Jenny J, Cons N C, Kohout F J
Community Dent Oral Epidemiol. 1983 Aug;11(4):236-41. doi: 10.1111/j.1600-0528.1983.tb01884.x.
Scores for three malocclusion indices (HLD, TPI and OI) and Orthodontist Judgment (OJ) were available for the 100 orthodontic study models utilized in the development of SASOC, the Social Acceptability Scale of Occlusal Conditions. The ability of SASOC to predict need for treatment using OJ as a standard was compared to the ability of HLD, TPI and OI to predict OJ's decisions. In addition, determinations of need for treatment of each of the 100 models using HLD, OI and OJ were compared to SASOC's rankings for the public's perceptions of aesthetic acceptability. Finally, the agreement of HLD, OI and OJ with each other in assessing need for treatment was compared. Results indicated: 1) that SASOC's, HLD's, TPI's and OI's "hit rate" in predicting OJ ranged between 73% and 81%; 2) HLD's, OI's and OJ's assessment of malocclusion paralleled lay perceptions of aesthetic acceptability (SASOC), and 3) there were differences of agreement among HLD, OI and OJ as to which cases had a definite need for treatment. There was more agreement on cases which did not have a definite need for treatment than on those which did. A tool which assesses only the aesthetic component of occlusal configurations was judged to be more suitable in the study of the social and psychological impact of malocclusion than indices and orthodontist judgment which include professional criteria as well as aesthetics in their assessments of malocclusion.
在咬合状况社会可接受性量表（SASOC）的开发过程中，对用于研究的100个正畸模型，获取了三个错颌指数（HLD、TPI和OI）以及正畸医生判断（OJ）的评分。将SASOC以OJ为标准预测治疗需求的能力，与HLD、TPI和OI预测OJ决策的能力进行了比较。此外，还比较了使用HLD、OI和OJ对100个模型中每个模型的治疗需求判定结果，与SASOC关于公众对美学可接受性认知的排名。最后，比较了HLD、OI和OJ在评估治疗需求方面相互之间的一致性。结果表明：1）SASOC、HLD、TPI和OI在预测OJ方面的“命中率”在73%至81%之间；2）HLD、OI和OJ对错颌的评估与公众对美学可接受性的认知（SASOC）平行，3）HLD、OI和OJ在哪些病例有明确治疗需求的判定上存在一致性差异。对于没有明确治疗需求的病例，达成的共识比有明确治疗需求的病例更多。在错颌的社会和心理影响研究中，一种仅评估咬合形态美学成分的工具，被认为比那些在评估错颌时既包括专业标准又包括美学因素的指数和正畸医生判断更合适。
