Journal of Isfahan Dental School

Relationship between Patients' Psychosocial Factors and their Cooperation during Orthodontic Treatment

Document Type : مقاله‌های پژوهشی

Authors

1 Dentist, Isfahan, Iran.

2 Assistant Professor, Department of Orthodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

3 Postgraduate Student, Department of Orthodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

4 Professor, Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: The compliance of an adolescent patient and his/her parents is a critical issue in achieving optimal treatment results. If the patient's compliance can be predicted before the initiation of treatment, the orthodontist can improve the outcomes by various means and prevent any unpleasant complications such as immature termination of treatment. The aim of this study was to evaluate the relationship between patients' psychosocial factors and cooperation in orthodontic treatment and their predictive value in adolescents.
Materials & Methods: In this descriptive– analytical study, 30 factors were extracted from the literature, 24 of the most important of which were determined based on the opinions of experienced orthodontists using statistical methods. Then, a questionnaire was designed for evaluating each factor. Then 60 adolescent patients, 11‒18 years of age, were selected randomly to fill out the questionnaire before the beginning of their treatment. At least 4 months after the initiation of treatment, their compliance was evaluated. Finally, the relationship between each factor and compliance was calculated using Pearson's correlation coefficient (α = 0.05).
Results: Factors such as age, economic status of the family, patient’s performance in school, patient’s perceived need for orthodontic treatment and his/her conscientiousness had statistically significant relationship with compliance (p value < 0.05).
Conclusion: The compliance of patients (especially those >14 years of age) is predictable before orthodontic treatment. There 5 factors of gender, family economic status, educational status, the patient's need for treatment, and the patient's conscientiousness were significantly related with compliance.
 Key words: Adolescents, Orthodontics, Patient compliance, Psychosocial.
 
 

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Journal of Isfahan Dental School
Volume 14, Issue 3 - Serial Number 3
July 2018
Pages 268-276