van der Bie Ronald Max, Bos Annemieke, Bruers Jan Joseph Mathieu, Jonkman Ronald Edwin Gaston
Department of Orthodontics, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit (VU), Amsterdam, The Netherlands.
Department of Oral Public Health, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit (VU), Amsterdam, The Netherlands.
BDJ Open. 2024 Jul 16;10(1):58. doi: 10.1038/s41405-024-00235-2.
Patient adherence is a key factor in achieving orthodontic treatment success. Despite an evolution in orthodontic healthcare, no recent comprehensive reviews are available on patient adherence in orthodontics. This scoping review provides an evidence-based overview of the literature available on multiple aspects of patient adherence in orthodontics, during both active treatment as well as during the retention phase. Knowledge gaps identified in the literature are listed.
The protocol for this scoping review was registered in the Open Science Framework ( https://doi.org/10.17605/OSF.IO/EC6QD ). Electronic databases and reference lists of relevant studies were searched up to 9 February 2023. The inclusion criteria were studies investigating any form of patient adherence in orthodontics published in English from 2006 onwards. The exclusion criteria were studies investigating adherence in the following patients: those with an intellectual or physical disability that could affect their ability to coincide with their therapist's recommendations and advice, those with oral cleft and craniofacial conditions, and those treated solely for obstructive sleep apnoea. Non-peer-reviewed studies and case reports were also excluded.
A total of 3284 articles were identified, 60 of which met the criteria for final inclusion.
There is no conclusive evidence on which factors have a significant impact on patient adherence and how patient adherence can be promoted. The degree of patient adherence is generally not compared to achieved treatment results or stability of treatment results, making it difficult to provide clear statements about the impact of the degree of adherence on desired treatment results or orthodontic stability.
患者依从性是正畸治疗成功的关键因素。尽管正畸医疗有所发展，但目前尚无关于正畸患者依从性的近期全面综述。本范围综述基于证据，概述了正畸治疗活动期及保持期患者依从性多方面的现有文献。列出了文献中发现的知识空白。
共识别出3284篇文章，其中60篇符合最终纳入标准。
尚无确凿证据表明哪些因素对患者依从性有重大影响以及如何提高患者依从性。患者依从程度通常未与治疗效果或治疗效果稳定性进行比较，因此难以就依从程度对预期治疗效果或正畸稳定性的影响给出明确说法。
