Marañón-Vásquez Guido Artemio, Barreto Luísa Schubach da Costa, Pithon Matheus Melo, Nojima Lincoln Issamu, Nojima Matilde da Cunha Gonçalves, Araújo Mônica Tirre de Souza, Souza Margareth Maria Gomes de
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Health I, School of Dentistry, Southwest Bahia State University, Bahia, Brazil.
Korean J Orthod. 2021 Mar 25;51(2):115-125. doi: 10.4041/kjod.2021.51.2.115.
To evaluate the reasons influencing the preferences for a certain type of orthodontic appliance over another among prospective patients (PP) and orthodontists.
A total of 49 PP and 51 orthodontists were asked about their preferences for the following appliances: clear aligners (CA), lingual metallic brackets (LMB), polycrystalline and monocrystalline ceramic brackets, and buccal metallic brackets (BMB). The participants rated the importance of 17 potential reasons that would explain their choices. The reasons that contributed most to these preferences were identified. Non-parametric tests (Fisher's exact, χ and Mann-Whitney tests) and multivariate analyses (regression and discriminant analysis) were used to assess the data (α = 0.05).
CA and BMB were the most chosen appliances by PP and orthodontists, respectively. LMB was the most rejected option among both groups of participants ( < 0.001). Rates of the importance of pain/discomfort, smile esthetics, finishing details, and feeding/speech impairment showed the highest differences between PP and orthodontists ( < 0.0005). Discriminant analyses showed that individuals who considered treatment time and smile esthetics as more important were more likely to prefer CA, while those who prioritized finishing details and cost were more likely to choose BMB ( < 0.05).
Reasons related to comfort and quality of life during use were considered as more important by PP, while those related to the results and clinical performance of the appliances were considered as more relevant by orthodontists.
评估影响准患者（PP）和正畸医生对某种正畸矫治器偏好超过另一种的原因。
共询问了49名PP和51名正畸医生对以下矫治器的偏好：透明矫治器（CA）、舌侧金属托槽（LMB）、多晶和单晶陶瓷托槽以及颊侧金属托槽（BMB）。参与者对17个可能解释其选择的潜在原因的重要性进行评分。确定了对这些偏好贡献最大的原因。使用非参数检验（Fisher精确检验、χ检验和Mann-Whitney检验）和多变量分析（回归和判别分析）来评估数据（α = 0.05）。
CA和BMB分别是PP和正畸医生最常选择的矫治器。LMB是两组参与者中最被拒绝的选项（< 0.001）。疼痛/不适、微笑美观、矫治细节以及进食/言语障碍的重要性评分在PP和正畸医生之间差异最大（< 0.0005）。判别分析表明，认为治疗时间和微笑美观更重要的个体更倾向于选择CA，而将矫治细节和成本列为优先考虑因素的个体更有可能选择BMB（< 0.05）。
PP认为与使用过程中的舒适度和生活质量相关的原因更为重要，而正畸医生则认为与矫治器的效果和临床性能相关的原因更为重要。
