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Adherence in orthodontic settings: understanding practitioner views in a UK sample.

Nawaf Hamad Al Shammary1, Tim Newton2, Fraser McDonald3

  • 1a   Doctoral Researcher, Unit of Social and Behavioural Sciences, Dental Institute, King's College London, London, UK.

The Angle Orthodontist
|May 14, 2015
PubMed
Summary

Orthodontists in the UK identified appointment keeping, oral hygiene, and appliance use as key predictors of adult patient adherence. Treatment cost was also noted as significant for successful orthodontic outcomes.

Keywords:
AdherenceOrthodonticPractitionerUKViews

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Area of Science:

  • Dentistry and Oral Health
  • Orthodontics
  • Patient Adherence Research

Background:

  • Patient adherence is crucial for successful orthodontic treatment outcomes.
  • Understanding predictors of adherence can improve treatment efficacy and patient satisfaction.

Purpose of the Study:

  • To identify factors orthodontists in the United Kingdom perceive as predictors of adherence in adult orthodontic patients.
  • To explore the importance and application of these predictors in clinical practice.

Main Methods:

  • A cross-sectional quantitative survey was conducted with 23 UK orthodontists.
  • Orthodontists rated the importance and application of known adherence predictors and provided open-ended feedback.
  • Data were collected on perceived predictors and demographic information.

Main Results:

  • Orthodontists unanimously identified appointment regularity, oral hygiene, and appliance use as the most critical adherence predictors.
  • Perceived cost of treatment emerged as a significant factor in predicting adherence.
  • Other listed predictors were generally considered important but showed more varied responses.

Conclusions:

  • Appointment keeping, maintaining good oral hygiene, and consistent use of dental appliances are paramount for adult orthodontic patient adherence.
  • The perceived financial cost of treatment is an important consideration for orthodontists when assessing patient adherence.