华西口腔医学杂志

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16~22岁青年与正畸医生对错畸形的感知差异及其影响因素调查

尹璐1,2 陈文静1 余新洲2 喻建2 方玲2 周波2 李桂喻2   

  1. 1.南京医科大学口腔医学研究所, 南京医科大学附属口腔医院正畸科, 南京210029;2.南京陆军指挥学院门诊部口腔科, 南京210045
  • 收稿日期:2011-04-25 修回日期:2011-04-25 出版日期:2011-04-20 发布日期:2011-04-20
  • 通讯作者: 陈文静,Tel:025-85031847
  • 作者简介:尹璐(1976—),男,北京人,主治医师,硕士

A survey of perception differences of malocclusion between 16 to 22-year-old young adults and orthodontists

YIN Lu1,2, CHEN Wen-jing1, YU Xin-zhou2, YU Jian2, FANG Ling2, ZHOU Bo2, LI Gui-yu2   

  1. 1. The Research Institute of Stomatology, Dept. of Orthodontics,School of Stomatology, Nanjing Medical University, Nanjing 210029, China; 2. Dept. of Stomatology, Hospital of Nanjing Army Command College, Nanjing 210045, China
  • Received:2011-04-25 Revised:2011-04-25 Online:2011-04-20 Published:2011-04-20
  • Contact: CHEN Wen-jing,Tel:025-85031847

摘要:

目的了解16~22岁青年人群对错畸形、牙齿美观和健康的感知,以及该人群与正畸医生对错畸形、牙齿美观和健康的感知差异及其相关影响因素。方法选择在南京陆军指挥学院门诊部口腔科就诊的16~22岁青年为研究对象,采用一般人口调查问卷、正畸治疗需要指数[由美观因素(AC)与牙齿健康因素(DHC)组成]以及牙齿健康因素自评调查问卷进行调查。被测者根据自己的主观感知对自身错畸形和牙齿美观进行AC等级和DHC等级的评分,正畸医生根据对模型的客观测量进行AC等级和DHC等级的评分。结果204名调查对象中,主观感知AC级别为不需要治疗者145名(71.08%),客观测量AC级别为不需要治疗者39名(19.12%);主观感知DHC等级为不需要治疗者144名(70.59%),客观测量DHC等级为不需要治疗者20名(9.80%)。正畸医生的客观测量等级高于被测者的主观感知等级;青年主观感知和正畸医生客观测量的等级相关关系不密切;男性青年的主观感知AC等级低于女性青年,城市青年的主观感知DHC等级高于农村青年,独生子女青年的主观感知DHC和AC等级均高于非独生子女青年。结论16~22岁青年与正畸医生对青年自身错畸形的美观和健康因素的感知具有明显差异,青年倾向于认为自己的牙齿美观并且健康。女青年比男青年更加倾向于认为自己牙齿不够美观,城市青年比农村青年更加不满意自己牙齿的健康情况,独生子女比非独生子女更加不满意自己牙齿的美观和健康情况。

关键词: 正畸治疗需要指数, 美观因素, 健康因素, 感知, 问卷调查

Abstract:

Objective To investigate 16 to 22-year-old young adults’perception of malocclusion, dental health and aesthetic firstly. To investigate the perception differences between young adults and orthodontists, and factorson perception difference. Methods A sample of 16 to 22-year-old young adults was selected randomly in Department of Stomatology, Hospital of Nanjing Army Command College. A questionnaire, which consisted of socioeconomic status, index of orthodontic treatment need and dental health component(DHC) questionnaire, was proposed to them. Index of orthodontic treatment need comprised aesthetic component(AC) and DHC. An orthodontist measured orthodontic dental models of participants. Participants chose AC degree and DHC degree by their subjective perception. An orthodontist chose AC degree and DHC degree by their objective measurement. Results 71.08% and 70.59% of 204 participants respectively chose‘no need treatment’of AC degree and DHC degree by their subjective perception. 19.12% and 9.80% of participants were respectively chosen‘no need treatment’of AC degree and DHC degree by orthodontist’s objective measurement. Objective measurement degree of orthodontist was higher than subjective perception degree of participants. Subjective perception of participants was little related to objective measurement of orthodontists. AC degree of male participants’subjective perception was lower than the female. DHC degree of urban participants’subjective perception was higher than the rural. DHC and AC degree of only child participants’subjective perception was higher than non-only child. Conclusion Perception about malocclusion, dental health and aesthetic had significant difference between 16 to 22- year -old young adults and orthodontists. Young adults tended to think that their teeth were more beautiful and he althy. The female young adults than the male tended to think that their teeth were not enough beautiful. Urban young adults were more unsatisfactory about their dental health than the rural. Only child young adults were more unsatisfactory about their dental aesthetic and health than the non-only child.

Key words: index of orthodontic treatment need, aesthetic component, health component, perception, questionnaire