Background: Orthodontic treatment poses challenges such as discomfort, aesthetic concerns, dietary restrictions, time commitment, and financial considerations for patients. These challenges can deter individuals from pursuing treatment or cause anxiety during the process. However, patients are motivated by the desire to improve their appearance, boost self-confidence, and enhance oral health. They also value the long-term benefits of treatment, including improved dental function and overall well-being. Professional recommendations from dentists and orthodontists, along with social support from family and friends, further encourage patients to undergo treatment. Understanding these challenges and motivating factors is crucial for orthodontic professionals to tailor treatment plans and ensure positive experiences and successful outcomes for their patients. Objective: To determine the challenges and motivating factors of orthodontic treatment among patients attending Komfo Anokye Teaching Hospital. Method: The study was conducted at Komfo Anokye Teaching Hospital in Kumasi, Ghana, with a sample size of 60 orthodontic patients. Data was collected using self-administered questionnaires and analyzed using SPSS software. Ethical approval was obtained, and the findings were shared with stakeholders. Results: Findings showed a higher representation of females (63.3%) seeking orthodontic treatment. Common motivations for seeking orthodontic treatment included aesthetic Concerns (38.2%), misaligned teeth (28.1%) and recommendation from dentist (19.2%). Challenges reported included pain and discomfort (36.7%), difficulty chewing (15%), expensive treatment (14.4%) and missed appointments (11.7%). Factors motivating treatment continuation were visible improvements (30%), achieving optimal results (23%), reducing pain and discomfort (17%). External influences, such as family pressure, also played a role. Patients appreciated the support of healthcare providers during treatment but suggested better pain management and education. Conclusion: The study provided valuable insights into patient motivations, challenges and factors influencing satisfaction and adherence to orthodontic treatment at KATH.
References
[1]
Devi, S., Jain, R.K. and Balasubramaniam, A. (2022) Comparative Evaluation of Patient Satisfaction Following the Use of Two Different Orthodontic Removable Retainers: A Prospective Randomized Controlled Trial. Journal of International Oral Health, 14, 370-376. https://doi.org/10.4103/JIOH.JIOH_17_22
[2]
Samsonyanová, L. and Broukal, Z. (2014) A Systematic Review of Individual Motivational Factors in Orthodontic Treatment: Facial Attractiveness as the Main Motivational Factor in Orthodontic Treatment. InternationalJournalofDentistry, 2014, Article ID: 938274. https://doi.org/10.1155/2014/938274
[3]
Keles, F. and Bos, A. (2013) Satisfaction with Orthodontic Treatment. The Angle Orthodontist, 83, 507-511. https://doi.org/10.2319/092112-754.1
[4]
Davies, S.J. (2007) Malocclusion—A Term in Need of Dropping or Redefinition? British Dental Journal, 202, 519-520. https://doi.org/10.1038/bdj.2007.372
[5]
D’Souza, I.M., Kumar, H.C.K. and Shetty, K.S. (2015) Dental Arch Changes Associated with Rapid Maxillary Expansion: A Retrospective Model Analysis Study. Contemporary Clinical Dentistry, 6, 51-57. https://doi.org/10.4103/0976-237X.149292
[6]
Sadiq, H., Khajuria, A., Sharma, M., Kalgotra, S. and Shaikh, S. (2023) Prevalence of Malocclusion in Kathua District of Jammu & Kashmir: A Cross-Sectional Study. Journal of Pharmaceutical Negative Results, 14, 426-428.
