A qualitative study of teenagers’ decisions to undergo orthodontic treatment with fixed appliance

2002 ◽  
Vol 29 (3) ◽  
pp. 197-204 ◽  
Author(s):  
U. Trulsson ◽  
M. Strandmark ◽  
B. Mohlin ◽  
U. Berggren
Keyword(s):  
Qualitative Study ◽  
Orthodontic Treatment ◽  
Fixed Appliance

scholarly journals Patient-reported experience and outcomes from orthodontic treatment

2020 ◽  
Vol 47 (2) ◽  
pp. 107-115
Author(s):  
Elizabeth Bradley ◽  
Andrew Shelton ◽  
Trevor Hodge ◽  
David Morris ◽  
Hilary Bekker ◽  
...  
Keyword(s):  
Secondary Care ◽  
Orthodontic Treatment ◽  
Clinical Care ◽  
Patient Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Treatment Experience ◽  
Patient Reported ◽  
Pre Treatment

Objective: To measure patient-reported impact of orthodontic treatment in terms of pre-treatment concerns, treatment experience and treatment outcome. Setting: Four sites in Yorkshire, including two secondary care settings (Leeds Dental Institute and St Luke’s Hospital, Bradford) and two specialist orthodontic practices. Design: Cross-sectional survey. Participants: NHS orthodontic patients (aged 12+ years) who have completed comprehensive orthodontic treatment, excluding orthognathic surgery and craniofacial anomalies. Methods: Participants were opportunistically identified by the direct clinical care team during scheduled appointments and those eligible were invited to participate. Data were collected using the Orthodontic Patient Treatment Impact Questionnaire (OPTIQ), a validated 12-item measure with questions relating to pre-treatment experience, impact of treatment and outcome from treatment. Results: Completed questionnaires for analysis included 120 from primary care and 83 from secondary care. The most common pre-treatment concerns were alignment (89%) and being embarrassed to smile (63%). The most common expectations from orthodontic treatment were improved confidence to eat (87%) and smile (72%) in front of others, improved appearance of teeth (85%) and reduced teasing/bullying (63%). Only 67% respondents recalled receiving written information and the lowest recall related to retainer type and length of retention. The most commonly reported complications were sore mouth (68%), fixed appliance breakage (61%) and gingivitis (39%). Treatment caused greatest impact in relation to pain, limitations in eating and effect on speech. Overall satisfaction with orthodontic treatment was reported by 96% of respondents, 87% would have orthodontic treatment again (if needed) and 91% would recommend treatment to a friend. Conclusions: The OPTIQ is a useful patient-reported tool to identify pre-treatment concerns and expectations, treatment experience and outcome. Orthodontic treatment leads to high levels of satisfaction.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

Alterations in subgingival microbiota during full‐fixed appliance orthodontic treatment – a prospective study

2021 ◽  
Author(s):  
Isaac Chen ◽  
Jennifer Chung ◽  
Raven Vella ◽  
George M. Weinstock ◽  
Yanjiao Zhou ◽  
...  
Keyword(s):  
Prospective Study ◽  
Orthodontic Treatment ◽  
Fixed Appliance ◽  
A Prospective Study ◽  
Subgingival Microbiota

scholarly journals Occlusal contacts evaluation along orthodontic treatment with clear aligners and fixed appliance

2021 ◽  
Vol 10 (8) ◽  
pp. e51310817726
Author(s):  
Isabelle Vital Ortiz ◽  
Paula Vanessa Pedron Oltramari ◽  
Graziela Hernandes Volpato ◽  
Thais Maria Freire Fernandes Poleti ◽  
Victor de Miranda Ladewig ◽  
...  
Keyword(s):  
Data Analysis ◽  
Normal Distribution ◽  
Significant Influence ◽  
Orthodontic Treatment ◽  
Statistical Tests ◽  
Orthodontic Appliance ◽  
Fixed Appliance ◽  
Significance Level ◽  
Parametric Test ◽  
Anova Test

The present research aim was to assess how occlusal contacts change along the initial 6 months of orthodontic treatment with fixed appliance and clear aligners. A sample with 40 patients was divided into 2 groups: Clear Aligners (CA) and Fixed Appliance (FA). In order to register occlusal contacts, patients were posit and instructed about how bite in habitual maximum intercuspidation. Registrations were perfomed monthly along 6 starting treatment months and noted in an occlusogram. A parametric test was applied to evaluate data since it presented a normal distribution according to Shapiro-Wilk test. For inter- and intergroup data analysis the Anova test was performed with a 5% significance level. Statistical tests were executed on Jamovi software (Jamovi Stats, Version1.2, Sydeney, Australia). There was a reduction in the amount of occlusal contacts for indivduals from both groups, CA and FA. Such reduction was more significative in the 3 starting months for FA group and between 3rd and 4th months for CA group. Therefore, the sort orthodontic appliance had no significant influence over occlusal contacts.

