Xiang Jie, Luo Min, Liu Jiaqi, Zheng Yunhao, Xiong Xin, Du Shufang, Wang Jun
Angle Orthod. 2025 May 1;95(3):296-303. doi: 10.2319/083124-719.1.
To determine acceptance of potential risks in orthodontic treatment and whether it could be affected by personality traits of patients.
Two hundred sixty-one adult participants consulting for orthodontic treatment were involved in this cross-sectional study. Acceptance of 18 orthodontic risks was investigated with a structured questionnaire. Personality traits of included patients were assessed with a validated Chinese version of the Big Five Inventory. Statistical analyses were performed as appropriate, and potential correlations were identified using multivariate binary logistic regression analysis.
Acceptability of the investigated orthodontic risks ranged from 47.1% to 87.0%, with periodontitis being the least accepted. Length of treatment (P = .015) and relapse (P = .007) were more unacceptable to older patients. Female participants showed less tolerance to periodontitis (P = .017) than male counterparts. Among the five dimensions of personality traits, conscientiousness was significantly associated with acceptance of tooth extraction and associated risks (odds ratio [OR] = 1.131, P = .002), problems eating (OR = 1.182, P < .001), problems speaking (OR = 1.111, P = .022), and appliance breakage (OR = 1.109, P = .008), while openness was a significant predictor to the acceptance of length of treatment (OR = 1.090, P = .044).
Among patients seeking orthodontic treatment, periodontitis was the least accepted risk. A significant association was found between the acceptance of certain orthodontic risks and personality traits, especially conscientiousness and openness.
确定正畸治疗中潜在风险的可接受性，以及其是否会受到患者个性特征的影响。
261名咨询正畸治疗的成年参与者参与了这项横断面研究。通过结构化问卷调查了对18种正畸风险的接受情况。使用经过验证的中文版大五人格量表评估纳入患者的个性特征。进行了适当的统计分析，并使用多元二元逻辑回归分析确定潜在的相关性。
所调查的正畸风险的可接受性范围为47.1%至87.0%，其中牙周炎的接受度最低。年龄较大的患者对治疗时间（P = 0.015）和复发（P = 0.007）的接受度较低。女性参与者对牙周炎的耐受性低于男性参与者（P = 0.017）。在个性特征的五个维度中，尽责性与接受拔牙及相关风险（优势比[OR] = 1.131，P = 0.002）、进食问题（OR = 1.182，P < 0.001）、说话问题（OR = 1.111，P = 0.022）和矫治器损坏（OR = 1.109，P = 0.008）显著相关，而开放性是治疗时间接受度的显著预测因素（OR = 1.090，P = 0.044）。
在寻求正畸治疗的患者中，牙周炎是最不被接受的风险。发现某些正畸风险的接受度与个性特征之间存在显著关联，尤其是尽责性和开放性。
