Department of Integrated Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
Clinic of Orthodontics, Academic Policlinic of Stomatology, Krakowska 26, 50-425 Wroclaw, Poland.
Sensors (Basel). 2022 Mar 22;22(7):2435. doi: 10.3390/s22072435.
Orthodontic treatment with removable appliances is still common in children and adolescents. However, their effectiveness depends primarily on the patients' compliance. Currently, it is possible to check the daily wear time (DWT) of the removable appliances using special microsensors. The aim of this prospective cohort study was to assess the degree of patients' compliance depending on the type of removable appliance used. In total, 167 patients (87 F, 80 M) were enrolled in the study and were treated with block appliances (Klammt, Twin-Block), Schwarz plates, and block appliances in combination with headgear. All patients were followed up for 6 months with the mean daily wear time checked at followup visits using TheraMon microsensors fitted in the appliances. It has been shown that the type of appliance influences the patients' compliance. The DWT for the Twin Block was significantly longer compared to the DWT for the other appliances. Girls have been shown to wear removable appliances better than boys. It has been proven that the majority of patients do not follow the orthodontist's recommendations, wearing removable appliances for just over half of the recommended time. Microsensors can be used for objective verification of patients' compliance, which allows for a reliable assessment of the effectiveness of treatment with removable appliances.
正畸治疗用可摘矫治器在儿童和青少年中仍很常见。然而，其疗效主要取决于患者的配合程度。目前，可以使用特殊的微传感器检查可摘矫治器的每日佩戴时间（DWT）。本前瞻性队列研究的目的是评估根据所使用的可摘矫治器的类型，患者的配合程度。共有 167 名患者（87 名女性，80 名男性）入组该研究，他们接受了 BLOCK 矫治器（Klammt、Twin-Block）、 Schwarz 矫治器和 BLOCK 矫治器联合头帽的治疗。所有患者均随访 6 个月，通过在矫治器中安装的 TheraMon 微传感器在随访时检查平均每日佩戴时间。研究表明，矫治器的类型会影响患者的配合程度。 Twin Block 的 DWT 明显长于其他矫治器。研究表明，女孩佩戴可摘矫治器的情况要好于男孩。已经证明，大多数患者不遵守正畸医生的建议，仅佩戴可摘矫治器的时间超过推荐时间的一半。微传感器可用于客观验证患者的配合程度，从而可靠评估可摘矫治器治疗的效果。
