合肥市6~15岁中小学正畸治疗者完成度及影响因素分析

doi:10.12183/j.scjpm.2023.0292

摘要/Abstract

摘要： 目的分析合肥市6~15岁中小学正畸治疗者的完成度及其影响因素,为降低治疗中断的发生提供参考。方法于2019年8月至2020年8月采用整群随机抽样法抽取合肥市6~15岁中小学生进行口腔检查,并选择检查后需接受正畸治疗的患者为研究对象,并采用单因素及多因素Logistic回归分析影响正畸治疗者完成度的相关影响因素。结果本研究接受口腔检查共有5 123人,其中509例需接受正畸治疗。509例正畸治疗者中完成正畸治疗的有433例,占85.07%;未完成有76例,占14.93%。多因素Logistic回归分析显示,年龄（OR=2.333）、父母文化程度（OR=2.748、2.326）、正畸时间（OR=2.217）、矫治器（OR=2.416）、错颌畸形分类（OR=0.355）、牙列（OR=2.732）、牙科焦虑（OR=3.337）、自愿接受正畸情况（OR=2.565）、口腔卫生（OR=2.470）、是否信任医生（OR=2.145）均是正畸治疗者完成度的独立影响因素。结论合肥市6~15岁中小学生正畸治疗完成度较高,但正畸治疗者中仍存在中断治疗的情况,可根据相关影响因素早期进行针对性干预,以提高患者的治疗完成度。

关键词: 正畸治疗, 完成度, 治疗中断, 影响因素

Abstract: Objective To analyze the completion rate of orthodontic treatment and its influencing factors among primary and secondary school students aged 6-15 in Hefei City, to provide a reference for reducing treatment interruption. Methods Primary and secondary school students aged 6-15 in Hefei City were selected for oral examination by cluster random sampling method between August 2019 and August 2020, and patients who required orthodontic treatment after the examination were selected as subjects. Univariate and multivariate Logistic regression were used to analyze the relevant factors on the completion rate of orthodontic treatment. Results A total of 5 123 students underwent oral examinations in the study, of which 509 required orthodontic treatment. Of the 509 cases of orthodontic treatment, 433 cases （85.07%） completed orthodontic treatment, 76 cases （14.93%） were incomplete. Multivariate Logistic regression analysis showed that age （OR=2.333）, parental education （OR=2.748, 2.326）, orthodontic time （OR=2.217）, orthodontic appliance （OR=2.416）, classification of malocclusion （OR=0.355）, dentition （OR=2.732）, dental anxiety （OR=3.337）, voluntary orthodontic acceptance （OR=2.565）, oral hygiene （OR=2.470）, and trust in a doctor （OR=2.145） were all independent influencing factors for the completion of orthodontic treatment. Conclusions The completion rate of orthodontic treatment for primary and secondary school students aged 6-15 in Hefei City is relatively high, but there are still cases of treatment interruptions. Targeted interventions can be conducted early based on relevant influencing factors to improve the completion rate of orthodontic treatment.

Key words: Orthodontic treatment, Completion rate, Treatment interruption, Influencing factor

中图分类号:

R179

游迪迪, 熊际文, 孙世林. 合肥市6~15岁中小学正畸治疗者完成度及影响因素分析[J]. 华南预防医学, 2023, 49(3): 292-296.

YOU Didi, XIONG Jiwen, SUN Shilin. Completion rate and influencing factors of orthodontic treatment among primary and secondary school students aged 6-15 in Hefei City[J]. South China Journal of Preventive Medicine, 2023, 49(3): 292-296.

参考文献

[1] Fernandez CCA, Pereira CVCA, et al.Dental anomalies in different growth and skeletal malocclusion patterns[J]. Angle Orthod,2018,88(2):195-201.
[2] 房兵,金作林,白玉兴,等.儿童和青少年早期错畸形诊治策略的专家共识[J].上海口腔医学,2021,30(5):449-455.
[3] 董晓梦,白丁.露龈笑治疗现状与展望[J].口腔医学研究,2020,36(7):626-629.
[4] Tokede O, Levine SW.Periodontal health and orthodontic treatment[J]. J Am Dent Assoc, 2019,150(2):85-86.
[5] 冯明玉,李丽.固定正畸患者健康教育的研究进展[J].中华现代护理杂志,2022,28(12):1676-1680.
[6] 赵蕾,王晓宇,徐屹,等.正畸治疗与牙周软组织健康的关系及处理[J].华西口腔医学杂志,2018,36(6):595-601.
[7] Halych LV, Halych LB.Impact of malocclusion of class Ⅱ1 according to angle's classification method on facial esthetics[J]. Wiad Lek, 2021,74(7):1600-1604.
[8] Kassem El Hajj H, Fares Y, Abou‐Abbas L. Assessment of dental anxiety and dental phobia among adults in Lebanon[J]. BMC Oral Health,2021,21(1):48.
[9] 亓剑凤,付洪芹,杨璐璐,等.基于牙菌斑指数动态评估的口腔护理在长期鼻饲患者中的应用效果研究[J].中国护理管理,2020,20(10):1468-1470.
[10] Papageorgiou SN, Koletsi D, Iliadi A, et al.Treatment outcome with orthodontic aligners and fixed appliances: A systematic review with Meta‐analyses[J]. Eur J Orthod, 2020,42(3):331-343.
[11] 孙英媛,丁元凤,狄耀云,等.影响正畸治疗完成度的危险因素分析[J].实用口腔医学杂志,2022,38(4):486-489.
[12] 夏慧玲,方聪.乳牙列正畸患儿治疗依从性影响因素分析[J].中国妇幼保健,2019,34(12):2825-2827.
[13] Al‐Abdallah M, Hamdan M, Dar‐Odeh N. Traditional vs digital communication channels for improving compliance with fixed orthodontic treatment[J]. Angle Orthod,2021,91(2):227-235.
[14] Mylonopoulou IM, Sifakakis I, Berdouses E, et al.Orthodontic status and orthodontic treatment need of 12- and 15-year‐old greek adolescents: A national pathfinder survey[J]. Int J Environ Res Public Health, 2021,18(22):11790.
[15] 刘晓芬,张淑芳,陈润元,等.口腔固定正畸患儿口腔健康自我管理现状及影响因素分析[J].中华护理杂志,2017,52(8):944-948.
[16] 程耀东,丘佳玉,赖仁发.正畸初诊患者依从性评价的研究进展[J].中华口腔医学研究杂志(电子版),2017,11(4):234-237.
[17] Alhammadi MS, Almashraqi AA, Khadhi AH, et al.Orthodontic camouflage versus orthodontic‐orthognathic surgical treatment in borderline class III malocclusion:A systematic review[J]. Clin Oral Investig,2022,26(11):6443-6455.
[18] 宋晨曦,杨金玉,罗周丽,等.青少年正畸治疗病人口腔健康自理行为水平现状及其影响因素分析[J].全科护理,2022,20(26):3710-3712.
[19] 黎美媛,刘靖娴,兰育林.正畸患儿治疗依从性的危险因素研究[J].齐齐哈尔医学院学报,2020,41(20):2620-2622.
[20] 闫利辉,陈卓,谢冰,等.RANKL/OPG、MIP-1α、TSLP对口腔正畸治疗中牙周病的诊断价值[J].分子诊断与治疗杂志,2021,13(11):1752-1755,1760.
[21] 中华口腔医学会.维护牙周健康的中国口腔医学多学科专家共识(第一版)[J].中华口腔医学杂志,2021,56(2):127-135.