Background: According to Riskesdas 2018, malocclusion was the third most common oral and dental condition in Indonesia, with a prevalence of 80%. The highest incidence was found among children aged 12–15 years (15.6%). One of the methods used to treat malocclusion was the use of fixed orthodontic appliances. A total of 81.50% of adolescents were users of fixed orthodontic appliances. However,…