Factors affecting patients' adherence to orthodontic appointments

Bukhari, Omair M.; Sohrabi, Keyvan; Tavares, Mary

doi:10.1016/j.ajodo.2015.07.040

Cited by 36 publications

(31 citation statements)

References 12 publications

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“…Because patients may have an inherently higher susceptibility to caries due to salivary dysfunction, enamel solubility, medications and genetics, an individualized caries prevention plan should be instituted for each orthodontic patient. Furthermore, clinicians should be wary of starting orthodontic treatment in patients with low motivation because this is associated with poor oral hygiene in orthodontic patients …”

Section: Enamel Decalcificationmentioning

confidence: 99%

Potential risks of orthodontic therapy: a critical review and conceptual framework

Wishney

2017

Australian Dental Journal

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This review examines some of the potential risks of orthodontic therapy along with their evidence base. The risks of orthodontic treatment include periodontal damage, pain, root resorption, tooth devitalization, temporomandibular disorder, caries, speech problems and enamel damage. These risks can be understood to arise from a synergy between treatment and patient factors. In general terms, treatment factors that can influence risk include appliance type, force vectors and duration of treatment whilst relevant patient factors are both biological and behavioural. Hence, the natural variation between orthodontic treatment plans and patients gives rise to variations in risk. A good understanding of these risks is required for clinicians to obtain informed consent before starting treatment as well as to reduce the potential for harm during treatment. After considering each of these risks, a conceptual framework is presented to help clinicians better understand how orthodontic risks arise and may therefore be mitigated.

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Section: Enamel Decalcificationmentioning

confidence: 99%

Potential risks of orthodontic therapy: a critical review and conceptual framework

Wishney

2017

Australian Dental Journal

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“…Therefore, pain has been the prime reason for discontinuation of orthodontic treatment. [78] Pain is usually initiated 4 hours after the application of the separator and increases over 24 hours, which then decreases within a 7-day period. [91011] Literature revealed that pain is usually aggravated by functions such as eating, eventually leading the patients to modify their eating habits as a coping mechanism and/or force them to use analgesics as a preventive measure when pain arises.…”

Section: Introductionmentioning

confidence: 99%

Pain and distress induced by elastomeric and spring separators in patients undergoing orthodontic treatment

AlBalbeesi

Huraib

Al-Nahas

et al. 2016

J Int Soc Prevent Communit Dent

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Aims and Objectives:The objective of the present investigation is to evaluate patients’ pain perception and discomfort, the duration of pain and the level of self-medication over time during tooth separation, and the effectiveness of elastomeric and spring types of orthodontic separators in Saudi population.Materials and Methods:The study group consisted of 30 female adolescent patients who had elastomeric/spring separators as part of their orthodontic treatment. A self-administrated questionnaire comprising 16 multiple choice questions and another with visual analog scale were used to record the patient's pain perceptions at 4 hours, 24 hours, 3 days, 5 days, and 7 days from the time of insertion. The level of pain and discomfort during these time periods were assessed by a visual analog scale. After a separation period of 7 days, the amount of separation was measured with a leaf gauge. Type and frequency of analgesic consumption was also recorded. The Statistical Package for the Social Sciences (SPSS) version 20 (IBM SPSS -Chicago, IL: SPSS Inc.,) was used for statistical analysis.Results:The data showed significant increase in the level of pain at 4 hours, 24 hours, and 3 days from separator placement. The elastomeric separators produced significantly more separation than the spring separators and also caused maximum pain during the first 3 days after insertion. However, there was no significant difference between the score of pain between two separators at all time intervals.Conclusion:Both elastomeric and spring separators showed comparative levels of pain and discomfort during the early phase of separation. Elastomeric separators were found to be more effective in tooth separation than spring separators. However, further studies are necessary to substantiate this preliminary observation.

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“…Patient-compliance-related factors, such as not attending to appointments, not using accessory devices, inefficient oral hygiene, and appliance breakage, are decisive to longer treatment. 11 , 14 , 16 , 18 , 26 …”

Section: Patient’s Traits and Compliancementioning

confidence: 99%

Orthodontic treatment time: can it be shortened?

Moresca

2018

Dental Press J. Orthod.

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Introduction: In the literature, no consensus has been reached about orthodontic treatment time. Similarly, the determining factors of the latter have not yet been completely elucidated. Objective: The aim of the present article was to deepen the discussion on the major factors influencing orthodontic treatment time, as well as to present some strategies that have proven effective in controlling and shortening it. Method: Based on evidences found in the literature, the method focussed in providing the basis for clinical decision-making. Conclusions: Treatment time varies according to the type of malocclusion and treatment options. Orthodontist’s influence, patient’s characteristics and compliance are all decisive in determining treatment time, while the effects provided by orthodontic appliances and methods used to speed tooth movement up seem little effective.

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Factors affecting patients' adherence to orthodontic appointments

Cited by 36 publications

References 12 publications

Potential risks of orthodontic therapy: a critical review and conceptual framework

Potential risks of orthodontic therapy: a critical review and conceptual framework

Pain and distress induced by elastomeric and spring separators in patients undergoing orthodontic treatment

Orthodontic treatment time: can it be shortened?

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