Int J Stomatol

Int J Stomatol ›› 2019, Vol. 46 ›› Issue (3): 287-291.doi: 10.7518/gjkq.2019044

• Original Articles • Previous Articles     Next Articles

Patients’ concerns and preferences for orthodontic treatment: a questionnaire study

Mengyuan Zhao,Sijia Li,Yunzi Bai,Zhen Tian,Ding Bai()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2018-08-16 Revised:2019-02-02 Online:2019-05-01 Published:2019-06-05
  • Contact: Ding Bai E-mail:baiding@scu.edu.cn
  • Supported by:
    This study was supported by Science and Technology Project of Sichuan Province(2014SZ0157)

RichHTML

24

PDF (PC)

441

Abstract:

Objective The purpose is to understand the concerns of orthodontic patients and potential patients on orthodontic treatment, the acceptance of orthodontic appliances and the influencing factors. Methods This questionnaire survey is conducted through a network of questionnaires. A total of 999 participants were recruited, including 690 orthodontic patients and 309 prospective patients. Differences in patient group, gender, and age group were analyzed using ANOVA for statistical analysis. Results Patients’ highest-rate concern was discomfort, followed by long treatment period and tooth mobility. The most accepted appliance is a stainless steel bracket, the most important factor of which is the therapeutic effect. Big differences were found between patients and prospective patients regarding concerns and orthodontic appliance acceptance. Prospective patients differ greatly in their treatment concerns and acceptance of the appliance. Compared with women and adult patients, male and adolescent patients pay more attention to comfort. Conclusion Different types of participants have different concerns about orthodontic treatment, appliance acceptance and causes. These knowledge are vital for orthodontic care providers to establish good marketing plan and to communicate with patients.

Key words: orthodontics, questionnaire, orthodontic appliance, marketing

CLC Number: 

  • R783.5

TrendMD: 

Tab 1

Comparison of concerns for orthodontic treatment and acceptance of orthodontic appliances between patient and perspective patient group"

测量项目 患者组 潜在患者组 P值 患者组年龄 潜在患者组 P值
（n/%） （n/%） 标化率/% 年龄标化率/%
对于正畸治 年龄太大,不适合 251/36.38 136/44.01 0.022* 39.43 39.13 0.736
疗的顾虑 疼痛 388/56.23 189/61.17 0.145 54.7 62.81 0.013*
治疗后牙齿松动 332/48.12 118/38.19 0.004** 48.45 36.06 0.001**
治疗周期长 349/50.58 160/51.78 0.726 51.24 50.81 1.000
治疗过程不美观 255/36.96 110/35.60 0.754 37.05 36.37 0.773
效果不理想 325/47.10 114/36.89 0.003** 46.73 35.25 0.006**
治疗后复发 325/47.10 100/32.36 0.000*** 47.68 30.23 0.000***
其他 17/2.46 13/4.21 0.136 2.49 4.92 0.101
可接受的矫 舌侧托槽 106/15.36 60/19.42 0.111 15.56 19.61 0.165
治器类型 金属托槽 362/52.46 89/28.80 0.000*** 50.76 27.72 0.000***
陶瓷托槽 250/36.23 144/46.60 0.000*** 36.93 47.31 0.013*
无托槽隐形矫治器 216/31.30 134/43.37 0.000*** 31.88 44.04 0.002**

Tab 2

Comparison of concerns for orthodontic treatment, acceptance of orthodontic appliances and influencing factors between female and male patient group"

