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Author: Paul Hyun Publisher: ISBN: Category : Languages : en Pages : 41
Book Description
The retention phase of orthodontic treatment remains to be one of the most important but most poorly monitored stages of treatment. Although cooperative orthodontic removable retainer wear relies on patient compliance, actual retainer wear times may be improved with the usage of a microsensor that promotes active involvement from the patient. Recently, the innovation of Smart™ microsensors by Scientific Compliance may allow orthodontists to monitor actual retainer wear time, and prescribe data-driven recommendations to their patients. The objective of this study was to compare retainer wear of 22 patients, with one group aware of the Smart™ microsensor, and the other group unaware. The sample in this pilot study consisted of twenty-two (22) patients (13 females and 9 males) treated and debonded at the Orthodontic clinic at the State University of New York at Buffalo. The patients were divided to Group A (5 females and 4 males) and Group B (8 females and 5 males). Group A (treatment group) was informed that they would be monitored through the usage of the Smart™ microsensor. Group B (control group) was not informed that they had the Smart™ microsensor present in their appliances. Both groups had the same retainer with Smart™ microsensor, the only difference being that one group was blinded of the microsensor's presence. For the purposes of this study, T0 was the retainer delivery appointment, T1 was the 6 weeks follow-up appointment, and T2 was the 12 weeks follow-up appointment. At T1, group B was informed of all aspects of the study including our capability to monitor their retainer wear. During the first phase of the study (T0 to T1), the average hours per day of use for the aware group was 16. 3 (SD=4. 39), while in the non-aware group it was 10. 6 (SD=5. 36). This difference of 5. 7 hours per day was statistically significant (t=2. 426, p=0. 027). Although the non-aware group increased their retainer wear by 0. 5 hour per day from T1 to T2, it was not statistically significant. Even though 89% of all subjects reported positive levels of comfort with the Smart™ retainer, the microsensor increased the palatal acrylic thickness to about 7-11mm, as supposed to palatal thicknesses of normal retainers, which are around 3mm. Presently, the Smart™ microsensor seems to provide a valid way to measure retainer wear time. However, improvements in the functionality and the dimensions of the unit could pave the way to a more promising future, where orthodontic relapse could be kept to a minimum, and the results of orthodontic treatment could be maintained for longer periods of time.
Author: Paul Hyun Publisher: ISBN: Category : Languages : en Pages : 41
Book Description
The retention phase of orthodontic treatment remains to be one of the most important but most poorly monitored stages of treatment. Although cooperative orthodontic removable retainer wear relies on patient compliance, actual retainer wear times may be improved with the usage of a microsensor that promotes active involvement from the patient. Recently, the innovation of Smart™ microsensors by Scientific Compliance may allow orthodontists to monitor actual retainer wear time, and prescribe data-driven recommendations to their patients. The objective of this study was to compare retainer wear of 22 patients, with one group aware of the Smart™ microsensor, and the other group unaware. The sample in this pilot study consisted of twenty-two (22) patients (13 females and 9 males) treated and debonded at the Orthodontic clinic at the State University of New York at Buffalo. The patients were divided to Group A (5 females and 4 males) and Group B (8 females and 5 males). Group A (treatment group) was informed that they would be monitored through the usage of the Smart™ microsensor. Group B (control group) was not informed that they had the Smart™ microsensor present in their appliances. Both groups had the same retainer with Smart™ microsensor, the only difference being that one group was blinded of the microsensor's presence. For the purposes of this study, T0 was the retainer delivery appointment, T1 was the 6 weeks follow-up appointment, and T2 was the 12 weeks follow-up appointment. At T1, group B was informed of all aspects of the study including our capability to monitor their retainer wear. During the first phase of the study (T0 to T1), the average hours per day of use for the aware group was 16. 3 (SD=4. 39), while in the non-aware group it was 10. 6 (SD=5. 36). This difference of 5. 7 hours per day was statistically significant (t=2. 426, p=0. 027). Although the non-aware group increased their retainer wear by 0. 5 hour per day from T1 to T2, it was not statistically significant. Even though 89% of all subjects reported positive levels of comfort with the Smart™ retainer, the microsensor increased the palatal acrylic thickness to about 7-11mm, as supposed to palatal thicknesses of normal retainers, which are around 3mm. Presently, the Smart™ microsensor seems to provide a valid way to measure retainer wear time. However, improvements in the functionality and the dimensions of the unit could pave the way to a more promising future, where orthodontic relapse could be kept to a minimum, and the results of orthodontic treatment could be maintained for longer periods of time.
Author: Friedy Luther Publisher: John Wiley & Sons ISBN: 1118432789 Category : Medical Languages : en Pages : 202
Book Description
This book is a practical guide for both dental students and practitioners to designing, fitting and adjusting removable orthodontic appliances and retainers. The book offers step by step instructions with clear illustrations on the key areas of clinical practice. In each case, information is provided on indications for use, principles of design, fitting, activation and trouble shooting. Further chapters coach students to deal effectively with their patients and to manage the treatment plan in question.
