Abstract
<jats:p>Orthodontics is currently undergoing a fundamental paradigm shift from a purely morphological approach focused on occlusal indices and cephalometric norms to a patient-centered model where the key criterion for success is the subjective perception of the quality of life associated with oral health. In order to minimize the gap between patient expectations and the reality of treatment by objectifying subjective feelings, we have developed a system of two psychometric instruments: the Pre-Orthodontic Expectations Questionnaire “Expectations Level” and the Post-Orthodontic Satisfaction Scale “Satisfaction Level”. Based on the analysis of validated international scales, we have developed a system for assessing patients’ attitudes towards orthodontic treatment, which covers six critical domains: aesthetic, medical, general health, quality of life, social, and psychological. The paper justifies the choice of each questionnaire question, describes the assessment methodology, and proposes an algorithm for scoring and interpreting results for clinical use in order to minimize the gap between patient expectations and the reality of treatment. The proposed system of two questionnaires and their assessment methods is a scientifically sound tool that transforms the patient’s subjective feelings into objective clinical data. The use of questionnaires allows identifying patients at risk before the intervention, adjusting their expectations, and significantly reducing the likelihood of conflict situations.</jats:p>