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Strategies for improving compliance with removable retention appliances: A qualitative study
Ingalill Feldmann1, Anke Krämer1,2,3, Mats Sjöström3
1Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
Journal of Orthodontics
|May 29, 2026
Summary
Patient adherence to orthodontic retainers depends on individual needs and life situations. Strategies for improving compliance require patient-centered considerations, support, and established routines.
Area of Science:
- Orthodontics
- Patient Adherence
- Qualitative Research
Background:
- Removable retention appliances are crucial for maintaining post-orthodontic treatment stability.
- Patient compliance with retainer wear recommendations is a significant clinical challenge.
Purpose of the Study:
- To explore factors influencing patient compliance with removable retention appliances.
- To identify strategies for enhancing patient adherence to retainer wear recommendations.
Main Methods:
- A qualitative study using in-depth interviews with 15 participants (aged 25-32) undergoing long-term retainer wear.
- Grounded Theory methodology was employed for data analysis.
- The study was designed alongside a randomized controlled trial.
Main Results:
- Compliance failures were linked to specific triggers and pragmatic, patient-centered decisions.
- A core category, 'Pragmatic actions for improved adherence,' emerged.
- Key factors for improving compliance include individual patient factors, support systems, self-motivation, and routine establishment.
Conclusions:
- Effective strategies for enhancing removable retainer compliance must be individualized and consider the patient's life context.
- Long-term support from family and healthcare professionals is vital.
- Establishing good routines is crucial for sustained adherence.
