Document Detail


Patient attitudes toward retention and perceptions of treatment success.
MedLine Citation:
PMID:  20482350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To discern patients' opinions regarding responsibility for orthodontic retention and to determine whether patient attitudes toward retention are related to perceptions of treatment success.
MATERIALS AND METHODS: Questionnaires regarding orthodontic retention were distributed to first-year undergraduate college students (n = 158), first-year dental students (n = 183), and retention patients at orthodontic offices (n = 214). Items included treatment satisfaction, perceived responsibility for retention, type of retainer prescribed, reasons for discontinuing use of retainers, and relapse experienced.
RESULTS: Four hundred twenty-eight of 555 participants indicated that they had received orthodontic treatment. Most indicated they were either "satisfied" or "very satisfied" with their teeth, both at the end of treatment (96%) and currently (84%). There was a strong relationship between the perception of stability of tooth position and current satisfaction level (P < .0001). Most individuals (88%) indicated that they themselves were responsible for maintaining the alignment and fit of their teeth. Those who indicated that someone else was responsible were nearly twice as likely to be dissatisfied with their teeth (P = .0496). Patients who had been prescribed clear, invisible retainers were significantly more likely to be "very satisfied" currently (50%) compared to those with Hawley (35%) or permanently bonded (36%) retainers (P = .0002). Patients with Hawley retainers were significantly less likely to be wearing them currently as prescribed (45%) than those with invisible (65%) or bonded (68%) retainers (P < .0001).
CONCLUSIONS: Satisfaction with orthodontic results after treatment is related to patient perceptions of responsibility for retention and perceived stability of tooth position. Patients should play a contributory role in formulating orthodontic retention plans.
Authors:
Nikolay D Mollov; Steven J Lindauer; Al M Best; Bhavna Shroff; Eser Tufekci
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Angle orthodontist     Volume:  80     ISSN:  1945-7103     ISO Abbreviation:  Angle Orthod     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-20     Completed Date:  2010-08-13     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  0370550     Medline TA:  Angle Orthod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  468-73     Citation Subset:  D; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Chi-Square Distribution
Child
Female
Humans
Internal-External Control
Male
Middle Aged
Orthodontic Retainers / statistics & numerical data,  utilization*
Orthodontics, Corrective / psychology*
Patient Compliance
Patient Satisfaction*
Questionnaires
Recurrence
Statistics, Nonparametric
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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