Department of Orthodontics, Queen's University, Belfast, Northern Ireland.
Angle Orthod. 2010 Mar;80(2):361-6. doi: 10.2319/051209-252.1.
To test the hypothesis that the self-perception of dental and facial attractiveness among patients requiring orthognathic surgery is no different from that of control patients.
Happiness with dental and facial appearance was assessed using questionnaires completed by 162 patients who required orthognathic treatment and 157 control subjects. Visual analog scale, binary, and open response data were collected. Analysis was carried out using a general linear model, logistic regression, and chi-square tests.
Orthognathic patients were less happy with their dental appearance than were controls. Class II patients and women had lower happiness scores for their dental appearance. Among orthognathic patients, the "shape" and "prominence" of their teeth were the most frequent causes of concern. Older subjects, women, and orthognathic patients were less happy with their facial appearance. Class III orthognathic patients, older subjects, and women were more likely to have looked at their own face in profile. A greater proportion of Class II subjects than Class III subjects wished to change their appearance.
The hypothesis is rejected. The findings indicate that women and patients requiring orthognathic surgery had lower levels of happiness with their dentofacial appearance. Although Class II patients exhibited the lowest levels of happiness with their dental appearance, there was some evidence that concerns and awareness about their facial profile were more pronounced among the Class III patients.
验证患者对正畸手术前后自身牙颌面美观感知无差异的假设。
通过问卷调查评估 162 名正畸治疗患者和 157 名对照组患者对牙颌面外观的满意度。收集视觉模拟量表、二进制和开放式应答数据。采用一般线性模型、逻辑回归和卡方检验进行分析。
正畸患者对自己的牙齿美观度满意度低于对照组。Ⅱ类患者和女性对自己的牙齿美观度评分较低。在正畸患者中，牙齿的“形状”和“突出度”是最常见的关注点。年龄较大的患者、女性和正畸患者对自己的面部美观度满意度较低。Ⅲ类正畸患者、年龄较大的患者和女性更倾向于观察自己的侧貌。与Ⅲ类患者相比，更多的Ⅱ类患者希望改变自己的外貌。
假设被拒绝。研究结果表明，女性和需要正畸手术的患者对其牙颌面美观度的满意度较低。尽管Ⅱ类患者对其牙齿美观度的满意度最低，但有证据表明，Ⅲ类患者对面部侧貌的担忧和认知更为明显。
