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Orthodontic Compliance Assessment: A Systematic Review
Marek Nahajowski1, Joanna Lis2, Michał Sarul1
1Department of Integrated Dentistry, Wroclaw Medical University, Wroclaw, Poland.
International Dental Journal
|August 12, 2022
Summary
Patients often do not wear their removable orthodontic appliances as recommended, with intraoral devices showing better compliance. Age and sex did not impact patient adherence to appliance wear time.
Area of Science:
- Orthodontics
- Dental Materials Science
- Patient Compliance Studies
Background:
- Removable orthodontic appliances are widely used in clinical practice.
- Accurate assessment of appliance wear time is crucial for treatment efficacy.
- Patient compliance significantly influences orthodontic treatment outcomes.
Purpose of the Study:
- To evaluate the impact of removable appliance type, patient age, and sex on wear time adherence.
- To correlate actual patient wear time with orthodontist-recommended wear schedules.
- To identify factors influencing compliance with removable orthodontic appliances.
Main Methods:
- Systematic review and qualitative synthesis of 31 studies.
- Inclusion of randomized controlled trials, cohort studies, case series, observational studies, and retrospective analyses.
- Data extraction and weighted average calculation for mean wear time from 1674 participants.
Main Results:
- Mean wear time for both extraoral and intraoral appliances was less than recommended.
- Intraoral appliances demonstrated higher patient cooperation compared to extraoral ones.
- Schwarz appliances and plate retainers showed the highest compliance rates (73.70% and 85%, respectively).
Conclusions:
- Patient age and sex did not demonstrate a significant influence on compliance.
- Inconsistencies in existing literature may affect the reliability of previous findings.
- Future research should utilize microsensors to accurately measure actual wear time for removable appliances.
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