Ma Yanning, Liu Xulin, Cheng Yuxun, Zhang Ruoyan, Zhang Xu, Zhang Mingxin, Gao Jie, Jin Zuolin
Department of Orthodontics, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, School of Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, the Fourth Military Medical University, Xi'an, Shaanxi, 710000, China.
Shanxi Medical University School and Hospital of Stomatology, Taiyuan, China.
BMC Oral Health. 2025 May 5;25(1):687. doi: 10.1186/s12903-025-05739-3.
Clinical supervision of clear aligner treatment in extraction patients is essential during the long process of follow-up period. However, there is insufficient clinical guidance available to define the key points of a standard examination for clinical supervision.
An initial index system was constructed based on a comprehensive literature review. The final indexes to be used in the system were determined through Delphi process. Weightings for the final index system were determined using the Analytic Hierarchy Process (AHP), which required the development of a judgment matrix to assess the relative significance of each index through pairwise comparisons.
A tiered indexing system was created, consisting of two primary indexes, 10 secondary indexes, and 30 tertiary indexes. The expert authority coefficient (Cr) was 0.89 for the first round of consultation and 0.91 for the second round. The weighting values for the first-level indexes 'tooth movement' and 'dentofacial health' were 0.38215 and 0.61785, respectively, thus indicating that dentofacial health holds greater importance.
We integrated both qualitative and quantitative analyses to establish a novel index system for clinical supervision of clear aligner treatment in extraction patients to reduce the incidence of complications.
在拔牙患者的隐形矫治治疗漫长随访过程中，临床监督至关重要。然而，目前缺乏足够的临床指导来界定临床监督标准检查的关键点。
基于全面的文献综述构建初始指标体系。通过德尔菲法确定该体系中最终使用的指标。使用层次分析法（AHP）确定最终指标体系的权重，这需要构建一个判断矩阵，通过两两比较来评估每个指标的相对重要性。
创建了一个分层指标体系，包括两个一级指标、10个二级指标和30个三级指标。第一轮咨询的专家权威系数（Cr）为0.89，第二轮为0.91。一级指标“牙齿移动”和“牙颌面健康”的权重值分别为0.38215和0.61785，这表明牙颌面健康更为重要。
我们综合定性和定量分析，建立了一种用于拔牙患者隐形矫治治疗临床监督的新型指标体系，以降低并发症的发生率。
