Technology-enhanced chairside and remote compliance management techniques in paediatric dentistry and early orthodontic treatment

Poor cooperation, dental anxiety, and phobia frequently hinder treatment in children and adolescents, jeopardizing both immediate outcomes and long-term oral health. Such challenges highlight the critical importance of behavioural and compliance management and have consequently driven a shift towards technology-enhanced strategies for improving chairside and remote compliance management. Through a comprehensive literature search, all studies published after January 2015 on chairside and remote compliance management in pediatric dentistry and early orthodontic treatment were included. Virtual reality (VR) for distraction and desensitization, laser therapy for pain reduction, cognitive behavioural therapy (CBT) and advanced anesthetic delivery systems and other emerging behavioural management technologies are all innovations in traditional chairside compliance management techniques. Furthermore, the growth of early orthodontic treatment has established remote compliance monitoring as a critical research frontier in pediatric dentistry. Remote compliance management using teledentistry platforms, wearable devices, Internet of things (IoT) based applications, and artificial intelligence (AI) assisted tools has proven effective for monitoring compliance of children and adolescents undergoing early orthodontic treatment beyond clinical settings. This review concludes that emerging technologies are fundamentally reshaping behavioural management in pediatric dentistry. Their synergistic integration is constructing a comprehensive management ecosystem, fostering a proactive and patient-centred paradigm that enhances both therapeutic efficacy and patient experience. Future progress in this field hinges on addressing challenges related to cost-effectiveness, data integration and privacy, the development of minimally invasive techniques, and the establishment of standardized objective assessment metrics. The continuous evolution and integration of these digital tools hold immense potential to optimize overall treatment outcomes in pediatric oral healthcare.

Behaviour management; Compliance management; Remote monitoring; Paediatric dentistry; Early orthodontic treatment

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