Factors Influencing Child Compliance in Deep Bite Correction with a Removable Anterior Bite Plane
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Abstract
Background: An important factor that influences the treatment success of deep bite correction using a removable anterior bite plane (RABP) is patient compliance. To date no studies have reported on the factors that influence patient compliance during treatment with an RABP, especially the wearing protocols. Objective: To investigate and compare patient compliance between two RABP wearing protocols: full-time wear with RABP on during meals (F+M), and RABP off during meals (F-M) and to evaluate possible factors that might affect patient compliance. Materials and methods: Thirty-three participants with deep bite (mean age 10.88 ± 2.16 years) were randomly assigned to either the F+M (n = 18) or F-M group (n =15). The ActualWear was individually recorded by a TheraMon microsensor embedded in the RABP for the duration of six months. This study defined compliance as the ratio of actual duration of wearing an RABP (ActualWear) and the recommended duration of wear (RecommendedWear). The RecommendedWear was based on the ideal, but sensible, expected wearing duration of each wearing protocol. The Mann-Whitney U test compared between-group differences of compliance, age, gender, wearing protocol, type of motivation, type of school, and parental occupation (α = 0.05). Results: Patient compliance was significantly influenced by age and type of motivation (P < 0.001), but not by the wearing protocol, gender, type of school, or parental occupation (P ≥ 0.05). Conclusion: The RABP wearing protocols did not affect patient compliance. However,age and type of motivation affected patient compliance during RABP use for deep bite correction.
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