Patient compliance towards any treatment will determine the successful of the intended outcome. Compliance on removable orthodontics appliances can be assessed by the duration of wear whereby duration of less than 12 hours per day could indicate a non-compliance. A non-compliant patient will result in failure of the planned treatment. Orthodontics treatment using removable appliance usually will fail without determination, attitude, and patient cooperation. This study explores the reason why patient does not comply with orthodontics treatment using removable appliances. In total forty-five patients were involved in this cross-sectional study. Written consent was obtained from every participant prior to the study. Questionnaire on demographic, compliance towards treatment and factor affecting compliance were distributed to all participants. In this study, factors affecting compliance were found to be discomfort (p=o.336), pain (p=0.036), knowledge on importance of appliance wear (p=0.205), dentist-patient relationship (p=0.021) and self-assessment on malocclusion severity (p=0.072). With p value set at <0.05, factors such as pain and dentist-patient relationship show significant influence towards compliance. In conclusions, compliance towards removable appliance were determined by pain experience and dentist-patient relationship were discovered to be statistically significant contributor to it in this study.

Background: Patient undergoes orthodontic treatment with removable and fixed appliances will usually complaint of pain and discomfort. The level of pain and discomfort experience by patient will determined the cooperation and compliance towards the treatment. This study explores the perception of pain and type of discomfort experience by patients when undergoes orthodontic treatment. Material and method: This cross-sectional study involve a set of questionnaires regarding patient social demographic and factors contributing to pain and discomfort among patients with removable and fixed appliances. Result: This study shows that the most common discomfort experienced by patients with removable appliance are increased in saliva flow, interferes with mastication and altering speech. Apart from that, ulcers, pain in the mouth and appliance breakages are the most common pain experience by the patients with fixed appliances. Conclusion: In conclusion, majority of patients will experience some form of pain and discomfort during orthodontic treatments. Thus, information regarding pain and discomfort during orthodontic treatment should be clearly convey during the first initial appointment to prepare patient mental and physically.

Objective: During the pandemic COVID-19, a paradigm shift in dental education must be made. Physical teaching and clinical practical must be done in online manner to avoid close contact. An online orthodontics screening application is needed to cater during this misfortunate event. Thus, the objective of this study is to develop an online orthodontic screening for dental education and to assess the effective of the apps. Methods: The development of online application was done using non-coding software provided by independent website. The online orthodontic screening consists of patient detail, extraoral examination, intraoral examination, summary and treatment plan. All dental specialists in USIM orthodontics clinic (orthodontist) were invited to answer several questions regarding the apps and undergoes the trial run. Results: All subjects were in agreement regarding the details of patient, extraoral examination and intraoral examination except for the third molar condition and teeth rotation. The decision on the IOTN and the problem list also have some contention, however the variation is accepted as a preference by the specialist. Conclusion: This study has demonstrated the ability of online dental education as a teaching tools and method in the COVID-19 pandemic era. It can be used as an additional aid and alternative to normal psychical classroom.