Investigation and comparison of patient experiences with removable functional appliances: Invisalign Teen with Mandibular Advancement® versus Twin Block

dc.contributor.authorZybutz, Tyrone
dc.contributor.examiningcommitteeLekic, Milos (Preventative Dental Science) Brownlee, Meredith (Dental Diagnostics and Surgical Sciences)en_US
dc.contributor.supervisorDrummond, Robert (Preventative Dental Science)en_US
dc.date.accessioned2020-09-16T15:28:07Z
dc.date.available2020-09-16T15:28:07Z
dc.date.copyright2020-05-07
dc.date.issued2020-04-29en_US
dc.date.submitted2020-05-07T21:18:39Zen_US
dc.degree.disciplinePreventive Dental Scienceen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractPurpose: Describe the similarities and differences in various aspects of the patient experience while being treated with the Invisalign Teen with Mandibular Advancement® (ITMA) and Twin Block appliance (TB). Methods: Sixty-eight (68) patients completed an anonymous survey approved by the Health Research Ethics Board after at least two months of wearing TB or ITMA. Forty-five (45) patients treated with ITMA (18 males, 27 females, mean age 13.62 years, SD ± 1.54) and twenty-three (23) patients treated with TB (13 males, 10 females, mean age 10.60 years SD ± 1.92) were included in the study. Results: More TB patients found their appliance to be visually intimidating compared to ITMA (21.7% vs 8.9%). TB was more noticeable than the ITMA (69.6% vs 22.2%). Appliance insertion was more difficult for TB patients (21.8% vs ITMA - 4.4%). After several months, reporting of tooth soreness and lip/cheek soreness was greater in the ITMA group. TB patients were more embarrassed even after several months (14.3% vs ITMA - 0%). More TB patients required extra appointments for breakages (50% vs ITMA - 22.2%). Speech, drooling, jaw, lip/cheek soreness worsened initially for both groups but improved over time. There were no differences between the groups regarding visible facial changes, satisfaction with treatment experience or time to acclimatize to the appliance. Conclusion: TB and ITMA patients shared similar experiences for the majority of the parameters measured but there were statistically significant differences between the groups in relation to appliance appearance, wear and management, discomfort, social and functional impact.en_US
dc.description.noteOctober 2020en_US
dc.identifier.urihttp://hdl.handle.net/1993/35072
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectPatient experience, Functional appliance, Twin Block, Invisalign Teen with Mandibular Advancementen_US
dc.titleInvestigation and comparison of patient experiences with removable functional appliances: Invisalign Teen with Mandibular Advancement® versus Twin Blocken_US
dc.typemaster thesisen_US
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