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Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 2/2014

01.03.2014 | Original article

Methods to evaluate compliance of patients with removable appliances—survey results

verfasst von: H. Meyer-Gutknecht, U. Fritz, PD Dr. T.C. Schott

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 2/2014

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Abstract

Objectives

Are removable appliances still being routinely used in orthodontic offices? Which methods do clinicians use to assess compliance with wear requirements, and how effective are these methods considered to be?

Subjects and methods

A questionnaire inquiring about types of treatment, methods of assessing patient compliance with removable appliances, and the perceived effectiveness of these methods was mailed to a sample of 375 members of the German Orthodontic Society (“Deutschen Gesellschaft für Kieferorthopädie”, DGKFO).

Results

The rate of returned questionnaires was 29 %. Almost all respondents (99 %) indicated that they used removable appliances and reported having a “relatively high” proportion of patients currently undergoing such treatment. The most widely used methods of compliance assessment were questioning patients and parents (96 %) and examining clinical parameters associated with the dentition and the appliance’s fit (95–100 %). While these parameters were considered “highly effective”, questioning the patients and parents was regarded as “less effective” despite its frequent application.

Conclusion

Removable appliances continue to be a standard method of orthodontic treatment. While patient compliance with wear requirements is mainly assessed via indirect clinical methods, the effectiveness of these parameters remains unclear.
Literatur
1.
Zurück zum Zitat Ackerman MB, Thornton B (2011) Posttreatment compliance with removable maxillary retention in a teenage population: a short-term randomized clinical trial. Orthodontics (Chic) 12:22–27 Ackerman MB, Thornton B (2011) Posttreatment compliance with removable maxillary retention in a teenage population: a short-term randomized clinical trial. Orthodontics (Chic) 12:22–27
2.
Zurück zum Zitat Bartsch A, Witt E, Sahm G et al (1993) Correlates of objective patient compliance with removable appliance wear. Am J Orthod Dentofacial Orthop 104:378–386PubMedCrossRef Bartsch A, Witt E, Sahm G et al (1993) Correlates of objective patient compliance with removable appliance wear. Am J Orthod Dentofacial Orthop 104:378–386PubMedCrossRef
3.
Zurück zum Zitat Bimler HP, Bimler AB (1987) Monitoring of orthodontic treatment using individual reaction curves. Fortschr Kieferorthop 48:371–378PubMedCrossRef Bimler HP, Bimler AB (1987) Monitoring of orthodontic treatment using individual reaction curves. Fortschr Kieferorthop 48:371–378PubMedCrossRef
4.
Zurück zum Zitat Bos A, Hoogstraten J, Prahl-Andersen B (2005) Towards a comprehensive model for the study of compliance in orthodontics. Eur J Orthod 27:296–301PubMedCrossRef Bos A, Hoogstraten J, Prahl-Andersen B (2005) Towards a comprehensive model for the study of compliance in orthodontics. Eur J Orthod 27:296–301PubMedCrossRef
5.
Zurück zum Zitat Bos A, Kleverlaan CJ, Hoogstraten J et al (2007) Comparing subjective and objective measures of headgear compliance. Am J Orthod Dentofacial Orthop 132:801–805PubMedCrossRef Bos A, Kleverlaan CJ, Hoogstraten J et al (2007) Comparing subjective and objective measures of headgear compliance. Am J Orthod Dentofacial Orthop 132:801–805PubMedCrossRef
6.
