Assessment of Contributing Factors for Discontinuation of Orthodontic Treatment: A Questionnaire Survey

Abstract

Introduction: The success of orthodontic therapy depends upon the knowledge and clinical skills of the orthodontist as well as awareness and sincerity of the patient. Due to long treatment duration, commitment and good rapport between both sides is essential. This retrospective study was undertaken to understand the factors affecting the reasons for discontinuation after commencement of treatment in a Government run hospital. Materials and method: A telephonic questionnaire survey was conducted on 153 patients who had discontinued treatment midway and their responses were analysed. The subjects were divided into 3 groups depending upon their school going years. The major focus areas were -1. Reasons for seeking orthodontic treatment 2. Reasons for pursuing treatment in this hospital and 3. Reasons for discontinuation of orthodontic treatment. Results and conclusions: Long waiting period before starting the treatment, failure to give subsequent appointments by the doctor, and having to leave the city were found to be the three most common causes for discontinuation. To reduce the attrition rate a three step strategy was devised to ensure an improved orthodontic outcome for the patients and to see more smiling faces bid adieu each year.