测量项目 女性患者（n/%） 男性患者（n/%） P值
对于正畸治疗的顾虑 年龄太大,不适合 192/35.96 59/37.82 0.67
疼痛 289/54.12 99/63.46 0.039*
治疗后牙齿松动 270/50.56 62/39.74 0.017*
治疗周期长 266/49.81 83/53.21 0.456
治疗过程不美观 206/38.58 49/31.41 0.103
效果不理想 267/50.00 58/37.18 0.005**
治疗后复发 264/49.44 61/39.10 0.023*
其他 14/2.62 3/1.92 0.84
可接受的矫治器类型 舌侧托槽 81/15.17 25/9.62 0.794
金属托槽 281/52.62 81/51.92 0.878
陶瓷托槽 196/36.70 54/34.62 0.633
无托槽隐形矫治器 161/30.15 55/35.26 0.226
选择正畸矫治器的主要考虑因素 价格 182/34.08 61/39.10 0.248
舒适性 266/49.81 92/58.97 0.044*
美观度 208/38.95 64/41.03 0.641
矫治效果 433/81.09 133/85.26 0.233
医生意见 261/48.88 57/36.54 0.007**

Tab 3

Comparison of concerns for orthodontic treatment, acceptance of orthodontic appliances and influencing factors between juvenile and adult patients group"

