阻生智齿手术患者同期美观治疗倾向及其相关因素分析

Analysis of Aesthetic Treatment Tendency and Its Related Factors in Patients Undergoing Impacted Wisdom Teeth Surgery at the Same Time

目的:探讨阻生智齿手术患者同期美观治疗倾向及其相关影响因素分析。方法:纳入2022年1月-2023年2月于笔者医院拟行阻生智齿手术治疗的323例患者为研究对象,入院时采用牙科审美社会心理影响量表(Psychosocial impact of dental aesthetics questionnaire,PIDAQ)评估患者同期美观治疗倾向;同时收集患者人口学资料及临床资料,分析阻生智齿手术患者同期美观治疗倾向的相关影响因素。结果:323例患者中,165例(51.08%)患者PIDAQ评分为0~23分,平均得分为(16.35±4.07)分,为低倾向组;158例(48.92%)患者PIDAQ评分为24~92分,平均得分为(68.24±10.26)分,为高倾向组。两组患者年龄、家庭经济状况、同期美观治疗预估费用、疼痛及牙齿健康因素(Dental health component,DHC)、美观因素(Aesthetic component,AC)、牙牙合美观程度自我评价(Self-perceivedaesthetic component,SAC)评分比较差异有统计学意义(P<0.05),性别、体重指数、居住地、受教育程度、职业等资料比较,差异无统计学意义(P>0.05)。Logistic回归分析结果显示家庭经济状况<5 000(元/月)(OR=1.875)、AC评分高(OR=3.560)、SAC评分高(OR=3.171)是阻生智齿手术患者同期美观治疗倾向的危险因素,同期美观治疗预估费用低(OR=0.196)是阻生智齿手术患者同期美观治疗倾向保护因素。ROC曲线分析显示,同期美观治疗预估费用、AC评分及SAC评分的截值点分别为1.03、5.00、5.00。结论:阻生智齿手术患者低同期美观治疗倾向的患者占比51.08%,高同期美观治疗倾向的患者占比48.92%;其中家庭经济状况、同期美观治疗预估费用及牙颌美观度是阻生智齿手术患者同期美观治疗倾向的影响因素。

Objective To explore the aesthetic treatment tendency of patients undergoing impacted wisdom teeth surgery at the same time and analyze its related influencing factors.Methods A total of 323 patients with impacted wisdom teeth who were scheduled to undergo surgery in our hospital from January 2022 to February 2023 were selected as the research objects,and the aesthetic treatment tendency of the patients during the same period was evaluated by using the Dental Aesthetic Questionaire(PIDAQ)at the time of admission.At the same time,the demographic data and clinical data of patients were collected,and the related influencing factors of aesthetic treatment tendency of patients undergoing impacted wisdom teeth surgery were analyzed.Results Among 323 patients,165 patients(51.08%)had a PIDAQ score of 0-23,with an average score of(16.35±4.07),which was a low tendency group.158 patients(48.92%)had a PIDAQ score of 24-92,with an average score of(68.24±10.26),which was a high tendency group.The age,family economic status,estimated cost of aesthetic treatment in the same period,dental health component(DHC),aesthetic component(AC),self-perceived aesthetic component(SAC)scores were significantly different between groups(P<0.05),while other data such as gender,body mass index,residence,education level and occupation were not statistically different(P>0.05).Logistic regression analysis showed that family economic status<5000(month/yuan)(OR=1.875),high AC score(OR=3.560)and high SAC score(OR=3.171)were the risk factors for aesthetic treatment tendency of impacted wisdom teeth surgery patients,and low estimated cost of aesthetic treatment(OR=0.196)was the same period for impacted wisdom teeth surgery patients.ROC curve analysis showed that the cut-off points of the estimated cost of aesthetic treatment,AC score and SAC score were 1.03,5.00 and 5.00,respectively.Conclusion 51.08%of patients with impacted wisdom teeth have low aesthetic treatment tendency in the same period,and 48.92%have high aesthetic treatment tendency in the same period.Among them,the family economic situation,the estimated cost of aesthetic treatment in the same period and the aesthetics of teeth and jaws are the influencing factors of the aesthetic treatment tendency of patients with impacted wisdom teeth surgery in the same period.