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上颌前牙固定义齿修复对日常生活、满意度及个性特征的影响之间的关系。

Relationship between impact of maxillary anterior fixed prosthodontic rehabilitation on daily living, satisfaction, and personality profiles.

作者信息

Sghaireen Mohd G, Al-Omiri Mahmoud K

机构信息

Assistant Professor and Consultant, Department of Prosthetic Dentistry, Faculty of Dentistry, Aljouf University, Sakaka, Saudi Arabia; and Professor, City of London School of Dentistry, London, UK.

Professor and Senior Consultant, Faculty of Dentistry, University of Jordan, Amman, Jordan; and Professor, City of London School of Dentistry, London, UK.

出版信息

J Prosthet Dent. 2016 Feb;115(2):170-6. doi: 10.1016/j.prosdent.2015.07.009. Epub 2015 Oct 9.

Abstract

STATEMENT OF PROBLEM

Personality profiles may affect the impact of dental treatment on daily living and patient satisfaction.

PURPOSE

The purpose of this clinical trial was to evaluate the impact of maxillary anterior fixed prosthodontic rehabilitation on daily living and the satisfaction of patients and to investigate its relationship with personality profiles.

MATERIAL AND METHODS

Fifty-nine participants (25 men and 34 women; mean age 32.4 ± 6.9 years) received maxillary anterior partial fixed dental prostheses. The clinical success of the prostheses was evaluated following specific criteria. The Dental Impact on Daily Living (DIDL) questionnaire was used to measure satisfaction with the prostheses and their impact on daily living. The Neuroticism-Extraversion-Openness Five-Factor Inventory (NEO-FFI) was used to measure patients' personality profiles. The paired sample t test was used to compare satisfaction and personality scores before and after treatment (α=.05).

RESULTS

Participants' total satisfaction and their satisfaction with appearance, pain tolerance, oral comfort, general performance, and eating improved after treatment (P<.05). Before treatment, women were less satisfied with general performance (P=.047) and scored higher on the Neuroticism score (P=.039); however, after treatment, women were more satisfied with appearance (P=.004). Age and sex had no significant correlation with personality profiles after treatment. Before treatment, Neuroticism, Openness, and Conscientiousness scores were associated with dental satisfaction and impact on daily life (P<.05). After treatment, Neuroticism, Openness, and Extraversion scores were associated with dental satisfaction and impact on daily life (P<.05).

CONCLUSIONS

Patient satisfaction with their oral condition improved after partial fixed dental prosthetic rehabilitation in the maxillary anterior esthetic zone. Psychological profiles (Neuroticism, Extraversion, Openness, and Conscientiousness) may be involved in and explain the impact on daily living and the degree of patient satisfaction with their prostheses.

摘要

问题陈述

人格特征可能会影响牙科治疗对日常生活的影响以及患者满意度。

目的

本临床试验的目的是评估上颌前牙固定义齿修复对日常生活和患者满意度的影响,并研究其与人格特征的关系。

材料与方法

59名参与者(25名男性和34名女性;平均年龄32.4±6.9岁)接受了上颌前牙部分固定义齿修复。根据特定标准评估义齿的临床成功率。使用《日常生活中的牙科影响》(DIDL)问卷来衡量对义齿的满意度及其对日常生活的影响。使用神经质-外向性-开放性五因素量表(NEO-FFI)来衡量患者的人格特征。采用配对样本t检验比较治疗前后的满意度和人格得分(α = 0.05)。

结果

治疗后,参与者的总体满意度以及他们对外观、疼痛耐受性、口腔舒适度、总体功能和进食方面的满意度均有所提高(P < 0.05)。治疗前,女性对总体功能的满意度较低(P = 0.047),神经质得分较高(P = 0.039);然而,治疗后,女性对外观的满意度更高(P = 0.004)。治疗后,年龄和性别与人格特征无显著相关性。治疗前,神经质、开放性和尽责性得分与牙科满意度及对日常生活的影响相关(P < 0.05)。治疗后,神经质、开放性和外向性得分与牙科满意度及对日常生活的影响相关(P < 0.05)。

结论

上颌前牙美学区部分固定义齿修复后,患者对口腔状况的满意度有所提高。心理特征(神经质、外向性、开放性和尽责性)可能与对日常生活的影响及患者对义齿的满意度程度有关,并能对此作出解释。

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