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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8303492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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