학술논문
Factors Affecting Patient Compliance during Orthodontic Treatment with Aligners: Motivational Protocol and Psychological Well-Being
Original Article
Original Article
Document Type
Report
Author
Source
Turkish Journal of Orthodontics. June 2023, Vol. 36 Issue 2, p87, 7 p.
Subject
Language
English
ISSN
2528-9659
Abstract
INTRODUCTION Nowadays, malocclusion has a negative impact on people's quality of life, social interactions, and self-esteem (1,2) as well as on oral biological conditions and functions. (3,4) The increasing demand [...]
Objective: Compliance is critical for successful outcomes in orthodontics, and personality traits may play a role in determining patient adherence. This study aimed to monitor compliance during treatment with removable clear aligners (CA) [Align Technology Inc, San Jose, Calif], and evaluate the influence of motivational techniques and the patient's profiles assessed through the psychological well-being (PWB) questionnaire on clinical outcomes. Methods: Thirty-nine consecutive patients in permanent dentition seeking treatment with CA were recruited from two universities. Casts were obtained before treatment and after 3, 6, and 12 months and the corresponding digital Clincheck(iD).STL fles were used to calculate the discrepancy index to check for differences between virtual and real treatment stages. Patients were divided into two groups: the Case group, which received motivational techniques at each appointment, and the control group which received instructions only at the beginning. Psychological profiles were evaluated before treatment (T0) and after 3 (T1), 6 (T2), and 12 (T3) months. Results: There were no differences between the Case and Control groups regarding the use of motivational reminders. The analysis of the PWB showed that almost all values increased, and there was a strong correlation between dental casts and correspondent. STL files at every time point. The PWB showed increased values from T0 to T3 in the sample. Conclusion: Motivational techniques did not affect patient compliance, and treatment outcomes were achieved as planned. The PWB of all patients improved throughout the treatment with CA. Keywords: Clear aligners, compliance, patient adherence, psychological well-being, motivational techniques, quality of life
Objective: Compliance is critical for successful outcomes in orthodontics, and personality traits may play a role in determining patient adherence. This study aimed to monitor compliance during treatment with removable clear aligners (CA) [Align Technology Inc, San Jose, Calif], and evaluate the influence of motivational techniques and the patient's profiles assessed through the psychological well-being (PWB) questionnaire on clinical outcomes. Methods: Thirty-nine consecutive patients in permanent dentition seeking treatment with CA were recruited from two universities. Casts were obtained before treatment and after 3, 6, and 12 months and the corresponding digital Clincheck(iD).STL fles were used to calculate the discrepancy index to check for differences between virtual and real treatment stages. Patients were divided into two groups: the Case group, which received motivational techniques at each appointment, and the control group which received instructions only at the beginning. Psychological profiles were evaluated before treatment (T0) and after 3 (T1), 6 (T2), and 12 (T3) months. Results: There were no differences between the Case and Control groups regarding the use of motivational reminders. The analysis of the PWB showed that almost all values increased, and there was a strong correlation between dental casts and correspondent. STL files at every time point. The PWB showed increased values from T0 to T3 in the sample. Conclusion: Motivational techniques did not affect patient compliance, and treatment outcomes were achieved as planned. The PWB of all patients improved throughout the treatment with CA. Keywords: Clear aligners, compliance, patient adherence, psychological well-being, motivational techniques, quality of life