Juggins Karen J, Nixon Fiona, Cunningham Susan J
Department of Orthodontics, The John Radcliffe Hospital, Oxford OX3 9DU, UK.
Am J Orthod Dentofacial Orthop. 2005 Dec;128(6):697-702. doi: 10.1016/j.ajodo.2004.09.022.
To better understand why patients believe they need orthognathic treatment, a study was undertaken to examine perceived need for treatment by patients and clinicians. This questionnaire-based study was undertaken at The John Radcliffe Hospital, Oxford, United Kingdom.
Forty patients were recruited from combined orthodontic-surgical clinics. They were asked to rate their perceived need for treatment based on facial appearance, dental appearance, function, and overall need. Twenty orthodontists and 20 maxillofacial surgeons were asked to rate perceived need for treatment based on the same parameters, using study models and clinical photographs. Ratings were marked on visual analog scales.
Significant differences were found between patients and clinicians in perceived need for treatment based on facial appearance (orthodontists compared with patients, P = .023; surgeons compared with patients, P = .001). In addition, maxillofacial surgeons rated a significantly greater overall need for treatment than patients (P = .027), and they rated treatment need based on facial appearance (P = .005) and function (P < .001) significantly higher than orthodontists.
Clinicians rated greater need for orthognathic treatment based on facial appearance than did patients. Surgeons also rated greater overall need for treatment than patients. In addition, surgeons rated treatment need based on facial appearance and function significantly higher than orthodontists, but large variations existed in both clinician groups.
为了更好地理解患者认为自己需要正颌治疗的原因，开展了一项研究，以调查患者和临床医生对治疗需求的认知。这项基于问卷的研究在英国牛津的约翰·拉德克利夫医院进行。
从正畸 - 外科联合诊所招募了40名患者。要求他们根据面部外观、牙齿外观、功能和总体需求对自己感知到的治疗需求进行评分。20名正畸医生和20名颌面外科医生被要求使用研究模型和临床照片，基于相同参数对治疗需求的感知进行评分。评分在视觉模拟量表上进行标注。
在基于面部外观的治疗需求感知方面，患者与临床医生之间存在显著差异（正畸医生与患者相比，P = 0.023；外科医生与患者相比，P = 0.001）。此外，颌面外科医生认为总体治疗需求显著高于患者（P = 0.027），并且他们基于面部外观（P = 0.005）和功能（P < 0.001）对治疗需求的评分显著高于正畸医生。
临床医生基于面部外观认为正颌治疗的需求比患者更高。外科医生也认为总体治疗需求比患者更高。此外，外科医生基于面部外观和功能对治疗需求的评分显著高于正畸医生，但两个临床医生群体内部都存在很大差异。
