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评价和比较研究在儿童人群中,透明矫正器和传统矫正器对口腔健康相关生活质量的影响:一项横断面研究。

Evaluation and comparative assessment of clear aligners and conventional appliances on oral health-related quality of life in pediatric populations: a cross-sectional study.

机构信息

Department of Stomatology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, 322000 Yiwu, Zhejiang, China.

Department of Dental Implant, Yiwu Stomatological Hospital, 322000 Jinhua, Zhejiang, China.

出版信息

J Clin Pediatr Dent. 2024 Jul;48(4):61-67. doi: 10.22514/jocpd.2024.079. Epub 2024 Jul 3.

Abstract

This study was designed to evaluate and compare the usefulness of clear aligners and conventional appliances on Oral Health-Related Quality of Life (OHRQoL) in pediatric population. Emphasis was placed on the relative benefits and implications of employing clear aligners owing to their escalating prevalence and acceptability. The study participants were divided into four groups: Clear Aligner Group (CAG), Conventional Appliance Group (ConAG), Malocclusion Control Group (MCG), and Normal Control Group (NCG). Parameters including sociodemographic indicators and daily routines were assessed. OHRQoL was evaluated the Child Perceptions Questionnaire (CPQ). Psychological conditions were assessed through the Depression, Anxiety and Stress Scale (DASS). Statistical differences were found between the four groups regarding CPQ subscales and total scores ( < 0.05). CAG was better than ConAG ( < 0.05) regarding the scores of functional limitations, emotional and social well-being, and total score, however no significant difference was discovered in the oral symptoms scores ( = 0.62). Moreover, all the treatment groups had worse OHRQoL compared to NCG ( < 0.05). Malocclusions and their treatments did not increase the psychological distress as per the DASS results. A novel correlation between the excessive tooth brushing and reduced OHRQoL was also observed ( < 0.05). The study herein emphasized the benefits of clear aligners in children and adolescents with OHRQoL. It was highlighted that the clear aligners had potential and were preferred for the adolescent orthodontic treatment.

摘要

本研究旨在评估和比较透明牙套和传统矫正器对儿童口腔健康相关生活质量(OHRQoL)的作用。特别强调了由于透明牙套日益普及和可接受性,使用透明牙套的相对益处和影响。研究参与者被分为四组:透明牙套组(CAG)、传统矫正器组(ConAG)、错颌畸形对照组(MCG)和正常对照组(NCG)。评估了社会人口统计学指标和日常生活常规等参数。采用儿童感知问卷(CPQ)评估 OHRQoL。通过抑郁、焦虑和压力量表(DASS)评估心理状况。CPQ 子量表和总分在四组之间存在统计学差异(<0.05)。在功能障碍、情绪和社会福祉以及总分方面,CAG 优于 ConAG(<0.05),但口腔症状评分无显著差异(=0.62)。此外,所有治疗组的 OHRQoL 均较 NCG 差(<0.05)。根据 DASS 结果,错颌畸形及其治疗并未增加心理困扰。还观察到过度刷牙与 OHRQoL 降低之间存在新的相关性(<0.05)。本研究强调了透明牙套对儿童和青少年 OHRQoL 的益处。突出了透明牙套在青少年正畸治疗中的潜力和优势。

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