Treatment time, outcome, and patient satisfaction comparisons of Damon and conventional brackets

ABSTRACT Objective: To compare the treatment time, outcome, and anchorage loss among orthodontic patients treated by self-ligating brackets (SLBs) and conventional brackets (CBs). Materials and Methods: A retrospective cohort study compared 34 patients (SLB group) treated by SmartClip brackets (3M Unitek, Monrovia, Calif) to 35 patients (CB group) treated by conventional preadjusted Victory series brackets (3M Unitek) and ligated by stainless steel wire ligatures. Pretreatment (T1) and posttreatment (T2) lateral cephalograms were traced and analyzed using Pancherz sagittal-occlusion analysis to obtain skeletal and dental changes in the maxilla and the mandible. The dental cast models were assessed by the Peer Assessment Rating (PAR) Index for the treatment outcomes. Results: The mean treatment time for SLBs (19.19 months) did not show a statistically significant difference from 21.25 months of CBs; the treatment time and pretreatment PAR scores were strongly correlated. There was no difference in anchorage loss between the SLB and CB groups. There were significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. The lingual inclination of the mandibular incisors in the CB group was 3.62° more than in the SLB group (P < .01). Conclusions: The treatment time and anchorage loss are not influenced by the type of bracket used. There are significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. There is significantly greater lingual inclination of mandibular incisors in the CB group than in the SLB group.

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STATISTICAL STUDY CONCERNING THE ORTHODONTISTS’ PERCEPTION OF THE CONVENTIONAL AND SELF-LIGATING BRACKET SYSTEMS

Romanian Journal of Stomatology ◽

10.37897/rjs.2021.2.10 ◽

2021 ◽

Vol 67 (2) ◽

pp. 120-127

Author(s):

Claudiu Vartolomei ◽

◽

Dan Șerbănoiu ◽

Maria Dămășaru ◽

Dorin Cocoș ◽

...

Keyword(s):

Statistical Study ◽

Treatment Time ◽

International Community ◽

Point Of View ◽

The Other ◽

Price Ratio ◽

Two Systems ◽

Conventional Brackets ◽

Functional Point ◽

Bonding Technique

Objective. To compare the conventional and self-ligating brackets systems from the point of view of the clinician. Material and methods. A survey was delivered to orthodontists from the international community (n = 130) in order to evaluate and compare different proprieties of the two systems. Results. Conventional brackets are preferred when it comes to bonding technique, final results from an aesthetic and functional point of view and quality-price ratio, while self-ligating brackets are elected for improved patient hygiene, less chairside time and reduced friction and global treatment time. Conclusions. Orthodontists currently use both systems in their practice and each of them has certain features which makes them superior in comparison to the other.

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Was it worth it (WIWI)? An OHSU Knight Cancer Institute retrospective analysis of patient satisfaction following radiotherapy.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.3_suppl.225 ◽

2016 ◽

Vol 34 (3_suppl) ◽

pp. 225-225

Author(s):

Robert Fain ◽

Yiyi Chen ◽

Shushan Rajesh Rana ◽

Julie Dang ◽

Ashley Haly ◽

...

Keyword(s):

