Discipline of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Higher Education Development Centre, University of Otago, Dunedin, New Zealand.
Eur J Orthod. 2022 Aug 16;44(4):369-376. doi: 10.1093/ejo/cjac008.
There is a growing body of evidence emphasizing the importance of research into patient-centred experience in orthodontics. Benefits following orthodontic treatment are mainly related to improved aesthetics and psychosocial outcomes. However, treatment experience from the perspective of orthodontic patients is yet to be fully understood.
To understand the past experiences and current perceptions of treatment outcomes of orthodontic patients.
A qualitative meta-ethnography.
Qualitative studies and mixed-methods articles with a distinct qualitative component presenting patients' perception of outcomes and overall experiences after an active course of orthodontic treatment were included.
Comprehensive electronic searches were conducted in MEDLINE, Scopus, Web of Science, PsycINFO, and EMBASE up to May 2021, supplemented by grey literature and manual searches.
Two independent reviewers were involved in study selection, data extraction, and quality appraisal. The Critical Appraisal Skills Programme tool for qualitative research was used to assess the quality of included studies. Analysis of data was conducted using meta-ethnographic methods.
Out of 801 retrieved search hits, six studies fulfilled the inclusion criteria and were included in the synthesis. The analysis revealed three main themes and associated sub-themes: (1) Reflection on the past treatment experience, (2) Patient satisfaction with treatment outcomes, and (3) Learning to live with retainers.
Results express patients' opinions shortly after treatment, and the long-term impact of orthodontic treatment is yet to be understood.
Orthodontic patients mainly viewed their experiences and treatment results positively. Desirable aesthetic outcomes, psychosocial outcomes, and satisfaction with smiles were often reported in the studies reviewed. However, some barriers to optimal experiences were noticed concerning orthodontic retention.
PROSPERO (CRD42020180121).
越来越多的证据强调了研究正畸患者为中心体验的重要性。正畸治疗后的益处主要与改善美观和心理社会结果有关。然而，正畸患者的治疗体验尚未被充分理解。
了解正畸患者过去的治疗经历和当前对治疗结果的看法。
定性元分析。
纳入了定性研究和混合方法文章，这些文章具有明确的定性部分，展示了正畸治疗后患者对结果和整体体验的看法。
截至 2021 年 5 月，全面检索了 MEDLINE、Scopus、Web of Science、PsycINFO 和 EMBASE 中的电子数据库，并补充了灰色文献和手动检索。
两名独立的审查员参与了研究选择、数据提取和质量评估。使用定性研究的关键评估技巧工具评估纳入研究的质量。使用元分析方法对数据进行分析。
在 801 条检索到的搜索结果中，有 6 项研究符合纳入标准并被纳入综合分析。分析结果显示了三个主要主题和相关的子主题：（1）对过去治疗经历的反思，（2）对治疗结果的满意度，（3）学会佩戴保持器。
结果表达了患者在治疗后不久的意见，正畸治疗的长期影响尚待理解。
正畸患者主要对他们的经历和治疗结果持积极态度。在综述的研究中，经常报告了理想的美观效果、心理社会结果和对笑容的满意度。然而，一些与正畸保持器相关的因素可能会影响治疗体验。
PROSPERO（CRD42020180121）。
