牙颌面不协调的正颌治疗：其对颞下颌关节紊乱病、生活质量和心理社会健康的影响。
Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life, and psychosocial wellness.
作者信息
Song Yi Lin, Yap Adrian U Jin
机构信息
a Department of Orthodontics , National Dental Centre , Singapore.
b Department of Prosthodontics , Ng Teng Fong General Hospital and Jurong Medical Centre , Singapore.
出版信息
Cranio. 2017 Jan;35(1):52-57. doi: 10.1080/08869634.2016.1147676. Epub 2016 Mar 21.
AIM
The objective of this literature review was to assess the effect of orthognathic surgical treatment on temporomandibular disorders (TMD), quality of life (QoL), and psychosocial wellness.
METHODS
Journal articles and systematic reviews published in English between 1982 and 2015 were searched using PubMed, MEDLINE, and Cochrane database using the search terms "orthognathic," "temporomandibular disorders," "quality of life," and "psychosocial." The articles were then reviewed and discussed.
RESULTS
Both objective and subjective parameters play a role in orthognathic treatment outcome satisfaction and QoL. Psychological factors and TMD exerted a stronger influence on patients' QoL more than objective treatment outcome measures.
CONCLUSION
A paradigm shift in clinical mindset from solely objective measures to a more holistic, patient-centric approach of addressing patients' expectations and improving QoL is warranted when treating patients with dentofacial disharmonies.
目的
本文献综述的目的是评估正颌外科治疗对颞下颌关节紊乱病（TMD）、生活质量（QoL）和心理社会健康的影响。
方法
使用PubMed、MEDLINE和Cochrane数据库，以“正颌”、“颞下颌关节紊乱病”、“生活质量”和“心理社会”为检索词，检索1982年至2015年期间发表的英文期刊文章和系统评价。然后对这些文章进行了综述和讨论。
结果
客观和主观参数在正颌治疗结果满意度和生活质量中均起作用。心理因素和颞下颌关节紊乱病对患者生活质量的影响比客观治疗结果指标更强。
结论
在治疗牙颌面不协调患者时，临床思维模式应从单纯的客观测量转变为更全面、以患者为中心的方法，以满足患者期望并改善生活质量。
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