Bräscher Anne-Kathrin, Zuran Dietmar, Feldmann Robert E, Benrath Justus
Department of Anesthesiology and Intensive Care Medicine, Pain Management Center, Medical School Mannheim at University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg University Mainz, Mainz, Germany.
J Orofac Orthop. 2016 Nov;77(6):432-438. doi: 10.1007/s00056-016-0051-3. Epub 2016 Oct 24.
In 2013, a novel material SmartTrack was introduced to replace the previous material used for Invisalign aligners. We conducted this study to test how this transition was accepted by patients during ongoing Invisalign treatment.
We surveyed a total of 72 patients (68 % women, 32 % men, mean age: 29.3 ± 9.2 years) who had worn the new material for a mean of 6 months. They completed a questionnaire with 25 items that compared both materials in terms of pain, pressure upon insertion, comfort, mucosal irritation, phonetics, discoloration, and taste.
On a numerical rating scale (NRS) ranging from 0 to 10, the new aligner material was rated by the respondents to cause significantly (p < 0.001) less maximum pain than the old material (2.8 vs. 3.8). Significant reductions were obtained for duration of pain (p < 0.001) and duration of pressure (2.5 vs. 1.9 days; p = 0.001) upon insertion of the aligners. Over 90 % of the respondents indicated less or equal pain during eating, felt that the new material offered a tighter fit, and provided more favorable ratings for impairment, durability, and discoloration. Improved comfort was reported by 50 % of the respondents.
The new material was favorably rated by the patients and showed significant reductions in pain intensity, pain duration, and pressure upon insertion. Important clinical parameters like overall comfort and impairment also were improved. The clinical effectiveness of the new material remains to be investigated.
2013年,一种新型材料SmartTrack被引入,以取代先前用于隐适美矫治器的材料。我们开展这项研究,以测试在正在进行的隐适美治疗过程中,患者对这种转变的接受程度。
我们共调查了72例患者(68%为女性,32%为男性,平均年龄:29.3±9.2岁),他们佩戴新材料的平均时间为6个月。他们完成了一份包含25个条目的问卷,该问卷从疼痛、插入时的压力、舒适度、黏膜刺激、语音、变色和味道等方面对两种材料进行了比较。
在0至10的数字评分量表(NRS)上,受访者对新矫治器材料的最大疼痛评分显著低于旧材料(2.8对3.8,p<0.001)。插入矫治器时,疼痛持续时间(p<0.001)和压力持续时间(2.5对1.9天;p=0.001)也显著缩短。超过90%的受访者表示进食时疼痛减轻或相同,认为新材料贴合度更高,对损伤、耐用性和变色的评价更积极。50%的受访者报告舒适度有所改善。
患者对新材料评价良好,疼痛强度、疼痛持续时间和插入时的压力均显著降低。整体舒适度和损伤等重要临床参数也有所改善。新材料的临床有效性仍有待研究。