School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA.
J Public Health Dent. 2011 Winter;71(1):62-70. doi: 10.1111/j.1752-7325.2010.00203.x.
The objectives of this study is to explore the relationship between pediatric patients' orthodontic treatment need, the patients' assessments of their smile-related quality of life (QoL), their parents' proxy assessment of their child's QoL and own assessments of their child's smile, and the patients' objectively assessed smiling patterns.
Survey data were collected from 102 patients (53 boys/49 girls; age range: 9-13 years) and their parents. Orthodontic treatment need was assessed with the Index of Complexity, Outcome, and Need (ICON). Smiling patterns were determined by videotaping patients' smiles while they watched a cartoon. Thirty predetermined sections of these tapes were then assessed by two independent raters to measure the patients' smiling patterns.
The aesthetic component and total ICON scores correlated with the patients' smile-related QoL (r = 0.25; P = 0.014/r = 0.23; P = 0.024), parental proxy assessments of the child's smile-related QoL (r = 0.29; P= 0.004/r = 0.26; P= 0.009), the parents' own assessments of their child's smile (r= 0.32; P= 0.002/ r = 0.29; P = 0.005), and the number of negative adjectives chosen by the parents to describe their child's smile (r= 0.32; P = 0.002/r = 0.30; P = 0.004). Although the smiling patterns were correlated with the patients' smile-related QoL responses (height of smile: r = 0.29; P = 0.005/number of teeth shown: r = 0.30; P = 0.004), the ICON scores were not correlated with the patients' smiling patterns.
Objectively assessed orthodontic treatment need correlates with the patients' and parents' assessments of the child's smile-related QoL scores. However, while objective smiling patterns are related with the patients' smile-related QoL, they are not correlated with the patients' orthodontic treatment need.
本研究旨在探讨儿童正畸治疗需求、患者对微笑相关生活质量（QoL）的评估、其父母对子女 QoL 的代理评估以及子女对自己微笑的评估，以及患者客观评估的微笑模式之间的关系。
从 102 名患者（53 名男孩/49 名女孩；年龄范围：9-13 岁）及其父母处收集了调查数据。使用复杂性、结果和需求指数（ICON）评估正畸治疗需求。通过录制患者观看卡通片时的微笑视频来确定微笑模式。然后，由两名独立评估员评估这些录像带的 30 个预定部分，以衡量患者的微笑模式。
美学成分和总 ICON 评分与患者的微笑相关 QoL 相关（r = 0.25；P = 0.014/r = 0.23；P = 0.024），父母对子女微笑相关 QoL 的代理评估（r = 0.29；P= 0.004/r = 0.26；P= 0.009），父母对子女微笑的自身评估（r= 0.32；P= 0.002/ r = 0.29；P = 0.005），以及父母用来描述子女微笑的负面形容词数量（r= 0.32；P = 0.002/r = 0.30；P = 0.004）。尽管微笑模式与患者的微笑相关 QoL 反应相关（微笑高度：r = 0.29；P = 0.005/显示的牙齿数量：r = 0.30；P = 0.004），但 ICON 评分与患者的微笑模式不相关。
客观评估的正畸治疗需求与患者和父母对子女微笑相关 QoL 评分的评估相关。然而，虽然客观的微笑模式与患者的微笑相关 QoL 相关，但与患者的正畸治疗需求无关。
