Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, Australia.
Community Dent Oral Epidemiol. 2011 Dec;39(6):505-14. doi: 10.1111/j.1600-0528.2011.00618.x. Epub 2011 May 20.
There is little evidence to suggest that orthodontic treatment can prevent or reduce the likelihood of dental caries or of periodontal disease or dental trauma and temporomandibular disorders, but there is a modest association between the presence of malocclusion/orthodontic treatment need and quality of life. However, little is known of the long-term outcomes of orthodontic treatment. This study reports on the longitudinal follow-up of quality of life and psychosocial outcomes of orthodontic treatment among a cohort of adults who were examined as adolescents in 1988/1989.
Children who were examined in 1988/1989 were invited to a follow-up in 2005/2006. Respondents completed a questionnaire, which collected information on quality of life, receipt of orthodontic treatment and psychosocial factors, and were invited for a clinical examination. Oral health conditions including occlusal status using the Dental Aesthetic Index were recorded. Analysis of variance and multiple linear regression were used to examine the relationship between the measured factors.
There was no statistically significant association between occlusal status at adolescence and quality of life at adulthood. Those individuals who had orthodontic treatment but did not need orthodontic treatment had higher self-esteem (23.1, SD 5.2) and were more satisfied with life (18.5, SD 3.7) than other treatment groups (self-esteem range, 20.0-22.7; life satisfaction range, 16.4-18.1), anovaP < 0.01 and P < 0.05, respectively. Occlusal status at adulthood was significantly associated with quality of life, P < 0.01. Multivariate analyses showed a statistically significant association between occlusal status at adolescence ('Desirable treatment'β = 0.70, P = 0.04) and adulthood ('Desirable treatment'β = 1.66, P < 0.01) with quality of life. Orthodontic treatment was negatively associated with psychosocial factors (life satisfaction; fixed orthodontic treatment (FOT) β = -0.91, P = 0.02 and self-esteem; FOT β = -1.39, P < 0.01).
Occlusal status appears to have limited association with quality of life and psychosocial factors. Receipt of fixed orthodontic treatment does not appear to be associated with oral health-related quality of life but appears to be negatively associated with self-esteem and satisfaction with life.
几乎没有证据表明正畸治疗可以预防或减少龋齿、牙周病或牙外伤和颞下颌关节紊乱的可能性，但错颌畸形/正畸治疗需求的存在与生活质量之间存在适度的关联。然而，对于正畸治疗的长期结果知之甚少。本研究报告了在 1988/1989 年接受检查的青少年队列中，对正畸治疗的生活质量和心理社会结果进行的纵向随访。
邀请 1988/1989 年接受检查的儿童在 2005/2006 年参加随访。应答者完成了一份调查问卷，收集了生活质量、正畸治疗和心理社会因素的信息，并被邀请进行临床检查。记录了口腔健康状况，包括使用牙科美学指数的咬合状态。采用方差分析和多元线性回归分析来检验测量因素之间的关系。
青少年时期的咬合状态与成年后的生活质量之间没有统计学上的显著关联。那些接受过正畸治疗但不需要正畸治疗的人，自尊心更高（23.1，标准差 5.2），对生活更满意（18.5，标准差 3.7），而其他治疗组的自尊心（20.0-22.7）和生活满意度（16.4-18.1），anovaP < 0.01 和 P < 0.05。成年时的咬合状态与生活质量显著相关，P < 0.01。多元分析显示，青少年时期的咬合状态（“理想治疗”β=0.70，P=0.04）和成年时期的咬合状态（“理想治疗”β=1.66，P<0.01）与生活质量有统计学上的显著关联。正畸治疗与心理社会因素呈负相关（生活满意度；固定正畸治疗（FOT）β=-0.91，P=0.02 和自尊心；FOTβ=-1.39，P<0.01）。
咬合状态似乎与生活质量和心理社会因素的关联有限。接受固定正畸治疗似乎与口腔健康相关的生活质量无关，但似乎与自尊心和生活满意度呈负相关。
