果

分析在慢性广泛型牙周炎患者正畸治疗中应用自锁托槽矫治器的效果。方法 选取北京佳晨瑞冠口腔门诊部2020年1月-2022年7月收治的70例慢性广泛型牙周炎患者为研究对象,随机分为对照组和观察组,每组35例。对照组采取传统MBT直丝弓托槽治疗,观察组采取自锁托槽矫治器治疗,比较两组临床疗效、牙周指标及生活质量。结果 观察组治疗总有效率为94.29%,高于对照组的60.00%（P ＜0.05）;两组治疗后CAL、PLI、PD、SBI均低于治疗前,且观察组低于对照组（P ＜0.05）;两组治疗后GR均高于治疗前,且观察组高于对照组（P ＜0.05）;两组治疗后体力状况、病情、社会状况、生活状况评分及总分均高于治疗前,且观察组高于对照组（P ＜0.05）。结论 自锁托槽矫治器在慢性广泛型牙周炎患者正畸治疗中的应用效果确切,可有效改善患者的牙周指标,有利于提高其生活质量。     

青少年牙齿正畸前后口腔健康状况分析

目的 探讨青少年正畸前后口腔状态,并制定相应的预防对策,以此来达到促进其健康成长的目的。 方法 选取我院170例青少年正畸患者为观察组,根据年龄进行随机分组,其中15~20岁为青年组,8~14岁为少年组,每组85例。同时随机选取85名本市在校中学生为对照组。对正畸前后口腔健康状况、口腔保健情况以及口腔保健知识掌握情况展开分析。 结果 少年组龋齿患病率、牙龈炎、充填率高于对照组,龋均与龋齿数量多于对照组,差异有统计学意义（P＜0.05）;青年组龋齿患病率、填充率高于对照组,龋齿数量多于对照组,差异有统计学意义（P＜0.05）;观察组正畸前后正确刷牙、洁牙/半年与对照组比较,差异无统计学意义（P＞0.05）;观察组正畸前后刷牙≥3 min、刷牙次数≥3次、含氟漱口水/周优于对照组,差异有统计学意义（P＜0.05）;观察组口腔卫生保健知识知晓率高于对照组,差异有统计学意义（P＜0.05）。 结论 对青少年正畸期间予以健康教育可提高其对口腔保健知识的认知,帮助其养成良好习惯,同时还需全面跟进,为其进行针对性指导与预防,促进青少年身心健康发展。     

正畸牵引联合烤瓷冠修复治疗前牙龈下冠折的效果

目的 探究正畸牵引联合烤瓷冠修复治疗前牙龈下冠折的临床效果。 方法 选取2015年1月-2021年1月山东省口腔医院收治的30例前牙龈下冠折患者为研究对象,采用随机数字表法分为对照组和观察组,每组15例。对照组实施常规桩核冠修复,观察组实施正畸牵引联合烤瓷冠修复,比较两组临床疗效、咀嚼功能及修复满意度。 结果 观察组治疗总有效率为93.00%,高于对照组的60.00%,差异有统计学意义（P＜0.05）;观察组修复后咀嚼功能优于对照组,差异有统计学意义（P＜0.05）;观察组满意度为93.00%,高于对照组的60.00%,差异有统计学意义（P＜0.05）。 结论 通过正畸牵引联合烤瓷冠修复治疗前牙龈下冠折,能够有效提升治疗效果,改善患者的咀嚼功能,提高修复满意度,值得临床应用。     

前牙残根正畸牵引加牙冠延长在前牙牙体缺损修复中的应用效果

探讨前牙牙体缺损修复中应用前牙残根正畸牵引加牙冠延长治疗的临床效果。方法 选取我院2022年3月-2023年3月收治的120例前牙牙体缺损患者为研究对象,随机分为对照组和观察组,各60例。对照组予以牙冠延长术治疗,观察组予以前牙残根正畸牵引加牙冠延长治疗,比较两组修复效果、牙周健康情况和并发症发生情况。结果 观察组修复优良率为96.67%,高于对照组的80.00%（P＜0.05）;两组治疗后的牙周探诊深度、牙龈指数、牙齿松动度均低于治疗前,且观察组低于对照组（P ＜0.05）;观察组并发症发生率为5.00%,低于对照组的20.00%（P＜0.05）。结论 前牙牙体缺损修复中应用前牙残根正畸牵引加牙冠延长治疗可改善患者的牙周健康情况,提升修复效果,降低并发症发生风险。     

舒适护理在口腔正畸患者中的应用效果

目的 分析舒适护理在口腔正畸患者中的应用效果。方法 选取2021年1月-12月于我院行口腔正畸治疗的80例患者为研究对象,采用随机数字表法分为对照组和观察组,每组40例。对照组给予常规护理,观察组给予舒适护理,比较两组正畸舒适度、护理满意度、口腔正畸治疗效果。结果 观察组舒适度各维度评分均高于对照组（P＜0.05）;观察组护理满意度各维度评分均高于对照组（P＜0.05）;观察组口腔正畸治疗优良率为92.50%,高于对照组的75.00%（P＜0.05）。结论 舒适护理在口腔正畸患者中的应用效果确切,可有效改善患者的正畸舒适度,有利于提升治疗效果,且患者对护理工作的满意度较高。