Discipline of Orthodontics, Department of Oral Sciences, University of Otago, Dunedin, New Zealand.
Prog Orthod. 2012 May;13(1):69-77. doi: 10.1016/j.pio.2011.08.001. Epub 2011 Sep 23.
Orthodontists tend to treat/see their patients on a systematic, recurrent basis, often during crucial stages of psychological development. Therefore, they have a pivotal role in identifying a number of psychological as well as of psychiatric disorders. Effective communication is crucial and unfortunately, it is often underestimated in a busy clinical practice. Aim of part two of this article it to review the role clinical orthodontics and the orthodontist-patient relationship have on the patients' psychosocial wellbeing, including effects on self-esteem, bullying and harassment by peers, and even several psychiatric disorders, such as anorexia/bulimia nervosa, and attention deficit hyperactivity disorders. Due to the complexity and importance of these issues, the orthodontist may play a dynamic role, not only in the management of dental malocclusions, but at times, as "psychologist" and a counselor to the patient.
正畸医生倾向于系统地、周期性地治疗/观察他们的患者，通常是在心理发展的关键阶段。因此，他们在识别许多心理和精神障碍方面起着关键作用。有效的沟通至关重要，但在繁忙的临床实践中，它往往被低估了。本文第二部分的目的是回顾临床正畸学和正畸医生-患者关系对患者社会心理福祉的影响，包括对自尊的影响、同龄人欺凌和骚扰，甚至一些精神障碍，如厌食症/贪食症和注意缺陷多动障碍。由于这些问题的复杂性和重要性，正畸医生可能会扮演一个动态的角色，不仅在管理牙齿错畸形方面，而且有时还扮演“心理学家”和患者的顾问。
