ArticlePatient preference and adherence2015
A feasible method to improve adherence of Hawley retainer in adolescent orthodontic patients: a randomized controlled trial.
Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Compliance with retainer wear using audiovisual integration and reminder: a randomized clinical trial.Scientific reports · 2023Trial
- Traditional vs digital communication channels for improving compliance with fixed orthodontic treatment.The Angle orthodontist · 2021Trial
- Adolescents' adherence to intraoral removable appliances: a scoping review.Progress in orthodontics · 2025Article
- Patient adherence in orthodontics: a scoping review.BDJ open · 2024Article
- Effects of perceived vs actual frequency of rewards on orthodontic patient attitudes and compliance.The Angle orthodontist · 2023Article
- Orthodontic retention experience of university students: A qualitative study.Journal of orthodontics · 2023Article
- Novel protein-repellent and antibacterial polymethyl methacrylate dental resin in water-aging for 6 months.BMC oral health · 2022Article
- Predictors of patient compliance during Class II division 1 malocclusion functional orthodontic treatment.The Angle orthodontist · 2021Article
- Removable retention: enhancing adherence and the remit of shared decision-making.British dental journal · 2021Article
- Removable orthodontic retainers: practical considerations.British dental journal · 2021Review
- Level of satisfaction in the use of the wraparound Hawley and thermoplastic maxillary retainers.The Angle orthodontist · 2020Article
- Assessment of Factors Affecting Adolescent Patients' Compliance with Hawley and Vacuum Formed Retainers.Journal of clinical and diagnostic research : JCDR · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRetention is an important component of orthodontic treatment; however, poor compliance with retainer use is often encountered, especially in adolescents. The purpose of this study was to prove the hypothesis that verbal instructions combined with images showing the severe consequences of poor compliance can increase retainer use.
methodsThis study was a randomized controlled trial. The sample was recruited from Wenzhou, People's Republic of China, between February 2013 and May 2014, and 326 participants were randomized into three groups. Patients and parents in Group A (n=106) were given routine retainer wear instructions only; in Group B (n=111), images illustrating the severe consequences of poor compliance with Hawley retainer use were shown to patients, combined with routine instructions; and in Group C (n=109), images illustrating the severe consequences of poor compliance with Hawley retainer use were shown to patients and parents, combined with routine instructions. Three months after debonding, questionnaires were used to investigate daily wear time and the reasons for poor compliance. Differences in means between the groups were tested by one-way analysis of variance.
resultsThe mean daily wear time in Group C (15.09±4.13 hours) was significantly greater than in Group A (12.37±4.58 hours, P<0.01) or Group B (13.50±4.22 hours, P<0.05); the mean daily wear time in Group B was greater than in Group A, but was not significant (P=0.67). Reasons for nonusage were forgetting to wear the retainer (51%) and finding the retainer bothersome to frequently insert and remove (42%).
conclusionVerbal instructions combined with images showing the severe consequences of poor compliance can increase retainer use. Parents play an important role in compliance with retainer use in adolescent patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.