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Pretreatment factors predictive of patients’ compliance wearing class II elastics

Keppler, Frederick Louis
http://orcid.org/0000-0016-6488-211
http://rave.ohiolink.edu/etdc/view?acc_num=osu1647260182887419

Abstract Details

2022, Master of Science, Ohio State University, Dentistry.
Objectives: Elastics are commonly used to correct Class II occlusion in orthodontics, but clinicians are uncertain whether their patients will be compliant wearing them. This study investigated whether selected pretreatment factors were correlated with patients’ compliance wearing Class II elastics during treatment. Methods: A retrospective sample of 248 patients from The Ohio State University graduate orthodontic clinic were included. For each subject, 11 pretreatment factors (age, sex, race, socioeconomic status, oral hygiene (OH), patient motivation, behavior conditions, history of regular dental care, profile concerns, severity of overjet (OJ), and overall PAR score) as well as treatment notes and outcome data were obtained from the electronic dental record. Two raters independently classified the compliance category (compliant or non-compliant) for each subject’s Class II elastics wear based on treatment notes and Peer Assessment Rating (PAR) score change. Reliability of compliance classification was evaluated using Cohen’s Kappa while the correlation between pretreatment factors and compliance categories was assessed with logistic regression. Results: There was high inter-rater reliability (κ = .94) in compliance classification. After discussion and reaching consensus for 8 cases, a total of 139 subjects were found to be compliant, representing 56% of the full sample. Among the 11 pretreatment factors, race (p<0.01), oral hygiene (p=0.03), and OJ severity (p=0.04) were correlated with the compliance categories. As for the likelihood of being compliant, Caucasians vs. African Americans and good OH vs. poor OH, all demonstrated an odds ratio over 2.5. Conclusions: Non-compliance in wearing Class II elastics may be a common phenomenon among orthodontic patients. Pretreatment information including race and oral hygiene are objective measures that may be of value in predicting patients’ compliance wearing Class II elastics.
Zongyang Sun (Advisor)
Henry Fields, Jr. (Committee Member)
Ai Ni (Committee Member)
73 p.
Dental Care; Dentistry
Compliance, Class II elastics, Pretreatment factors

Recommended Citations

Citations

  • Keppler, F. L. (2022). Pretreatment factors predictive of patients’ compliance wearing class II elastics [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1647260182887419

    APA Style (7th edition)

  • Keppler, Frederick. Pretreatment factors predictive of patients’ compliance wearing class II elastics . 2022. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1647260182887419.

    MLA Style (8th edition)

  • Keppler, Frederick. "Pretreatment factors predictive of patients’ compliance wearing class II elastics ." Master's thesis, Ohio State University, 2022. http://rave.ohiolink.edu/etdc/view?acc_num=osu1647260182887419

    Chicago Manual of Style (17th edition)

osu1647260182887419
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© 2022, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.