【摘要】 目的研究无托槽隐形矫治器对患者口腔健康相关生活质量(OH-Qo L)的影响,为矫治前采取针对性的健康指导提供参考。方法选取佩戴无托槽隐形矫治器≤3副的患者60例,分别在治疗前(T0)及佩戴无托槽隐形矫治器后首次复诊时(T)现场填写口腔健康影响程度量表(OHIP-14)中文版并回收,比较无托槽隐形矫治前和矫治初期患者OH-Qo L的差异。结果采用配对样本t检验比较患者在无托槽隐形矫治前(T0)和佩戴无托槽隐形矫治器初期(T)量表得分,其中影响发音(T0=0.81,T=2.68;t=4.159,P=0.0142)、味觉变差(T0=0.64,T=1.60;t=3.483,P=0.0253)、出现过明显疼痛(T0=0.52,T=2.82;t=6.388,P=0.0031)、吃什么东西都不舒服(T0=0.72,T=1.79;t=6.288,P=0.0033)、不能很好的休息(T0=0.32,T=1.34;t=4.560,P=0.0103),5项的差异均有统计学意义。结论无托槽隐形矫治初期患者的OH-Qo L与治疗前比较,受到一定程度的不良影响,主要体现在功能限制、生理性疼痛、心理障碍三方面,建议佩戴无托槽隐形矫治器前介入健康指导,预防性降低矫治对患者OH-Qo L的影响,提高矫治积极性和依从性。更多还原

【Abstract】 Objective To investigate the oral health related life quality of patients with bracketless appliance before treatment and in the early stage of treatment. To analyze the effect of bracketless appliance on the oral health related life quality of patients and provide reference to oral health instruction on patients before treatment. Methods In this study,60 patients with bracketless appliance undergoing less than 3 aligners were chosen,and they were asked to fill in the Chinese version of oral health impact profile- 14(OHIP- 14)before treatment(T0)and at the first appointment(T). Oral health related life quality of patients before treatment and in the early stage of treatment were compared. Results Scores of early stage of bracketless appliance treatment(T)and before treatment(T0)were compared by paired t test. Pronunciation(T0 = 0.81,T = 2.68;t = 4.159,P = 0.0142),taste(T0 = 0.64,T = 1.60;t = 3.483,P =0.0253),obvious pain(T0 = 0.52,T = 2.82;t = 6.388,P = 0.0031),discomfort while eating(T0 = 0.72,T =1.79;t = 6.288,P = 0.0033)and interference with the rest(T0 = 0.32,T = 1.34;t = 4.560,P = 0.0103)were statistical differences. Conclusions Oral health related life quality of patients in the early stage of treatment was negatively affected when compared with that before treatment,mainly in the limitation in oral function,pain and mental disorder. Oral health instruction was recommended before bracketless appliance treatment to preventively decrease the negative impact on the oral health related life quality of patients and elevate the compliance and motivation of patients.更多还原