[7]
Moresca, R. (2018) Orthodontic Treatment Time: Can It Be Shortened? Dental Press Journal of Orthodontics, 23, 90-105. https://doi.org/10.1590/2177-6709.23.6.090-105.sar
[8]
Benson, P.E., Javidi, H. and Dibiase, A.T. (2015) What Is the Value of Orthodontic Treatment? British Dental Journal, 218, 185-190. https://doi.org/10.1038/sj.bdj.2015.43
[9]
Johal, A., Damanhuri, S.H. and Colonio-Salazar, F. (2024) Adult Orthodontics, Motivations for Treatment, Choice, and Impact of Appliances: A Qualitative Study. AmericanJournalofOrthodonticsandDentofacialOrthopedics. https://doi.org/10.1016/j.ajodo.2024.02.009
[10]
Yang, L., Yin, G., Liao, X., Yin, X. and Ye, N. (2019) A Novel Customized Ceramic Bracket for Esthetic Orthodontics: In Vitro Study. Progress in Orthodontics, 20, Article No. 39. https://doi.org/10.1186/s40510-019-0292-y
[11]
Jaber, S.T., Hajeer, M.Y., Burhan, A.S., Alam, M.K. and Al-Ibrahim, H.M. (2023) Treatment Effectiveness of Young Adults Using Clear Aligners Versus Buccal Fixed Appliances in Class I Malocclusion with First Premolar Extraction Using the ABO-Objective Grading System: A Randomized Controlled Clinical Trial. International Orthodontics, 21, Article ID: 100817. https://doi.org/10.1016/j.ortho.2023.100817
[12]
Thukral, R. and Gupta, A. (2023) Invisalign: Invisible Orthodontic Treatment—A Review. Journal of Advanced Medical and Dental Sciences Research, 3, S42-S44. http://www.dentistryiq.com/articles/2013/10/an
[13]
Naini, F.B. and Gill, D.S. (2021) Preadjusted Edgewise Fixed Orthodontic Appliances: Principles and Practice. John Wiley & Sons Ltd., Hoboken, 1-434. https://doi.org/10.1002/9781118817551.ch1
[14]
Will, L.A. (2015) The History of Orthodontic Education: A Century of Development and Debate. American Journal of Orthodontics and Dentofacial Orthopedics, 148, 901-913. https://doi.org/10.1016/j.ajodo.2015.09.004
[15]
Ke, Y., Zhu, Y. and Zhu, M. (2019) A Comparison of Treatment Effectiveness between Clear Aligner and Fixed Appliance Therapies. BMCOralHealth, 19, Article No. 24. https://doi.org/10.1186/s12903-018-0695-z
[16]
Felemban, O.M., Alharbi, N.T., Alamoudi, R.A.A., Alturki, G. and Helal, N.M. (2022) Factors Influencing the Desire for Orthodontic Treatment among Patients and Parents in Saudi Arabia: A Cross-Sectional Study. Journal of Orthodontic Science, 11, 25. https://doi.org/10.4103/jos.jos_181_21
[17]
Sharma, S., Narkhede, S., Sonawane, S. and Gangurde, P. (2013) Evaluation of Patient’s Personal Reasons and Experience with Orthodontic Treatment. Journal of International Oral Health, 5, 78.
[18]
Ndukwe, A.N., DaCosta, O.O., Sanu, O.O. and Isiekwe, M.C. (2022) An Assessment of Factors Motivating Patients to Seek Orthodontic Treatment in a South-Western Nigerian Teaching Hospital. Nigerian Journal of Medicine, 31, 168-173. https://doi.org/10.4103/NJM.NJM_87_21
[19]
Atassi, F. and Awartani, F. (2010) Oral Hygiene Status among Orthodontic Patients. The Journal of Contemporary Dental Practice, 11, 1-10. http://www.thejcdp.com/journal/view/volume11-issue4-atassi https://doi.org/10.5005/jcdp-11-4-25
[20]
Al-Khateeb, S.N., Abu Alhaija, E.S. and Majzoub, S. (2015) Occlusal Bite Force Change after Orthodontic Treatment with Andresen Functional Appliance. European Journal of Orthodontics, 37, 142-146. https://doi.org/10.1093/ejo/cju025
[21]
Arnold, S., Koletsi, D., Patcas, R. and Eliades, T. (2016) The Effect of Bracket Ligation on the Periodontal Status of Adolescents Undergoing Orthodontic Treatment. A Systematic Review and Meta-Analysis. Journal of Dentistry, 54, 13-24. https://doi.org/10.1016/j.jdent.2016.08.006
[22]
Naderi, M.H., Biria, M., Shahbazi, S., Kousha, S., Dalaie, K. and Behnaz, M. (2022) Estimating and Comparing the Duration of Adolescent Growth Peak in Skeletal Class I and III Subjects Using Cervical Vertebral Maturation Method. Progress in Orthodontics, 23, Article No. 25. https://doi.org/10.1186/s40510-022-00420-9
[23]
Munhoz, T. (2014) Effect of Bonding Protocol on Shear Bond Strength of Orthodontic Brackets: An in Vitro Study. Matéria, 19, 212-217. https://doi.org/10.1590/S1517-70762014000300004
[24]
