Evidence map›Paper›PMID 42210675›Full record

ArticleJournal of orthodontics2026

Strategies for improving compliance with removable retention appliances: A qualitative study.

Ingalill Feldmann, Anke Krämer, Mats Sjöström, Christina Storm Mienna

Abstract read
In one paragraph

Article in Journal of orthodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ingalill FeldmannCentre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.ORCID 0009-0008-9191-3441
Anke KrämerCentre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
Mats SjöströmDepartment of Odontology, Division of Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden.
Christina Storm MiennaDepartment of Odontology, Orofacial pain and Jaw function, Umeå University, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore experiences affecting patients' compliance with removable retention appliances, and to investigate strategies for improving adherence to wear recommendations from the profession.

designA qualitative study designed alongside a randomised controlled trial regarding post-treatment stability and patients' perceptions.

settingOrthodontic Clinic, Public Dental Health Service, Region Gävleborg, Gävle, Sweden.

participantsA total of 15 purposively selected participants (age range = 25-32 years) with a recommendation of long-term retainer wear.

methodsIn-depth interviews were performed, using a pre-tested topic guide, and analysed according to the qualitative method of Grounded Theory.

resultsCompliance failures were preceded by one or more triggers that emerged after a couple of weeks or after several years of retention. A core category was identified and labelled 'Pragmatic actions for improved adherence', which summarises the decisions to either discontinue or continue to follow current retention protocol as being based on pragmatic patient-centred considerations. Data analysis revealed three interacting categories for improving compliance from both the patient and the clinician perspectives: Individual factors, Support, Self-motivation and Routines.

conclusionsTo be successful, strategies to enhance compliance with removable retainers must originate from the individual patient and their life situation. Long-term support from both family and professionals, as well as good routines, are considered crucial for this process.

Indexed as

Orthodontic Appliances, RemovableOrthodontic RetainersPatient ComplianceAdherence InterventionsAdultFemaleHumansMaleMotivationQualitative ResearchSwedenadherencecomplianceGrounded Theoryorthodonticsqualitativeretention

Identifiers

PMID42210675
PMCPMC13546410

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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.