engleski

Role of parents in patient compliance during Class II division 1 malocclusion functional orthodontic treatment

Introduction: Patient compliance is essential for successful orthodontic treatment. Lack of cooperation may result in prolonged treatment time, poorer outcomes, and treatment cessation. The aim of this study was to determine factors that could predict compliance of Class II/1 malocclusion patients during functional treatment, primarily the role of parents. Materials and Methods: The sample comprised 66 subjects presenting class II division 1 malocclusion (47% females) aged 11-13 with overjet >5mm in acceleration phase of mandibular pubertal growth. Subjects were treated with removable functional appliances (62% Twin block, 38% Sander double plates) for a period of one year. Before orthodontic treatment, participants and their parents independently completed Child Perception Questionnaire and Parental-Caregiver Perception Questionnaire that were used to assess separately child's perception and parent's perception of child's emotional well-being, social well-being, oral symptoms and functional limitations as possible predictors of cooperation during orthodontic treatment. Non-compliant were considered those that did not have reduction of overjet (<2mm) or who stopped coming to check-ups. Results: There were 53% non- compliant patients. In multiple logistic regression analysis overjet, type of appliance and parental perception of alteration of child's emotional well-being are significant predictors of collaboration during orthodontic treatment of class II/1 malocclusion with functional appliance during the peak of pubertal growth spurt. Overjet of ≥8mm is the strongest predictor increasing odds for collaboration for 5.3x (95% CI 1.4-19.8), Twin block in comparison to Sander double plates by 4.1 (95% CI 1.2-14.1) and parental perception of altered well-being by 3.7 (95% CI 1.1-12.1 ; p<0.05). Conclusion: Obviously young children cannot formulate what is bothering them, but parents notice that those are emotional problems which in together with malocclusion severity and type of orthodontic appliance influence compliance.

Child ; Class II Malocclusion, Division 1 ; Oral health ; Orthodontics ; Quality of life

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