Faculty of Medicine, University of Salamanca, Salamanca, Spain.
BMC Oral Health. 2024 Jun 27;24(1):745. doi: 10.1186/s12903-024-04464-7.
In recent years, the demand for orthodontic treatment with aligners has increased, led by patient need, as aligners typically provide them with improved aesthetics and less physical discomfort. In deciding with the patient on an appropriate orthodontic system, it is important to take into account the potential discomfort and the perceptions that patients have in relation to their treatment. The objective of this study was to analyze the influence of brackets or aligners on oral health-related quality of life (OHRQoL) and anxiety levels in a sample of adult patients during the first month of treatment.
The pilot study was carried out at the Dental Clinic of the University of Salamanca between November 2023 and February 2024. Eighty adult patients who initiated orthodontic treatment were selected and divided into two groups: the brackets group (Victory®; 3 M Unitek, California, USA) (n = 40) and the aligners group (Invisalign®; Align Technology, California, USA) (n = 40). OHRQoL was analyzed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, and anxiety was analyzed using the State-Trait Anxiety Inventory (STAI). The follow-up time was one month, with scores recorded at the beginning (T0) and one month after starting treatment (T1).
The mean patient age was 33.70 (± 5.45) years old. The total sample (n = 80) consisted of 66.2% men and 33.8% women. In the brackets group, one month after starting treatment, the dimension with the highest impact was that of physical pain (5.62 ± 1.51). In the aligners group, where the dimension of psychological disability had the highest score (4.22 ± 1.02). In the brackets group the total OHIP score was higher at one month (T1) (33.98 ± 6.81) than at the start of treatment (T0) (21.80 ± 3.34); this greater impact on OHRQoL one month after starting treatment was not observed in the aligners group (T1 = 27.33 ± 6.83; T0 = 27.33 ± 6.22). The orthodontic system used did not influence participants' anxiety (p > 0.05). Age and sex were not influential factors in either OHRQoL or anxiety.
The bracket system significantly influenced patients' OHRQoL. In the sample studied, no influence of the orthodontic system (brackets versus aligners) on anxiety was observed.
近年来，由于患者需求的推动，对牙套正畸治疗的需求有所增加，牙套通常能为患者提供更好的美观度和更少的身体不适。在与患者共同选择合适的正畸系统时，需要考虑到潜在的不适感以及患者对治疗的看法。本研究的目的是分析在治疗的第一个月内，牙套或隐形牙套对成年患者口腔健康相关生活质量（OHRQoL）和焦虑水平的影响。
该初步研究于 2023 年 11 月至 2024 年 2 月在萨拉曼卡大学牙科诊所进行。选择了 80 名开始正畸治疗的成年患者，并将他们分为两组：牙套组（Victory®；3M Unitek，加利福尼亚，美国）（n=40）和隐形牙套组（Invisalign®；Align Technology，加利福尼亚，美国）（n=40）。使用口腔健康影响简表-14（OHIP-14）问卷分析 OHRQoL，使用状态-特质焦虑量表（STAI）分析焦虑。随访时间为一个月，在治疗开始时（T0）和治疗开始一个月后（T1）记录分数。
患者平均年龄为 33.70（±5.45）岁。总样本（n=80）由 66.2%的男性和 33.8%的女性组成。在牙套组中，治疗一个月后，身体疼痛维度的影响最大（5.62±1.51）。在隐形牙套组中，心理障碍维度的得分最高（4.22±1.02）。在牙套组中，一个月后（T1）的总 OHIP 评分（33.98±6.81）高于治疗开始时（T0）（21.80±3.34）；而在隐形牙套组中，治疗一个月后（T1=27.33±6.83；T0=27.33±6.22）并没有观察到 OHRQoL 受到更大的影响。正畸系统的使用并没有影响参与者的焦虑（p＞0.05）。年龄和性别对 OHRQoL 或焦虑均无影响因素。
牙套系统显著影响了患者的 OHRQoL。在研究样本中，没有观察到正畸系统（牙套与隐形牙套）对焦虑的影响。