Hadidi, S.A. (2021) Reasons for Seeking Orthodontic Treatment in a Jordanian Population. SmileDentalJournal, 16, 24-30. https://search.ebscohost.com/login.aspx
[25]
Talic, N.F. (2011) Adverse Effects of Orthodontic Treatment: A Clinical Perspective. The Saudi Dental Journal, 23, 55-59. https://doi.org/10.1016/j.sdentj.2011.01.003
[26]
Lin, W., Farella, M., Antoun, J.S., Topless, R.K., Merriman, T.R. and Michelotti, A. (2021). Factors Associated with Orthodontic Pain. JournalofOralRehabilitation, 48, 1135-1143. https://doi.org/10.1111/joor.13227
[27]
Johal, A., etal. (2018) Pain Experience in Adults Undergoing Treatment: A Longitudinal Evaluation. The Angle Orthodontist, 88, 292-298. https://doi.org/10.2319/082317-570.1
[28]
Antonio-Zancajo, L., Montero, J., Albaladejo, A., Oteo-Calatayud, M.D. and Alvarado-Lorenzo, A. (2020) Pain and Oral-Health-Related Quality of Life in Orthodontic Patients during Initial Therapy with Conventional, Low-Friction, and Lingual Brackets and Aligners (Invisalign): A Prospective Clinical Study. Journal of Clinical Medicine, 9, Article No. 2088. https://doi.org/10.3390/jcm9072088
[29]
Banerjee, S., Banerjee, R., Shenoy, U., Agarkar, S. and Bhattacharya, S. (2018) Effect of Orthodontic Pain on Quality of Life of Patients Undergoing Orthodontic Treatment. Indian Journal of Dental Research, 29, 4-9. https://doi.org/10.4103/ijdr.IJDR_113_16
[30]
Krukemeyer, A.M., Arruda, A.O. and Inglehart, M.R. (2009) Pain and Orthodontic Treatment. The Angle Orthodontist, 79, 1175-1181. https://doi.org/10.2319/121308-632R.1
[31]
Rakhshan, H. and Rakhshan, V. (2015) Pain and Discomfort Perceived during the Initial Stage of Active Fixed Orthodontic Treatment. The Saudi Dental Journal, 27, 81-87. https://doi.org/10.1016/j.sdentj.2014.11.002
[32]
Sew Hoy, W., Antoun, J.S., Lin, W., Chandler, N., Merriman, T. and Farella, M. (2018) Ecological Momentary Assessment of Pain in Adolescents Undergoing Orthodontic Treatment Using a Smartphone app. Seminars in Orthodontics, 24, 209-216. https://doi.org/10.1053/j.sodo.2018.04.002
[33]
Da Costa, T.R.F., Serrano, A.M., Atman, A.P.F., Loguercio, A.D. and Reis, A. (2012) Durability of Composite Repair Using Different Surface Treatments. Journal of Dentistry, 40, 513-521. https://doi.org/10.1016/j.jdent.2012.03.001
[34]
Rigau-Gay, M.M., Claver-Garrido, E., Benet, M., Lusilla-Palacios, P. and Ustrell-Torrent, J.M. (2020) Effectiveness of Motivational Interviewing to Improve Oral Hygiene in Orthodontic Patients: A Randomized Controlled Trial. Journal of Health Psychology, 25, 2362-2373. https://doi.org/10.1177/1359105318793719
[35]
Baherimoghadam, T., Naseri, N., Hamedani, S., Nikmehr, S. and Mokhtar, M. (2022) Influence of Multimedia Reminders on Oral Hygiene Status during Removable Orthodontic Treatment: A Randomized Controlled Trial. Journal of Orthodontic Science, 11, 27. https://doi.org/10.4103/jos.jos_193_21
[36]
Farhadifard, H., Soheilifar, S., Farhadian, M., Kokabi, H. and Bakhshaei, A. (2020) Orthodontic Patients’ Oral Hygiene Compliance by Utilizing a Smartphone Application (Brush DJ): A Randomized Clinical Trial. BDJOpen, 6, Article No. 24. https://doi.org/10.1038/s41405-020-00050-5
[37]
Anuwongnukroh, N. and Dechkunakorn, S. (2017) Oral Hygiene Behavior during Fixed Orthodontic Treatment. Dentistry, 7, Article ID: 1000457. https://doi.org/10.4172/2161-1122.1000457
[38]
Baheti, M.J. and Toshniwal, N.G. (2015) Survey on Oral Hygiene Protocols among Orthodontic Correction-Seeking Individuals. Journal of Education and Ethics in Dentistry, 5, 8. https://doi.org/10.4103/0974-7761.178020
[39]
Karadas, M., Cantekin, K. and Celikoglu, M. (2011) Effects of Orthodontic Treatment with a Fixed Appliance on the Caries Experience of Patients with High and Low Risk of Caries. Journal of Dental Sciences, 6, 195-199. https://doi.org/10.1016/j.jds.2011.09.002
[40]
Ajayi, E.O. (2015) Normative and Self-Perceived Orthodontic Treatment Need in Nigerian School Children. Acta Odontologica Scandinavica, 73, 364-367. https://doi.org/10.3109/00016357.2014.967721
[41]
Da’Ameh, D. and Da’, M. (2011) Oral Hygiene Measures in Orthodontic Treatment in Northern Jordan. Pakistan Oral & Dental Journal, 31, 336-339.
