患者报告的结局测量（PROMs）在骨切开辅助与传统正畸治疗后的比较：一项针对成年人的随机对照试验。
Patient-reported outcomes measures (PROMs) following a piezocision-assisted versus conventional orthodontic treatments: a randomized controlled trial in adults.
机构信息
Department of Orthodontics and DentoFacial Orthopedics, University Hospital of Liège, Liege, Belgium.
Dental Biomaterials Research Unit, Faculty of Medicine, University of Liège, Liege, Belgium.
出版信息
Clin Oral Investig. 2019 Dec;23(12):4355-4363. doi: 10.1007/s00784-019-02887-z. Epub 2019 Apr 6.
OBJECTIVE
To explore patient-related outcomes measures (PROMs) of piezocision-assisted orthodontic treatment compared to a conventional orthodontic treatment using customized appliance.
MATERIALS AND METHODS
Twenty-four adult patients requiring orthodontic treatment for mild-to-moderate overcrowding in both jaws were randomly assigned to a test group, treated with a piezocision-assisted orthodontic treatment, or to a control group, where piezocision was not applied. The patient-related outcomes were recorded using a 0-10 visual analog scale (VAS). Daily analgesic consumption and pain level were also recorded following the placement of the orthodontic appliance in both groups and after the piezocision procedure in the test group. Moreover, levels of apprehension and satisfaction were also assessed in both groups.
RESULTS
In the piezocision group, over the 7-day period, paracetamol consumption was comparable after the placement of the orthodontic appliance and after the piezocision surgery. Pain levels after the orthodontic and the surgical procedure decreased with time (p < 0.0001) but remained globally higher after piezocision (p = 0.0056). Significantly, more patients of the piezocision group reported that they would undergo the treatment again (p = 0.033) and that they greatly appreciated the duration of treatment (p = 0.0008). However, the level of apprehension was significantly higher in the piezocision group compared to the test group (p = 0.012).
CONCLUSIONS
Although, the degree of apprehension before the surgery and higher pain level in the piezocision group, PROMs emphasized similar pain killer consumption in both group and revealed high acceptance and satisfaction with piezocision approach.
CLINICAL RELEVANCE
The benefit of piezocision-assisted orthodontic treatment seems to be relevant from a patient perspective.
TRIAL REGISTRATION
NCT03406130.
目的
探索与传统正畸治疗相比，使用定制矫治器的压电辅助正畸治疗的患者相关结局指标（PROMs）。
材料和方法
24 名成人患者因上下颌轻度至中度拥挤需要正畸治疗，随机分为试验组，接受压电辅助正畸治疗，或对照组，不应用压电技术。使用 0-10 视觉模拟量表（VAS）记录患者相关结局。在两组中，在放置正畸矫治器后以及试验组在进行压电切割手术后，还记录了每日镇痛剂的消耗和疼痛水平。此外，还评估了两组的焦虑和满意度水平。
结果
在压电组中，在正畸矫治器放置后和压电切割手术后的 7 天内，对乙酰氨基酚的消耗相当。正畸和手术治疗后，疼痛水平随时间降低（p<0.0001），但在压电切割手术后仍普遍较高（p=0.0056）。重要的是，更多的压电组患者表示他们会再次接受治疗（p=0.033），并且非常赞赏治疗的持续时间（p=0.0008）。然而，压电组的焦虑程度明显高于试验组（p=0.012）。
结论
尽管手术前的焦虑程度和压电组的疼痛水平较高，但 PROMs 表明两组的止痛药消耗相似，并揭示了患者对压电技术的高度接受和满意度。
临床相关性
从患者的角度来看，压电辅助正畸治疗的益处似乎是相关的。
试验注册
NCT03406130。
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