Orthodontic patient co-operation: a review of the clinician's role in predicting and improving patient compliance


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Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine


ISSN: 2207-7472
eISSN: 2207-7480





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VOLUME 35 , ISSUE 1 (May 2019) > List of articles

Orthodontic patient co-operation: a review of the clinician's role in predicting and improving patient compliance

Fiona Firth * / Florence Bennani / Suzan Stacknik / Mauro Farella

Citation Information : Australasian Orthodontic Journal. Volume 35, Issue 1, Pages 5-12, DOI: https://doi.org/10.21307/aoj-2020-027

License : (CC BY 4.0)

Published Online: 20-July-2021



This systematic narrative review outlines factors associated with patient co-operation during orthodontic treatment. The co-operation of orthodontic patients, related to oral hygiene, appliance wear, diet and appointment attendance, can be highly influential on treatment outcome and the development of a number of potential adverse effects. While each patient is an individual with unique variations, patient age, gender, socio-economic status, parental relationships and psychological factors have been regarded as potential predictors of compliance. The assessment of potential patient co-operation can be difficult. A number of predictive methods have been attempted, including survey-based scales and subjective measurements, although, at present, clinicians lack a reliable quantitative tool for co-operation determination. Through communication, clinicians may alter patient co-operation. However, an individualised, patient-centred approach and the development of a relationship between the orthodontist and the patient remain essential.

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