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Patient Perspectives on Orthodontic Treatment Challenges, Knowledge, and Attitudes: A Cross-Sectional Survey
Sukhpal Kaur1, Rashmeet Kaur2, Chhaya Mangla3
1Orthodontics and Dentofacial Orthopaedics, Desh Bhagat Dental College & Hospital, Mandi Gobindgarh, IND.
Cureus
|August 2, 2026
Summary
Orthodontic patients frequently experience challenges like food lodgment and pain. However, most patients show positive attitudes and high satisfaction with orthodontic treatment, indicating effective patient education.
Area of Science:
- Dental Science
- Orthodontics
- Patient Care
Background:
- Orthodontic treatment utilizes oral appliances like brackets and wires.
- Long treatment durations can lead to physical and psychological patient challenges.
- Assessing patient knowledge and attitudes can improve education and compliance.
Purpose of the Study:
- To evaluate challenges faced by orthodontic patients.
- To assess patient knowledge and attitudes toward orthodontic treatment.
- To identify factors influencing treatment compliance.
Main Methods:
- A cross-sectional survey of 150 orthodontic patients (aged 15-30).
- Utilized a pre-validated 20-item questionnaire on treatment challenges, knowledge, and attitudes.
- Descriptive statistics and prevalence estimates with 95% confidence intervals (CIs) were calculated.
Main Results:
- Most common challenges: food lodgment (54.7%) and pain (53.3%).
- Posterior bracket breakage (73.3%) was more frequent than anterior (26.7%).
- High patient engagement: 93.3% enhanced brushing, 86.7% knew about retainers, 95.3% would recommend treatment. High satisfaction (90.6%).
Conclusions:
- Food lodgment, pain, and oral ulcers are prevalent orthodontic challenges.
- Patients exhibit good knowledge and positive attitudes despite treatment difficulties.
- Patient education and counseling appear effective in managing challenges and ensuring satisfaction.
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