上海口腔医学 ›› 2023, Vol. 32 ›› Issue (3): 266-270.doi: 10.19439/j.sjos.2023.03.009

• 论著 • 上一篇    下一篇

赣州市初中生牙颌畸形及家长矫治意识调查分析

兰旭, 黄迪, 杨帆   

  1. 赣州市人民医院 口腔科,江西 赣州 341000
  • 收稿日期:2022-11-25 修回日期:2023-02-24 出版日期:2023-06-25 发布日期:2023-06-28
  • 通讯作者: 黄迪,E-mail:120876509@qq.com
  • 作者简介:兰旭(1980-),男,硕士研究生,主治医师,E-mail:lanxu19860108@163.com
  • 基金资助:
    江西省卫生健康委员会科技计划项目(20204555)

Investigation and analysis of dental and jaw deformities of junior middle school students and their parents' awareness of correction in Ganzhou city

LAN Xu, HUANG Di, YANG Fan   

  1. Department of Stomatology, Ganzhou People's Hospital. Ganzhou 341000, Jiangxi Province, China
  • Received:2022-11-25 Revised:2023-02-24 Online:2023-06-25 Published:2023-06-28

摘要: 目的:调查分析赣州市初中生牙颌畸形及家长矫治意识。方法:2019年1月—2020年12月,采用分层整群抽样方法,抽取赣州市2 189名初中在读学生,进行匿名自填式问卷调查。分析调查对象牙颌畸形及矫正情况,比较牙颌畸形矫治及未矫治学生之间的差异,分析牙颌畸形矫治及未矫治学生家长的差异。采用 SPSS 18.0 软件包对数据进行统计学分析。结果:2 189名初中生中,牙颌畸形发生率为54.04%,牙颌畸形矫治率为33.64%。女生牙颌畸形矫治率显著高于男生(P<0.05);城镇学生显著高于乡村学生(P<0.05)。在学生对自己牙颌外观与功能判断方面,牙颌畸形矫治组有人提过自己牙不整齐、自己会无意用手遮挡牙、在意别人对自己牙的看法、自己对牙外观不满意、影响咀嚼或发音功能占比均高于牙颌畸形未矫治组(P<0.05)。在学生对牙颌畸形认知方面,牙颌畸形矫治组不了解牙颌畸形矫正治疗占比显著低于牙颌畸形未矫治组(P<0.05)。在矫正治疗担心问题方面,牙颌畸形矫治组担心配戴矫正器影响进食、刷牙、外观及害怕拔牙、疼痛占比显著低于牙颌畸形未矫治组(P<0.05)。牙颌畸形矫治组父母亲本科及以上文化程度及机关事业单位、国有企业工作占比显著高于牙颌畸形未矫治组(P<0.05),牙颌畸形矫治组家庭月收入≥10 000元、认为自己孩子需要牙矫正治疗占比、愿意花费时间帮助孩子做牙矫正治疗占比、支持花钱让孩子进行矫正治疗占比均显著高于牙颌畸形未矫治组(P<0.05),牙颌畸形矫治组父母满意孩子牙情况占比显著低于牙颌畸形未矫治组(P<0.05)。结论:赣州市初中生具有牙颌畸形患病率高、矫治率低的特点,女生与男生、城镇与乡村学生牙颌畸形矫率差异显著。学生及父母对牙颌畸形认知不足、父母受教育情况和家庭经济状况等可能影响牙颌畸形矫正治疗需求。

关键词: 赣州市, 初中生, 牙颌畸形, 家长, 矫治意识

Abstract: PURPOSE: To investigate and analyze orthognathic deformities of junior middle school students in Ganzhou City and their parents' awareness of correction. METHODS: From January 2019 to December 2020, a stratified cluster sampling method was adopted to select 2 189 middle school students in Ganzhou City and an anonymous self-filling questionnaire survey was conducted. The difference between the students with and without correction of dental deformities was compared. The difference between parents of students with and without orthodontic teeth deformity was analyzed. The data were statistically analyzed with SPSS 18.0 software package. RESULTS: Among 2 189 junior high school students, the incidence of dental and jaw malformations was 54.04%, and the correction rate of dental and jaw malformations was 33.64%. The correction rate of dental deformities in girls was significantly higher than in boys(P<0.05). The correction rate of tooth and jaw deformity in urban students was significantly higher than in rural students(P<0.05). In terms of the students' judgment on the appearance and function of their teeth, some in the orthodontic group mentioned that their teeth were irregular, they would not intentionally cover their teeth with their hands, they cared about others' opinions on their teeth, not satisfied with their feelings about the appearance of their teeth and their teeth affected chewing or articulation were significantly higher than those in the group without orthodontic deformity(P<0.05). In terms of students' cognition of teeth and jaw deformities, the proportion of students in the orthodontic group who did not know about the orthodontic treatment was significantly lower than that in the group without orthodontic treatment(P<0.05). In terms of the concerns about orthodontic treatment, the percentages of the orthodontic treatment group worried about the impact of wearing orthodontic devices on eating, brushing, appearance, fear of tooth extraction and pain were significantly lower than those of the group without orthodontic treatment (P<0.05). Bachelor degree or above educational level of parents and the proportion of working in institutions and public institutions and state-owned enterprises in the orthodontic group were significantly higher than those in the non-orthodontic group(P<0.05). The family monthly income≥10 000 yuan, the proportion of those who thought their children need orthodontic treatment, the proportion of those who were willing to spend time to help their children with orthodontic treatment, and the proportion of those who supported to pay for orthodontic treatment for their children were significantly higher than those without orthodontic treatment(P<0.05). The proportion of parents satisfied with their children's dental condition in the orthodontic group was significantly lower than that in the non-orthodontic group (P <0.05). CONCLUSIONS: Junior middle school students in Ganzhou City have the characteristics of higher prevalence rate of dental and jaw malformations. The correction rate of dental and jaw malformations is significantly different between female and male students, as well as urban and rural students. The lack of cognition of students and their parents, education level of parents and family economic level may affect the demand for orthodontic treatment of dental deformities.

Key words: Ganzhou City, Junior high school students, Teeth and jaw deformity, Parents, Awareness of correction

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