Orthodontic cooperation

Abstract

The purpose of the present article was to provide a reasonably coherent picture of the concept as well as the prediction of the misunderstood phenomenon of orthodontic cooperation. A sample of seventy orthodontic patients was studied. A double-blind quasi-experimental research design was performed. Psychological instruments were used in order to measure achievement, affiliation, and attribution motivation. The following dependent variables were recorded: headgear wear, elastic wear, appliance maintenance, nonbroken appointments, oral hygiene, and plaque index. The raw data were analyzed by three different techniques. The results obtained from this study indicate that orthodontic cooperation is predictable through psychological testing. Specifically, high-need achievers cooperate better orthodontically than low-need affiliators, and internals cooperate better orthodontically than externals. Further, it was found that orthodontic cooperation does not involve a simple single general dimension of cooperation. Rather, orthodontic cooperation is composed of a more complex structure of two orthogonal constructs: Specific Orthodontics Construct of Cooperation (SOCC) and Perio-Orthodontic Construct of Cooperation (POCC). Because SOCC and POCC are orthogonal, a patient who is a good brusher does not have to be a good headgear wearer, and vice versa. The relative contribution of motivational psychology on each of the variables constituting orthodontic cooperation was determined. The implications for clinical applications were presented.

Development and Validation of a Socio-Dental Impact Locus of Control (SILOC) Scale

“…A more external locus of control as shown by higher SILOC scores was associated with higher dental neglect, caries, and plaque and gingivitis prevalence as well as with a tendency to postpone needed dental treatment. Previous research has shown that an external locus of control was associated with poorer oral health indicators [11,13,14] well as poorer dental attendance [17,29,30], which were in agreement with the findings of our study. These factors were considered for validation of the SILOC as they have been shown to be associated with locus of control in the past.…”

Patient compliance and locus of control in orthodontic treatment: A prospective study

“…17,18,27 Among the various psychological inventories, the LOC scale has proved particularly useful, especially in the prediction of healthenhancing behavior. [3][4][5][6][7][8] This study was inspired by a previous report that concluded that LOC information might be useful to enhance patient compliance in orthodontic treatment.…”

“…For example, a patient who is a good brusher is not necessarily a good headgear wearer, and vice versa. 18 Although measurement of compliance has been attempted with reliable systems such as built-in timing devices in various appliances, [29][30][31][32] these could only measure appliance wear time objectively. Some research has focused on the effect of sex differences and ages on compliance with appliance wear.…”

“…Because patient compliance is an important prerequisite for a positive treatment outcome in orthodontics, it was considered valuable to determine whether patient compliance can be predicted by a relatively simple survey before treatment. [17][18][19] Thus, our first aim in this prospective investigation was to analyze the relationship between patient compliance and LOC characteristics.…”

Influência da cooperação no planejamento e tempo de tratamento da má oclusão de Classe II

“…Muitas especulações foram feitas sobre o perfil psicológico de um paciente cooperador 4,50 , quais fatores teriam influência sobre seu comportamento e como seria possível mensurar por meio de testes psicológicos 17,18,20,21,37,49 estas tendências de conduta. Allan e Hodgson 4 consideraram que o perfil de um paciente cooperador incluiria quase sempre qualidades como ser amigável, responsável e atencioso, além de otimistas, obedientes, sociáveis e com bom desempenho escolar 9 .…”