Patient compliance and orthodontic treatment efficacy of Planas functional appliances with TheraMon microsensors

Charavet, Carole; Gall, Michel Le; Albert, Adelin; Bruwier, Annick; LeRoy, Stephen F.

doi:10.2319/122917-888.1

Cited by 15 publications

(12 citation statements)

References 19 publications

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“…Findings also showed no gender differences in the compliance, which is also in agreement with investigations on compliance evaluation in other fields, such as orthodontic studies [16][17][18] assessing the patient's cooperation in the use of removable devices.…”

Section: Discussionsupporting

confidence: 89%

Smartphone-based application for EMA assessment of awake bruxism: compliance evaluation in a sample of healthy young adults

et al. 2019

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Objective A smartphone-based ecological momentary assessment (EMA) strategy to collect real time data on awake bruxism (AB) has been recently introduced. The aim of this study was to assess the compliance with its use over 1 week in a sample of healthy young adults. Method Sixty (N = 60) healthy young adults (mean age 24.2 ± 4.1 years) used a dedicated smartphone application that sent 20 alerts at random times throughout the day. Upon alert receipt, the subjects had to report in real time their condition among five possible options: relaxed jaw muscles, teeth contact, teeth clenching, teeth grinding, and mandible bracing. Compliance rate with the app was assessed at the individual and group level in terms of percentage of answered alerts as well as number of days that were needed to reach the targeted observation period of 7 days with a compliance of at least 60%. ResultsThe mean compliance recorded with the smartphone application was 67.8% of the total alerts. On average, 9.8 ± 3.2 days (range 7-19) have been necessary to achieve the targeted goal of 7 days with a minimum of 60% alerts/day. No gender differences were detected in any compliance data. Response rate was not different during weekdays or weekends. Conclusions This investigation is the first attempt to assess individual compliance with EMA for reporting awake bruxism. Results suggest that a smartphone-based strategy can have interesting potential. The compliance rate reported in this study will serve as a comparison standpoint for future investigations. Clinical significance Based on the recent multidisciplinary focus on the study of awake bruxism, EMA has emerged as a potential approach for use in the clinical and research settings. This investigation suggests that compliance with such strategy is good, thus making it worthy of adoption for the assessment of AB and its clinical implications.

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Section: Discussionsupporting

confidence: 89%

Smartphone-based application for EMA assessment of awake bruxism: compliance evaluation in a sample of healthy young adults

et al. 2019

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“…The expander used in this study was the removable palatal expansion appliance with posterior bite planes and midline expansion screws (Figure 3 ). The patients were instructed to wear the appliances 24 hours/day, removing them only for eating or tooth brushing [ 26 ]. The patients were asked to activate the expander twice weekly [ 22 ] until gaining a bilateral overcorrection equal to 2-3 mm [ 23 , 24 ].…”

Section: Methodsmentioning

confidence: 99%

Assessment of Patient-Centered Outcomes When Treating Maxillary Constriction Using a Slow Removable Versus a Rapid Fixed Expansion Appliance in the Adolescence Period: A Randomized Controlled Trial

Rabah¹,

Al-Ibrahim²,

Hajeer³

et al. 2022

Cureus

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Objective This study aimed to evaluate and compare the levels of pain, discomfort, and functional impairments between slow and rapid maxillary expansion (RME) in treating skeletal maxillary constriction in the adolescence period (i.e., between 12 and 16 years). Materials and methods The study sample consisted of 52 patients (21 males and 31 females) with maxillary skeletal constriction in the posterior region. The patients were randomly distributed into either RME (26 patients, with a mean age of 13.87 (± 1.31) years) or slow maxillary expansion group (SME, 26 patients, with a mean age of 14.31 (± 1.19) years). The levels of pain, discomfort, and functional difficulties were assessed after 24 hours (T1), 7 days (T2), 15 days (T3), one month (T4), and four months (T5) following the onset of the expansion procedure. Results Patients in the RME group encountered significantly greater levels of pain and discomfort than those in the SME group at T1, T2, and T3 (p>0.001). Chewing and swallowing difficulties were significantly greater in the RME group at T1, T2, T3, and T4 (P≤0.001). The pressure on soft tissue was greater in the RME group at T2 and T3 (p>0.001). After four months (T5), the levels of pain and discomfort decreased to their lowest levels, as well as the difficulties of chewing and swallowing, and the pressure on soft tissue were almost non-existent in both groups. Conclusion Patients treated with the removable slow maxillary expander reported lower levels of pain and discomfort, fewer chewing and swallowing difficulties, and less pressure on soft tissues than those treated with the bonded rapid maxillary expander. These difficulties gradually decreased over time in both groups. The lower levels of pain and discomfort may make the SME an effective and comfortable treatment alternative for adolescents with skeletal maxillary constriction.

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“…10,11 This could reduce the wear time of aligners and compliance, thus influencing the treatment outcome, 12 and a small number of patients even give up treatment because of terrible experience. 13,14 Therefore, attention to mental status should be considered in the treatment plan for the best possible patient-centered care.…”

Section: Introductionmentioning

confidence: 99%

Predicting patient experience of Invisalign treatment: An analysis using artificial neural network

et al. 2022

Korean J Orthod

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Objective: Poor experience with Invisalign treatment affects patient compliance and, thus, treatment outcome. Knowing the potential discomfort level in advance can help orthodontists better prepare the patient to overcome the difficult stage. This study aimed to construct artificial neural networks (ANNs) to predict patient experience in the early stages of Invisalign treatment. Methods: In total, 196 patients were enrolled. Data collection included questionnaires on pain, anxiety, and quality of life (QoL). A four-layer fully connected multilayer perception with three backpropagations was constructed to predict patient experience of the treatment. The input data comprised 17 clinical features. The partial derivative method was used to calculate the relative contributions of each input in the ANNs. Results: The predictive success rates for pain, anxiety, and QoL were 87.7%, 93.4%, and 92.4%, respectively. ANNs for predicting pain, anxiety, and QoL yielded areas under the curve of 0.963, 0.992, and 0.982, respectively. The number of teeth with lingual attachments was the most important factor affecting the outcome of negative experience, followed by the number of lingual buttons and upper incisors with attachments. Conclusions: The constructed ANNs in this preliminary study show good accuracy in predicting patient experience (i.e., pain, anxiety, and QoL) of Invisalign treatment. Artificial intelligence system developed for predicting patient comfort has potential for clinical application to enhance patient compliance.

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Patient compliance and orthodontic treatment efficacy of Planas functional appliances with TheraMon microsensors

Abstract: Perfect compliance is not necessary to achieve treatment success, but patients should exhibit sufficient wear time to allow maxillary expansion to occur. The TheraMon microsensor offers a new perspective and aid to individualize treatment prescriptions.

Cited by 15 publications

References 19 publications

Smartphone-based application for EMA assessment of awake bruxism: compliance evaluation in a sample of healthy young adults

Smartphone-based application for EMA assessment of awake bruxism: compliance evaluation in a sample of healthy young adults

Assessment of Patient-Centered Outcomes When Treating Maxillary Constriction Using a Slow Removable Versus a Rapid Fixed Expansion Appliance in the Adolescence Period: A Randomized Controlled Trial

Predicting patient experience of Invisalign treatment: An analysis using artificial neural network

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