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目的:调查使用固定矫治器产生不适的决定性因素和对正畸治疗青少年生活质量的影响。方法:对随机选自无锡市人民医院和无锡市儿童医院口腔科就诊并采用固定矫治器矫治的青少年207例,采用口腔健康对日常生活影响指数量表(OIDP)和一般自我效能(GSE)量表进行评估和分析,并就不舒适情况的影响因素采用多因素Logistic逐步回归模型进行分析。结果:校正年龄、性剐等因素的影响后,进食困难、口腔溃疡、口腔异味、牙龈出血均可使患者不舒适的风险增高(P<0.05)。结论:使用固定矫治器引起的不适感,对正畸治疗青少年患者的生活质量产生了负面影响,相关的决定性因素是进食困难、口腔溃疡、口腔异味、牙龈出血。
OBJECTIVE: To investigate the determinants of discomfort with fixed appliances and their impact on the quality of life of orthodontic adolescents. Methods: A total of 207 adolescents randomly selected from Wuxi Municipal People’s Hospital and Wuxi Children’s Hospital and treated with fixed appliances were enrolled in this study. OIDP and GSE were used to assess the effects of Oral Health on Daily Life (GSE) Table assessment and analysis, and factors affecting the discomfort were analyzed using multivariate Logistic stepwise regression model. Results: After adjusting for age, sex and other factors, dysphagia, oral ulcer, oral odor and gingival bleeding increased the risk of patients’ discomfort (P <0.05). CONCLUSIONS: Discomfort associated with fixed appliances has had a negative effect on the quality of life of adolescent patients with orthodontics, with the associated determinants of eating difficulty, mouth sores, mouth odor, and gum bleeding.