Evaluation of the retention phase after orthodontic treatment from patient's perspective

Year 2024, Volume: 41 Issue: 1, 9 - 16, 03.01.2024

Emre Kayalar , Dervişe Korun

https://doi.org/10.17214/gaziaot.1182126

Abstract

Objective: The aim of this study was to evaluate the post-treatment retention phase of the patients, whose orthodontic treatment has been completed, from the patient’s perspective.
Materials and Methods: This study was conducted on 100 patients, between the ages of 8-18 and >18 years, who agreed to fill in 20 questionnaires using the Google forms program. According to the answers given by the patients, the patients' perspectives about relapse after orthodontic treatment were evaluated. The obtained data were analyzed with the SPSS 21 package program according to criteria including gender, age, education level, and treatment type. The relationship/dependency between the variables was examined by chi-square analysis.
Results:
Patients who received fixed retainers after treatment reported a significantly higher retention rate (96.3%). 83.3% of the patients whose retainer was broken reported moderate relapse in their teeth (p<0.001). A significant correlation was found between patients whose brackets were broken during orthodontic treatment and moderate relapse after treatment (70%). Women (85.7%) reported that they preferred clear aligners more than men (p<0.05) to orthodontic retreatment due to relapse.
Conclusions: Success in the post-orthodontic retention phase may be related to patient cooperation. In our study, it was seen that patients with relapse preferred clear aligner treatments instead of fixed orthodontic treatments in the orthodontic retreatments.

Keywords

Orthodontic treatment, Recurrence, Retention, Orthodontic Retainers

Ortodontik tedavi sonrası pekiştirme aşamasının hasta perspektifinden değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı sabit ortodontik tedavi görmüş hastaların tedavi sonrası pekiştirme aşamasının hasta perspektifinden değerlendirilmesidir.
Gereç ve Yöntem: Bu araştırma Google formlar programı kullanılarak 20 tane anket sorusunu doldurmayı kabul eden 8-18 ve >18 yaş arasındaki 100 hasta üzerinde gerçekleştirilmiştir. Hastaların verdikleri cevaplar doğrultusunda hastaların ortodontik tedavi sonrasında nüks hakkında bakış açıları değerlendirilmiştir. Elde edilen veriler cinsiyet, yaş, eğitim durumu, tedavi şekli gibi kriterlere göre SPSS 21 paket programı aracılığı ile analiz edilmiştir. Değişkenler arasındaki ilişkiye/bağımlılığa ki-kare analizi ile bakılmıştır.
Bulgular: Ortodontik tedavi sonrası dişlerinde bozulma olmadığını düşünen bireylerin %96’sında lingual retansiyon apareyi yapılmıştır. Retansiyon apareyi kırılan hastaların %83.3’ü dişlerinde orta şiddette bozulma olduğunu bildirmiştir (p<0.001). Ortodontik tedavi sırasında braketi kırılan hastalar ile tedavi sonrasında orta şiddette bozulma olması arasında anlamlı bir bağlantı bulunmuştur (%70). Dişlerindeki bozulmayı düzeltmek için şeffaf plak tedavisini kadınlar (%85.7), erkeklere oranla daha fazla tercih ettiğini bildirmiştir (p<0.05).
Sonuç: Ortodontik tedavi sonrası pekiştirme aşamasındaki başarı, hasta kooperasyonu ile bağlantılı olabilir. Çalışmamızda nüks olan hastaların ikinci ortodontik tedavilerde sabit tel tedavisi yerine şeffaf plak tedavilerini tercih ettiği görülmüştür.

Keywords

Ortodontik tedavi, Nüks, Pekiştirme, Retansiyon apareyi

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