Assessment of relationship between different communication methods and treatment compliance in orthodontic patients during Covid-19 pandemics

Abstract

Objective: The aim of this study was to minimize impairment in oral hygiene and failure of brackets; therefore, effects of pandemic on treatment duration, by communicating our patients using 4 different methods during Covid-19 pandemic. Methods: In the study, 227 patients undergoing fixed orthodontic treatment were included. Five groups were designed: WhatsApp group, short message service (SMS) group, Teledentistry group, e-mail group and control group. During quarantine period, patients were contacted for 4 times and same text was sent to patients. After pandemics, the patients were assessed using mucogingival index (MGI), orthodontic plaque index (OPI) and failure of brackets was determined. Results: In MGI, percentage of patients with healthy result were as follows: WhatsApp group, 83.7%; SMS group, 87.8%; Teledentistry group, 83.7%; E-mail group, 77.5%; control group, 72.2% and no significant difference was found (p>0.05). The OPI scores were as follows: 1.12±1.24 in WhatsApp group; 1.27±1.28 in SMS group; 1.24±1.38 in Teledentistry group; 1.00±1.22 in E-mail group; and 1.61±1.25 in the control group and no significant difference was found (p>0.05). The mean number of brackets broken was 0.47±0.88 in WhatsApp group, 0.39±0.83 in SMS group, 0.51±1.00 in Teledentistry group, 0.40±0.67 in E-mail group and 0.44±0.86 in the control group and no significant difference was found (p>0.05). Conclusion: It was determined that communicating with patients in different ways did not make any difference in terms of the subjects investigated in the study. It was concluded that it would be more appropriate to conduct new studies including social and psychological evaluations.

Keywords

• Telemedicine
• Orthodontics
• Compliance
• Covid-19
• Communication

References

1. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579:270–273.
2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novelcoronavirus from patients with pneumonia in China, 2019. N. Engl. J. Med. 2020;382:727-733.
3. Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating inWuhan, China: Challenges for Global Health Governance. JAMA J. Am. Med. Assoc. 2020;323:709–710.
4. Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ. 2020; 368. HTTPS://DOI.ORG/10.1136/bmj.m408
5. Coulthard P. Dentistry and coronavirus (COVID-19)-moral decision-making. Br. Dent. J. 2020;228:503–505.
6. Maspero C, Abate A, Cavagnetto D, El Morsi M, Fama A, Farronato M. Available Technologies, Applications and Benefits of Teleorthodontics. A Literature Review and Possible Applications during the COVID-19 Pandemic. J. Clin. Med. 2020;9:1891.
7. Maspero C, Fama A, Cavagnetto D, Abate A, Farronato M. Treatment of dental dilacerations. J. Biol. Regul. Homeost. Agents. 2019; 33:1623–1627.
8. Farronato G, Giannini L, Galbiati G, Maspero C. Comparison of the dental and skeletal effects of two different rapid palatal expansion appliances for the correction of the maxillary asymmetric transverse discrepancies. Minerva Stomatol. 2012;61:45–55.

