International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 16 , ISSUE 1 ( January-February, 2023 ) > List of Articles

CASE REPORT

An Innovative Way to Retract Anteriors in Noncompliant Patient: A Case Report

Shalu Jain, Abhishek Jain, Pradeep Raghav

Keywords : Bracket debonding, Noncompliant patient, Retraction

Citation Information : Jain S, Jain A, Raghav P. An Innovative Way to Retract Anteriors in Noncompliant Patient: A Case Report. Int J Clin Pediatr Dent 2023; 16 (1):180-185.

DOI: 10.5005/jp-journals-10005-2502

License: CC BY-NC 4.0

Published Online: 22-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To design and fabricate an innovative appliance for the purpose of diminishing treatment duration and enhancing patient compliance in non-complaint patients. Background: A patient reported to the orthodontic department for conventional orthodontic treatment but as the treatment progressed, he started loosing motivation which was followed by the deficiency in adherence to the treatment protocol and became less concerned. In few months, he stopped following proper instructions on taking care of the appliances leading to increase in the chances of frequent appliance breakage at every appointment. Case description: A patient reported with Class I molar and end-on canine relationship on both sides, retained deciduous second molar in upper and lower arches, increased overjet, mild generalized spacing in upper anteriors with severe crowding in lower arch anterior region and incompetent lips. On Cephalometric analysis, it showed Class I skeletal pattern with bimaxillary dentoalveolar protrusion. Conclusion: Orthodontic Retractor (innovative appliance) effectively helped in completing the orthodontic treatment in a non-complaint patient without delay as was seen during the retraction phase of the treatment. Clinical significance: “Orthodontic Retractor” can be used and advised for patients who are either less motivated or non-complaint. This appliance is simple and does not require any use of mini-implants, which is an invasive surgical procedure, which many patients does not consent for.


HTML PDF Share
  1. Vithanaarachchi VSN, Nagarathne SPNP, Jayawardena C, et al. Assessment of factors associated with patient's compliance in orthodontic treatment. Sri Lanka Dental J 2017;47(1):01–12.
  2. Allan TK, Hodgson EW. The use of personality measurements as a determinant of patient cooperation in an orthodontic practice. Am J Ortho 1968;54(6):433–440. DOI: 10.1016/0002-9416(68)90198-x
  3. Crowford PR. A multiple regression analysis of patient cooperation during orthodontic treatment (MS thesis) North western University 1972.
  4. Albino JE, Lawrance SD, Lopes CE, Tedesco LA. Cooperation of adolescence in orthodontic treatment (Unpublished manuscript 1989). State university of New York at Buffalo, School of Dental Medicine
  5. Sukhia HR, Sukhia RH, Mahar A. Bracket debonding and breakage prevalence in orthodontic patients. Pak Oral Dent J 2011;31(1):73–77.
  6. Roob SI, Sadowsky C, Schneider BJ, et al. Effectiveness and duration of orthodontic treatment in adults and adolescents. Am J Orthod Dentofac Orthop 1998;114(4):383–386. DOI: 10.1016/s0889-5406(98)70182-9
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.