TY - JOUR
T1 - Motivation, expectations and understanding of patients and their parents seeking orthodontic treatment in specialist practice
AU - Geoghegan, Finn
AU - Birjandi, Ana Ahmadi
AU - Xavier, Guilherme Machado
AU - Dibiase, Andrew T.
PY - 2019
Y1 - 2019
N2 - Objectives: To determine patient and parent/guardian motivation, expectation and understanding of orthodontic treatment. Design: A self-completion questionnaire survey of new patients referred for orthodontic assessment. Setting: Specialist practices in Surrey and Berkshire (United Kingdom). Participants: A total of 500 questionnaires were issued (250 were issued to patients and 250 to parents). Methods: The survey was based on a self-completed questionnaire which was issued at the assessment appointment. Both questionnaires were adapted and extended from originally validated questionnaires previously used in a hospital setting. Patients and parents were asked to complete separate anonymous questionnaires. The patient questionnaire consisted of 24 closed-ended questions divided into three domains: motivation; understanding; and expectation of orthodontic treatment. The parent questionnaire consisted of 13 questions covering the same three domains Results: The response rate for the patient and parent questionnaires was 95% and 91%, respectively. Forty-seven percent of the patients were aged 11–13 years. In 77% of cases, the referral was initiated by their dentist. Only 3% of patients thought there was nothing wrong with their teeth. There was a poor understanding of what a retainer is and for how long patients are expected to use it. Conclusions: Referral for orthodontic treatment was initiated by the patients’ general dental practitioner in the major-ity of the cases. The anticipation of improved dental appearance was a prime motivating factor. Participants had realistic expectations and there was a good acceptance of appliances and dental extractions for orthodontic treatment. Neverthe-less, both patients and parents/guardians were less well informed on the nature and duration of orthodontic retention.
AB - Objectives: To determine patient and parent/guardian motivation, expectation and understanding of orthodontic treatment. Design: A self-completion questionnaire survey of new patients referred for orthodontic assessment. Setting: Specialist practices in Surrey and Berkshire (United Kingdom). Participants: A total of 500 questionnaires were issued (250 were issued to patients and 250 to parents). Methods: The survey was based on a self-completed questionnaire which was issued at the assessment appointment. Both questionnaires were adapted and extended from originally validated questionnaires previously used in a hospital setting. Patients and parents were asked to complete separate anonymous questionnaires. The patient questionnaire consisted of 24 closed-ended questions divided into three domains: motivation; understanding; and expectation of orthodontic treatment. The parent questionnaire consisted of 13 questions covering the same three domains Results: The response rate for the patient and parent questionnaires was 95% and 91%, respectively. Forty-seven percent of the patients were aged 11–13 years. In 77% of cases, the referral was initiated by their dentist. Only 3% of patients thought there was nothing wrong with their teeth. There was a poor understanding of what a retainer is and for how long patients are expected to use it. Conclusions: Referral for orthodontic treatment was initiated by the patients’ general dental practitioner in the major-ity of the cases. The anticipation of improved dental appearance was a prime motivating factor. Participants had realistic expectations and there was a good acceptance of appliances and dental extractions for orthodontic treatment. Neverthe-less, both patients and parents/guardians were less well informed on the nature and duration of orthodontic retention.
KW - Expectations
KW - Health services and quality of life aspects
KW - Motivation
KW - Orthodontic treatment
KW - Parents
KW - Patients
KW - Psychological aspects of orthodontics
KW - Quality of life and orthodontics
UR - http://www.scopus.com/inward/record.url?scp=85060700018&partnerID=8YFLogxK
U2 - 10.1177/1465312518820330
DO - 10.1177/1465312518820330
M3 - Article
C2 - 31056062
AN - SCOPUS:85060700018
SN - 1465-3125
VL - 46
SP - 46
EP - 50
JO - Journal of Orthodontics
JF - Journal of Orthodontics
IS - 1
ER -