generating considerable costs) 5 and remote interventions (e.g. Both chairside approaches (oftentimes involving written information, videos, or teaching aids, and demanding significant chairside time, i.e. Patient compliance during orthodontic therapy (e.g., towards wearing a removable appliance, attending regular re-evaluation and adaptation visits, adhering to specific oral hygiene requirements) has been shown highly relevant to achieving therapeutic goals and reducing adverse effects 1– 4. E-reminders and e-feedback were effective for increasing compliance in CAT patients.Ĭlinical Significance: Orthodontists and dentists may consider digital monitoring and e-reminders to improve compliance and increase treatment success. After the introduction of e-reminders and e-feedback (i.e., post-intervention), the percentage of poorly compliant patients decreased substantially, levelling off at 9.32% (95% CI: 8.31% to 10.45%). ITS and segmented regression modelling were used to estimate the effect on the change in levels and trends of poor compliance. Compliance was assessed at semi-monthly intervals from June-December 2019 (n = 1899) and June-December 2020 (n = 5486), resulting in a pre- and post-intervention group. E-reminders and e-feedback were introduced in the 1st quarter of 2020. 22 h on < 50% of their aligners: poorly compliant). 22 h on 50–74.9% of their aligners: fairly compliant min. 22 h on 75% of their aligners were classified as fully compliant, min. Our primary outcome was self-reported compliance (aligner wear time min. We used routinely collected mobile application data from a German healthtech company (PlusDental, Berlin).
#GINO FARRAGO SERIES#
The aim of this study was to evaluate the efficacy of remote electronic (e-)reminders and e-feedback on compliance during CAT using an interrupted time series (ITS) analysis. Patient compliance is relevant to achieving therapeutic goals during clear aligner therapy (CAT).
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