[42]
Sharma, R., Drummond, R., Wiltshire, W., Schroth, R., Lekic, M., Bertone, M. and Tate, R. (2021) Quality of Life in an Adolescent Orthodontic Population: Invisalign versus Fixed Appliances. The Angle Orthodontist, 91, 718-724. https://doi.org/10.2319/062820-592.1
[43]
Carter, L.A., Geldenhuys, M., Moynihan, P.J., Slater, D.R., Exley, C.E. and Rolland, S.L. (2015) The Impact of Orthodontic Appliances on Eating—Young People’s Views and Experiences. Journal of Orthodontics, 42, 114-122. https://doi.org/10.1179/1465313314Y.0000000128
[44]
Al Jawad, F.A., Cunningham, S.J., Croft, N. and Johal, A. (2012) A Qualitative Study of the Early Effects of Fixed Orthodontic Treatment on Dietary Intake and Behaviour in Adolescent Patients. European Journal of Orthodontics, 34, 432-436. https://doi.org/10.1093/ejo/cjr032
[45]
Chen, L., etal. (2018) Inflammatory Responses and Inflammation-Associated Diseases in Organs. Oncotarget, 9, 7204-7218. https://doi.org/10.18632/oncotarget.23208
[46]
Haj-Younis, S., Khattab, T.Z., Hajeer, M.Y. and Farah, H. (2016) A Comparison between Two Lingual Orthodontic Brackets in Terms of Speech Performance and Patients’ Acceptance in Correcting Class II, Division 1 Malocclusion: A Randomized Controlled Trial. Dental Press Journal of Orthodontics, 21, 80-88. https://doi.org/10.1590/2177-6709.21.4.080-088.oar
[47]
Onyeaso, C.O. and Utomi, L.I. (2007) Informed Consent in Orthodontics: Experiences of Nigerian. Informed Consent in Orthodontics, 40, 29-39. https://ir.unilag.edu.ng/bitstreams/82c38dbb-be89-423e-a392-03e29905c1c3/download
[48]
Alajmi, S., Shaban, A. and Al-Azemi, R. (2020) Comparison of Short-Term Oral Impacts Experienced by Patients Treated with Invisalign or Conventional Fixed Orthodontic Appliances. Medical Principles and Practice, 29, 382-388. https://doi.org/10.1159/000505459
[49]
Bradley, E., etal. (2020) Patient-Reported Experience and Outcomes from Orthodontic Treatment. Journal of Orthodontics, 47, 107-115. https://doi.org/10.1177/1465312520904377
[50]
Wȩdrychowska-Szulc, B. and SyryŃSka, M. (2010) Patient and Parent Motivation for Orthodontic Treatment—A Questionnaire Study. European Journal of Orthodontics, 32, 447-452. https://doi.org/10.1093/ejo/cjp131
[51]
Almarhoumi, A., Alharbi, M., Saib, S., Albalawi, S., Alalawi, A. and Albahith, S. (2021) Parental Knowledge and Practice Regarding Their Children’s Malocclusion and Orthodontic Care in Al-Madinah, Saudi Arabia: A Cross-Sectional Study. Journal of Oral Health and Community Dentistry, 16, 56-60. https://doi.org/10.5005/jp-journals-10062-0135
[52]
Isiekwe, G., Olurotimi, I. and Aikins, E. (2015) (PDF) Evaluation of Orthodontic Training Programme in Nigeria. West African Journal of Orthodontics, 4, 24-29. https://ir.unilag.edu.ng/handle/123456789/4658
