关于不同错牙合类型患者侧貌评价的研究

doi:10.13591/j.cnki.kqyx.2022.02.011

摘要/Abstract

摘要： 目的通过对不同种类错牙合畸形患者的剪影进行数值评定量表(NRS, numerical rating scale)评分,研究不同类型错牙合畸形患者对不同软组织侧貌评价的差异。方法选取2019年于玉蕙口腔医院正畸科和苏州大学附属口腔医院正畸科就诊的60例错牙合畸形患者,其中骨性Ⅰ、Ⅱ、Ⅲ类各20例,获取其右侧90°剪影照,将60例正畸患者进行随机编号,通过PowerPoint形式制作成60张幻灯片;选取30名评价者,骨性Ⅰ、Ⅱ、Ⅲ类各10名,给评价者放映幻灯片并按照NRS评分标准对60张剪影照进行评分,对不同人群的评分进行组间比较以及组内不同错牙合畸形的比较。结果给Ⅰ、Ⅱ、Ⅲ类错牙合畸形患者的剪影打分比较,Ⅰ类错牙合畸形剪影得分最高;其中Ⅲ类患者打分,Ⅱ类得分高于Ⅲ类。男性患者打分分值由高到低依次为:Ⅰ、Ⅱ、Ⅲ类;女性患者对Ⅰ类的打分明显高于Ⅱ、Ⅲ类,对Ⅱ类与Ⅲ类的打分无统计学差异。男女性患者打分比较,男性打分总体高于女性。结论不同错牙合畸形患者均偏好Ⅰ类面型,Ⅲ类和男性患者认为Ⅱ类面型较Ⅲ类美观。女性患者审美要求高于男性。

关键词: 错牙合畸形, 侧貌评价, NRS评分

Abstract: Objective To explore the difference of soft tissue profile evaluation in malocclusion patients through NRS score on silhouette of different kinds of malocclusion. Methods Sixty patients with malocclusion were selected from Orthodontics Department of Changshu Yuhui Dental Hospital and Affiliated Stomatology Hospital of Soochow University in 2019, including 20 cases of skeletal Class Ⅰ, Ⅱ and Ⅲ respectively. A total of 30 evaluators were selected with 10 patients of skeletal Class Ⅰ, Ⅱ and Ⅲ respectively. The 60 orthodontic patients were randomly numbered, and the right 90° silhouettes on PowerPoint were rated by evaluators according to NRS scoring criteria. The scores of different groups were compared between groups and within groups. Results Comparing the silhouette scores by skeletal Class Ⅰ, Ⅱ and Ⅲ malocclusion patients, the score of skeletal Class Ⅰ was the highest. Rated by skeletal Class Ⅲ patients, the score of Class Ⅱ patients was higher than that of Class Ⅲ. From high to low, scores rated by male patients were: skeletal Class Ⅰ, Ⅱ and Ⅲ. Scores rated by female patients for Class Ⅰ was significantly higher than those for Class Ⅱ and Ⅲ, and there was no statistical difference in the scores of Class Ⅱ and Ⅲ. Male patients gave higher scores than female. Conclusion Patients with different malocclusions prefer skeletal Class Ⅰ, and skeletal Class Ⅲ patients and male patients think that the lateral profile of skeletal Class Ⅱ is more beautiful than Class Ⅲ. The aesthetic requirements of female patients are higher than those of male.

Key words: malocclusion, lateral profile evaluation, NRS score

中图分类号:

R783.5

罗良宏, 徐陆, 艾琦, 宋志芸, 朱林. 关于不同错牙合类型患者侧貌评价的研究[J]. 口腔医学, 2022, 42(2): 153-155.

LUO Lianghong, XU Lu, AI Qi, SONG Zhiyun, ZHU Lin. Study on the evaluation of lateral profile in different malocclusion types[J]. Stomatology, 2022, 42(2): 153-155.