Author: Bhavana Sawhney Publisher: ISBN: Category : Languages : en Pages :
Book Description
PURPOSE Retention is an important aspect of orthodontics, which may influence the long-term outcome and satisfaction level of patients who undergo orthodontic treatment. The objective of this study was to identify commonly used orthodontic retainers and retention protocols, and assess patients' opinions and satisfaction levels with these regimens in relation to several pre-defined variables. METHODS: A 149 question survey was created with advanced skip and branching logic. The survey was administered to orthodontic patients at either the one or two year regularly scheduled retention appointment and the overall response rate was 99% (n=131). Data collection included queries on demographics, treatment satisfaction, stability and relapse, retention protocols, compliance, and satisfaction with prescribed retainers in relation to: appearance, speech, oral hygiene, retainer hygiene, the need for replacement and preferred retainers. Statistical analysis was done using Chi Square and Fishers' Exact tests to detect significantassociations between variables. RESULTS AND CONCLUSIONS In the population surveyed, Essix retainers in the maxilla (50%) and bonded retainers in the mandible (46%) were most frequently prescribed. Satisfaction with dental alignment post-treatment and postretention was high (~90%). Retainers prescribed depicted no associations with relapse. Self-reported compliance with prescribed retainer wear ranged between 75-85%, regardless of the regimen or retainer types. Bonded retainers were rated as the most esthetic and Hawley retainers the least. Maxillary Hawley retainers affected speech most often and bonded retainers the least. Patients with bonded retainers found it most difficult to maintain oral hygiene and keep their retainers clean, while patients with Essix found it the easiest. Bonded and Essix retainers required replacement most frequently in the maxilla and mandible respectively. Even though the majority of patients (77% maxilla, 86% mandible) were satisfied with their prescribed retainer, maxillary Essix and mandibular bonded retainers were preferred most often if replacement was an option.
Author: Justin Wild Publisher: ISBN: Category : Dental bonding Languages : en Pages : 55
Book Description
Introduction: The traditional Hawley retainer has been replaced in many orthodontic offices by vacuum-formed retainers (VFRs). There has yet to be a study that investigates preferences and reasons for noncompliance between Hawley and vacuum-formed retainers by allowing each to be worn within the same patient. Specific Aim: To determine differences in compliance and reasons for noncompliance between Hawley and VFRs. Hypothesis: There will be increased compliance with VFRs due to better esthetics, speech, and comfort. Methods: In consecutive months but in a different order, two treatment groups received a set of Hawleys and VFRs following comprehensive treatment. All patients were instructed to wear retainers full time. Patients filled out a standard questionnaire at recall appointments to gauge compliance and preferences between retainer types. Expected results: There will be an increase in preference for and compliance with VFRs within each group. The patients in both groups will report greater compliance the month they were given VFRs. Following 2 months, all patients will show a preference for VFRs. Reasons for choosing VFRs over Hawleys will include esthetics, fit, speech, and comfort. Conclusions: Vacuum-formed retainers when compared directly are preferred over Hawley retainers and lead to higher levels of compliance in the short-term orthodontic retention phase of treatment.
Author: Dr Sonali Mahadevia Publisher: Inkbound Publishers ISBN: 8197081301 Category : Medical Languages : en Pages : 195
Book Description
Gain insights into the latest trends and techniques in orthodontics with this detailed exploration of dental alignment advancements. Ideal for dental professionals and students, this book covers cutting-edge practices and technologies transforming orthodontic care.
Author: Greg J. Huang Publisher: John Wiley & Sons ISBN: 0470959754 Category : Medical Languages : en Pages : 327
Book Description
Evidence-Based Orthodontics satisfies the educational demands of orthodontics, which demands the integration of the best research evidence with the clinician’s expertise and the patient’s unique values and circumstances. This land-mark text is the first to be devoted to the methodology, principles and practice of evidence-based practice in orthodontics. It aims to serve as a reference for those wishing to understand the principles of evidence-based practice including the foundation for clinical study design, epidemiology and the statistical inferences from data. The ability to define a search strategy from established databases and to identify relevant clinical and translational research in the scientific published literature requires a new approach in orthodontic education. Evidence-Based Orthodontics provides a contemporary approach to those strategies in clinical orthodontic practice. The growing ability to translate critical appraisals of evidence into clinical practice and evaluate clinical evidence for its validity and potential usefulness requires an understanding of basic elements in epidemiology and biostatistics. Evidence-Based Orthodontics provides its readers with a cogent, clear resource with which to navigate and understand this important subject area. It provides students and practitioners of orthodontics with an indispensible guide to this vital tenet of education, research, and clinical practice.
Author: Deepti Bhardwaj Publisher: LAP Lambert Academic Publishing ISBN: 9783330330337 Category : Languages : en Pages : 64
Book Description
Patient compliance in orthodontics has always been an important concern for an efficient and effective treatment. Patient cooperation is basically a matter of patient's self-consciousness regarding their perceived dental disfigurement. The current book provides a contemporary outlook on how patient adherence influences the overall orthodontic treatment outcome and also emphasises on the knowledge regarding prediction of compliance during the treatment course. This could also be helpful to anticipate problems that might arise during the treatment and alleviate them before they impede or interfere with the same.
Author: Paul Hyun
Author: Paul Hyun
Author: Friedy Luther
Author: Georgios Tsomos
Author: Bhavana Sawhney
Author: James A. McNamara
Author: Justin Wild
Author: Dr Sonali Mahadevia
Author: Eric Eldon Roberts
Author: Greg J. Huang
Author: Deepti Bhardwaj