치열교정 치료 환자의 특성과 기초 진단 후 단기간 내 치료 이행에 영향을 미치는 요인
The Characteristics of Malocclusion Patients and the Factors Affecting Short-Interval Treatment after Diagnostic Assessment
이가연, 전진호,
소속 상세정보
이가연 ( Lee Ka-Yean ) - 서라벌대학 치위생학과
전진호 ( Chun Jin-Ho ) - 인제대학교 의과대학 예방의학교실
KMID : 0355420090330030411
Abstract
Objectives: The orthodontics of malocclusion has a lot of impact on the prevention of multiple oral diseases, the patients’ psychological stability and friendly interpersonal relationships. Patients should undergo orthodontic treatment as soon as possible if they meet all the required treatment conditions, and earlier treatment leads to greater treatment effects. The purpose of this study was to examine the characteristics of the patients and the factors affecting whether or not to go through short-interval treatment within a week after the diagnostic assessment of malocclusion.
Method: The subjects in this study were patients who were undergoing orthodontic treatment and their guardians at S, B and Y dental clinics, which are located in Gyeonggi Province, Daegu and Busan, respectively, and the all specialize in orthodontic treatment. They were interviewed from January 20 to February 28, 2009, by utilizing structured questionnaires, and the answer sheets from 382 respondents were analyzed, except for 18 that had inappropriate or no answers. The SPSSWIN 14.0K program was employed to analyze the collected data, and frequency analysis, descriptive statistics, crosstabs, ANOVA and multiple logistic regression analysis were utilized. In the regression analysis, whether they underwent treatment within the six months after being diagnosed was selected as a dependent variable, and the selected independent variables included the characteristics of the subjects, what put pressure on them in association with treatment, the treatment-related decision-making process, and the patients’ expectations.
Results: The major subject group was students (71.7%), and among them about half (45.8%) were middle and high school students. In regard to what usually put a strain on them in conjunction with their oral health, the girls were under more aesthetic pressure (p<0.05), and there was no gender gap for the other sorts of burdens. As for the post-treatment expectations, the largest group (49.3%) expected themselves to have a good set of teeth. Concerning the major reason for the delay of treatment, cost and time constraints were cited as the reasons. In the regression analysis, women (OR=2.87, 95% CI=1.27~6.50) in their, 20s (OR=8.67, 95% CI=2.07~36.26) and 30s (OR=10.88, 95% CI=1.38~85.98), as compared to the teenagers underwent more within the six months interval orthodontic treatment. In contrast, for the case of patients having multiple visits to other orthodontic dental clinics, those patients who; visited to an orthodontic dental clinic two times (OR=0.126, 95% CI=0.05~0.31), more than three times (OR=0.098, 95% CI=0.01~0.78), a higher education (college) level (OR=0.063, 95% CI=0.01~0.77), and more burdened with mastication difficulties (OR=0.301, 95% CI=0.12~0.76) underwent less short-interval treatment.
Conclusion: This study attempted to determine what factors had an impact on whether to undergo short-interval treatment, and it largely hinged on the individual needs and characteristics in addition to the above-mentioned factors. Nonetheless, the findings of this study are expected to lay the groundwork for the successful application of orthodontic treatment and for boosting its effects. In the future, more sustained research efforts should be made to produce more accurate and extensive results about this field.
키워드
교정치료;단기간 내 치료;부정교합;심미요인
Aesthetic factor;Malocclusion;Orthodontic;Short-interval treatment
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