Improving elastic compliance in class II orthodontic patients
Research type
Research Study
Full title
The effectiveness of electronic reminders in improving elastic compliance in class II orthodontic patients
IRAS ID
209439
Contact name
Catherine Liu
Contact email
Sponsor organisation
King’s College London
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 5 months, 27 days
Research summary
Despite advancements in various aspects of orthodontic treatment, patient compliance remains a critical factor in attaining a successful treatment outcome. More specifically, patient compliance in the use of intraoral elastics is an important component of the treatment plan of certain patients. Failure to wear elastics as directed will ultimately result in increased treatment time, and imperfect alignment of the teeth.
Persuading adolescent orthodontic patients to wear intraoral elastics consistently is difficult in the short appointment times of a typical practice. Studies have shown that adolescents respond at a higher level to a more constant form of communication, as well as a method more closely associated with their generation. As smartphones have become an everyday appliance for most of the general public, mobile applications (apps) have the capability to serve as an effective avenue for communication between doctor and patient. Recent studies in both dentistry and medicine have reported that active reminders via mobile phone improve appointment attendance, adherence to medication schedules, and positive behaviour changes.
We will utilize the “Calendar” app to communicate via daily reminders with patients undergoing orthodontic treatment with fixed appliances to correct a class II malocclusion, and we will measure the improvement in the jaw relationship. This will allow us to study whether or not electronic reminders can significantly increase compliance.
As more apps are developed, this communication method may have the potential to greatly impact the way orthodontists and patients interact outside of the office. If effective, these apps could become a cornerstone of the compliance efforts of many orthodontic practices. This would benefit both the orthodontist and the patient, as it would decrease time and money spent for both parties as well as reduce the overall sense of frustration felt during extended orthodontic treatment.
REC name
Wales REC 7
REC reference
16/WA/0266
Date of REC Opinion
8 Sep 2016
REC opinion
Favourable Opinion