Kiyak H Asuman
Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Washington, USA.
J Dent Educ. 2008 Aug;72(8):886-94.
The oral-facial region is usually an area of significant concern for the individual because it draws the most attention from other people in interpersonal interactions and is the primary source of vocal, physical, and emotional communication. As a result, patients who seek orthodontic treatment are concerned with improving their appearance and social acceptance, often more than they are with improving their oral function or health. Enhancing these aspects of quality of life is an important motive for undergoing orthodontic treatment. Regardless of age, patients' and their parents' or caregivers' expectations about improvements in oral function, esthetics, social acceptance, and body image are important for both general dentists and orthodontists to consider when advising patients about these procedures and during the treatment process. This review of research on the impact of conventional and surgical orthodontics on quality of life examines the association between oral health-related quality of life and severity and type of malocclusion, as well as the impact of treatment and patient characteristics on quality of life. The article will emphasize the importance of clinicians' having a clear understanding, before initiating treatment, of their patients' quality of life and their expectations about improvements in specific domains of quality of life.
口腔面部区域通常是个体极为关注的部位，因为在人际交往中它最能吸引他人注意，并且是语音、身体和情感交流的主要来源。因此，寻求正畸治疗的患者往往更关注改善自身外貌和社会认可度，而非改善口腔功能或健康状况。提升生活质量的这些方面是接受正畸治疗的一个重要动机。无论年龄大小，患者及其父母或护理人员对口腔功能、美观、社会认可度和身体形象改善的期望，对于普通牙医和正畸医生在向患者介绍这些治疗程序以及治疗过程中提供建议时都非常重要。这篇关于传统正畸和外科正畸对生活质量影响的研究综述，考察了与口腔健康相关的生活质量与错牙合畸形的严重程度和类型之间的关联，以及治疗和患者特征对生活质量的影响。本文将强调临床医生在开始治疗前清楚了解患者生活质量及其对生活质量特定领域改善期望的重要性。
