Cooperation of patient as key factor to overcome oral habits

• Main Author: Magdalena Lesmana
• Format: Article
• Language: English
• Published: Universitas Airlangga 2009-06-01
• Series: Dental Journal: Majalah Kedokteran Gigi
• Subjects: anterior tongue thrust swallow (ATTS); patient cooperation; patient awareness; patient acceptance; patient comfortable
• Online Access: http://e-journal.unair.ac.id/index.php/MKG/article/view/959

<span style="font-family: TribuneBold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Introduction</strong><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>: Orthodontic treatments have developed rapidly on the last decade even though; the sophisticated treatment has been </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>limited by patient’s behavior. Orthodontist should acknowledge that the success of treatment not only depends on the knowledge and </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>skill of the operator, but on the patient’s behavior as well, which is very critical to overcome the oral habit, including anterior tongue </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>thrust swallow (ATTS). Patient’s cooperation is the key factor to set prognosis of oral habit correction and have to be proven through </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>analysis of questioners. </em><span style="font-family: TribuneBold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Methods: </strong><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Patient cooperation scale (PCS) was made for this research involving 68 orthodontic patients for </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>correction of ATTS from Faculty of Dentistry Indonesia University and Ladokgi as respondents. PCS assessment was based on data sets </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>of: Patient awareness of ATTS (PAw), Patient Acceptance to receive treatment (PAc), and Patient Comfortable for using appliances </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>(PC). The evaluation was obtained by calculation the total score of 10 items from each component, which gave 0–30 range of scale </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>and would be 0–90 range of cooperation scale as the final result. </em><span style="font-family: TribuneBold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Result: </strong><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>PCS assessment can be based on data sets of PAw, PAc, and </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>PC. It is valid and reliable. The score for the cooperative patients range between 0–25. The higher the score from this questionnaire </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>shows less cooperation from respondent. On the other hand, the lower the score showed better cooperation. </em><span style="font-family: TribuneBold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Conclusion</strong><span style="font-family: TribuneItalic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>: </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>PCS can be </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>used for the prognosis of the successful oral habits correction and has a significant relation with the length of successful treatment.</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>