Abstract
Objective
To survey how patients and parents rate microelectronic wear-time tracking (TheraMon®) during treatment with removable orthodontic appliances.
Patients and methods
A total of 125 patients with a mean age of 11.99 years whose treatment involved removable appliances with a built-in microsensor for wear-time documentation were enrolled in a questionnaire study addressing electronic wear-time tracking. Respondents included the patients and their parents.
Results
A total of 86% of the patients reported that the orthodontic appliance’s comfort was unaffected by the installed sensor. A majority of respondents had a favorable impression of wear-time tracking. Printed wear-time documents from the clinician’s computer were considered a “nice certificate of compliance” by 46% of patients, and 38% of them stated that they intended to improve their compliance when faced with a poor record. Indeed, 48% of parents believe that wear-time tracking can improve the therapeutic success, while 32% believe that it can reduce the duration of treatment. Around 10% of respondents felt that the sensors were unnecessary and not recommendable.
Conclusion
These favorable ratings by patients and their parents may help future patients and users to decide for or against microelectronic wear-time tracking. Randomized studies are needed to demonstrate whether the sheer presence of a wear-time sensor stimulates compliance on its own.
Zusammenfassung
Fragestellung
Wie beurteilen Patienten und Eltern mikroelektronische Tragezeitmesser (TheraMon®) bei der Therapie mit herausnehmbaren KFO-Apparaturen?
Patienten und Methodik
125 Patienten (Durchschnittsalter 11,99 Jahre) in kieferorthopädischer Behandlung mit herausnehmbaren Apparaturen, in die ein Mikrosensor zur Tragezeitdokumentation eingebaut war, haben ebenso wie ihre Eltern in einer Fragebogenstudie die elektronische Tragezeitmessung beurteilt.
Ergebnisse
Der Einbau des Sensors beeinträchtigte den Tragekomfort der KFO-Apparaturen nicht, wie 86% der Patienten angaben. Die Befragten befürworten mehrheitlich eine elektronische Tragezeitdokumentation. Die ausgedruckten Tragezeiten bewerteten 46% der Patienten als eine „schöne Urkunde“ ihrer guten Compliance. Bei schlechten Tragezeiten wollten 38% der Patienten ihre Compliance zukünftig verbessern. 48% der Eltern sahen sogar in der Tragezeitmessung einen Weg zur Verbesserung des Therapieerfolgs, 32% nahmen an, dass auch die Therapiedauer verkürzt werden kann. Etwa 10% der Befragten bewerteten Sensoren als überflüssig und nicht empfehlenswert.
Schlussfolgerung
Das positive Urteil der Patienten und Eltern kann auch für künftige Patienten und Anwender bei ihrer Entscheidung für oder gegen eine mikroelektronische Tragezeitdokumentation hilfreich sein. Weitere randomisierte Studien sind erforderlich um nachzuweisen, ob bereits die Tragezeitsensoren die Compliance stimulieren.
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On behalf of all authors, the corresponding author states that there are no conflicts of interest.
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Schott, T., Schrey, S., Walter, J. et al. Questionnaire study of electronic wear-time tracking as experienced by patients and parents during treatment with removable orthodontic appliances. J Orofac Orthop 74, 217–225 (2013). https://doi.org/10.1007/s00056-013-0143-2
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DOI: https://doi.org/10.1007/s00056-013-0143-2