测量项目 青少年患者（n/%） 成年患者（n/%） P值
对于正畸治疗的顾虑 年龄太大,不适合 9/4.97 242/47.54 0.000***
疼痛 127/70.17 261/51.28 0.000***
治疗后牙齿松动 63/34.81 269/52.85 0.000***
治疗周期长 86/47.51 263/51.67 0.337
治疗过程不美观 74/40.88 181/35.56 0.202
效果不理想 79/43.65 246/48.33 0.278
治疗后复发 65/35.91 260/51.08 0.000***
其他 5/2.76 12/2.36 0.982
可接受的矫治器类型 舌侧托槽 27/14.92 79/15.52 0.847
金属托槽 113/62.43 249/48.92 0.002**
陶瓷托槽 49/27.07 201/39.49 0.003**
无托槽隐形矫治器 54/29.83 162/31.83 0.619
选择正畸矫治器的主要考虑因素 价格 52/28.73 191/37.52 0.033*
舒适性 112/61.88 246/48.33 0.002**
美观度 66/36.46 206/40.47 0.343
矫治效果 147/81.22 419/82.32 0.74
医生意见 73/40.33 254/48.13 0.071
其他 0/0.00 2/0.39 0.968
[1] Lin FO, Ren MM, Yao LJ , et al. Psychosocial impact of dental esthetics regulates motivation to seek orthodontic treatment[J]. Am J Orthod Dentofacial Orthop, 2016,150(3):476-482.
doi: 10.1016/j.ajodo.2016.02.024
[2] de Souza RA, de Oliveira AF, Pinheiro SM , et al. Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship[J]. Dental Press J Orthod, 2013,18(2):88-94.
doi: 10.1590/S2176-94512013000200019
[3] Byrt T, Bishop J, Carlin JB . Bias, prevalence and kappa[J]. J Clin Epidemiol, 1993,46(5):423-429.
doi: 10.1016/0895-4356(93)90018-V
[4] Kazancı F, Aydoğan C, Alkan Ö . Patients’ and parents’ concerns and decisions about orthodontic treatment[J]. Korean J Orthod, 2016,46(1):20-26.
doi: 10.4041/kjod.2016.46.1.20
[5] Farishta S . Patient’s perceptions regarding orthodontic needs and satisfactory level with the procedure[J]. J Int Oral Health, 2015,7(9):79-82.
[6] Falkensammer F, Rausch-Fan X, Schaden W , et al. Impact of extracorporeal shockwave therapy on tooth mobility in adult orthodontic patients: a randomized single-center placebo-controlled clinical trial[J]. J Clin Periodontol, 2015,42(3):294-301.
doi: 10.1111/jcpe.12373
[7] Gonzalez-Gil-de-Bernabe P, Bellot-Arcis C, Montiel-Company J , et al. Evaluation of treatment outcomes in a 3 years post-graduate orthodontic program using the peer assessment rating (par)[J]. J Clin Exp Dent, 2014: e364-e368.
[8] Rosvall MD, Fields HW, Ziuchkovski J , et al. Attractiveness, acceptability, value of orthodontic appliances[J]. Am J Orthod Dentofacial Orthop, 2009, 135(3): 276.e1-276.e12.
[9] Walton DK, Fields HW, Johnston WM , et al. Orthodontic appliance preferences of children and adolescents[J]. Am J Orthod Dentofacial Orthop, 2010, 138(6): 698.e1-698.e12.
[1] Song Wenpeng,Gong Beiwen,Li Dan,Zeng Jianyu,Qiu Lingling. Research progress on the application of mechanotherapy in orthodontic treatment [J]. Int J Stomatol, 2023, 50(5): 603-612.
[2] Jiang Qingsong,Lai Wenli,Wang Yan.. Research progress on bone augmentation technique in orthodontics [J]. Int J Stomatol, 2023, 50(2): 243-250.
[3] Zhao Zhihe.. Difficulty assessment of invisible orthodontic treatment based on treatment plan and tooth movement pattern [J]. Int J Stomatol, 2022, 49(4): 373-379.
[4] Guo Ziyuan,Chang Xiao,Han Kaifang,Zhang Xizhong. Low-level laser therapy for acceleration of fixed orthodontic tooth movement: a systematic review and meta-analysis [J]. Int J Stomatol, 2022, 49(2): 163-172.
[5] Zhou Mengqi,Chen Xuepeng,Fu Baiping. Strategies for preventing alveolar-bone dehiscence and fenestration during orthodontic treatment [J]. Int J Stomatol, 2021, 48(5): 600-608.
[6] Zhao Zhihe. Comparison of anterior tooth torque design in digital orthodontics [J]. Int J Stomatol, 2021, 48(1): 1-6.
[7] Peng Shuyuan,Xiang Xuerong,Chen Fangchun,Sun Yan,Yin Feng,Li Min. Reliability and validity evaluation of the Chinese version of the oral potentially malignant disorder questionnaire [J]. Int J Stomatol, 2020, 47(5): 557-562.
[8] Yang Hong,Jin Yu,Lai Wenli. Randomized cross-control trial of placebo in the regulation of orthodontic tooth movement pain [J]. Int J Stomatol, 2020, 47(4): 424-430.
[9] Li Hanyue,Xia Lulu,Hua Xianming. Clinical advances of periodontally accelerated osteogenic orthodontics [J]. Int J Stomatol, 2020, 47(2): 206-211.
[10] Song Shaohua,Mo Shuixue. Orthodontic treatment in sequential treatment of cleft lip and palate [J]. Int J Stomatol, 2019, 46(6): 740-744.
[11] Tiancheng Li,Kai Xia,Shujuan Zou,Jun Liu. Effect of tooth extraction for the orthodontic treatment of the upper airway: a systematic review [J]. Inter J Stomatol, 2019, 46(2): 156-165.
[12] Xu Zhang,Yanxi Li,Hanshi Li,Jieya Wei,Xinyu Yan,Wei Zheng,Yu Li. Research progress on the prediction of the changes in soft tissue profile in orthodontic treatment [J]. Inter J Stomatol, 2019, 46(1): 105-111.
[13] Huang Hanyao, Wang Mengjiao, Wu Hao, Jiang Liping, Zhang Wenjing, Wei Shan, Yin Heng. Reliability and validity of the velopharyngeal insufficiency effects on life outcomes instrument [J]. Inter J Stomatol, 2018, 45(2): 177-184.
[14] Jing Xuan, Wu Xiuping, Wang Jun. Clinical research progress on lingual orthodontic techniques [J]. Inter J Stomatol, 2018, 45(1): 100-105.
[15] Xie Yijia, Zou Xunming, Xu Xiaomei, Lin Fuwei, Zhao Qing. Research progress on esthetics of buccal corridor [J]. Inter J Stomatol, 2018, 45(1): 106-111.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .