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正畸治疗后拔牙与非拔牙病例的鉴别特征:一项横断面研究。

Distinguishing Profiles of Extraction Versus Non-extraction Cases Post-orthodontic Treatment: A Cross-Sectional Study.

作者信息

Qali Mohammad, Alsaraf Samaa, Alsaegh Hashem

机构信息

Surgical Sciences, College of Dentistry, Health Sciences Center, Kuwait University, Kuwait, KWT.

Dentistry, Ministry of Health, Kuwait, KWT.

出版信息

Cureus. 2024 Oct 18;16(10):e71787. doi: 10.7759/cureus.71787. eCollection 2024 Oct.

DOI:10.7759/cureus.71787
PMID:39559615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570426/
Abstract

OBJECTIVES

It has been proposed that ideal esthetics are executed once the face, arch, and tooth forms are in consensus. While the profile can provide valuable insights into orthodontic treatment outcomes, it may not always be sufficient to definitively differentiate between cases treated with and without extractions. This raises the aim of the study to assess if dentists are able to differentiate between extraction and non-extraction orthodontic cases depending on the profile photographs of patients post-orthodontic treatment.

MATERIALS AND METHODS

This study was a retrospective cross-sectional survey among general dentists and dental specialists. A sample of 151 participants was approached through a multi-stage random sampling method. The statistical analysis for the study was conducted using chi-square tests of goodness of fit, Pearson chi-square, and the McNemar test.

RESULTS

Both orthodontists and other specialties performed significantly well in characterizing the cases. Orthodontists also performed significantly better than other dental specialties.

CONCLUSION

The present study challenges the initial hypothesis that dentists are unable to identify tooth extraction based on photographs. The findings reveal that both orthodontists and dentists from other specialties demonstrated a statistically significant ability to identify these characteristics from photographic evidence.

摘要

目的

有人提出,一旦面部、牙弓和牙齿形态达成一致,就能实现理想的美学效果。虽然侧面轮廓可以为正畸治疗结果提供有价值的见解,但它可能并不总是足以明确区分拔牙和不拔牙治疗的病例。这就提出了本研究的目的,即评估牙医是否能够根据正畸治疗后患者的侧面照片区分拔牙和不拔牙的正畸病例。

材料与方法

本研究是一项针对普通牙医和牙科专家的回顾性横断面调查。通过多阶段随机抽样方法选取了151名参与者作为样本。使用拟合优度卡方检验、Pearson卡方检验和McNemar检验对研究进行统计分析。

结果

正畸医生和其他专业人员在病例特征描述方面表现都非常出色。正畸医生的表现也明显优于其他牙科专业。

结论

本研究对最初的假设提出了挑战,即牙医无法根据照片识别拔牙情况。研究结果表明,正畸医生和其他专业的牙医都表现出从照片证据中识别这些特征的统计学显著能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/e45bc511f35e/cureus-0016-00000071787-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/c4ba55d42307/cureus-0016-00000071787-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/5be105b8b7b5/cureus-0016-00000071787-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/232ad9d2d754/cureus-0016-00000071787-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/e45bc511f35e/cureus-0016-00000071787-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/c4ba55d42307/cureus-0016-00000071787-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/5be105b8b7b5/cureus-0016-00000071787-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/232ad9d2d754/cureus-0016-00000071787-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c135/11570426/e45bc511f35e/cureus-0016-00000071787-i04.jpg

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本文引用的文献

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Profile changes of patients treated with and without premolar extractions.接受和未接受前磨牙拔除治疗的患者的轮廓变化。
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Interdisciplinary management of anterior dental esthetics.前牙美学的多学科管理
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