Kilpeläinen P V, Phillips C, Tulloch J F
Department of Orthodontics, University of Kuopio, Finland.
Angle Orthod. 1993 Fall;63(3):171-4. doi: 10.1043/0003-3219(1993)063<0171:ATPAMF>2.0.CO;2.
During 1989-90, 473 parents of children being screened at an orthodontic graduate clinic completed a self-report form about the child's dental/facial appearance, reasons for seeking care and referral paths. Almost all (85%) of the 313 parents of children under the age of 16 years expressed concern about the appearance of the child's teeth, and 44% reported the child had been teased about this. Only 14% of the parents reported that it was the child who had first noticed the need for treatment. The rank order of reasons for seeking treatment were appearance of teeth (85%), advice of dentist (73%), and appearance of face (46%). Using logistic regression, overjet and malalignment were observed to be significant predictors of the parent-report of the child being teased (odds ratios, OR, 5.5 and 2.4, respectively). Overjet predicted citing facial appearance as the reason for seeking treatment (OR 2.9), while age predicted patient-referral (OR 2.2) and overjet predicted parental referral (OR 3.0). Increased overjet is an important focus for early treatment and might accordingly be expected to influence the value of early intervention.
在1989 - 1990年期间，473名在正畸研究生诊所接受筛查的儿童的家长填写了一份关于孩子牙齿/面部外观、寻求治疗的原因及转诊途径的自我报告表。在16岁以下儿童的313名家长中，几乎所有（85%）都对孩子的牙齿外观表示担忧，44%的家长报告孩子因此受到过嘲笑。只有14%的家长表示是孩子自己首先意识到需要治疗。寻求治疗的原因排序为牙齿外观（85%）、牙医建议（73%）和面部外观（46%）。通过逻辑回归分析发现，覆盖和牙齿排列不齐是孩子被嘲笑的家长报告的显著预测因素（比值比分别为5.5和2.4）。覆盖是将面部外观作为寻求治疗原因的预测因素（比值比为2.9），年龄是患者转诊的预测因素（比值比为2.2），覆盖是家长转诊的预测因素（比值比为3.0）。增加的覆盖是早期治疗的一个重要关注点，因此可能会影响早期干预的价值。