Multivariate Analysis ◽

Patient Satisfaction ◽

Treatment Time ◽

Univariate Analysis ◽

Total Duration ◽

Duration Of Treatment ◽

Anatomic Site ◽

Curative Intent ◽

End Of Treatment ◽

Treatment Intent

225 Background: Existing data on patient satisfaction after radiotherapy (RT) is scarce. The specific aim of this analysis is to describe the clinical experience for cancer patients (pts) completing a course of RT at OHSU’s Knight Cancer Institute. Methods: The records of 200 OHSU pts that completed a 5-item “Was It Worth It (WIWI)?” questionnaire highlighting pt satisfaction were reviewed. These data were collected upon the completion of treatment and, if available, first follow-up (f/u). Univariate analysis & logistic regression modeling were performed on pt demographic and treatment characteristics to ascertain predictors of satisfaction. Results: 200 pts (M = 174; F = 26) completed the questionnaire on their last day of treatment and 60 upon their first f/u. The median elapsed days of treatment was 34. The median days from end of RT to f/u were 46 (range: 17-302). More pts were treated for curative intent (73%) than palliative (27%). 71% and 90% stated RT was ‘worth it’ at end of treatment and at first f/u, respectively. Upon therapy completion, 52% were ‘uncertain’ if quality of life (QOL) improved. However, at first f/u, 58% reported improved QOL. Temporal differences in treatment time favored morning treatment time over evening being ‘worthwhile’ (77% vs 61%; p = 0.015). This difference remained significant on multivariate analysis (p = 0.02). Longer elapsed days conferred higher likelihood of treatment being ‘worthwhile’ compared to ‘uncertain’ (30 days vs 24 days; p = 0.023), also significant on multivariate analysis (p = 0.029). Treatment time and elapsed days were not predictive of improved QOL. Age, gender, race, marital status, employment, treatment intent or modalities, treatment delays, distance travelled, insurance type, anatomic site of treatment, and cancer stage, did not predict pt satisfaction. Conclusions: RT as being ‘worthwhile’ was associated with morning treatment times and total duration of treatment as measured by total elapsed days. Among variables analyzed, there were no significant predictors of improved QOL. The majority of patients are satisfied with RT but there is room for improvement with those treated in afternoon or in shorter durations.

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Factors Affecting Satisfaction with the Process of Orthodontic Treatment in Young Adults: A Questionnaire Study

The Journal of Indian Orthodontic Society ◽

10.1177/0301574219887503 ◽

2020 ◽

Vol 54 (2) ◽

pp. 135-141

Author(s):

Sujit Navnath Zadake ◽

Suresh K. Kangane ◽

Anand S. Ambekar ◽

Mahendra Kondle ◽

Radhika Kalekar

Keyword(s):

Young Adults ◽

Patient Satisfaction ◽

Treatment Outcome ◽

Orthodontic Treatment ◽

Online Survey ◽

Treatment Process ◽

Treatment Time ◽

Clear Correlation ◽

Factors Affecting ◽

Satisfaction With Treatment

Introduction: Recently, there has been an increase in adults undergoing orthodontic treatment in both the public and the private sector. Satisfaction during and after the orthodontic treatment process has not been widely discussed so far, however, and few research studies have emphasized patient satisfaction with treatment outcome and the factors affecting patient satisfaction. Aim: To investigate factors affecting patient satisfaction with the process of orthodontic treatment in young adults. Material and methods: Fifty-eight patients (33 girls and 25 boys with a mean age of 25.05 years, SD 2.83) were included in the survey. All patients were young adults who had completed their orthodontic treatment with fixed appliances and were taken from two centers (a teaching hospital and a private practice). Data was collected using online survey forms and was analyzed using content thematic analysis. Five main factors were identified related to patient satisfaction with the process of orthodontic treatment: communication, faculty (orthodontist), physical surroundings, consultation/appointments, and impact of appliance treatment. Results: Effective communication was the most prominent factor among all five factors considered, especially detailed explanation given during treatment and making patients feel comfortable under their care. Median values were generally high for satisfaction with treatment results. There was a clear correlation ( p < 0.001) between patient satisfaction and treatment outcome. Age, sex and treatment time did not have any correlation with treatment satisfaction. Conclusion: In general, young adults were observed to be satisfied with the treatment process, and good communication played a dominant role in this. Though there were many differences in working models between public and private sectors, many similarities were observed when comparing the factors between the two centers.

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From conventional to self-ligating bracket systems: Is it possible to aggregate the experience with the former to the use of the latter?

