Evidence map›Paper›PMID 42141936›Full record

ArticleOrthodontics & craniofacial research2026

Patients' Treatment Experiences With Orthodontic Fixed Appliances, Clear Aligners and Direct-to-Consumer Clear Aligners: A Qualitative Study-Part II.

Sherry Lee, Ben K Daniel, Li Mei, Mauro Farella, Fiona A Firth

Abstract read
In one paragraph

Article in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sherry LeeDepartment of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Ben K DanielCentre for Teaching, Learning and Technology (CTLT), University of Northern British Columbia, Prince George, British Columbia, Canada.
Li MeiDepartment of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0001-7856-8091
Mauro FarellaDepartment of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0003-4516-647X
Fiona A FirthDepartment of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0001-8725-0915

Funding

New Zealand Dental Research Foundation RF8.20 2020
6 · The paper itself

Abstract

aimUnderstanding the orthodontic patient experience is critical in providing enhanced patient-centred care. Qualitative methods were employed to gain insight into the factors shaping an individual's orthodontic treatment experience.

objectives(1) To understand orthodontic patient experience regarding treatment progress, interactions with their treating practitioner and treatment outcome. (2) To explore the challenges patients faced during treatment. MATERIALS AND

methodsAn exploratory qualitative case study was completed. Thirty adults who completed orthodontic treatment either with fixed appliances, clear aligners, or direct-to-consumer clear aligners were recruited. One-to-one, semi-structured interviews were conducted, and the interview transcripts were analysed with NVivo software.

resultsThree principal themes were identified: patients' experiences with orthodontic treatment, challenges encountered during treatment, and suggested improvements to enhance the patient experience. Most participants reported positive experiences with orthodontic treatment. They also reported an increase in self-confidence following treatment. Positive interactions with the orthodontic team elevated the overall experience. In addition, participants revealed their experience of pain and trauma to the soft tissues. A few participants suggested improvements to enhance their overall experience, including flexibility in appointment times and more emphasis on the importance of elastic wear.

conclusionsPatient experience with orthodontic treatment in New Zealand was primarily positive, with few suggested improvements. There was increased self-confidence and dental health awareness following treatment. Commonly encountered problems included gingival trauma, pain, and the effects of the COVID-19 pandemic. Lower expectations of treatment outcomes emerged as a critical theme in the direct-to-consumer clear aligner group.

Indexed as

Orthodontic Appliances, FixedOrthodontic Appliances, RemovableOrthodontics, CorrectivePatient SatisfactionAdolescentAdultFemaleHumansInterviews as TopicMaleMiddle AgedOrthodontic Appliance DesignQualitative ResearchTreatment OutcomeYoung Adultclear alignersdirect‐to‐consumerfixed appliancesorthodontic treatmentqualitative researchtreatment experiences

Identifiers

PMID42141936
PMCPMC13485192

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.