Järvinen Seppo, Widström Eeva, Raitio Maarit
National Research and Development Centre for Welfare and Health (Stakes), Helsinki, Finland.
Swed Dent J. 2004;28(2):93-100.
Factors that affect the duration of orthodontic treatment in children were studied from treatment records, dental and cephalic radiographs, and dental plaster casts of a random sample of 93 orthodontic patients who were treated during the period 1983-1994 and were aged 7 to 13 years at the start of treatment. The duration of treatment and 15 variables describing the patients' age at the start of treatment, the gender distribution of the patients, the progress of treatment, the occlusal status, skeletal deviations, malocclusion classes (Angle), and patients' age at the start of treatment, were recorded. The data were analysed by means of analysis of variance, chi-square test, and multiple regression analysis. The mean treatment time was 2.9 years. The regression analysis revealed that the variations in sex variables, malocclusion class, patients' age at the start of treatment, type of appliances used, number of appliances used, number of missed appointments, and main additional diagnosis explained about 41% of variation in treatment time. Treatment of Class I and Class II/1 patients with combinations of fixed and removable appliances, early start, high number of appliances used, and high number of missed appointments prolonged the duration of treatment. Treatment of Class I patients with frontal crossbite was relatively short.
从治疗记录、牙科和头颅X光片以及牙石膏模型中,对影响儿童正畸治疗疗程的因素进行了研究。研究对象为1983年至1994年期间接受治疗的93名正畸患者的随机样本,治疗开始时年龄在7至13岁之间。记录了治疗疗程以及描述患者治疗开始时年龄、患者性别分布、治疗进展、咬合状况、骨骼偏差、错牙合分类(安氏分类)和患者治疗开始时年龄的15个变量。数据通过方差分析、卡方检验和多元回归分析进行分析。平均治疗时间为2.9年。回归分析显示,性别变量、错牙合分类、患者治疗开始时年龄、使用的矫治器类型、使用的矫治器数量、错过的预约次数以及主要附加诊断的变化解释了治疗时间约41%的变异。使用固定矫治器和活动矫治器联合治疗安氏I类和安氏II/1类患者、治疗开始早、使用的矫治器数量多以及错过的预约次数多会延长治疗疗程。治疗前牙反牙合的安氏I类患者疗程相对较短。