9. Fox N. Longer orthodontic treatment may result in greater external apical root resorption. Evid Based Dent. 2005;6:21.
10. El Mangoury NH. Orthodontic cooperation. Am J Orthod. 1981;80:604 22.
11. Nanda RS, Kierl MJ. Prediction of cooperation in orthodontic treatment. Am J Orthod Dentofacial Orthop. 1992;102:15 21.
12. Daniels AS, Seacat JD, Inglehart MR. Orthodontic treatment motivation and cooperation: A cross sectional analysis of adolescent patients’ and parents’ responses. Am J Orthod Dentofacial Orthop. 2009;136:780 7.
13. Skidmore KJ, Brook KJ, Thomson WM, Harding WJ. Factors influencing treatment time in orthodontic patients. Am J Orthod Dentofacial Orthop. 2006;129(2):230–238. https://doi.org/10.1016/j.ajodo.2005.10.003
14. Mavreas D, Athanasiou AE. Factors affecting the duration of orthodontic treatment: a systematic review. Eur J Orthod. 2008;30(4):386–395. https://doi.org/10.1093/ejo/cjn018
15. Beckwith FR, Ackerman Jr RJ, Cobb CM, Tira DE. An evaluation of factors affecting duration of orthodontic treatment. Am J Orthod Dentofac Orthop. 1999;115(4):439–447.
16. Robb SI, Sadowsky C, Schneider BJ, BeGole EA. Effectiveness and duration of orthodontic treatment in adults and adolescents. Am J Orthod Dentofacial Orthop. 1998;114(4):383–386. https://doi.org/10.1016/S0889-5406(98)70182–9
17. Ma W, Xu T-M. An evaluation of factors influencing orthodontic treatment duration. J Orthod. 2009;16(3):147–150. https://doi.org/10.3760/cma.j.issn.1674-5760.2009.03.007
18. Loke S, Tan S. Factors influencing duration of orthodontic treatment: a 12-year retrospective study. Malays Dent J. 2012;34(2):16–30.
19. Li X, Xu ZR, Tang N, Ye C, Zhu X-L, Zhou T, et al. Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients. Clin Oral Invest. 2016;20:1849–1859. https://doi.org/10.1007/s00784-015-1662-6
20. Lobene RR, Weathford T, Ross NM, Lamm RA, Menaker L. A modified gingival index for use in clinical trials. Clinical Preventive Dentistry. 1986;8:3-6.
21. Beberhold K, Sachse-Kulp A, Schwestka-Polly R, Hornecker E, Ziebolz D. The Orthodontic Plaque Index: an oral hygiene index for patients with multibracket appliances. ORTHODONTICS (Chic). 2012;13(1):94-99.
22. de Jongh T, Gurol-Urganci I, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for facilitating self-management of long-term illnesses. Cochrane Database Syst Rev 2012;CD007459. https://doi.org/10.1002/14651858.CD007459.pub2
23. Haynes RB, Ackloo E, Sahota N, McDonald HP, Yao X. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2008;2:CD000011. https://doi.org/10.1002/14651858.CD000011.pub3
24. Logan AG, McIsaac WJ, Tisler A, IrvineMJ, Saunders A, Dunai A, et al. Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am J Hypertens. 2007;20(9):942–948. https://doi.org/10.1016/j.amjhyper.2007.03.020
25. Lester RT, Ritvo P, Mills EJ, Kariri A, Karanja S, Chung MH, et al. Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial. Lancet. 2010;376(9755):1838–1845. https://doi.org/10.1016/S0140-6736(10)61997-6
26. Reekie D, Devlin H. Preventing failed appointments in general dental practice: a comparison of reminder methods. Br Dent J. 1998;185(9):472–474. https://doi.org/10.1038/sj.bdj.4809840
27. Can S, Macfarlane T, O’Brien KD. The use of postal reminders to reduce non-attendance at an orthodontic clinic: a randomised controlled trial. Br Dent J. 2003;195(4):199–201. https://doi.org/10.1038/sj.bdj.4810443
28. Thomas D. Postal reminders can improve attendance at orthodontic clinics. Evid Based Dent. 2004;5(1):14. https://doi.org/10.1038/sj.ebd. 6400244
29. Prasad S, Anand R. Use of mobile telephone short message service as a reminder: the effect on patient attendance. Int Dent J. 2012;62(1):21–26. https://doi.org/10.1111/j.1875-595X.2011.00081.x
30. Roth JP, Kula Jr TJ, Glaros A, Kula K. Effect of a computer-generated telephone reminder system on appointment attendance. Semin Orthod. 2004;10(3):190–193. https://doi.org/10.1053/j.sodo.2004.05.001
31. Nelson TM, Berg JH, Bell JF, Leggott PJ, Seminario AL. Assessing the effectiveness of text messages as appointment reminders in a pediatric dental setting. J Am Dent Assoc. 2011;142(4):397–405.
32. Brent Bowen T, Rinchuse DJ, Zullo T, DeMaria ME. The influence of text messaging on oral hygiene effectiveness. Angle Orthod. 2015;85(4):543–548. https://doi.org/10.2319/071514-495.1
33. Eppright M, Shroff B, Best AM, Barcoma E, Lindauer SJ. Influence of active reminders on oral hygiene compliance in orthodontic patients. Angle Orthod. 2014;84(2):208–213. https://doi.org/10.2319/062813-481.1
34. Jejurikar H, Nene S, Kalia A, Gupta G, Mirdehghan N. Does text messaging reminder help in the orthodontic compliance of patients to maintain their oral hygiene. Oral Hyg Health. 2014;2(5):152.
35. Hashemian TS, Kritz-Silverstein D, Baker R. Text2Floss: the feasibility and acceptability of a text messaging intervention to improve oral health behavior and knowledge. J Public Health Dent. 2015;75(1):34–41. https://doi.org/10.1111/jphd.12068
36. Sharma R, Hebbal M, Ankola AV, Murugabupathy V. Mobile-phone text messaging (SMS) for providing oral health education to mothers of preschool children in Belgaum city. J Telemed Telecare. 2011;17(8):432–436. https://doi.org/10.1258/jtt.2011.110416
37. Zotti F, Dalessandri D, Salgarello S, Piancino M, Bonetti S, Visconti L, et al. Usefulness of an app in improving oral hygiene compliance in adolescent orthodontic patients. Angle Orthod. 2016;86(1):101–107. https://doi.org/10.2319/010915-19.1