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Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study

Compliance is highly relevant during clear aligner therapy (CAT). In this retrospective cohort study, we assessed compliance and associated covariates in a large cohort of CAT patients. A comprehensive sample of 2644 patients (75.0% females, 25.0% males, age range 18–64 years, median 27 years), all...

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Autores principales: Timm, Lan Huong, Farrag, Gasser, Baxmann, Martin, Schwendicke, Falk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303492/
https://www.ncbi.nlm.nih.gov/pubmed/34300269
http://dx.doi.org/10.3390/jcm10143103
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author Timm, Lan Huong
Farrag, Gasser
Baxmann, Martin
Schwendicke, Falk
author_facet Timm, Lan Huong
Farrag, Gasser
Baxmann, Martin
Schwendicke, Falk
author_sort Timm, Lan Huong
collection PubMed
description Compliance is highly relevant during clear aligner therapy (CAT). In this retrospective cohort study, we assessed compliance and associated covariates in a large cohort of CAT patients. A comprehensive sample of 2644 patients (75.0% females, 25.0% males, age range 18–64 years, median 27 years), all receiving CAT with PlusDental (Berlin, Germany) finished in 2019, was analyzed. Covariates included demographic ones (age, gender) as well as self-reported questionnaire-obtained ones (satisfaction with ones’ smile prior treatment, the experience of previous orthodontic therapy). The primary outcome was compliance: Based on patients’ consistent use of the mobile application for self-report and aligner wear time of ≥22 h, patients were classified as fully compliant, fairly compliant, or poorly compliant. Chi-square test was used to compare compliance in different subgroups. A total of 953/2644 (36.0%) of patients showed full compliance, 1012/2644 (38.3%) fair compliance, and 679/2644 (25.7%) poor compliance. Males were significantly more compliant than females (p = 0.000014), as were patients without previous orthodontic treatment (p = 0.023). Age and self-perceived satisfaction with ones’ smile prior to treatment were not sufficiently associated with compliance (p > 0.05). Our findings could be used to guide practitioners towards limitedly compliant individuals, allowing early intervention.
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spelling pubmed-83034922021-07-25 Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study Timm, Lan Huong Farrag, Gasser Baxmann, Martin Schwendicke, Falk J Clin Med Article Compliance is highly relevant during clear aligner therapy (CAT). In this retrospective cohort study, we assessed compliance and associated covariates in a large cohort of CAT patients. A comprehensive sample of 2644 patients (75.0% females, 25.0% males, age range 18–64 years, median 27 years), all receiving CAT with PlusDental (Berlin, Germany) finished in 2019, was analyzed. Covariates included demographic ones (age, gender) as well as self-reported questionnaire-obtained ones (satisfaction with ones’ smile prior treatment, the experience of previous orthodontic therapy). The primary outcome was compliance: Based on patients’ consistent use of the mobile application for self-report and aligner wear time of ≥22 h, patients were classified as fully compliant, fairly compliant, or poorly compliant. Chi-square test was used to compare compliance in different subgroups. A total of 953/2644 (36.0%) of patients showed full compliance, 1012/2644 (38.3%) fair compliance, and 679/2644 (25.7%) poor compliance. Males were significantly more compliant than females (p = 0.000014), as were patients without previous orthodontic treatment (p = 0.023). Age and self-perceived satisfaction with ones’ smile prior to treatment were not sufficiently associated with compliance (p > 0.05). Our findings could be used to guide practitioners towards limitedly compliant individuals, allowing early intervention. MDPI 2021-07-14 /pmc/articles/PMC8303492/ /pubmed/34300269 http://dx.doi.org/10.3390/jcm10143103 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Timm, Lan Huong
Farrag, Gasser
Baxmann, Martin
Schwendicke, Falk
Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title_full Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title_fullStr Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title_full_unstemmed Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title_short Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study
title_sort factors influencing patient compliance during clear aligner therapy: a retrospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303492/
https://www.ncbi.nlm.nih.gov/pubmed/34300269
http://dx.doi.org/10.3390/jcm10143103
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