正畸治疗结束女性患者微笑像主观评价相关因素分析.pdfVIP

· 206 · 口腔正畸学杂志2012年 12月第 19卷第4期 ChinJOrthod ! ： ! ： · 论 著 · 正畸治疗结束女性患者微笑像主观评价 相关因素分析 张琳 谷岩 【摘要】 目的 通过对治疗结束女性患者微笑像的主观评价，了解影响微笑美学主观评价的相 关因素；探讨专业正畸医生与普通人对微笑美学的评价的一致性。方法 14~27岁正畸治疗结束女 性 80名，I类骨型、牙齿排列整齐，覆合覆盖正常，磨牙和尖牙关系均为I类关系。拔牙 42例，非拔 牙38例。收集面下三分之一微笑像，将全部图片随机编号，按照恒定的顺序排列后分发到评价人员 手中，分别由1O名有经验正畸医生和 1O名普通人对微笑像做主观评价(VAS)。结果 专业正畸医 生和普通人对微笑像的评分差异有统计学意义(PO．001)；拔牙组和非拔牙组微笑像的美学得分差 异不显著。正畸医生与普通人微笑主观评价(VAS评分)与微笑指数呈正相关，与微笑高度、牙龈暴 露程度、尖牙宽度比例、可见牙列宽度比例呈负相关。结论 拔牙与非拔牙矫治本身对微笑美学主观 评分的影响无显著差异，牙龈暴露程度是影响微笑美学主观评分的主要因素。 【关键词】 正畸患者；微笑 ；评价 Analysisofthefactorsinfluencingthesubjectivesmileevaluationinfemalesafterorthodontic treatment ZHANGLin，GUYan ． DepartmentofOrthodontics，PekingUniversitySchool HospitalofStomatology，Beijing 100081，China Correspondingauthor：GuYah，E-mail：guyan99@gmail．corn，Tel：0086—10 [Abstract] Objective Tounderstandthefactorsinfluencingsubjectivesmileevaluationand investigatetheconsistencebetween orthodontistsand laypersonson smileevaluation．Method s 80 femalepatientswithskeleta1ClassIfacia1pattern (aged14to27yearsold)wereincludedinthestudy afterfinishing orthodontictreatment．A1lsubjectspresented with Class I canineand molar relationship，norma1overbiteandoverjetandwell—alignedteeth．Thesubjectsweredividedinto extraction(42subjects)andnon-extractiongroups(38subjects)．Posttreatmentsmilephotographsof lower1／3ofthefaceweretaken．Thesmilephotoswererandomlynumberedanddistributedwitha fixedsequenceto10orthodontistsand10laypersonsforsubjectivesmileevaluation (VAS)．Results Significantdifference was noted in smile scores when smile photographs were evaluated by orthodontistsandlaypersons．(P0．001)．Nosignificantdifferencewasfoundin smilescoreswhen smilephotosinextractiongroupwerecomparedwiththatinnon-extractiongroup．Correlationanalysis indicatedthatsmileindexwaspositivelycorrelatedwith orthodontistsandlayperson’Sscore．smile