Qu Honglei, Yang Yang, Tian Yi, Li Zhibang, Sun Lijuan, Chen Faming, Tian Beimin
State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, School of Stomatology, the Fourth Military Medical University, Xi'an 710032, China.
Department of Oral and Maxillofacial Surgery, The 940th Hospital of Joint Logistics Support Force of PLA, Lanzhou 730050, China.
J Zhejiang Univ Sci B. 2023 Sep 23;24(10):896-904. doi: 10.1631/jzus.B2200617.
This study investigated the perceptions and medical history of third molars (M3s) and assessed the prevalence of visible M3s (V-M3s) among 904 Chinese adults. The enrolled participants were interviewed to complete a structural questionnaire focused on sociodemographic information and their understanding of, attitudes toward, behaviors regarding, and medical history with respect to M3s. In addition, the number of V-M3s in the cohort was determined by oral examination. Logistic regression analysis was performed to explore the association between individuals' sociodemographic characteristics and their perception of M3s or the presence of V-M3s. The Chi-square test was used to compare the actions taken against symptomatic M3s and the corresponding outcomes among different groups divided according to respondents' sociodemographic factors. In total, 904 completed questionnaires were gathered and analyzed. Nearly half (43.9%) of the respondents knew nothing about M3s, and only 12.7% provided correct answers to all the questions asked. Male sex, older age, occupation involving physical labor, and no previous dental experience were active factors in unawareness of M3s. Male sex was also significantly associated with the presence of at least one V-M3 and negative behavior about symptomatic M3s. In terms of medical history, 192 participants reported having had at least one M3 extracted (438 in total), and 72.6% of the M3s were removed due to the presence of related symptoms or pathologies. In conclusion, the population investigated had a shortage of knowledge about M3s and adopted negative attitudes and actions about M3-related problems.
本研究调查了第三磨牙(M3)的认知情况和病史,并评估了904名中国成年人中可见第三磨牙(V-M3)的患病率。对纳入的参与者进行访谈,以完成一份结构化问卷,该问卷聚焦于社会人口统计学信息以及他们对M3的理解、态度、行为和病史。此外,通过口腔检查确定队列中V-M3的数量。进行逻辑回归分析,以探讨个体的社会人口统计学特征与他们对M3的认知或V-M3存在之间的关联。采用卡方检验比较针对有症状M3采取的措施以及根据受访者社会人口统计学因素划分的不同组之间的相应结果。总共收集并分析了904份完整问卷。近一半(43.9%)的受访者对M3一无所知,只有12.7%的人对所有问题都给出了正确答案。男性、年龄较大、从事体力劳动的职业以及以前没有看牙经历是对M3认知不足的积极因素。男性也与至少一颗V-M3的存在以及对有症状M3的消极行为显著相关。在病史方面,192名参与者报告至少拔除过一颗M3(总共438颗),72.6%的M3因存在相关症状或病变而被拔除。总之,所调查的人群对M3缺乏了解,对与M3相关的问题采取消极态度和行动。