INCREASING ORTHODONTIC TREATMENT COMPLIANCE IN CHILDREN

使用控制组设计，将从以下方面对两个程序进行评估 他们对儿童长期治疗依从性的影响 正畸治疗。这两起调查中的年轻人都将被 接受正畸治疗方案，涉及使用 仿生器。仿生器是一种可拆卸的功能设备，它是 设计用于引导下巴的生长，以及引导喷发 牙齿移动到更理想的位置。为了使该设备 有效的，孩子必须每天佩戴大约20个小时。研究1 将调查两种不同磨损计划对合规性的影响 向孩子们介绍这款设备。实验对象将是 被要求佩戴他们的仿生器，按照一个时间表逐渐 将设备每天佩戴的时间长度增加到 三个星期结束。对照受试者将接受标准的正畸治疗 治疗说明并被告知从开始全天佩戴该设备 第一天。合规性的衡量标准将包括家长的日常观察， 翼状肌肉反应，幼鸟的仿生器上的斑块积聚， 和正畸对覆盖和覆盖(度)变化的评估 错(牙合)。这项研究旨在确定最佳方式 (减少患者对该设备的投诉，增加治疗 坚持)，向儿童介绍佩戴可拆卸的器具。 研究2将调查教育父母及其子女的影响 长期坚持正畸治疗的行为管理技巧。 对照组儿童将被要求佩戴他们的仿生器，根据 在研究1中制定了磨损时间表。类似地，实验对象 将暴露在逐渐磨损的时间表中。然而，他们也将被 接受了行为管理技能方面的培训。孩子们和他们的 家长将制定奖励计划，以加强青少年的 执行他们的正畸保健养生法。希望这些都是 研究将确定儿童的严重问题是否 通过改变方式可以改变正畸治疗的不顺应性 向孩子们介绍如何使用可拆卸的功能性器具。 正畸相关因素对患者长期依从性和正畸率的影响 亲子冲突对家长行为管理技能的传授 结合改变引入仿生生物处理的方法，将 也要接受检查。

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.