Dentofacial disharmony: motivations for seeking treatment.

Dentofacial disharmony: motivations for seeking treatment.
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DOI:
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发表时间:
1997
期刊:
The International journal of adult orthodontics and orthognathic surgery
影响因子:
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通讯作者:
C. Phillips;H. Broder;M. E. Bennett
C. Phillips;H. Broder;M. E. Bennett
中科院分区:
其他
文献类型:
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作者:
C. Phillips;H. Broder;M. E. Bennett

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骨骼不协调严重到需要手术治疗的患者完成了一份24项治疗动机问卷。每个项目的评分从(1)根本不是理由到(4)非常有理由。项目被分组形成六个维度。在给定维度上的平均得分为3.0或更高被认为是强烈的动机。在完成问卷的135名患者中,16%的患者主要是自我形象动机,4%主要是口腔功能动机,6%是强烈的双重自我形象/口腔功能动机。男性和女性在社会幸福感和颞下颌关节(TMJ)维度上存在显著差异。一个强大的社会动机发生在男性比女性多4.5倍,而更高比例的女性比男性报告颞下颌关节的关注。25岁以上的患者在口腔功能、未来健康和TMJ维度上得分较高。选择手术的患者在口腔功能、鼻功能和颞下颌关节尺寸方面得分较高。选择手术的患者中,大约有1.5倍的患者在自我形象和口腔功能维度上的平均得分为3.0或更高。
Patients whose skeletal disharmony was severe enough to warrant a surgical treatment option completed a 24-item Motives for Treatment questionnaire. Each item was rated from (1) not at all a reason to (4) very much a reason. Items were grouped to form six dimensions. An average score of 3.0 or greater on a given dimension was considered a strong motivation. Of the 135 patients who completed the questionnaire, 16% of the patients had primarily a self-image motivation, 4% primarily an oral function motivation, and 6% strong dual self-image/oral function motivations. Males and females differed significantly on the social well-being and temporomandibular joint (TMJ) dimensions. A strong social motivation occurred 4.5 times more frequently among males than among females, while a higher proportion of females than males reported TMJ concerns. Patients older than 25 scored higher on oral function, future health, and TMJ dimensions. Patients who elected surgery had higher scores on oral function, nasal function, and TMJ dimensions. Approximately 1.5 times as many patients who elected surgery scored on average of 3.0 or higher on the self-image and oral function dimensions.