Background: Patient compliance is essential for successful orthodontic treatment, especially with removable appliances. Conventional self-reported compliance methods often overestimate actual adherence, whereas wearable devices and remote patient monitoring (RPM) provide objective assessment.
Objective: To evaluate the role of wearable technologies and RPM systems in improving orthodontic patient management and treatment outcomes.
Methods: Current wearable technologies including smart aligners, intraoral sensors, bite force sensors, motion trackers, and AI-assisted imaging systems were reviewed and compared for monitoring capability, integration, and clinical performance.
Results: Wearable-assisted orthodontic care improved treatment compliance from 58% to 84%, reduced treatment duration by 25%, increased appointment intervals, reduced clinician workload, and improved patient satisfaction. Remote monitoring systems demonstrated 91.3% alert accuracy and enabled efficient clinical decision-making.
Conclusion: Wearable devices and RPM technologies enhance orthodontic management by improving compliance monitoring, treatment efficiency, and patient outcomes, with strong potential for future integration into routine clinical practice.