Badran Serene A, Sabrah Alaa H, Hadidi Sofia A, Al-Khateeb Susan
a Assistant Professor, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Angle Orthod. 2014 Jul;84(4):588-93. doi: 10.2319/062913-482.1. Epub 2013 Dec 16.
To determine the influence of socioeconomic status (SES) on normative and perceived orthodontic treatment need, satisfaction with dental appearance, and regularity of dental attendance.
The sample consisted of 550 adolescents (232 boys, 318 girls) aged 13 to 17 years who were categorized according to SES into three groups: low, middle, and high SES. Normative treatment need was assessed by using the Index of Orthodontic Treatment Need. Data were collected by clinical examination and face-to-face interview. The χ(2) test and logistic regression analysis were used for statistical analyses.
Approximately 34.0% of the untreated subjects had a definite dental need for treatment and 24.5% had a moderate need; among those, 53.5% were of low SES (P = .017). One-third of the sample had a moderate to definite esthetic need, most of whom had a low SES (P = .009). Of the subjects who were dissatisfied with their dental appearance and reported a self-perceived need for treatment, around one-third had a low SES. Most subjects with low SES were irregular dental attenders (P < .001). Subjects of low SES, those who had a self-perceived need for treatment, and those who were dissatisfied with their dental appearance were more likely to have a definite normative esthetic need.
Subjects of low SES exhibited greater normative and perceived treatment needs than subjects of higher SES. They were less satisfied with their dental appearance and visited a dentist less frequently.
确定社会经济地位（SES）对正畸治疗的规范需求和感知需求、对牙齿外观的满意度以及定期看牙情况的影响。
样本包括550名年龄在13至17岁的青少年（232名男孩，318名女孩），他们根据SES分为三组：低SES、中SES和高SES。使用正畸治疗需求指数评估规范治疗需求。通过临床检查和面对面访谈收集数据。采用χ²检验和逻辑回归分析进行统计分析。
约34.0%未经治疗的受试者有明确的牙齿治疗需求，24.5%有中度需求；其中，53.5%为低SES（P = 0.017）。三分之一的样本有中度至明确的美学需求，其中大多数为低SES（P = 0.009）。在对牙齿外观不满意并报告有自我感知治疗需求的受试者中，约三分之一为低SES。大多数低SES受试者看牙不规律（P < 0.001）。低SES受试者、有自我感知治疗需求的受试者以及对牙齿外观不满意的受试者更有可能有明确的规范美学需求。
低SES受试者比高SES受试者表现出更大的规范和感知治疗需求。他们对牙齿外观的满意度较低，看牙医的频率也较低。