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.3.139-157.sar ◽

2014 ◽

Vol 19 (3) ◽

pp. 139-157 ◽

Cited By ~ 1

Author(s):

Anderson Capistrano ◽

Aldir Cordeiro ◽

Danilo Furquim Siqueira ◽

Leopoldino Capelozza Filho ◽

Mauricio de Almeida Cardoso ◽

...

Keyword(s):

Treatment Efficacy ◽

Tooth Movement ◽

Treatment Time ◽

Scientific Evidence ◽

Original Form ◽

Class Iii ◽

Morphological Pattern ◽

Conventional Brackets ◽

Time Required ◽

Compensatory Treatment

INTRODUCTION: Orthodontics, just as any other science, has undergone advances in technology that aim at improving treatment efficacy with a view to reducing treatment time, providing patients with comfort, and achieving the expected, yet hardly attained long-term stability. The current advances in orthodontic technology seem to represent a period of transition between conventional brackets (with elastic ligatures) and self-ligating brackets systems. Scientific evidence does not always confirm the clear clinical advantages of the self-ligating system, particularly with regard to reduced time required for alignment and leveling (a relatively simple protocol), greater comfort for patients, and higher chances of performing treatment without extractions - even though the number of extractions is more closely related to patient's facial morphological pattern, regardless of the technique of choice. Orthodontics has recently and brilliantly used bracket individualization in compensatory treatment with a view to improving treatment efficacy with lower biological costs and reduced treatment time. OBJECTIVE: This paper aims at presenting a well-defined protocol employed to produce a better treatment performance during this period of technological transition. It explores the advantages of each system, particularly with regards to reduced treatment time and increased compensatory tooth movement in adult patients. It particularly addresses compensable Class III malocclusions, comparing the system of self-ligating brackets, with which greater expansive and protrusive tooth movement (maxillary arch) is expected, with conventional brackets Capelozza Prescription III, with which maintaining the original form of the arch (mandibular arch) with as little changes as possible is key to yield the desired results.

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Systematic review on self-ligating vs. conventional brackets: initial pain, number of visits, treatment time

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie ◽

10.1007/s00056-012-0116-x ◽

2013 ◽

Vol 74 (1) ◽

pp. 40-51 ◽

Cited By ~ 20

Author(s):

A.G. Čelar ◽

M. Schedlberger ◽

P. Dörfler ◽

M.H. Bertl

Keyword(s):

Systematic Review ◽

Treatment Time ◽

Conventional Brackets ◽

Number Of Visits

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Treatment time with self-ligating orthodontic brackets: a literature review

Journal of Research in Dentistry ◽

10.19177/jrd.v3e42015763-774 ◽

2016 ◽

Vol 3 (4) ◽

pp. 763

Author(s):

Dikson Claudino ◽

Victor May Philippi

Keyword(s):

Literature Review ◽

Latin American ◽

Randomized Clinical Trials ◽

Treatment Time ◽

Health Sciences ◽

Health Science ◽

Orthodontic Brackets ◽

Cochrane Library ◽

Conventional Brackets ◽

Complete Form

AIM: The aim of this study was carry out a literature review on the self-ligating brackets (SLB), identifying publications which evaluated the treatment time with these systems comparing them to the conventional brackets (CB). MATERIAL AND METHODS: The following indexing bases were researched: Medline (Medicine online – International Literature on Health Sciences), LILACS (Latin-American and Caribbean Literature on Health Science), IBECS (Spanish Bibliographic on Health Sciences), SciELO (Scientific Electronic Library Online) and Cochrane Library, available on the virtual librarian web site on Health of the Medicine Regional Library – BIREME (www.bireme.br). The following describers were researched: orthodontic brackets and self-ligating brackets and its correspondents in Spanish and English languages. In this study were covered the scientific researches published in the last ten years, available on their complete form. CONCLUSION: It was concluded that the treatment time seems not showing clinical significant differences when compared the SLB and CB systems, and that researches as control case studies and randomized clinical trials, with rigorous methodology, should be developed to accurate investigation of concepts and results which involve the matter.

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