Abstract：
BACKGROUND: Understanding the rationale for adult patients undertaking orthodontic treatment and the impact of appliances on their quality of life has become increasingly important to research efforts and clinical care. This study aimed to understand why adult patients undergo orthodontic treatment and their overall experience with the choice of appliance.
METHODS: A cross-sectional qualitative study using semistructured interviews with adult patients from 4 private specialist orthodontic practices in the London region involving a purposive homogeneous sampling technique to obtain variation regarding gender, treatment modalities (fixed ceramic [FC], removable aligner [RA], and fixed lingual [FL] appliances), and stages of treatment (early, late, and posttreatment stage) was undertaken. A piloted topic guide was used to standardize data collection. Interviews were audio recorded, and field notes were taken. Data were transcribed verbatim and analyzed using framework methodology until data saturation was reached.
RESULTS: A total of 22 participants (FC, 8; RA, 8; and FL, 6), with a mean age of 38.9 ± 11.7 years, with the majority being female (n = 13; 59.1%), were interviewed. Psychosocial and dental health-related factors were reported as the main reasons to seek orthodontic treatment. Social factors and appliance features influence an adult\'s decision-making in selecting a specific orthodontic appliance. Wearing FC, RA, and FL was seen to have both positive and negative impacts on an adult\'s quality of life. Functional and psychological factors were the strong influencers on patients\' treatment experience.
CONCLUSIONS: The study highlighted the influence of psychosocial factors and dental health concerns in the decision-making processes of adults seeking orthodontic treatment. FC, RA, and FL appear to affect an adult\'s quality of life, with functional and psychosocial factors being commonly reported.
METHODS: A cross-sectional qualitative study using semistructured interviews with adult patients from 4 private specialist orthodontic practices in the London region involving a purposive homogeneous sampling technique to obtain variation regarding gender, treatment modalities (fixed ceramic [FC], removable aligner [RA], and fixed lingual [FL] appliances), and stages of treatment (early, late, and posttreatment stage) was undertaken. A piloted topic guide was used to standardize data collection. Interviews were audio recorded, and field notes were taken. Data were transcribed verbatim and analyzed using framework methodology until data saturation was reached.
RESULTS: A total of 22 participants (FC, 8; RA, 8; and FL, 6), with a mean age of 38.9 ± 11.7 years, with the majority being female (n = 13; 59.1%), were interviewed. Psychosocial and dental health-related factors were reported as the main reasons to seek orthodontic treatment. Social factors and appliance features influence an adult\'s decision-making in selecting a specific orthodontic appliance. Wearing FC, RA, and FL was seen to have both positive and negative impacts on an adult\'s quality of life. Functional and psychological factors were the strong influencers on patients\' treatment experience.
CONCLUSIONS: The study highlighted the influence of psychosocial factors and dental health concerns in the decision-making processes of adults seeking orthodontic treatment. FC, RA, and FL appear to affect an adult\'s quality of life, with functional and psychosocial factors being commonly reported.
摘要：
背景：了解成人患者进行正畸治疗的基本原理以及矫治器对其生活质量的影响对于研究工作和临床护理变得越来越重要。这项研究旨在了解成年患者接受正畸治疗的原因以及他们选择矫治器的总体经验。
方法：一项横断面定性研究，对来自伦敦地区4个私人专家正畸治疗的成年患者进行半结构化访谈，涉及有目的的均质抽样技术，以获得有关性别的差异，治疗方式(固定陶瓷[FC]，可移动对准器[RA]，和固定的语言[FL]设备)，和治疗阶段(早期，迟到,和后处理阶段)进行。使用了试点主题指南来标准化数据收集。采访是录音，现场笔记。将数据逐字转录并使用框架方法进行分析，直到达到数据饱和。
结果：共有22名参与者（FC，8;RA,8；和FL，6),平均年龄38.9±11.7岁，大多数是女性(n=13；59.1%)，被采访了。据报道，社会心理和牙齿健康相关因素是寻求正畸治疗的主要原因。社会因素和矫治器特征影响成人选择特定正畸矫治器的决策。穿着FC,RA,和FL被认为对成年人的生活质量有积极和消极的影响。功能和心理因素是影响患者治疗体验的重要因素。
结论：该研究强调了社会心理因素和牙齿健康问题在成人正畸治疗决策过程中的影响。FC,RA,FL似乎会影响成年人的生活质量，常见的功能和社会心理因素。
方法：一项横断面定性研究，对来自伦敦地区4个私人专家正畸治疗的成年患者进行半结构化访谈，涉及有目的的均质抽样技术，以获得有关性别的差异，治疗方式(固定陶瓷[FC]，可移动对准器[RA]，和固定的语言[FL]设备)，和治疗阶段(早期，迟到,和后处理阶段)进行。使用了试点主题指南来标准化数据收集。采访是录音，现场笔记。将数据逐字转录并使用框架方法进行分析，直到达到数据饱和。
结果：共有22名参与者（FC，8;RA,8；和FL，6),平均年龄38.9±11.7岁，大多数是女性(n=13；59.1%)，被采访了。据报道，社会心理和牙齿健康相关因素是寻求正畸治疗的主要原因。社会因素和矫治器特征影响成人选择特定正畸矫治器的决策。穿着FC,RA,和FL被认为对成年人的生活质量有积极和消极的影响。功能和心理因素是影响患者治疗体验的重要因素。
结论：该研究强调了社会心理因素和牙齿健康问题在成人正畸治疗决策过程中的影响。FC,RA,FL似乎会影响成年人的生活质量，常见的功能和社会心理因素。
