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Does orthodontic treatment in early adolescence positively influence psychosocial wellbeing in adulthood?
Evidence-Based Dentistry Pub Date : 2019-12-01 , DOI: 10.1038/s41432-019-0063-0
Parthasarathy Madurantakam 1
Affiliation  

Design Prospective cohort study.Cohort selection A large cohort of 13-year-old children who participated in a South Australian population oral health study. a total of 1859 participants residing in metropolitan Adelaide were mailed a self-administered questionnaire when they turned 30 years of age.Data analysis Demographic data (sex, education level and income), dental behaviour (brushing habits, dental visits in past two years) and receipt of fixed orthodontic treatment were coded as dichotomous data. Psychosocial factors (self-efficacy, health competence, social support and optimism) were recorded on Likert scale as continuous measures. Severity of baseline malocclusion in untreated 13-year-olds was recorded using Dental Aesthetic Index (DAI).Regression analysis was performed to detect for associations between orthodontic treatment and each psychosocial factor and all independent variables were included in adjusted generalised linear models. Statistical significance level was set at p <0.05.Results Data from 448 participants (24%) informed the study results. Statistically significant association was found between low income (<80,00 AUD) and basic secondary education with each of the four psychosocial variables studied. Severity of baseline malocclusion (indicated by DAI) or prior orthodontic treatment was not associated with better psychosocial outcomes. Importantly, better psychosocial outcomes were observed among participants who had no prior orthodontic treatment.Conclusions Prior orthodontic treatment had no influence on psychosocial outcomes over the long-term.

中文翻译:

青春期早期的正畸治疗对成年后的社会心理健康有正面影响吗?

设计前瞻性队列研究。队列选择参加南澳大利亚人口口腔健康研究的13岁儿童的大型队列。共有1859名居住在阿德莱德都会区的参与者在30岁时收到了一份自我管理的问卷。数据分析人口统计数据(性别,教育水平和收入),牙齿行为(刷牙习惯,过去两年的牙齿访视)和固定正畸治疗的接收被编码为二分数据。社会心理因素(自我效能,健康能力,社会支持和乐观)以连续测量法记录在李克特量表上。使用牙科审美指数(DAI)记录未经治疗的13岁儿童基线错位严重程度。进行回归分析以检测正畸治疗与每个社会心理因素之间的关联,所有独立变量均包括在调整后的广义线性模型中。统计显着性水平设置为p <0.05。结果来自448名参与者(24%)的数据为研究结果提供了依据。在低收入(<80,00 AUD)和基础中学教育与所研究的四个社会心理变量中的每一个之间,发现了统计学上显着的关联。基线错牙合的严重程度(由DAI指示)或先前的正畸治疗与较好的社会心理结果无关。重要的是,在没有接受过正畸治疗的参与者中,观察到了更好的心理社会结局。结论长期而言,接受正畸治疗对心理社会结局没有影响。
更新日期:2019-12-20
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