成人正畸患者的动机、感知和行为：一项调查分析。
Motivation, Perception, and Behavior of the Adult Orthodontic Patient: A Survey Analysis.
机构信息
Department of Health, Life and Environmental Science, University of L'Aquila, Piazza Salvatore Tommasi, 67100 L'Aquila, Italy.
Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
出版信息
Biomed Res Int. 2022 Mar 4;2022:2754051. doi: 10.1155/2022/2754051. eCollection 2022.
PURPOSE
The article is aimed at improving the understanding of the sociocultural profile of adult orthodontic patients and their expectations. In particular, it addresses three main aspects: the motivation and needs that underpin the decision to start orthodontic treatment, how it influences the patients' daily life, and the different oral hygiene demands.
MATERIALS AND METHODS
An online survey was completed by 276 patients undergoing orthodontic treatment with different techniques. The questions asked concerned gender, age, type of appliance, any previous orthodontic treatments, type of any previous retainers, reasons for therapy, satisfaction, pain, problems in eating, daily number of teeth brushings and flossings before and during the treatment, perception of cost, sensation of visibility of the appliance, and if they would recommend orthodontic treatment.
RESULTS
A significant role within our sample is played by gender; 87.94% consisted of female patients out of which 72.57% wanted to improve their aesthetics, while only 54.84% of male patients cited the same reason. Invisible aligners were preferred by 67.70% of the patients due to them being considered the least painful, causing the fewest problems with eating, and the least visible. Metal braces were perceived as the less expensive treatment. Over a third of the patients (33.85%) had previously undergone orthodontic treatment, among them 54.05% wore a mobile retainer, 31.08% a fixed one, and 14.86% both. Daily tooth brushing and flossing increased during therapy with clear aligners by 48.94% and 126.39%, respectively.
CONCLUSIONS
The greatest demand for orthodontic treatments comes from women, as they pay more attention to aesthetics, which makes the clear aligners the most common choice. The relapse after orthodontic treatment seems to cause a higher demand for retreatment, and oral hygiene habits significantly improve during orthodontic treatment, especially with the clear aligners.
目的
本文旨在提高对成人正畸患者的社会文化特征及其期望的理解。具体而言，它涉及三个主要方面：决定开始正畸治疗的动机和需求、它如何影响患者的日常生活以及不同的口腔卫生需求。
材料和方法
对 276 名接受不同技术正畸治疗的患者进行了在线调查。问题涉及性别、年龄、矫治器类型、是否有过正畸治疗、以前使用的保持器类型、治疗原因、满意度、疼痛、进食问题、治疗前后每天刷牙和使用牙线的次数、对费用的感知、矫治器可见度的感觉以及是否会推荐正畸治疗。
结果
在我们的样本中，性别起着重要作用；87.94%的患者为女性，其中 72.57%的患者希望改善美观，而只有 54.84%的男性患者有同样的原因。由于隐形矫治器被认为是最不痛、对进食影响最小、最不显眼的，因此 67.70%的患者更喜欢隐形矫治器。超过三分之一的患者（33.85%）之前接受过正畸治疗，其中 54.05%佩戴活动保持器，31.08%佩戴固定保持器，14.86%同时佩戴两种保持器。使用透明牙套进行正畸治疗时，患者每天刷牙和使用牙线的次数分别增加了 48.94%和 126.39%。
结论
对正畸治疗的最大需求来自女性，因为她们更注重美观，这使得隐形矫治器成为最常见的选择。正畸治疗后的复发似乎导致了更高的再治疗需求，而且口腔卫生习惯在正畸治疗期间明显改善，尤其是使用透明牙套时。
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