•  
  •  
 

Abstract

Malocclusion’s negative impact is not only limited to dentofacial appearance but also related to quality of life. Nowadays, orthodontic treatment can be done using conventional fixed appliances, or removable appliances called clear aligners. The preference for orthodontic appliances can be affected by several factors, including patient characteristics, self-perception, psychosocial, and oral-disorder factors. Objective: This study aims to evaluate the factors affecting the preference for orthodontic appliances among undergraduate students in West Jakarta. Methods: In this cross-sectional study, 244 undergraduate students were retrieved by purposive sampling from 7 universities located in West Jakarta. A self-administered questionnaire was used to collect data, and logistic regression analysis was carried out. Results: Fixed orthodontic appliances were commonly used (79.5%), and the majority of treatment providers were orthodontists (64.8%). Students’ belief that poor dental alignment is related to decreased social attractiveness was significantly associated with the preference for orthodontic appliances (p = 0.026; 95% CI = 1.170-11.317). Orthodontic treatment provider was significantly associated with a preference for orthodontic appliances (p = 0.000; 95% CI = 0.678-3.156). Conclusion: Fixed orthodontic appliances still become the main preference for malocclusion treatment among undergraduate students in West Jakarta. Besides that, the qualification of orthodontic treatment providers affects the preference for orthodontic appliances among undergraduate students in West Jakarta.

References

1. Peres MA, A nt u nes J LF, Wat t RG. Oral epidemiology: A textbook on oral health conditions, research topics and methods. Switzerland: Springer Nature Switzerland AG; 2021.

2. Saccomanno S, Saran S, Laganà D, Mastrapasqua RF, Grippaudo C. Motivation, perception, and behavior of the adult orthodontic patient: A survey analysis. Biomed Res Int. 2022; 2022:2754051.

3. Yovanka V, Kusnoto J, Andayani L H . Characteristic of orthodontic appliance users based on demographics, self-self-perception factors, psychosocial, and oral disorders (Study among undergraduate students in West Jakarta). J Indones Dent Association. 2023; 6(1):9-14.

4. Borda AF, Garfinkle JS, Covell DA, Wang M, Doyle L, Sedgley CM. Outcome assessment of orthodontic clear aligner vs fixed appliance treatment in a teenage population with mild malocclusions. Angle Orthod. 2020; 90(4):485-90.

5. Tamer İ, Öztaş E, Marşan G. Orthodontic treatment with clear aligners and the scientific reality behind their marketing: A literature review. Turk J Orthod. 2019; 32(4):241-6.

6. Yassir YA, Nabbat SA, McIntyre GT, Bearn DR. Clinical effectiveness of clear aligner treatment compared to fixed appliance treatment: An overview of systematic reviews. Clin Oral Investig. 2022; 26(3):2353-70.

7. Badran SA, Al-Khateeb S. Factors influencing the uptake of orthodontic treatment. J Public Health Dent. 2013; 73(4):339-44.

8. Fleming PS, Colonio-Salazar F, Waylen A, Sherriff M, Burden D, O Neill C, Ness A, Sandy J, Ireland T. Factors affecting willingness to pay for NHSbased orthodontic treatment. Br Dent J. 2022. Online ahead of print.

9. Gao M, Yan X, Zhao R, Shan Y, Chen Y, Jian F, Long H, Lai W. Comparison of pain perception, anxiety, and impacts on oral health-related quality of life between patients receiving clear aligners and fixed appliances during the initial stage of orthodontic treatment. Eur J Orthod. 2021; 43(3):353-9.

10. Antonio-Zancajo L, Montero J, Albaladejo A, Oteo-Calatayud MD, Alvarado-Lorenzo A. 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. J Clin Med. 2020; 9(7):2088.

11. Ben Gassem AA. Does clear aligner treatment result in different patient perceptions of treatment process and outcomes compared to conventional/ traditional fixed appliance treatment: A literature review. Eur J Dent. 2022; 16(2):274-85.

12. Alansari RA, Faydhi DA, Ashour BS, Alsaggaf DH, Shuman MT, Ghoneim SH, Linjawi AI, Marghalani HY, Dause RR. Adult perceptions of different orthodontic appliances. Patient Prefer Adherence. 2019; 13:2119-28.

13. Laakshmi GM. Reasons for seeking orthodontic treatment among south Indian population - A questionnaire study. J Pharm Sci Res. 2016; 8(7):692-5.

14. Shetty SK, Kumara V, Panicker VG. Selfperception of malocclusion and perception towards orthodontic treatment according to age in Indian population: a questionnaire study. Int J Innov Sci Res Technol. 2022; 7(11):2046-50.

15. Basanagouda CP, Chaitra C. Self-perception of dental appearance and apprehension towards orthodontic treatment and knowledge about clear aligners among undergraduates and interns-a questionnaire study. Sch J Dent Sci. 2023; 10(6):113-20.

16. d’Apuzzo F, Perillo L, Carrico CK, Castroflorio T, Grassia V, Lindauer SJ, Shroff B. Clear aligner treatment: Different perspectives between orthodontists and general dentists. Prog Orthod. 2019; 20(1):10.

17. Rakasiwi LS, Kautsar A. Pengar uh faktor demografi dan sosial ekonomi terhadap status kesehatan individu di Indonesia. Kajian Ekonomi dan Keuangan. 2021; 5(2):146-57.

18. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review. Angle Orthod. 2015; 85(5):881- 9.

19. Sycińska-Dziarnowska M, Szyszka-Sommerfeld L, Woźniak K, Lindauer SJ, Spagnuolo G. Predicting interest in orthodontic aligners: A google trends data analysis. Int J Environ Res Public Health. 2022; 19(5):3105.

20. Ozkan TH, Dursun D. An investigation of the opinions and preferences of orthodontists in Turkey regarding the use of clear aligners in orthodontic treatment. Anatol Clin J Med Sci. 2023; 28(1):72-80.

21. Olson JC, Shroff B, Carrico C, Boyle J, Lindauer SJ. Comparison of patient factors influencing the selection of an orthodontist, general dentist, or direct-to-consumer aligners. Am J Orthod Dentofacial Orthop. 2020; 157(4):526-32.e2.

22. Chambers DW, Zitterkopf JG. How people make decisions about whether or not to seek orthodontic care: Upstream in the treatment chain. Am J Orthod Dentofacial Orthop. 2019; 155(6):826-31.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.