모바일 메뉴

KJO Korean Journal of Orthodontics

Open Access

pISSN 2234-7518
eISSN 2005-372X
QR Code QR Code

퀵메뉴 버튼

Article

home All Articles View
Split Viewer

Article In Press

Korean J Orthod

Published online November 5, 2021

Copyright © The Korean Association of Orthodontists.

Use of remote digital monitoring during the retention phase after orthodontic treatment. A prospective feasibility study.

Linda Sangalli1,2, Fabio Savoldi3, Domenico Dalessandri1, Luca Visconti1, Francesca Massetti1 and Stefano Bonetti1

1 Dental School, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
2 Division of Orofacial Pain, College of Dentistry, University of Kentucky, 740 S. Limestone, Lexington, 40536 Kentucky, USA.
3 Orthodontics, Division of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, the University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR.

Correspondence to:Dr Linda Sangalli, Dental School, Department of Medical and Surgical Specialties,
Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1,
25123, Brescia, Italy. Email: lindasangalli87@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase in terms of reduction in unfitting of removable appliances, number of appointments for emergency reasons, and orthodontic relapse.
Methods: Twenty-seven patients at the end of an orthodontic treatment were divided into two groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), study group patients were monitored with Dental Monitoring® with monthly intra-oral scans. Occurrence of unfitting of removable retainers, number of emergency appointments (EA), and intercanine width change were recorded for both groups. Differences in EA and proper fitting were assessed with chi-square test. Intra-group and inter-group differences of intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05).
Results: Study group patients showed a significant decrease in occurrence of unfitting of removable retainers (p = 0.027) compared to control group. No significant difference was found in EA and intercanine width change within and between the groups at each time-point.
Conclusions: Integrating remote monitoring systems, such as Dental Monitoring®, to the retention phase at the end of orthodontic treatment may result in less occurrence of unfitting of removable retainers. However, a small sample size and a short observation period do not permit to draw strong conclusions. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial especially in times of COVID-19 pandemic, where the regularity of in-office visits might be disrupted.

Keywords: Telemonitoring, Digital Dentistry, Retention and Stability.

Article

ahead

Korean J Orthod

Published online November 5, 2021

Copyright © The Korean Association of Orthodontists.

Use of remote digital monitoring during the retention phase after orthodontic treatment. A prospective feasibility study.

Linda Sangalli1,2, Fabio Savoldi3, Domenico Dalessandri1, Luca Visconti1, Francesca Massetti1 and Stefano Bonetti1

1 Dental School, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
2 Division of Orofacial Pain, College of Dentistry, University of Kentucky, 740 S. Limestone, Lexington, 40536 Kentucky, USA.
3 Orthodontics, Division of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, the University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR.

Correspondence to:Dr Linda Sangalli, Dental School, Department of Medical and Surgical Specialties,
Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1,
25123, Brescia, Italy. Email: lindasangalli87@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase in terms of reduction in unfitting of removable appliances, number of appointments for emergency reasons, and orthodontic relapse.
Methods: Twenty-seven patients at the end of an orthodontic treatment were divided into two groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), study group patients were monitored with Dental Monitoring® with monthly intra-oral scans. Occurrence of unfitting of removable retainers, number of emergency appointments (EA), and intercanine width change were recorded for both groups. Differences in EA and proper fitting were assessed with chi-square test. Intra-group and inter-group differences of intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05).
Results: Study group patients showed a significant decrease in occurrence of unfitting of removable retainers (p = 0.027) compared to control group. No significant difference was found in EA and intercanine width change within and between the groups at each time-point.
Conclusions: Integrating remote monitoring systems, such as Dental Monitoring®, to the retention phase at the end of orthodontic treatment may result in less occurrence of unfitting of removable retainers. However, a small sample size and a short observation period do not permit to draw strong conclusions. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial especially in times of COVID-19 pandemic, where the regularity of in-office visits might be disrupted.

Keywords: Telemonitoring, Digital Dentistry, Retention and Stability.