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牙科美学对牙科患者的心理社会影响。

Psychosocial impact of dental aesthetics on dental patients.

机构信息

School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil.

William James Center for Research (WJCR), University Institute of Psychological, Social, and Life Sciences (ISPA), Lisbon, Portugal.

出版信息

Int Dent J. 2020 Oct;70(5):321-327. doi: 10.1111/idj.12574. Epub 2020 May 31.

Abstract

OBJECTIVE

This study aimed to evaluate the contribution of demographic and clinical characteristics on the psychosocial impact of dental aesthetics of dental patients.

METHODS

The psychosocial impact of dental aesthetics was assessed by the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Data validity was estimated using confirmatory factor analysis (CFA). Reliability was assessed using standardised Cronbach's alpha coefficient (α). A structural model was developed to assess the contribution of demographic and clinical characteristics to the results. The fit of the model was evaluated and the z test (α = 5%) was used to estimate the significance of the contributions (β).

RESULTS

A total of 505 dental patients (80% female; age: 36.3, SD = 11.4) participated in the study. Data showed adequate validity (CFA: χ /df = 3.3, Tucker-Lewis index [TLI] = 0.92, comparative fit index [CFI] = 0.92 and root mean square error of approximation [RMSEA] = 0.07) and reliability (α = 0.77-0.92). The fit of the structural model was adequate (χ /df = 2.8, TLI = 0.89, CFI = 0.91, RMSEA = 0.06). People of a lower economic level, with incomplete dentition, who did not undergo previous aesthetic dental treatment, and who did not like their own smile showed greater psychosocial impact of dental aesthetics.

CONCLUSIONS

Demographic and clinical characteristics should be considered in the evaluation of the impact of dental aesthetics on individuals'. Moreover, PIDAQ is an alternative tool for clinical evaluation of the psychosocial impact of dental aesthetics because it provides valid and reliable data.

摘要

目的

本研究旨在评估人口统计学和临床特征对牙科美学患者的心理社会影响的贡献。

方法

通过《牙科美学的心理社会影响问卷》(PIDAQ)评估牙科美学的心理社会影响。采用验证性因子分析(CFA)评估数据的有效性。采用标准化 Cronbach's alpha 系数(α)评估可靠性。构建结构模型以评估人口统计学和临床特征对结果的贡献。评估模型的拟合度,并使用 z 检验(α=5%)估计贡献的显著性(β)。

结果

共有 505 名牙科患者(80%为女性;年龄:36.3,标准差=11.4)参与了研究。数据显示具有足够的有效性(CFA:χ/df=3.3,Tucker-Lewis 指数[TLI]=0.92,比较拟合指数[CFI]=0.92 和均方根误差近似值[RMSEA]=0.07)和可靠性(α=0.77-0.92)。结构模型的拟合度尚可(χ/df=2.8,TLI=0.89,CFI=0.91,RMSEA=0.06)。经济水平较低、有部分缺牙、未接受过先前的美学牙科治疗、不喜欢自己笑容的人,其牙科美学的心理社会影响更大。

结论

在评估牙科美学对个体的影响时,应考虑人口统计学和临床特征。此外,PIDAQ 是评估牙科美学心理社会影响的替代临床工具,因为它提供了有效且可靠的数据。

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