Zurück zum Zitat Brandao M, Pinho HS, Urias D (2006) Clinical and quantitative assessment of headgear compliance: a pilot study. Am J Orthod Dentofacial Orthop 129:239–244PubMedCrossRef Brandao M, Pinho HS, Urias D (2006) Clinical and quantitative assessment of headgear compliance: a pilot study. Am J Orthod Dentofacial Orthop 129:239–244PubMedCrossRef
7.
Zurück zum Zitat Cole WA (2002) Accuracy of patient reporting as an indication of headgear compliance. Am J Orthod Dentofacial Orthop 121:419–423PubMedCrossRef Cole WA (2002) Accuracy of patient reporting as an indication of headgear compliance. Am J Orthod Dentofacial Orthop 121:419–423PubMedCrossRef
8.
Zurück zum Zitat Cureton SL, Regennitter FJ, Yancey JM (1993) Clinical versus quantitative assessment of headgear compliance. Am J Orthod Dentofacial Orthop 104:277–284PubMedCrossRef Cureton SL, Regennitter FJ, Yancey JM (1993) Clinical versus quantitative assessment of headgear compliance. Am J Orthod Dentofacial Orthop 104:277–284PubMedCrossRef
9.
Zurück zum Zitat Cureton SL, Regennitter FJ, Yancey JM (1993) The role of the headgear calendar in headgear compliance. Am J Orthod Dentofacial Orthop 104:387–394PubMedCrossRef Cureton SL, Regennitter FJ, Yancey JM (1993) The role of the headgear calendar in headgear compliance. Am J Orthod Dentofacial Orthop 104:387–394PubMedCrossRef
10.
Zurück zum Zitat Hawkins DI, Coney KA (1981) Uninformed response error in survey research. J Mark Res 18:370–374CrossRef Hawkins DI, Coney KA (1981) Uninformed response error in survey research. J Mark Res 18:370–374CrossRef
11.
Zurück zum Zitat Haynes RB (1979) Introduction. In: Haynes RB TDW, Sackett DL (eds) Compliance in health care, 1st edn. Johns Hopkins University Press Haynes RB (1979) Introduction. In: Haynes RB TDW, Sackett DL (eds) Compliance in health care, 1st edn. Johns Hopkins University Press
12.
Zurück zum Zitat Korbmacher H, Kahl-Nieke B, Schnabel S (2000) Early orthodontic treatment of Class-III malocclusion in Germany. J Orofac Orthop 61:168–174PubMedCrossRef Korbmacher H, Kahl-Nieke B, Schnabel S (2000) Early orthodontic treatment of Class-III malocclusion in Germany. J Orofac Orthop 61:168–174PubMedCrossRef
13.
Zurück zum Zitat Krey KF, Hirsch C (2012) Frequency of orthodontic treatment in German children and adolescents: influence of age, gender, and socio-economic status. Eur J Orthod 34:152–157PubMedCrossRef Krey KF, Hirsch C (2012) Frequency of orthodontic treatment in German children and adolescents: influence of age, gender, and socio-economic status. Eur J Orthod 34:152–157PubMedCrossRef
14.
Zurück zum Zitat Mehra T, Nanda RS, Sinha PK (1998) Orthodontists’ assessment and management of patient compliance. Angle Orthod 68:115–122PubMed Mehra T, Nanda RS, Sinha PK (1998) Orthodontists’ assessment and management of patient compliance. Angle Orthod 68:115–122PubMed
15.
Zurück zum Zitat Meier B, Wiemer KB, Miethke RR (2003) Invisalign—patient profiling. Analysis of a prospective survey. J Orofac Orthop 64:352–358PubMedCrossRef Meier B, Wiemer KB, Miethke RR (2003) Invisalign—patient profiling. Analysis of a prospective survey. J Orofac Orthop 64:352–358PubMedCrossRef
16.
Zurück zum Zitat Sahm G, Bartsch A, Witt E (1990) Micro-electronic monitoring of functional appliance wear. Eur J Orthod 12:297–301PubMedCrossRef Sahm G, Bartsch A, Witt E (1990) Micro-electronic monitoring of functional appliance wear. Eur J Orthod 12:297–301PubMedCrossRef
17.
Zurück zum Zitat Sahm G, Bartsch A, Witt E (1990) Reliability of patient reports on compliance. Eur J Orthod 12:438–446PubMedCrossRef Sahm G, Bartsch A, Witt E (1990) Reliability of patient reports on compliance. Eur J Orthod 12:438–446PubMedCrossRef
18.
