Adolescents' experiences of using removable functional appliances

Čirgić, Emina; Kjellberg, Heidrun; Hansen, Ken; Lepp, Margret

doi:10.1111/ocr.12093

Cited by 18 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, physicians should advise their patients so that they have access to relevant content. Cirgic et al 36 (2015) / Sweden / Orthodontics and Craniofacial Research Explore and describe experiences of adolescents in treatment with removable functional appliances. Qualitative / Unstructured interviews / 21 / Adolescents (11-15 years old) The experiences of adolescents in using removable functional appliances seem to be highly diversified, and the dentist has an important role in this process.…”

Section: Resultsmentioning

confidence: 99%

Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

View full text Add to dashboard Cite

Introduction: Research in Orthodontics has historically followed the positivist model based on the direct relationship of cause and effect between diseases and their specific etiological factors. Despite the objectivity and the great potential of statistical procedures, quantitative methods have progressively been sharing space with other models that can encompass the multiplicity of factors that affect the health-disease process, which until such time was reduced to its biological dimension. Objectives: This study aims, through an integrative review, to identify orthodontics articles published over a 10-year period that have used, exclusively or not, some method of qualitative research, and analyze the main aspects of their content. Methods: A survey was performed on Pubmed, Medline, Scopus, and Lilacs databases from 2007 to 2016 with a focus on the applicability of the qualitative methodology in orthodontic research. Results: The 27 articles selected showed a trend to increase in publications, with the most recent four years concentrating almost 60% of them. Most studies were from Europe, particularly the UK, and the more frequent study objectives were related to the perception of people about the reasons for orthodontic treatment, about the aesthetic and psychosocial impact of malocclusion or orthodontic treatment, and the implications of these factors for their quality of life. Conclusions: Because of its potential to explore behaviours and socio-cultural attitudes sustained in subjectivity, qualitative research offers new possibilities for orthodontic studies and can be used in an exclusive or complementary way in relation to quantitative methods.

show abstract

Section: Resultsmentioning

confidence: 99%

Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

View full text Add to dashboard Cite

show abstract

“…However, only one-third of participants reported satisfactory wear levels of vacuum-formed retainers after two years despite being uniformly (100%) adherent at six-month follow-up (Al-Moghrabi et al, 2018). Motives for wearing removable functional appliances include the development of positive dental changes, allied to parental involvement and professional encouragement at follow-up appointments (Čirgić et al, 2015; El-Huni et al, 2019). However, it would be intuitive to expect facilitators of retainer wear to be different as these perform a relatively passive function in maintaining treatment outcomes with participants also having less frequent follow-ups.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing adherence to vacuum-formed retainer wear: A qualitative study

2019

View full text Add to dashboard Cite

Objective: To explore factors influencing adherence to vacuum-formed retainer wear over a minimum period of four years. Design: A qualitative study based on a randomised controlled trial assessing the effectiveness of orthodontic retainers. Setting: Institute of Dentistry, Queen Mary University of London. Participants: Fifteen participants wearing vacuum-formed retainers for at least four years. Methods: One-to-one semi-structured interviews were undertaken on a criterion-based purposive sample of participants wearing vacuum-formed retainers. The interviews were audio-recorded, transcribed verbatim and analysed using Framework Methodology. Results: High self-reported levels of adherence in the early stages of retention were linked to a desire to maintain orthodontic outcomes and the negative perception of potential post-treatment changes. However, adherence typically reduced over time due to a combination of factors including the negative impact of retainers on quality of life and pragmatic issues related to retainer wear. Network support was found to be important in the short and long term, with instances of self-directed wear and negative beliefs concerning the importance of retainer wear and predisposition to post-treatment changes. Lack of follow-up appointments and immaturity of participants prompted independent decisions to cease retainer wear. Conclusions: Six key influencers of prolonged adherence with vacuum-formed retainer wear were identified. Future strategies to improve adherence should account for these while also being responsive to time elapsed since debond and patient age.

show abstract

“…6,13,15, Of these, nine were RCTs, 6,13,17,18,23,24,30,34,39 six were CCTs, 25,26,33,[36][37][38] one was a case series, 29 eight were prospective observational studies, 15,19,27,28,31,32,35,40 and three were qualitative studies. [20][21][22] The vast majority of included studies were carried out in a university or hospital setting apart from four studies were undertaken in private practices. 13,24,33,40 The appliances used varied significantly, with some studies evaluating a single treatment and others comparing two or three different types of Class II correction appliances (Appendix 3; Table II).…”

Section: Study Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

“…15,26,28,31,32,[35][36][37]40 (Figure 3; Appendix 5). Finally, of the included studies, three were qualitative in nature involving semistructured interviews, [20][21][22] and therefore a risk of bias assessment was not indicated.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%