摘要
目的:调查研究错牙合畸形对五家渠市初中生社会心理的影响。方法:对五家渠市390名汉族初中生,男193人,女197人,平均年龄14.08±0.84岁。进行牙科审美社会心理影响量表(PIDAQ中文版)问卷调查。按照错牙合畸形切牙分类法标准和个别正常牙合标准进行检查登记,分成5组:切牙I类组、切牙II1分类组、切牙II2分类组、切牙III类组和个别正常牙合组。采用Kruskal-Wallis H秩和检验进行数据分析。结果:在社会影响方面,除了切牙III类与个别正常牙合组得分有统计学差异外(P<0.0125),与其余3组比较均无统计学差异(P>0.0125),切牙III类组比个别正常牙合组得分高4分。在审美态度方面,除了切牙III类与切牙II1分类组得分无统计学差异外(P>0.0125),与其余3组比较均有统计学差异(P<0.0125),切牙III类组比切牙I类组高3分,比切牙II2分类组高2.5分,比个别正常牙合组高4分。在牙齿自信方面,除了切牙III类与个别正常牙合组得分有统计学差异外(P<0.0125),与其余3组比较均无统计学差异(P>0.0125),切牙III类组比个别正常牙合组得分低4分。结论:错牙合畸形对初中生社会心理存在一定的不良影响,特别是错牙合畸形加重了初中生的社会影响,降低了其牙齿自信,切牙II1分类和切牙III类加重了初中生的审美态度影响。鼓励患有错牙合畸形的初中生尽早进行正畸治疗,对可能出现的心理问题及时进行疏导和干预。
Objective：To investigate psychosocial impacts of malocclusion on junior high school students. Method：Nine classes were randomly sampled from the only two junior high schools in Wujiaqu city. There were 390 junior high school students（193 boys,197 girls）. They are all Han people with mean age of 14.08±0.84 years,age range of 11.49~16.55 years. And they were assigned to the five groups through clinical assessment according to Incisor Classification and individual normal occlusion criterion. The five groups represented were individual normal occlusion as well as incisor Class I,Class II/1,Class II/2,Class III malocclusion and individual normal occlusion group. Then,psychosocial impacts were assessed using Psychosocial Impact of Dental Aesthetics Questionnaire among all the subjects. Statistical analysis involved KruskalWallis H test. Result：In terms of social impact,after comparing the other 4 groups with incisor class III group,there was statistical significance（P 〈 0.0125）between incisor class III group and individual normal occlusion group. There was no statistical significance（P 〉 0.0125）between incisor class III group and the other 3 groups. Incisor class III group was 4 points higher than individual normal occlusion group. In terms of aesthetic concern,after comparing the other 4 groups with incisor class III group,there was no statistical significance（P 〉 0.0125） between incisor class III group and incisor class II/1group. There wasstatistical significance（P 〈 0.0125）between incisor class III group and the other 3 groups. Incisor class III group was 3 points higher than incisor class I group,2.5 points higher than incisor class II/2 group,4 points higher than individual normal occlusion group. In terms of dental self-confidence,after comparing the other 4 groups with incisor class III group,there was statistical significance（P 〈 0.0125） between incisor class III group and individual normal occlusion group. There was no statistical significance（P 〉 0.0125）between incisor class III group and the other 3 groups. Incisor class III group was 4 points lower than individual normal occlusion group. Conclusion：Malocclusion has a certain adverse impact on social psychology of junior middle school students. Especially malocclusion increased their social impact,reduced their dental self-confidence,incisor class II 1 and incisor class III increased their aesthetic concern impact. The effect of incisor class II1 on female social impact and aesthetic attitude was more serious,the effect of incisor class III on female aesthetic attitude is more serious,men in incisor class II2 group were more confident of their teeth than women. Encourage junior middle school students with malocclusion to receive orthodontic treatment as soon as possible,give guidance and intervention to the psychological problems that may occur in time.
出处
《临床口腔医学杂志》
2016年第2期86-89,共4页
Journal of Clinical Stomatology
关键词
初中生
切牙分类法
错牙合畸形
牙科审美社会心理影响量表
junior high school students
Incisor classification
Malocclusion
Psychosocial Impact of Dental Aesthetics Questionnaire
