| Objective:To explore the differences of adult patients`psychological characteristics andorthodontic treatment needs, who are treated by labial or lingual fixed orthodonticappliances technique. And explore the quality of patients`life, psychological impacton patients`life quality at different stages of treatment.That will make clinicalorthodontic doctors understand and grasp the psychology of patients better, have abetter clinical management to reduce the patient’s fear and anxiety.Methods:The samples consisted of adult patients with malocclusion from orthodonticdepartment of oral medical center at Henan Peoples’Armed Police Corps Hospital.112women and48men aged from18to53years old whose average age are35.66.8years old.Patients treated with lingual appliances consisted of40womenand18men aged from20to53years old whose average age are39.23.6yearsold.Patients treated with labial appliances consisted of72women and31men agedfrom19to46years old whose average age is33.43.5years old.The patients’informed consent have been obtained before the experiment.Patients treated by lingual appliances and labial appliances filled out thesesheets:(1) Pychosocial impact of dental aesthetics questionnaire(2)The Sel-f liking/Sel-f competence Scale(3)Symptom Check List90.(4)Analysis of the psychological characteristics of patients with the choicebetween lingual appliances and labial appliances.Experienced orthodontic doctors treat patients with jaw research model, scoringdental aesthetics index (dental aesthetic index DAI),overbite.Reflecting the needsituation of orthodontic treatment. Patients were asked to complete the scale of Oral Health Impact Profile-14andOral Impact on Daily Performance before treatment(To),at the1st week(T1)，4thweek(T2)，12th week(T3) and24th week(T4),at the respectively after the fixedorthodontic appliance was bonded.Analysis the oral health-related quality of life ofpatients treated with labial and lingual orthodontic and score difference between thetwo treatment techniques for the same time period.Analysis the correlation of psychological、different orthodontic treatment needand choose between lingual appliances and labial appliances.To apply the statistical software of SPSS17.0for the statistical analysis.Inspection level α=0.05.Results:①Analysis of samples of the two groups of patients：The proportion of men andwomen and degree of education in the two groups was not statistically significant（P>0.05）, age variability was statistically significant （P<0.05）,patients treatedwith lingual fixed orthodontic appliances technique were older.②The lingual group and labial group in the score of"social impact" wasstatistically significan（tP<0.05）, the score of "Dental confidence" labial group higherthan lingual group, the difference was statistically significant (P <0.05).The score of “self competence” higher in the lingual group, The score of “selfliking” higher in the labial group,no statistically significant between the two groups.The socre of “Symptom Check List90” found in24.51%of patients treated withlabial fixed orthodontic appliances technique had at least one the score of factorgreater than or equal to2.29.31%of patients treated with lingual fixed orthodonticappliances technique had at least one the score of factor greater than or equal to2,5.17%of patients had at least a the score of factor greater than or equal to3,interpersonal sensitivity in lingual group scored higher than the labial group, thedifference was statistically significant (P <0.001).③The situation of Orthodontic treatment needs and the choice was nosignificant difference between the labial and lingual fixed appliance technique (P> 0.05).④The score of OHIP-14showed the group of labial and lingual score at T0(before treatment) and T3(12weeks) T4period (24weeks) was not statisticallysignificant (P>0.05), the other two time points within the score was statisticallysignificant; the labial and lingual group was statistically significant (P <0.05) in thesame time period between OHIP scores. OIDP scores displayed lingual group"pronunciation" score higher than the labial group,"Smile" scored lower than labialgroup.⑤The situation of Orthodontic treatment needs has no obvious correlationbetween oral health related quality (P>0.05).the labial group, social environment,aesthetic attitude, dental self-confident, somatization, force, interpersonal sensitivity,depression, anxiety and OHIP scores were positively correlated (r=0.26), in whichsocial environment, somatization, interpersonal sensitivity, depression, anxiety, havehigh correlation (r=0.34).Teeth lingual patients’ social environment, aestheticattitude, self-confidence, somatization, force, interpersonal sensitivity, depression andanxiety was positively correlated with OHIP score (r=0.26), including socialenvironment, somatization, interpersonal sensitivity, anxiety, high correlation (r=0.36).Conclusions:①Adult patients treated with labial or lingual fixed orthodontic appliancestechnique have different psychological characteristics, the score of lingual patientshigher than the labial, lingual orthodontics patients are more concerned about theimpact from the social aspects, along with others in the inner uncomfortable withinferiority high in labial. Dental self-confidence in labial is higher than lingual,suggesting that the psychological impact of malocclusion lingual deformity of moresevere patients, lingual patients have a stronger desire.②Oral health-related quality of life of adult orthodontic patients with fixedorthodontic improved with treatment conduct of the highest scores in patients treatedlabial or lingual orthodontic worn into the one week, the worst, the adaptation period after the insertion of24weeks, followed by symptoms eased. Negative impactlingual appliance focused on oral functional limitations, physical pain, followed bypsychological discomfort, physical barriers, negative impact on the labial groupfocused on physical pain, psychological discomfort and physiological disorders.③The situation of Orthodontic treatment needs have no significant effect on thechoice of labial or lingual fixed appliance technology and quality of life of the late.④Patient’s psychological between oral health related quality of life withcorrelation, the more negative psychological factors worse quality of late life. |
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