A multi-centre audit to assess the effectiveness of the British Orthodontic Society ‘Hold that Smile’ retainer videos

Rozana Valiji Bharmal, Kate Parker, Susi Caldwell, Matt Chia, Toby Gillgrass, George Jones, Trevor Hodge, Rye Mattick, Alison Murray, Jadbinderpal Singh Seehra, Sara Stephens, Susan Cunningham

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Abstract

Introduction
Retention is a crucial part of orthodontic treatment, however patients often do not wear their retainers as advised. The British Orthodontic Society developed the ‘Hold that Smile’ campaign in 2017, to improve patient knowledge about retention. Information is provided in two formats: a cartoon and a conventional film.

Objective
To assess if patients find the ‘Hold that Smile’ videos useful, and if they improved patients’ intended retainer wear. The gold standard was that 90% of patients should intend to wear their retainers long-term following watching the videos.

Design
National multi-centre audit.

Setting
Nine units in the UK.

Methods
Patients 10 years old and over, in fixed appliances or retention, watched the retainer videos and then completed a questionnaire that was designed specifically for this audit. Each unit collected data for approximately 30 patients.

Results
Data was collected for 278 patients in total. The average age was 17.9 years; 64.4% of patients were female and 35.6% male. Most patients (86.3%) watched both videos and, of these, 44.1% preferred the film, 31.3% preferred the cartoon and 24.6% had no preference.

The majority of patients (81.3%) felt that the film provided them with new information, compared with a lower percentage (48.5%) for the cartoon and more patients said they would recommend the film (76.3%) compared with the cartoon (63.3%).

Prior to watching the videos, 77.0% of patients felt they knew about long-term retainer wear and 74.3% of those intended to wear their retainers long-term. After watching the videos, 96.4% of all patients thought they would now wear their retainers long-term.

Conclusion
After watching the videos, there was a notable increase in the number of patients planning to wear their retainers long-term and the gold standard was met. Therefore, these videos may be beneficial in improving understanding and compliance with retention.

Original languageEnglish
JournalJournal of Orthodontics
Publication statusAccepted/In press - 6 Oct 2019

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