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Patient adherence in orthodontics: a scoping review.
Ronald Max van der Bie1, Annemieke Bos2, Jan Joseph Mathieu Bruers3
1Department of Orthodontics, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit (VU), Amsterdam, The Netherlands. r.m.vander.bie@acta.nl.
BDJ Open
|July 16, 2024
Summary
Patient adherence is crucial for orthodontic success, but current research lacks clear evidence on influencing factors or promotion strategies. More studies are needed to link adherence levels with treatment outcomes and stability.
Area of Science:
- Orthodontics
- Dental Public Health
- Patient Compliance
Background:
- Patient adherence significantly impacts orthodontic treatment success.
- A comprehensive review of patient adherence in orthodontics is lacking.
- This scoping review examines patient adherence during active treatment and retention phases.
Purpose of the Study:
- To provide an evidence-based overview of patient adherence in orthodontics.
- To identify knowledge gaps in the literature regarding patient adherence.
- To synthesize current understanding of factors influencing orthodontic patient adherence.
Main Methods:
- Scoping review protocol registered on Open Science Framework.
- Searched electronic databases and reference lists up to February 9, 2023.
- Included English-language studies from 2006 onwards investigating any form of patient adherence in orthodontics.
Main Results:
- Identified 3284 articles, with 60 meeting inclusion criteria.
- Literature search covered various aspects of patient adherence.
- Exclusion criteria focused on specific patient groups and study types.
Conclusions:
- No conclusive evidence identifies factors significantly impacting patient adherence.
- Effective strategies for promoting patient adherence remain unclear.
- The relationship between adherence levels and treatment results/stability requires further investigation.

