Influence of communication via text messages on compliance of young patients in early phases of orthodontic treatment




Adolescent; App; Compliance; Bracket failure; Orthodontics.


Objective: To evaluate the influence of sending text messages via a communication application on the compliance of young patients undergoing orthodontic treatment by determining the number of orthodontic bracket failures. Materials and methods: A sample comprising 54 patients (mean age, 14.7 years) undergoing orthodontic treatment was divided into two groups of 27 patients each: the experimental group (age, 15.11 ± 2.69 years) and the control group (age, 15.44 ± 2.69 years). For four months, weekly messages were sent via the communication application WhatsApp directly to the cellphones of patients in the experimental group, encouraging them to follow instructions for avoiding bracket failures in the initial phase of the orthodontic treatment. At the end of four months, the number of bracket failures were compared between the groups. Fisher's exact test was used to compare the number of patients who had a failure. The “chi-square” test was used to evaluate the number of number of bracket failures. We adopted a significance level of 5% (P<.05). Results: There was no statistically significant difference between the experimental and control groups, although the number of failed brackets was higher in the control group. Conclusion: Sending messages via a communication application did not influence the number of bracket failures in young patients undergoing orthodontic treatment.


Asimakopoulou., & Daly, B. (2009). Adherence in dental settings. Dent Update,36, 626-630.

Atashi, M. H. A., & Shahamfar, M. (2013). Long-term evaluation of clinical performance of direct-bonded brackets : An epidemiologic survey. J Contemp Dent Pract,14, 738-742.

Barbosa, I. V. (2018). The association between patient’scompliance and age with the bondingfailure of orthodontic brackets: a cross-sectional study. Progress in Orthodontics, 19 11.

Bowen, T. B., et al. (2015). The influence of text messaging on oral hygiene effectiveness. Angle Orthod , 85, 543-548.

Brawley, L. R., & Culos-Reed, S. N.( 2000). Studying adherence to therapeutic regimens: overview, theories, recommendations. Control Clin Trials, 21, 156-163.

Cozzani, M., et al. (2016). Oral hygiene compliance in orthodontic patients: a randomized controlled study of the effects of a post-treatment communication. Prog Orthod, 17, 41-46.

Eppright, M., et al. (2014). Influence of active reminders on oral hygiene compliance in orthodontic patients. Angle Orthod, 84, 208-213.

Flores-Mir, C. (2011). Bonded molar tubes associated with higher failure rate than molar bands. Evid Based Dent. 12:84.

Jejurikar, H., & Salil Nene, H. J. (2014). Does Text Messaging Reminder Help in the Orthodontic Compliance of Patients to Maintain their Oral Hygiene. J Oral Hyg Heal, 2, 2–5.

Jung, M. H. (2014). Survival analysis of brackets and tubes A twelve-month assessment. Angle Orthod, 84:1034-1040.

Li, X., et al. (2016). Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients. Clin Oral Investig, 20, 1849-1859.

Linklater, R. A., & Gordon, P. H. (2003). Bond failure patterns in vivo. Am J Orthod Dentofac Orthop, 123, 534-539.

Mavreas, D., & Athanasiou, A. E. (2008). Factors affecting the duration of orthodontic treatment: A systematic review. Eur J Orthod, 30, 386-395.

Mehra,T., Nanda, R. S., & Sinha, P. K.(1998). Orthodontists’ assessment and management of patient compliance. Angle Orthod, 68:115-122.

Robb, S. I., et al. (1998). Effectiveness and duration of orthodontic treatment in adults and adolescents. Am J Orthod Dentofac Orthop, 114, 383-386.

Roelofs, T. (2017). A retrospective survey of the causes of bracket- and tube-bonding failures. Angle Orthod, 87, 111-117.

Underwood, B., Birdsall, J., & Kay, E. (2015). The use of a mobile app to motivate evidence-based oral hygiene behaviour. Br Dent J, 219, E2.

Wright, N. S., et al. (2010). Influence of supplemental written information on adolescent anxiety, motivation and compliance in early orthodontic treatment. Angle Orthod,80, 329-335.




How to Cite

COSTA, P. A.; CONTI, A. C. de C. F. .; ALMEIDA-PEDRIN, R. R. de .; VOLPATO, G. H. .; LADEWIG, V. M. .; DIDIER, V. F. .; VALARELLI, D. P. . Influence of communication via text messages on compliance of young patients in early phases of orthodontic treatment. Research, Society and Development, [S. l.], v. 9, n. 10, p. e6009108844, 2020. DOI: 10.33448/rsd-v9i10.8844. Disponível em: Acesso em: 8 aug. 2022.



Health Sciences