Orthodontic treatment and patient satisfaction with Orthoworld Fastbraces® in pediatric population
Authors: Pagonis Tom C. , Paunescu L. Adelina , Asumugha Evita , Harakaly Calia 
Published: July 2023

Objectives: To evaluate the outcomes of orthodontic treatment using Orthoworld FASTBRACES® and assess patient satisfaction with various treatment parameters. A total of 164 eligible pediatric patients out of 20,240 cases treated between 2010 and 2023 were included in this review. Patients were categorized into two groups based on the type of brackets used: 2 patients with ceramic brackets and 162 patients with metal brackets. Following completion of orthodontic treatment, patients were invited to complete a comprehensive questionnaire, which assessed treatment duration, number of visits, brackets and wires used, types of issues encountered, patient understanding of treatment, overall comfort level, compliance, and satisfaction with the speed of treatment. Methods: A retrospective analysis was conducted on 20,240 orthodontic cases treated with Orthoworld FASTBRACES® between 2010 and 2023. From this pool, 559 patients met the inclusion criteria for this study. The pediatric patient group was considered ages 11-17. The pediatric patient cohort was divided into two groups: 2 patients with ceramic brackets and 162 patients with metal brackets. All pediatric patients underwent comprehensive orthodontic treatment using the Orthoworld FASTBRACES® system. Results: Among the pediatric patients included in this review, a detailed analysis of treatment outcomes and pediatric patient satisfaction was performed. The mean treatment duration was calculated for both the ceramic bracket group (n=420 days) and the metal bracket group (n=395 days). The average number of visits required for each group was recorded at 15.5 days for the ceramic bracket group and 14.4 days for the metal bracket group. During treatment, various issues were encountered and categorized as bracket-related, wire-related, tooth-related, patient-related, allergic reactions, soft tissue irritation, bracket placement issues, performance-related issues, and hard tissue complications. Metal group had the highest number of issues with patients complaining of tooth issues and bracket issues. Both groups reported low numbers (n<5) for bracket performance issues, placement issues, soft-tissue issues wires issues, hard tissue issues, ingestion issues, and allergic reactions. Following the completion of orthodontic treatment, pediatric patients were asked to complete a questionnaire evaluating their understanding of the treatment, overall comfort level, compliance, and satisfaction with the speed of treatment. Patient responses were collected and analyzed to determine the rating of patient understanding, comfort, compliance, and happiness with the treatment duration. The average score for patient responses was greater than 3 (i.e., above average) for treatment evaluation survey for both treatment groups. Conclusion: The analysis of pediatric patients undergoing orthodontic treatment with FASTBRACES® reveals promising results in terms of reduced alignment duration and improved oral hygiene practices. The study emphasizes the importance of precise bracket and wire placement and highlights the expertise of orthodontic practitioners in achieving successful outcomes.