Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship

Abstract

Introduction:The high demand for orthodontic treatment, evidenced over the last few decades, has been justified mainly by the greater importance given to facial esthetics, influencing individual's self esteem. However, the professional frequently does not meet all the patient's expectations, for not establishing good communication and not knowing about the critical points during orthodontic treatment. Objective: The aim of this study was to elucidate patients' desires and doubts regarding orthodontic treatment, by means of a survey applied to 60 adult patients. Results: The analysis of results revealed that most individuals (38.3 %) noticed treatment success after its conclusion. Occlusion deviation was pointed out by 66.7 % as the main reason for seeking treatment, and esthetics ranked as second (with 48.3 %). Treatment time was considered within the prediction by 46.7% of the interviewees and the results were judged as very good by 43.3 %. The social relations of most participants were not affected by treatment (73.3 %). Also, 58.3 % of the interviewees reported pain as the main complaint and 53.3 % found it difficult to use dental floss. Most participants saw the orthodontist as a professional who was concerned about their health (76.7 %), and believed that he/she was more able to treat them (96.6 %) when compared with the general practitioner. Conclusion: The orthodontist/ patient relationship enables an understanding of the expectations regarding orthodontic treatment, resulting in greater motivation and cooperation, leading to a successful outcome. » The author reports no commercial, proprietary or financial interest in the products or companies described in this article.original article Introdução: a elevada procura por tratamentos ortodônticos, evidenciada nas últimas décadas, justifica-se principalmente pela maior importância à estética facial, influenciando a autoestima do indivíduo. Entretanto, muitas vezes o profissional não atinge todas as expectativas esperadas pelo paciente, por não estabelecer uma correta comunicação e conhecer os pontos críticos durante o tratamento ortodôntico. Objetivo: esse estudo objetivou elucidar os anseios e dúvidas de pacientes em relação ao tratamento ortodôntico por meio da aplicação de questionário a 60 pacientes adultos. Resultados: a análise dos resultados revelou que a maioria dos indivíduos (38,3%) percebeu êxito após a finalização da terapêutica. O desvio da oclusão foi apontado por 66,7% como principal motivo de procura pelo tratamento, e, em segundo lugar, 48,3% pela estética. O tempo de tratamento foi considerado dentro do previsto por 46,7% dos entrevistados e os resultados foram julgados como muito bons para 43,3%. As relações sociais da maioria dos participantes não foram afetadas pelo tratamento (73,3%), sendo que 58,3% dos entrevistados relataram a dor como queixa principal, e 53,3% encontraram dificuldades no uso do fio dental. A maioria dos participantes vê o ortodontista como um profissional preocupado com sua saúde (76,7%), e acredita que é mais apto...

What are patients’ expectations of orthodontic treatment: a systematic review

“…This questionnaire was present with acceptable validity and reliability. Two studies were conducted as a survey with a limited sample size of 50 and 60 subjects [ 23 , 24 ], respectively. Finally, Zhang et al adopted the Child Perception Questionnaire (CPQ 11-14 ) to measure patient expectations on oral related quality of life during treatment procedures [ 20 ].…”

“…Eight papers with four kinds of questionnaires measured patient expectations on orthodontic treatment experiences [Additional file 3 ]. The primary factors investigated in all these questionnaires were anticipated changes in social activity [ 12 , 22 – 27 ]; the duration of treatment [ 12 , 22 – 27 ]; types of treatment [ 12 , 22 – 27 ]; pain problems [ 12 , 20 , 22 , 24 – 27 ]; situation during the initial appointment [ 12 , 22 , 23 , 25 – 27 ]; frequency of revisit [ 12 , 22 , 23 , 25 – 27 ]; restriction in oral function such as eating [ 12 , 20 , 22 , 24 – 27 ]; restriction in oral hygiene [ 23 , 24 ]; relationship with orthodontists [ 23 , 24 ]; proficiency of dentist [ 24 ] and treatment complications [ 23 ]. E xpectations with regards to the treatment outcome and benefits .…”

“…This is further demonstrated by the different questionnaires, which have been developed and validated to measure the role of expectations in eligible studies. Apart from three survey studies [ 21 , 23 , 24 ], the remaining all adopted standardized questionnaires with a history of validity and reliability tests, even though the standardizations were insufficient in most of studies. In this review, the reliability value was got through test-retest comparison in 2 studies [ 8 , 12 ].…”

The role of social comparison in social judgments of dental appearance: An experimental study

“…Women tend to visit the orthodontic clinics more than men [3]. The motivating factor for females to seek orthodontic treatment seems to be for enhancing facial aesthetics [4]. Similar trends have been reported worldwide [5][6][7].…”

Effects of a 120Hz High-Frequency Acceleration Device on Orthodontic Discomfort

“…Specifically, both the fear of pain frequently associated with treatment and the length of time in treatment are the concerns most often cited by potential patients as the barriers to treatment acceptance. A survey of orthodontic patients indicated that 58.3% cited orthodontic pain as their primary complaint, followed by treatment duration [1]. Jones and Chan concluded that compliance with orthodontic treatment may be predicated on the amount of discomfort and pain experienced at the onset of treatment [2].…”