Objectively measured compliance during early orthodontic
treatment: Do treatment needs have an impact?

Sarul, Michał; Kawala, Beata; Kozanecka, Anna; Łyczek, Jan; Antoszewska-Smith, Joanna

doi:10.17219/acem/62107

Cited by 18 publications

(27 citation statements)

References 15 publications

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“…8 Therefore, many researchers focused on establishing factors that would enable us to predict patient cooperation before manufacturing an appliance. [9][10][11][12] Our previous studies, 13 similarly to those by Amado et al, 14 have shown that the degree of compliance depends on the patients' and -more significantly -their caregivers' personality traits.…”

Section: Introductionsupporting

confidence: 53%

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Self-perception of smile attractiveness as a reliable predictor of increased patient compliance with an orthodontist

Sarul¹,

Antoszewska-Smith²,

Park³

2019

Adv Clin Exp Med

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Background. Predicting the cooperation of orthodontic patients seems to be of the utmost importance for successful results in treatment with removable appliances, especially if their cost is to be covered from public funding. Therefore, the issue of unbiased pre-treatment assessment of cooperation still calls for an investigation. Objectives. The objective of this study was to check whether smile attractiveness and its importance, subjectively evaluated by the patients/their caregivers, are reliable predictors of a patient's compliance during treatment with removable appliances. Material and methods. The study group comprised 97 patients aged 9-12 years, treated with active plates or twin-blocks, equipped with the TheraMon ® system. Before treatment, the caregivers and the patients filled out the questionnaires ranking both of the investigated variables. After 9 months of treatment, we analyzed the correlations of the daily wear time (DWT) and other variables. Results. The analysis revealed the following: no relevance of the DWT to the type of removable appliances; negative correlation between the DWT and smile attractiveness assessed by the children and their caregivers; evidently elongated DWT (up to 9.68 h in children), who, together with the caregivers, evaluated their smile attractiveness as poor; coherence of children's and their caregivers' responses evaluating smile attractiveness and its importance, as well as the lack of consistency when comparing responses provided separately by the children and their caregivers. Conclusions. Application of the TheraMon ® sensors objectively proved that the patient's smile attractiveness ranked subjectively as low predicts the orthodontic patient's irreproachable cooperation. Therefore, our easy-to-use questionnaire calls for changing the protocol regarding the wearing time of removable appliances during treatment and introducing an evidence-based policy of reimbursement for such therapy from public funds. Further investigation of the effectiveness of removable appliances worn shorter than previously presumed and of the motivation to continue treatment, once smile attractiveness has been improved, is necessary.

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Section: Introductionsupporting

confidence: 53%

“…The authors have already made an attempt to objectively assess the effectiveness of some of these criteria in the published studies. 13,25 It is clear that conducting such a study would in the future create evidence-based treatment protocols regarding the DWT.…”

Section: Discussionmentioning

confidence: 99%

Self-perception of smile attractiveness as a reliable predictor of increased patient compliance with an orthodontist

Sarul¹,

Antoszewska-Smith²,

Park³

2019

Adv Clin Exp Med

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“…The result of the present study indicated no signi cant correlation between acceptance of appliance and IOTN-DHC and IOTN-AC. This nding is inconsistent with the results yielded by Sarul et al 14 , who showed signi cant correlation between the severity of malocclusion and compliance and cooperation of orthodontic appliance. It has been veri ed that the more the severe the malocclusion the higher patient's motivation to orthodontic treatment [14,27].The evidences show that the psychological status in patients with severe malocclusion and scores 4 or 5 of IOTN is signi cantly affected by malocclusion [28,29].…”

Section: Discussioncontrasting

confidence: 99%

“…This nding is inconsistent with the results yielded by Sarul et al 14 , who showed signi cant correlation between the severity of malocclusion and compliance and cooperation of orthodontic appliance. It has been veri ed that the more the severe the malocclusion the higher patient's motivation to orthodontic treatment [14,27].The evidences show that the psychological status in patients with severe malocclusion and scores 4 or 5 of IOTN is signi cantly affected by malocclusion [28,29]. The absence of signi cant correlation between acceptance of appliance and severity of malocclusion can be attributed to low to moderate need for orthodontic treatment among our study population (mean of IOTN-DHC= 2.85 ± 0.56).…”