参考文献

[1] Huang YP, Li WR. Correlation between objective and subjective evaluation of profile in bimaxillary protrusion patients after orthodontic treatment[J]. Angle Orthod, 2015, 85(4):690-698.
[2] Chan EK, Soh J,Petocz P, et al. Esthetic evaluation of Asian-Chinese profiles from a white perspective[J]. Am J Orthod Dentofacial Orthop, 2008, 133(4):532-538.
[3] Naini FB, Cobourne MT, McDonald F, et al. The aesthetic impact of upper lip inclination in orthodontics and orthognathic surgery[J]. Eur J Orthod, 2015, 37(1):81-86.
[4] Rosas S,Paço M, Lemos C, et al. Comparison between the Visual Analog Scale and the Numerical Rating Scale in the perception of esthetics and pain[J]. Int Orthod, 2017, 15(4):543-560.
[5] Armalaite J, Jarutiene M, Vasiliauskas A, et al. Smile aesthetics as perceived by dental students: A cross-sectional study[J]. BMC Oral Health, 2018, 18(1):225.
[6] AbuArqoub SH, Al-Khateeb SN. Perception of facial profile attractiveness of different antero-posterior and vertical proportions[J]. Eur J Orthod, 2011, 33(1):103-111.
[7] 陈洁, 段余峰, 涂景秋, 等. 不同垂直骨面型骨性Ⅲ类患者颞下颌关节三维形态结构的比较[J]. 中南大学学报(医学版), 2018, 43(6):625-630.[8] 邵馨怡, 许衍, 陈文静. 正畸正颌联合治疗骨性Ⅲ类的视觉模拟评分法研究[J]. 口腔医学, 2020, 40(4):334-337.
[9] 曹月旺, 韩丽丽, 李曼, 等. 与骨性安氏Ⅱ类错牙合矫治后侧貌美观程度相关的硬组织指标的研究[J]. 中华口腔正畸学杂志, 2013, 20(1):43-45.
[10] Naini FB, Donaldson AN, McDonald F, et al. Assessing the influence of lower facial profile convexity on perceived attractiveness in the orthognathic patient, clinician, and layperson[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2012, 114(3):303-311.
[11] Chan EK, Soh J,Petocz P, et al. Esthetic evaluation of Asian-Chinese profiles from a white perspective[J]. Am J Orthod Dentofacial Orthop, 2008, 133(4):532-538.
[12] Chen YJ, Yao CC, Chang ZC,et al. Characterization of facial asymmetry in skeletal Class Ⅲ malocclusion and its implications for treatment[J]. Int J Oral Maxillofac Surg, 2019, 48(12):1533-1541.
[13] 王飘, 金赫秀, 王学玖, 等. 3dMD照像系统与头颅侧位片对面部侧貌测量的对比研究[J]. 北京口腔医学, 2020, 28(1):28-31.
[14] Tole N,Lajnert V, Kovacevic Pavicic D, et al. Gender, age, and psychosocial context of the perception of facial esthetics[J]. J Esthet Restor Dent, 2014, 26(2):119-130.
[15] 张凯丽. 骨性错牙合患者与普通人群及医师侧貌审美评价差异的研究[D]. 济南: 山东大学, 2016.
[16] Li C, Cai Y, Chen SH, et al. Classification and characterization of Class Ⅲ malocclusion in Chinese individuals[J]. Head Face Med, 2016, 12(1):1-8.
[17] 胡波, 李海振, 曹甜, 等. 成人骨性Ⅲ类伴下颌偏斜患者正畸-正颌联合治疗各阶段X线正侧位片测量研究[J]. 中国美容医学, 2019, 28(4):91-95.
[18] 彭喆, 归来. 高颧骨降低术术式回顾[J]. 中国美容医学, 2007, 16(8):1164-1166.
[19] Maganzini AL, Tseng JY, Epstein JZ. Perception of facial esthetics by native Chinese participants by using manip -ulated digital imagery techniques[J]. Angle Orthod, 2000, 70(5):393-399.
[20] Kogou T, Takaki T, Shibahara T. Three-dimensional analysis and evaluation in orthognathic surgical cases with facial asymmetry[J]. Bull Tokyo Dent Coll, 2018, 59(3):147-161.