Birkeland K, Boe O E, Wisth P J
Department of Orthodontics and Facial Orthopedics, University of Bergen, Norway.
Am J Orthod Dentofacial Orthop. 1996 Aug;110(2):197-205. doi: 10.1016/s0889-5406(96)70109-9.
The aims of the study were to compare the opinions of both the children and the parents with an orthodontist's assessment of treatment need, to investigate the children's self-esteem, and parents' opinion of treatment results. The study group of 359 children (51% girls, 49% boys, mean age 10.6 years) and their parents were asked about their opinions in separate questionnaires. The self-esteem of the children was measured by the global negative self-evaluation scale (GSE). An orthodontist assessed the children's dental casts with the index of Orthodontic Treatment Need (IOTN). Allocated to the dental health component (DHC) of IOTN, 53.2% children had very great to moderate need and 46.8% had little to no need. No sex difference was noted. The children's own assessments of the aesthetic component (AC) of IOTN were closer to the attractive end of the scale than the orthodontist's (p < 0.05). Desire for treatment was more frequent than dissatisfaction with children's occlusion (p < 0.001). The patients' orthodontic concern correlated significantly with both DHC and AC grades (p < 0.001). The children's GSE scores were not correlated to components of IOTN. For children with very great need, high self-esteem was related to orthodontic concern. The parents (90.8%) perceived dental esthetics to be equally important for girls and boys. Most parents (93.0%) thought the results of orthodontic treatment were good. The results indicate meaningful association between orthodontic concern and orthodontic treatment need assessed by IOTN. However, some patients with great need do not express orthodontic concern, whereas others with near ideal occlusion express concern.
该研究的目的是比较儿童及其父母的意见与正畸医生对治疗需求的评估，调查儿童的自尊以及父母对治疗结果的看法。359名儿童（51%为女孩，49%为男孩，平均年龄10.6岁）及其父母参与了研究，他们通过单独的问卷被询问意见。儿童的自尊通过总体负面自我评价量表（GSE）进行测量。正畸医生使用正畸治疗需求指数（IOTN）对儿童的牙模进行评估。在IOTN的口腔健康组成部分（DHC）中，53.2%的儿童有非常大到中度的需求，46.8%的儿童需求很小或没有需求。未发现性别差异。儿童对IOTN美学组成部分（AC）的自我评估比正畸医生更接近量表中吸引人的一端（p<0.05）。希望接受治疗的情况比儿童对咬合的不满更为常见（p<0.001）。患者的正畸关注度与DHC和AC等级均显著相关（p<0.001）。儿童的GSE得分与IOTN的组成部分无关。对于需求非常大的儿童，高自尊与正畸关注度相关。父母（90.8%）认为牙齿美观对女孩和男孩同样重要。大多数父母（93.0%）认为正畸治疗的结果良好。结果表明，正畸关注度与IOTN评估的正畸治疗需求之间存在有意义的关联。然而，一些需求大的患者并未表现出正畸关注度，而另一些咬合近乎理想的患者却表现出了关注度。
