上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (4): 369-374.doi: 10.19439/j.sjos.2025.04.005

• 论著 • 上一篇    下一篇

上海地区有高等教育经历的非正畸专业人士对女性拔牙正畸术后审美感知的变化

陳欣彤1,2, 毛艳敏2,3, 卢芸2,3, 吕金钊2,3,*, 李强2,3,*   

  1. 1.复旦大学口腔医学院, 上海 200032;
    2.上海市口腔医院 口腔正畸科, 上海 200001;
    3.上海市颅颌面发育与疾病重点实验室, 上海 200001
  • 收稿日期:2024-07-25 修回日期:2024-09-02 出版日期:2025-08-25 发布日期:2025-08-26
  • 通讯作者: 李强,E-mail：lqdent@fudan.edu.cn;吕金钊,E-mail：lyujinzhao@gmail.com。*共同通信作者
  • 作者简介:陳欣彤（2002-）,女,学士,E-mail：20301030105@fudan.edu.cn
  • 基金资助:
    国家临床重点专科项目;上海市重中之重研究中心项目（2023ZZ02009）

Exploration of aesthetic perception changes in female patients after extraction orthodontic treatment by non-orthodontic professionals with higher education in Shanghai

Chan Iantong1,2, Mao Yanmin2,3, Lu Yun2,3, Lyu Jinzhao2,3, Li Qiang2,3   

  1. 1. School of Stomatology, Fudan University. Shanghai 200032;
    2. Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University. Shanghai 200001;
    3. Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University. Shanghai 200001, China
  • Received:2024-07-25 Revised:2024-09-02 Online:2025-08-25 Published:2025-08-26

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摘要： 目的：探讨上海地区具有高等教育经历的非正畸专业人士对拔牙正畸治疗前后女性颌面部美观的感知变化。方法：招募18名上海地区受过或正在接受高等教育的非正畸专业人士（男女各9名）,基于Q分类评价技术比较48例接受正畸拔牙治疗的成年女性矫治前后面部软组织变化,分析影响美观感知变化的影响因素。结果：上海地区具有高等教育经历的非正畸专业人士对女性拔牙正畸前后在面下1/3脸型、面部整体轮廓、口角和颏部变化方面的感知较为敏锐（P<0.05）,而正畸专业常关注的鼻唇沟、上下唇结构的变化未能在审美界限上呈现出显著差异。其中,女性评审员比男性评审员对颏部和面下1/3脸型的美观度变化更为敏感,但在面部整体评价中两者无显著差异。“00后”及“90后”审美敏感度较高,而“70后”和“80后”审美评估较为稳定。结论：上海地区具有高等教育经历的非正畸专业人士对拔牙正畸后面下 1/3 及颏部等区域的美观变化更为敏感,且感知差异受性别和年龄影响,临床上可为正畸治疗终点目标方案设计提供参考。

关键词: 高等教育经历, 非专业人士, 拔牙正畸, 审美感知, 颌面部变化, Q分类技术

Abstract: PURPOSE: To explore the factors influencing aesthetic perception changes among non-orthodontic professionals with higher education in Shanghai regarding the maxillofacial appearance of women before and after orthodontic treatment with extractions. METHODS: A total of 18 non-orthodontic professionals (9 men and 9 women) who had received or were receiving higher education in Shanghai were recruited. Using Q-sort technique, the study compared pre- and post-treatment facial soft tissue changes in 48 adult females who underwent orthodontic treatment with extractions. RESULTS: Non-orthodontic professionals with higher education in Shanghai showed significant sensitivity to changes in the lower third of the face, overall facial contour, mouth corners, and chin of women before and after orthodontic treatment (P<0.05). However, changes in the nasolabial fold and upper and lower lips, which were often the focus of orthodontic professionals,didn't show significant differences in aesthetic perception. Female reviewers were more sensitive than male reviewers to aesthetic changes in the chin and lower third of the face, but there was no significant difference in overall facial evaluation. Reviewers born in the 2000s and 1990s demonstrated higher aesthetic sensitivity, while those born in the 1970s and 1980s showed more stable aesthetic evaluations. CONCLUSIONS: Non-orthodontic professionals with higher education experience in Shanghai are more sensitive to the aesthetic changes in the lower 1/3 of the face, chin and other areas after orthodontic treatment with tooth extraction, and the perceived differences are affected by gender and age, which can provide a reference for the design of endpoint goal schemes in clinical orthodontic treatment.

Key words: Higher education background, Non-professionals, Extraction orthodontics, Aesthetic perception, Maxillofacial changes, Q-sort technique

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