{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:37:50Z","timestamp":1790879870259,"version":"4.1.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T00:00:00Z","timestamp":1548201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthod"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To determine patient and parent\/guardian motivation, expectation and understanding of orthodontic treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p> A self-completion questionnaire survey of new patients referred for orthodontic assessment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting:<\/jats:title><jats:p> Specialist practices in Surrey and Berkshire (United Kingdom). <\/jats:p><\/jats:sec><jats:sec><jats:title>Participants:<\/jats:title><jats:p> A total of 500 questionnaires were issued (250 were issued to patients and 250 to parents). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> The survey was based on a self-completed questionnaire which was issued at the assessment appointment. Both questionnaires were adapted and extended from originally validated questionnaires previously used in a hospital setting. Patients and parents were asked to complete separate anonymous questionnaires. The patient questionnaire consisted of 24 closed-ended questions divided into three domains: motivation; understanding; and expectation of orthodontic treatment. The parent questionnaire consisted of 13 questions covering the same three domains <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The response rate for the patient and parent questionnaires was 95% and 91%, respectively. Forty-seven percent of the patients were aged 11\u201313 years. In 77% of cases, the referral was initiated by their dentist. Only 3% of patients thought there was nothing wrong with their teeth. There was a poor understanding of what a retainer is and for how long patients are expected to use it. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Referral for orthodontic treatment was initiated by the patients\u2019 general dental practitioner in the majority of the cases. The anticipation of improved dental appearance was a prime motivating factor. Participants had realistic expectations and there was a good acceptance of appliances and dental extractions for orthodontic treatment. Nevertheless, both patients and parents\/guardians were less well informed on the nature and duration of orthodontic retention. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1465312518820330","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T14:49:01Z","timestamp":1551451741000},"page":"46-50","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Motivation, expectations and understanding of patients and their parents seeking orthodontic treatment in specialist practice"],"prefix":"10.1177","volume":"46","author":[{"given":"Finn","family":"Geoghegan","sequence":"first","affiliation":[{"name":"Specialist Orthodontic Practice, Dublin, Ireland"},{"name":"Centre for Craniofacial and Regenerative Biology (CCRB), King\u2019s College London Dental Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Ahmadi","family":"Birjandi","sequence":"additional","affiliation":[{"name":"Centre for Craniofacial and Regenerative Biology (CCRB), King\u2019s College London Dental Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Machado Xavier","sequence":"additional","affiliation":[{"name":"Centre for Craniofacial and Regenerative Biology (CCRB), King\u2019s College London Dental Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew T","family":"DiBiase","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,23]]},"reference":[{"key":"bibr1-1465312518820330","first-page":"412","volume":"44","author":"Baldwin DC","year":"1966","journal-title":"Journal of Dental Research"},{"key":"bibr2-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2015.43"},{"key":"bibr3-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cji003"},{"key":"bibr4-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1179\/14653121042966"},{"key":"bibr5-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2007.11.031"},{"key":"bibr6-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2008.09.033"},{"key":"bibr7-1465312518820330","first-page":"166","volume":"25","author":"Fleming PS","year":"2008","journal-title":"Community Dental Health"},{"key":"bibr8-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1179\/bjo.13.2.87"},{"key":"bibr9-1465312518820330","doi-asserted-by":"publisher","DOI":"10.1080\/14653125.2017.1281868"},{"key":"bibr10-1465312518820330","unstructured":"Health and Social Care Information Centre (2017) NHS Dental Statistics for England: 2016\u201317. 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