METHODS: Ninety-four subjects in active treatment were invited to answer self-reported questions concerning pain severity and duration, occurrence of other signs and symptoms, and level of satisfaction with their treatment. Also, the OHIP-14 questionnaire was applied to assess patients\' OHRQoL.
RESULTS: Ninety-four patients (49 women and 45 men) answered the survey. Pain duration of 1-3 days was reported by 69.1% of patients (n = 60). For those who reported pain (n = 84), it was considered mild severity by 42.9% and moderate by 52.4%. Almost sixty-four percent of the sample were very satisfied with the aligner\'s aesthetics (n = 60) and forty-nine percent were satisfied with treatment in general (n = 46). Mean OHIP-14 score was 3.36 ± 2.54. OHRQoL was significantly associated with pain severity, whereas patients who reported having experienced moderate pain presented a significantly higher mean OHIP-14 score than those who reported having experienced mild pain (3.92 ± 1.93 and 2.69 ± 2.83, respectively; p = 0.036). The \"psychological discomfort\" OHIP-14\'s domain was the most influenced by the level of pain.
CONCLUSIONS: Pain severity significantly influenced OHRQoL, in adult patients under treatment with clear aligners. However, high levels of patient satisfaction were reported, regardless of pain duration or severity.
方法:邀请94名积极治疗的受试者回答关于疼痛严重程度和持续时间的自我报告问题,其他体征和症状的发生,以及他们对治疗的满意程度。此外,OHIP-14问卷用于评估患者OHRQoL.
结果:94名患者(49名女性和45名男性)回答了调查。69.1%的患者报告疼痛持续时间为1-3天(n=60)。对于那些报告疼痛的人(n=84),它被认为是轻度的42.9%和中度的52.4%。几乎64%的样本对矫正器的美学非常满意(n=60),而49%的样本对总体治疗满意(n=46)。平均OHIP-14评分为3.36±2.54。OHRQoL与疼痛严重程度显著相关,而报告经历中度疼痛的患者的平均OHIP-14评分明显高于报告经历轻度疼痛的患者(分别为3.92±1.93和2.69±2.83;p=0.036).OHIP-14的“心理不适”领域受疼痛程度的影响最大。
结论:疼痛严重程度显著影响OHRQoL,在使用清晰对齐器治疗的成年患者中。然而,报告了高水平的患者满意度,无论疼痛持续时间或严重程度。