Baseer Mohammad Abdul, Almayah Nawaf Abdulaziz, Alqahtani Khalid Mirae, Alshaye Marwan Ibrahim, Aldhahri Meshari Mohammed
Department of Preventive Dentistry, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
Patient Prefer Adherence. 2021 Dec 2;15:2683-2691. doi: 10.2147/PPA.S343084. eCollection 2021.
The objective of this study is to compare the orthodontic patient's experiences with removable and fixed orthodontic appliances on daily activities, food consumption, and oral symptoms in Riyadh city, Saudi Arabia.
This was a cross-sectional observational study carried out among orthodontic patients. A total of 150 adult patients, including 118 in the fixed orthodontic appliance group and 32 in the removable (Invisalign) orthodontic group, who met the inclusion criteria completed a validated and self-administered questionnaire. In addition, the study participants reported their experience in terms of daily routine, food consumption, and oral symptoms one week after appliance activation. Data were analyzed using the chi-square test and Fisher's exact tests for the categorical variables. In addition, Mann-Whitney U, Kruskal-Wallis, and Spearman's tests were also applied to the data.
The fixed orthodontic patients compared to the removable orthodontic cases showed significantly higher difficulty in sleeping (1.28±1.10 vs 0.94±0.88, p=0.024), sores on the tongue (0.97±1.00 vs 0.56±0.76, p=0.042) and cheeks (1.20±1.11 vs 0.72±0.81, p=0.027), and the presence of food debris under the appliance (1.53±1.16 vs.1.00±0.95, p=0.021). Moreover, the oral health impact score showed a significant positive correlation with the duration of the orthodontic treatment (r=0.339, p<0.001) and pain intensity (r=0.309, p<0.001).
The fixed orthodontic treatment compared to removable orthodontic treatment resulted in more severe pain, sleeping difficulty, sores on the tongue and cheeks, and food impaction after one week of appliance activation.
本研究的目的是比较沙特阿拉伯利雅得市正畸患者使用活动矫治器和固定矫治器在日常活动、食物摄入及口腔症状方面的体验。
这是一项在正畸患者中开展的横断面观察性研究。共有150名成年患者符合纳入标准，其中118名在固定矫治器组，32名在活动（隐适美）矫治器组，他们完成了一份经过验证的自填式问卷。此外，研究参与者在矫治器激活一周后报告了他们在日常生活、食物摄入及口腔症状方面的体验。对分类变量的数据采用卡方检验和Fisher精确检验进行分析。此外，还对数据应用了曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和斯皮尔曼检验。
与活动矫治病例相比，固定矫治患者在睡眠困难方面（1.28±1.10对0.94±0.88，p = 0.024）、舌部溃疡（0.97±1.00对0.56±0.76，p = 0.042）、颊部溃疡（1.20±1.11对0.72±0.81，p = 0.027）以及矫治器下方食物残渣存在情况（1.53±1.16对1.00±0.95，p = 0.021）方面显示出显著更高的难度。此外，口腔健康影响评分与正畸治疗持续时间（r = 0.339，p < 0.001）和疼痛强度（r = 0.309，p < 0.001）呈显著正相关。
与活动正畸治疗相比，固定正畸治疗在矫治器激活一周后导致更严重的疼痛、睡眠困难、舌部和颊部溃疡以及食物嵌塞。
