错[牙合]畸形对重庆市8~10岁儿童自尊的影响

Effect of malocclusion on self-esteem of children aging 8 to 10 years in Chongqing

目的:调查错[牙合]畸形对重庆市8~10岁儿童自尊的影响。方法:参考第四次全国口腔健康流行病学调查实施方案,采用多阶段、分层、整群、随机抽样方法,于2018年10-12月间抽取重庆市3城区及3区县共12所学校1588名儿童,采用正畸治疗需要指数(IOTN)的牙健康部分对其错[牙合]情况进行口腔健康检查,采用IOTN美观部分、儿童自我知觉问卷对其主观正畸治疗需要、整体自尊进行问卷调查。采用SPSS 20.0软件包对结果进行统计分析。结果:主观正畸治疗需要IOTN-AC(中度、重度)、深覆盖(重度:6~9 mm,>9 mm)、前牙反、开、位于前牙区的龋齿与自尊呈显著负相关(P<0.05)。结论:主观正畸治疗需要以及对美观影响较大的错[牙合]畸形明显影响儿童自尊,需要加大早期矫治的投入和宣教。

PURPOSE:This study was aimed to investigate the effect of malocclusion on self-esteem of children aging 8 to 10 years in Chongqing. METHODS:According to the standards of the Fourth National Oral Health Epidemiological sampling survey,a multistage, stratified, cluster, and random sampling method was used to select 1 588 children from 12 schools in 3 districts and 3 counties in Chongqing. The part of tooth health of the Index of Orthodontic Treatment Need(IOTN) was used to evaluate malocclusion. The aesthetic part of the IOTN was used to evaluate the subjective orthodontic treatment need. The Harter’s Self-perception Profile for Children was used to evaluate the self-esteem. The data were analyzed with SPSS 20.0 software package. RESULTS: Subjective orthodontic treatment need IOTN-AC(moderate severe),overjet(severe: 6-9 mm, >9 mm), anterior crossbite, open bite, caries located in the anterior tooth area were negatively correlated with self-esteem(P<0.05). CONCLUSIONS: Subjective orthodontic treatment need and malocclusion, especially the types that have great influence on beauty obviously affect children ’s self-esteem. It is necessary to increase the investment and education of early orthodontic intervention.