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患者对正畸治疗长期影响的看法:一项定性研究。

Patients' perspectives of the long-term impact of orthodontic treatment: a qualitative study.

作者信息

Mohammed Hisham, Morsi Ahmed, Wafaie Khaled, Daniel Ben K, Farella Mauro

出版信息

Angle Orthod. 2025 Mar 1;95(2):205-211. doi: 10.2319/031424-216.1.

DOI:10.2319/031424-216.1
PMID:39701134
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11842113/
Abstract

OBJECTIVES

To explore how orthodontic treatment affects different aspects of life, such as self-esteem, well-being, and social interactions and, additionally, to identify the long-term challenges that orthodontic patients experience after treatment.

MATERIALS AND METHODS

This qualitative study involved in-depth semistructured face-to-face interviews. A purposive sampling strategy aimed to recruit a representative cohort of orthodontic patients who had their orthodontic treatment in adolescence and had their treatment concluded at least 5 years previously. Twenty-one patients (13 females and 8 males) were interviewed using a prepiloted topic guide. These interviews were transcribed and analyzed verbatim, using the general inductive method of data analysis.

RESULTS

The thematic analysis revealed four key themes and related subthemes: (1) self-confidence and interpersonal communication, (2) social and professional opportunities, (3) oral health and function, and (4) challenges. In-depth analysis revealed positive treatment outcomes regarding enhanced self-confidence, social interactions, and perceived improvement in oral health and function. It also highlighted ongoing challenges with retainers and dissatisfaction with relapse.

CONCLUSIONS

Orthodontic treatment can significantly impact patient lives. Orthodontic patients described direct long-term positive effects on their social lives and well-being. However, it is equally important to remain mindful of the long-term challenges that may arise after treatment, especially with retainer choices and relapse, enabling proactive measures to mitigate their impact.

摘要

目的

探讨正畸治疗如何影响生活的不同方面,如自尊、幸福感和社交互动,此外,确定正畸患者在治疗后经历的长期挑战。

材料与方法

本定性研究采用深入的半结构化面对面访谈。一项目的抽样策略旨在招募一组具有代表性的正畸患者队列,他们在青少年时期接受了正畸治疗,且治疗结束至少已过去5年。使用预先设计好的主题指南对21名患者(13名女性和8名男性)进行了访谈。这些访谈进行了逐字转录,并采用一般归纳法进行数据分析。

结果

主题分析揭示了四个关键主题及相关子主题:(1)自信与人际沟通,(2)社会和职业机会,(3)口腔健康与功能,(4)挑战。深入分析显示,在增强自信、社交互动以及口腔健康和功能的感知改善方面,治疗取得了积极成果。研究还强调了保持器方面持续存在的挑战以及对复发的不满。

结论

正畸治疗可对患者生活产生重大影响。正畸患者描述了治疗对其社交生活和幸福感产生的直接长期积极影响。然而,同样重要的是要留意治疗后可能出现的长期挑战,尤其是在保持器选择和复发方面,以便采取积极措施减轻其影响。

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本文引用的文献

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A qualitative meta-synthesis of research into patients' past experiences and perceptions of orthodontic treatment outcomes.定性元综合研究:患者对正畸治疗结果的既往经历和看法。
Eur J Orthod. 2022 Aug 16;44(4):369-376. doi: 10.1093/ejo/cjac008.
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Adolescents' perception of malocclusion, their motivations, and expectations concerning the orthodontic treatment. Is it all about attractiveness? A qualitative study.青少年对错颌畸形的感知、他们接受正畸治疗的动机和期望。这一切都是为了美观吗?一项定性研究。
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Am J Orthod Dentofacial Orthop. 2022 Mar;161(3):338-354. doi: 10.1016/j.ajodo.2021.09.009. Epub 2021 Nov 1.
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The impact of orthodontic treatment on choosing a career in dentistry.正畸治疗对选择牙科职业的影响。
Eur J Dent Educ. 2022 Feb;26(1):166-173. doi: 10.1111/eje.12685. Epub 2021 May 4.
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Professional consensus on orthodontic risks: What orthodontists should tell their patients.正畸风险的专业共识:正畸医生应该告诉患者的内容。
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The evolution of self-esteem before, during and after orthodontic treatment in adolescents with dental malocclusion, a prospective cohort study.青少年错颌畸形正畸治疗前后自尊的变化:一项前瞻性队列研究。
Eur J Orthod. 2020 Jun 23;42(3):257-262. doi: 10.1093/ejo/cjz048.
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Factors influencing adherence to vacuum-formed retainer wear: A qualitative study.影响真空成型保持器佩戴依从性的因素:一项定性研究。
J Orthod. 2019 Sep;46(3):212-219. doi: 10.1177/1465312519851196. Epub 2019 May 31.
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Perceptions of outcomes of orthodontic treatment in adolescent patients: a qualitative study.青少年患者对正畸治疗效果的认知:一项定性研究。
Eur J Orthod. 2019 May 24;41(3):294-300. doi: 10.1093/ejo/cjy071.
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Accounts of bullying on Twitter in relation to dentofacial features and orthodontic treatment.关于推特上与牙颌面特征和正畸治疗相关的霸凌行为的报道。
J Oral Rehabil. 2017 Apr;44(4):244-250. doi: 10.1111/joor.12487.
10
The impact of orthodontic treatment on quality of life and self-esteem in adult patients.正畸治疗对成年患者生活质量和自尊的影响。
Eur J Orthod. 2015 Jun;37(3):233-7. doi: 10.1093/ejo/cju047. Epub 2014 Sep 11.