无托槽隐形矫治患者心理特征与依从性关联及干预策略研究现状
^{黄文斌1，2 罗文溢3 黄晓伊1，2 白雪芹2}

1南方科技大学，广东省深圳市，518055；

2北京大学深圳医院，广东省深圳市，518036；

3深圳市人民医院，广东省深圳市，518020；

摘要：无托槽隐形矫治器的治疗效果与患者依从性密切相关，治疗前准确预测患者治疗依从性，治疗中持续判断或提高治疗中的依从性，对于良好的矫治效果至关重要。患者心理特征与其依从性有明显关联，有效的心理干预对依从性可产生显著影响。本文就正畸患者依从性的影响、心理特征与正畸治疗的关系、心理行为评估工具在正畸患者筛选中的应用及提高隐形矫治患者依从性的心理干预策略方面进行综述，为提升患者配合度及隐形矫治临床效果提供了理论依据和方法论框架。

关键词：无托槽隐形矫治；治疗依从性；心理特征；个性化干预

参考文献

[1]Al-Nadawi M,Kravitz N D,Hansa I,et al.Effect of clear aligner wear protocol on the efficacy of tooth movement:A randomized clinical trial[J].The Angle Orthodontist,2021,91(2):157-163.

[2]Torsello F,D’Amico G,Staderini E,et al.Factors Influencing Appliance Wearing Time during Orthodontic Treatments:A Literature Review,in Applied Sciences,2022

[3]Pattanaik S,Veeraraghavan V P,Dasari A K,et al.Orthodontic treatment in adults:Challenges, outcomes,and factors affecting compliance and satisfaction[J].J Orthod Sci,2024,13:14.

[4]Alfawzan A A.Evaluation of Patient Acceptance and Compliance with Clear Aligners vs.Lingual Braces:A Randomized Trial[J].J Pharm Bioallied Sci,2024,16(Suppl 1):S546-s548.

[5]Liu F,Wang Y,Luopei D,et al.Comparison of fixed braces and clear braces for malocclusion treatment[J].BMC Oral Health,2024,24(1):941.

[6]Baxmann M,Baráth Z,Kárpáti K.The role of psychology and communication skills in orthodontic practice:a systematic review[J].BMC Med Educ,2024,24(1):1472.

[7]Al Nazeh A A,Alshahrani I,Badran S A,et al.Relationship between oral health impacts and personality profiles among orthodontic patients treated with Invisalign clear aligners[J].Scientific Reports,2020,10(1):20459.

[8]Saccomanno S,Saran S,Laganà D,et al.Motivation,Perception,and Behavior of the Adult Orthodontic Patient:A Survey Analysis[J].Biomed Res Int,2022,2022:2754051.

[9]Baxmann M,Baráth Z,Kárpáti K.The role of psychology and communication skills in orthodontic practice:a systematic review[J].BMC Medical Education,2024,24(1):1472.

[10]Pantsulaia I,Orjonikidze N,Kvachadze I,et al.Influence of Different Orthodontic Brackets on Cytokine and Cortisol Profile[J].Medicina(Kaunas),2023,59(3)

[11]van der Bie R M,Bos A,Bruers J J M,et al.Patient adherence in orthodontics: a scoping review[J].BDJ Open,2024,10(1):58.

[12]Feng C,Wu C,Jiang Z,et al.Effectiveness of different psychological interventions in reducing fixed orthodontic pain:A systematic review and meta-analysis[J].Australasian Orthodontic Journal,2019,35(2):195-209.

[13]Dawson S,Girling C J,Cowap L,et al.Psychological interventions for improving adherence to inhaled therapies in people with cystic fibrosis[J].Cochrane Database Syst Rev,2023,3(3):Cd013766.

[14]Wafaie K,Rizk M Z,Basyouni M E,et al.Tele-orthodontics and sensor-based technologies:a systematic review of interventions that monitor and improve compliance of orthodontic patients[J].Eur J Orthod,2023,45(4):450-461.

[15]Olthof M,Hasselman F,Aas B,et al.The best of both worlds?General principles of psychopathology in personalized assessment[J].J Psychopathol Clin Sci,2023,132(7):808-819.