Zurück zum Zitat Schott TC, Engelhard L, Gomez-Serrano D et al (2011) Comparison of estimated and actual changes in gap widths of expansion screws in plate appliances with 7- and 14-day activation. J Orofac Orthop 72:446–456PubMedCrossRef Schott TC, Engelhard L, Gomez-Serrano D et al (2011) Comparison of estimated and actual changes in gap widths of expansion screws in plate appliances with 7- and 14-day activation. J Orofac Orthop 72:446–456PubMedCrossRef
19.
Zurück zum Zitat Schott TC, Göz G (2010) Applicative characteristics of new microelectronic sensors Smart Retainer® and TheraMon® for measuring wear time. J Orofac Orthop 71:339–347PubMedCrossRef Schott TC, Göz G (2010) Applicative characteristics of new microelectronic sensors Smart Retainer® and TheraMon® for measuring wear time. J Orofac Orthop 71:339–347PubMedCrossRef
20.
Zurück zum Zitat Schott TC, Göz G (2011) Color fading of the blue compliance indicator encapsulated in removable clear Invisalign Teen® aligners. Angle Orthod 81:185–191PubMedCrossRef Schott TC, Göz G (2011) Color fading of the blue compliance indicator encapsulated in removable clear Invisalign Teen® aligners. Angle Orthod 81:185–191PubMedCrossRef
21.
Zurück zum Zitat Schott TC, Göz G (2011) Wearing times of orthodontic devices as measured by the TheraMon® microsensor. J Orofac Orthop 72:103–110PubMedCrossRef Schott TC, Göz G (2011) Wearing times of orthodontic devices as measured by the TheraMon® microsensor. J Orofac Orthop 72:103–110PubMedCrossRef
22.
Zurück zum Zitat Schott TC, Göz G (2010) Young patients’ attitudes toward removable appliance wear times, wear-time instructions and electronic wear-time measurements—results of a questionnaire study. J Orofac Orthop 71:108–116PubMedCrossRef Schott TC, Göz G (2010) Young patients’ attitudes toward removable appliance wear times, wear-time instructions and electronic wear-time measurements—results of a questionnaire study. J Orofac Orthop 71:108–116PubMedCrossRef
23.
Zurück zum Zitat Slakter MJ, Albino JE, Fox RN et al (1980) Reliability and stability of the orthodontic Patient Cooperation Scale. Am J Orthod 78:559–563PubMedCrossRef Slakter MJ, Albino JE, Fox RN et al (1980) Reliability and stability of the orthodontic Patient Cooperation Scale. Am J Orthod 78:559–563PubMedCrossRef
24.
Zurück zum Zitat Tervonen MM, Pirttiniemi P, Lahti S (2011) Development of a measure for orthodontists to evaluate patient compliance. Am J Orthod Dentofacial Orthop 139:791–796PubMedCrossRef Tervonen MM, Pirttiniemi P, Lahti S (2011) Development of a measure for orthodontists to evaluate patient compliance. Am J Orthod Dentofacial Orthop 139:791–796PubMedCrossRef
25.
26.
Zurück zum Zitat Witt E, Bartsch A, Sahm G (1992) Recommended times for wearing removable appliances—the results of a survey. Fortschr Kieferorthop 53:124–130PubMedCrossRef Witt E, Bartsch A, Sahm G (1992) Recommended times for wearing removable appliances—the results of a survey. Fortschr Kieferorthop 53:124–130PubMedCrossRef
27.
Zurück zum Zitat Wriedt S, Schmidtmann I, Indin-Wolf A et al (2012) Extraktionen in der KFO-Praxis − eine Umfrage zu Häufigkeit, Lokalisation und Indikation. Wissenschaftliche Jahrestagung der DGKFO, Stuttgart Wriedt S, Schmidtmann I, Indin-Wolf A et al (2012) Extraktionen in der KFO-Praxis − eine Umfrage zu Häufigkeit, Lokalisation und Indikation. Wissenschaftliche Jahrestagung der DGKFO, Stuttgart
Metadaten
Titel
Methods to evaluate compliance of patients with removable appliances—survey results
verfasst von
H. Meyer-Gutknecht
U. Fritz
PD Dr. T.C. Schott
Publikationsdatum
01.03.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 2/2014
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-013-0202-8

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