INCREASING ORTHODONTIC TREATMENT COMPLIANCE IN CHILDREN

使用对照组设计，将在以下方面评价两种程序： 他们对儿童长期治疗依从性的影响 正畸治疗 两项调查中的年轻人将被 接受正畸治疗方案，包括使用 生化人 生物识别器是一种可移动的功能装置， 设计用来引导下颚的生长， 把牙齿放到更合适的位置 为了使该器具 有效的，孩子必须每天佩戴约20小时。 研究1 将调查两种不同磨损时间表对合规性的影响 向孩子们介绍这个设备。 实验对象将是 要求他们按照一个时间表戴上他们的生物仪， 增加了每天佩戴设备的时间长度， 三周结束。 对照组受试者将接受标准的正畸治疗 治疗说明，并被告知从以下时间开始开始全程佩戴器械 第一天 遵守措施将包括每天对家长进行观察， 翼状肌反应，年轻人的生物体上的斑块堆积， 以及正畸评估覆牙合和覆盖的变化（程度 （Malocclusion） 这项研究旨在确定最佳方式 （减少患者对器械的投诉，增加治疗 坚持），其中介绍儿童佩戴可拆卸的器具。 研究2将调查教育父母和他们的孩子的影响 行为管理技能对长期正畸治疗依从性的影响。 对照组的孩子将被要求穿他们的生物传感器根据 研究1中制定的磨损时间表。 同样，实验对象 将暴露在逐渐磨损的时间表中。 然而，他们也将 接受过行为管理技能的培训 孩子们和他们 父母将制定奖励计划，以加强年轻人， 执行他们的正畸保健方案。 希望这些 研究将确定儿童的严重问题是否 正畸治疗不依从性可以通过改变 其中向儿童介绍使用可拆卸的功能性器具。 正畸治疗对患者长期依从性及正畸率的影响 亲子冲突教学中家长行为管理技巧 结合改变引入生物反应器治疗的方法， 也要检查。

Using control group designs, two procedures will be evaluated in terms of their impact on the long-term treatment compliance of children experiencing orthodontic treatment. The youngsters in both investigations will be receiving orthodontic treatment regimens which involve the use of bionators. A bionator is a removable functional appliance which is designed to guide growth of the lower jaw, as well as, guide the eruption of teeth into more desirable positions. In order for the appliance to be effective, the child must wear it approximately 20 hours per day. Study 1 will investigate the impact on compliance of two different wear schedules for introducing children to the device. The experimental subjects will be asked to wear their bionator according to a schedule which gradually increases the length of time the device is worn daily to full time at the end of three weeks. Control subjects will be given standard orthodontic treatment instructions and told to begin wearing the device full time from day one. Measures of compliance will include daily parent observaton, pterygoid muscle response, plaque build-up on the youngsters' bionators, and the orthodontic assessment of changes in over-bite and overjet (degree of malocclusion). This study is designed to determine the best manner (reduce patients complaints about the device and increase treatment adherence) in which to introduce children to wearing removable appliances. Study 2 will investigate the impact of teaching parents and their children behavior management skills on long-term orthodontic treatment adherence. Control group children will be asked to wear their bionators according to the wear schedule developed in study 1. Similarly, experimental subjects will be exposed to the gradual wear schedule. However, they will also be given training in behavior management skills. The children and their parents will develop reward programs to reinforce the youngsters for performing their orthodontic health care regimens. It is hoped that these studies will determine whether the serious problem of children's orthodontic treatment noncompliance can be modified by altering the manner in which children are introduced to using removable functional appliances. The impact on long-term compliance and rate of orthodontic related parent-child conflict of teaching parents behavior management skills in conjunction with changing the method of introducing bionator treatment will also be examined.