A1 Refereed original research article in a scientific journal
Adherence to instructions and fluctuation of force magnitude in cervical headgear therapy
Authors: Talvitie Tuula, Helminen Mika, Karsila Susanna, Varho Reeta, Signorelli Luca, Peltomäki Timo
Publisher: E H Angle Education Research Foundation, Inc
Publication year: 2019
Journal: Angle Orthodontist
Journal name in source: ANGLE ORTHODONTIST
Journal acronym: ANGLE ORTHOD
Volume: 89
Issue: 2
First page : 268
Last page: 274
Number of pages: 7
ISSN: 0003-3219
eISSN: 1945-7103
DOI: https://doi.org/10.2319/030718-188.1
Web address : https://meridian.allenpress.com/angle-orthodontist/article/89/2/268/9106/Adherence-to-instructions-and-fluctuation-of-force
Objectives:
To investigate how patients adhere to instructions and how force magnitude fluctuates and influences the use of cervical headgear (CHG) therapy.
Materials and Methods:
In this controlled clinical trial, subjects (n = 40) were treated with CHG with light (L, 300 g) or heavy (H, 500 g) force. Patients were asked to wear CHG for 10 hours per day for 10 months (ie, during sleep), but the importance for treatment of wearing CHG also in the evening hours was emphasized. Adherence to instructions and force magnitude in CHG use were monitored by electronic module (Smartgear, Swissorthodontics, Switzerland).
Results:
Force magnitude can be set at a certain level, L or H, even if great individual variability is seen in all subjects (0-900 g). Children in the L group used CHG longer per day than those in the H group (9.3 hours +/- 1.5 hours and 7.8 hours +/- 2.1 hours, respectively, P = .002). During evening hours, CHG was used more (P = .02) in the L group than in the H group. In both groups, CHG was used less in the evening hours during school breaks than in the evening hours during school (P < .001).
Conclusions:
hildren with lower force in CHG seem to adhere better to the instructions for CHG use. Daily rhythm also influences the time of appliance use regardless of force magnitude. The force can be set to a certain magnitude level, even though there is substantial individual variability.
