固支加固正畸患者口腔健康相关生活质量评价

Nfm Nor, SD Sinniah, MM Dasor
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摘要

目的:评价正畸患者口腔健康相关生活质量(OHRQoL)。经腭弓(TPA)、改良TPA- nance (TPA- nance)和mini-implant (MI)。材料与方法:本研究在泰国国立玛拉理工大学牙科学院、Sungai Buloh和Puncak Perdana校区进行。选取年龄在18 ~ 30岁之间有支具需求的正畸患者36例。研究对象被平均分为三组,其中包括28名女性和8名男性。采用改良的口腔健康影响量表(S-OHIP-14)评估患者对固支剂补充的口腔健康相关生活质量(OHRQoL)。问卷在两个时间点进行,即分配锚固剂插入前(T0)和分配锚固剂插入一周后(T1)。结果:3个支具组在OHIP-14问卷功能限制、身体疼痛、心理不适、身体残疾、心理残疾、社交残疾、障碍域等方面比较,差异均无统计学意义(p>0.05)。结论:支抗加固治疗期间的OHRQoL模式非常相似。这表明TPA、TPA- nance和MI对患者的OHRQoL没有影响。研究期间观察到的OHRQoL趋势可以传达给患者,并用于提高患者的依从性,因为他们了解整个治疗过程。
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Oral Health Related Quality of Life Assessment in Orthodontic Patients with Anchorage Reinforcement
Objectives: To assess oral health related quality of life (OHRQoL) among orthodontic patients who had been allocated into three methods of orthodontic anchorage; transpalatal arch (TPA), modified TPA-Nance (TPA-Nance) and mini-implant (MI). Materials and Methods: This study was conducted in Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh and Puncak Perdana campus. Thirty-six orthodontic patients with anchorage requirement between 18 and 30 years old were recruited. The subjects were equally divided into three groups, which included 28 females and 8 males. The assessment of patients’ oral health related quality of life (OHRQoL) towards the anchorage supplementation using modified oral health impact profile (S-OHIP-14) questionnaires were carried out. The questionnaire was given at two time points, which was before the insertion of the allocated anchorage regime (T0) and after a week of insertion of the allocated anchorage regime (T1). Results: There was no statistical significant difference on functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap domains of OHIP-14 questionnaire between the three anchorage groups (p>0.05). Conclusion: The OHRQoL patterns, during the treatment with the anchorage reinforcement were very similar. This suggests that TPA, TPA-Nance and MI do not affect patients’ OHRQoL. The OHRQoL trends observed during the study can be communicated to patients and used to increase patients’ compliance since they are made aware of the whole treatment process.
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