van Doornik Sebastiaan P, Lietmeijer Scott, Ren Yijin, Manton David J, Dijkstra Pieter U, Kuijpers-Jagtman Anne Marie
Department of Orthodontics, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Center for Dentistry and Oral Hygiene, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, FB 21, 9713 AV Groningen, The Netherlands.
Eur J Orthod. 2025 Jun 12;47(4). doi: 10.1093/ejo/cjaf041.
Adolescents undergoing orthodontic fixed appliance treatment face an increased risk of dental caries and developing white spot lesions (WSLs) due to challenges in maintaining effective oral hygiene. Preventive measures, including adherence to clinical guidelines, are important to reduce these risks.
To analyse adherence to clinical practice guidelines (CPGs) amongst patients undergoing orthodontic treatment with buccal fixed appliances in the northeast of the Netherlands.
A survey was presented to 539 adolescents aged 12-17 undergoing buccal fixed appliance treatment. Participants were recruited from ten orthodontic practices. The survey assessed adherence to the six recommendations of the Dutch CPGs. An adherence sum score (range 0 to 6) was calculated. Descriptive statistics and linear regression analyses (1000 bootstrap samples) were performed to analyse the relationships between participants' characteristics and adherence sum scores.
In total, 485 adolescents started the survey, of whom 393 (72.9%) could be included (57% female; 48.9% aged 13 or 14). The median adherence sum score was 5 (IQR 4, 5), and 22.6% (n = 89) had an adherence sum score of 6. Males had a lower adherence sum score than females (-0.442, 95% CI: -0.979, -0.234). Older participants had a lower adherence sum score than younger participants (-0.066, 95%CI: -0.136, 0.002) per year of age. Higher educated participants had a lower adherence sum score than participants with lower education (-0.534, 95%CI: -0.953, -0.096).
Self-reported data may introduce information bias as participants may give socially desirable answers.
Adherence to the CPGs amongst adolescents with buccal fixed orthodontic appliances is suboptimal, particularly in boys and older adolescents. Tailored educational interventions may address these gaps.
接受正畸固定矫治器治疗的青少年，由于在保持有效的口腔卫生方面存在挑战，患龋齿和出现白斑病变（WSLs）的风险增加。包括遵循临床指南在内的预防措施对于降低这些风险很重要。
分析荷兰东北部接受颊侧固定矫治器正畸治疗的患者对临床实践指南（CPGs）的遵循情况。
对539名年龄在12 - 17岁接受颊侧固定矫治器治疗的青少年进行了一项调查。参与者来自十家正畸诊所。该调查评估了对荷兰CPGs六项建议的遵循情况。计算了一个遵循总分（范围为0至6）。进行了描述性统计和线性回归分析（1000次自抽样），以分析参与者特征与遵循总分之间的关系。
共有485名青少年开始了调查，其中393名（72.9%）可纳入分析（女性占57%；年龄在13或14岁的占48.9%）。遵循总分的中位数为5（四分位间距4，5），22.6%（n = 89）的遵循总分为6。男性的遵循总分低于女性（-0.442，95%置信区间：-0.979，-0.234）。年龄较大的参与者每年的遵循总分低于年龄较小的参与者（-0.066，95%置信区间：-0.136，0.002）。受教育程度较高的参与者的遵循总分低于受教育程度较低的参与者（-0.534，95%置信区间：-0.953，-0.096）。
自我报告的数据可能会引入信息偏差，因为参与者可能会给出符合社会期望的答案。
佩戴颊侧固定正畸矫治器的青少年对CPGs的遵循情况不理想，尤其是在男孩和年龄较大的青少年中。量身定制的教育干预措施可能会弥补这些差距。