Section: Discussioncontrasting

confidence: 99%

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The Impact of General Self-efficacy and the Severity of Malocclusion on Acceptance of Removable Orthodontic Appliances in 10- to 12-year-old Patients

Naseri

Baherimoghadam

Bassagh

et al. 2020

Preprint

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Background: The patients’ acceptance of a treatment plan and their subsequent cooperation play a crucial role in achieving the best results in orthodontic treatments. Evidences show some personality traits such as general self-efficacy (GSE) and some dental traits such as severity of malocclusion are correlated with motivation of orthodontic treatment. These factors may predict the patients’ compliance and acceptance in using removable orthodontic appliances. This cross sectional study was conducted to assess the correlation of GSE and the severity of malocclusion with patients’ acceptance in using removable orthodontic appliances. Methods: This study recruited 50 patients aged 10-12 years who required removable orthodontic appliances. The severity of malocclusion was determined using the index of orthodontic treatment need (IOTN) before the onset of treatment and GSE of participants were assessed using GSE scale self-report. The acceptance questionnaire was proposed to the patients on first (T1), third (T2), and sixth (T3) month after the delivery of the appliance. Results: The GSE score had a statistically significant correlation with the total score of the acceptance questionnaire, subscale score of satisfaction with the appliance during eating and oral hygiene practice, duration of usage of the appliance, and interest in using it (P<0.05). The IOTN had no significant correlation with the acceptance questionnaire. Conclusions: Our findings substantiate the role of the GSES, concurrently declining the role of the IOTN in prediction of 10-12-year-old children's acceptance and cooperation in treatment of malocclusion with removable appliances.

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Does daily wear time of Twin Block reliably predict its efficiency of class II treatment?

et al. 2021

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Purpose The objective of this study was to investigate how daily wear time (DWT) influences class II malocclusion treatment efficiency. Materials and methods The study group consisted of 55 patients (mean age 10.4 years) diagnosed with a class II/1 malocclusion. Twin block appliances, with built-in Theramon® microsensors (MC Technology, Hargelsberg, Austria) to monitor patients’ cooperation (daily wear time assessment), were used for treatment. Cephalograms were taken and the following initial and final measurements were compared: Co-Gn, Co-Go, Co-Olp, Pg-Olp, WITS, SNA, SNB, ANB, Co-Go-Me, overjet, molar and canine relationships. The Shapiro–Wilk test, Wilcoxon signed-rank test, Student’s t-test, Levene’s test, Mann–Whitney U test, Kruskal–Wallis test, χ2 test, and Spearman’s rank correlation coefficient with p < 0.05 set as the statistical significance level were used to determine the correlation of the outcomes with DWT; a ROC (receiver operating characteristic) curve was calculated to illustrate diagnostic ability of the binary classifier system. Results DWT was very highly positively correlated with change of the Pg-Olp parameter and highly with an improvement in the ANB, SNA, and SNB angles, an increase in the WITS parameter and an increase in Co-Gn distance. DWTs < 7.5 h correlated with significantly less improvement of the investigated variables. However, DWT > 7.5 h did not significantly correlate with the improvement of the overjet and most of the linear parameters in the mandible. The ROC curve and its AUC (area under curve) allowed the determination of a DWT of 7 h and 48 min to be capable of establishing a class I relationship with 83% probability. Conclusions Class II treatment efficiency was influenced by DWT; an 8 h threshold value had an 83% probability of establishing a class I relationship.

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Objectively measured compliance during early orthodontic treatment: Do treatment needs have an impact?

Cited by 18 publications

References 15 publications

Self-perception of smile attractiveness as a reliable predictor of increased patient compliance with an orthodontist

Self-perception of smile attractiveness as a reliable predictor of increased patient compliance with an orthodontist

The Impact of General Self-efficacy and the Severity of Malocclusion on Acceptance of Removable Orthodontic Appliances in 10- to 12-year-old Patients

Does daily wear time of Twin Block reliably predict its efficiency of class II treatment?

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