[摘要]目的：探讨接受全瓷贴面修复的前牙散在间隙患者修复前的心理因素与修复后美学满意度的影响因素，以及两者间的相关性。方法：选择笔者医院2016年4月-2022年4月接受前牙散在间隙全瓷贴面修复的120例患者，采用改良牙科焦虑量表（Modified dental anxiety scale，MDAS）及抑郁自评量表（Self-rating depression scale，SDS）进行修复前心理因素评价，采用前牙美学修复患者满意度调查表进行修复后美学满意度评价，通过单因素和多因素分析修复前MDAS得分及SDS评分，修复后美学满意度评分的影响因素，Pearson分析修复前MDAS得分及SDS评分与修复后美学满意度的相关性。结果：单因素及多因素分析发现，修复前的心理因素受到性别、年龄、文化程度、修复治疗史的影响，修复后美学满意度评分受到性别、年龄、修复治疗史的影响，且修复前MDAS得分及SDS评分与修复后美学满意度负相关（r=-0.309，-0.294，P＜0.001）。结论：对于接受全瓷贴面修复的前牙散在间隙患者，修复前心理因素受到性别、年龄、文化程度、修复治疗史的影响，修复后美学满意度受到性别、年龄、修复治疗史的影响，且MDAS得分及SDS评分与修复后美学满意度负相关。

[关键词]前牙散在间隙；全瓷贴面；改良牙科焦虑量表（MDAS）；抑郁自评量表（SDS）；美学满意度

[中图分类号]R783.3" " [文献标志码]A" " [文章编号]1008-6455（2025）06-0135-04

Correlation between Psychological Factors Prior to All-ceramic Veneer Restoration of Anterior Scattered Gaps and Aesthetic Satisfaction after Restoration

FENG Xixia， MU Hong

（ Department of Stomatology， Dongfang Hospital， Beijing University of Traditional Chinese Medicine， Beijing 100000， China ）

Abstract： Objective" To analyze the factors influencing pre-restoration psychological factors and post-restoration aesthetic satisfaction in patients with scattered gaps in anterior teeth who received all-ceramic veneer restorations， as well as the correlation between the two. Methods" A total of 120 patients who received full-porcelain veneer restoration in the anterior teeth dispersed in the space in the hospital from April 2016 to April 2022 were selected to evaluate the psychological factors before restoration by using the modified dental anxiety scale （MDAS） and self-rating depression scale （SDS）， and the aesthetic satisfaction of the anterior teeth aesthetic restoration patients was evaluated by using the satisfaction questionnaire. Through univariate and multivariate analysis， the influencing factors of MDAS score and SDS score before restoration and aesthetic satisfaction score after restoration were analyzed. Pearson analyzed the correlation between MDAS score and SDS score before restoration and aesthetic satisfaction score after restoration. Results" Univariate and multivariate analysis showed that the psychological factors before repair were affected by gender， age， education level and history of repair and treatment， and the score of aesthetic satisfaction after repair was affected by gender， age and history of repair and treatment， and the score of MDAS and SDS before repair were negatively correlated with aesthetic satisfaction after repair （r=-0.309， -0.294， P＜0.001）. Conclusion" For the patients with scattered anterior teeth who received all-porcelain veneer restoration， the psychological factors before restoration were affected by gender， age， education level and history of restoration treatment， and the aesthetic satisfaction after restoration was affected by gender， age and history of restoration treatment， and the score of MDAS and SDS were negatively correlated with the aesthetic satisfaction after restoration.

Key words： anterior scattered gaps; all-porcelain veneers; modified dental anxiety scale（MDAS）; self-rating depression scale（SDS）; aesthetic satisfaction

作为一种临床上较常见的牙列缺损，牙周病导致的前牙间隙通常呈散在的扇形，一般称之为前牙散在间隙[1]。在前牙散在间隙中，由于牙周病带来的牙龈退缩，临床牙冠被拉长，牙冠与牙根的比例发生改变，牙齿出现不同程度的松动[2]。……