scholarly journals Prevalence of White Spot Lesion during Orthodontic Treatment with Fixed Appliance

2019 ◽  
Vol 9 (2) ◽  
pp. 40-42
Author(s):  
Md Ali Kawsar ◽  
Md Nurul Islam ◽  
Moutithi Sen ◽  
Subodh Chandra Chakraborty ◽  
Muhammad Tanvir Siddiqui
Keyword(s):  
Orthodontic Treatment ◽  
Demographic Data ◽  
Significant Risk ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Orthodontic Appliance ◽  
Fixed Appliance ◽  
Group 12 ◽  
Dentofacial Orthopedics

Background: White spot lesions (enamel demineralization) is one of the most common and a significant risk associated with orthodontic treatment. Objective: To determine the prevalence of white spot lesion during fixed orthodontic treatment. Method: This prospective observational study and was conducted in the Department of Orthodontics and Dentofacial Orthopedics from January 2016 to December 2017 over a period of two years. Patients with fixed orthodontic appliance age between 12-30 years of both sex attended for follow up were included in this study. After taking written consent, a questionnaire included socio-demographic data, clinical and outcome variables including routine clinical photographs to examine WSL were filled up for each patient. Routine clinical photographs to examine WSL were taken after 6 months and 12 months of fixing orthodontics appliance. Qualitative data were expressed as frequency distribution and percentage. Results: Maximum patients were in age group 12 – 16 years and prevalence of WSL was also sought maximum in this group. Out of 36 cases with WSL, 14 (38.9%) were male and 22 (61.1%) were female. Prevalence of WSL after six month of fixing orthodontic appliance was 21.8% and 26.1% after 12 months. Prevalence of WSL after six month of fixing orthodontic appliance in male was 26.4% & in female was 19.6% and after 12 month of fixing orthodontic appliance it was 30.2% in male and 24.1% in female. After six months of fixing orthodontic appliance 1-3 WSLs was found in 17.0% cases and ≥ 4 WSLs in 4.8% cases. After twelve months of fixing orthodontic appliance 1-3 WSLs was found in 19.4% cases and ≥ 4 WSLs in 6.7% cases. Maximum WSL was found in maxillary incisors. Conclusion: This study showed that 21.8% of the study subjects developed white spot lesions during orthodontic procedure and incisors were the most common affected teeth. Update Dent. Coll. j: 2019; 9 (2): 40-42

scholarly journals Prospective evaluation of the psychosocial impact of the first 6 months of orthodontic treatment with fixed appliance among young adults

2015 ◽  
Vol 86 (4) ◽  
pp. 644-648 ◽  
Author(s):  
Renata França Prado ◽  
Joana Ramos-Jorge ◽  
Leandro Silva Marques ◽  
Saul Martins de Paiva ◽  
Camilo Aquino Melgaço ◽  
...  
Keyword(s):  
Young Adults ◽  
Orthodontic Treatment ◽  
Social Impact ◽  
Psychological Impact ◽  
Psychosocial Impact ◽  
Wilcoxon Test ◽  
Control Group ◽  
Fixed Appliance ◽  
Self Confidence ◽  
Experimental Group

ABSTRACT Objective:  To evaluate the psychosocial impact of the first 6 months of orthodontic treatment with a fixed appliance among young adults and compare the results with those of a control group of patients awaiting treatment for malocclusion. Materials and Methods:  A study was conducted with a sample of 120 patients on a waiting list for orthodontic treatment at a university. The participants were allocated to an experimental group submitted to treatment and a control group awaiting treatment. The groups were matched for sex and age. All participants were instructed to answer the Brazilian version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) at baseline and after 6 months. Statistical analysis involved the Wilcoxon test for the total PIDAQ score and the score of each subscale. All patients participated until the end of the study. Results:  Significant differences between baseline and the 6-month evaluation were found for the total PIDAQ score as well as the dental self-confidence and social impact subscales in both groups. No differences between baseline and the 6-month evaluation were found regarding the psychological impact or esthetic concern subscales in the control group. The patients in the experimental group reported greater esthetic impact 6 months after beginning treatment (P < .001). The first 6 months of orthodontic treatment seem to improve psychosocial impact. Conclusion:  The first 6 months of orthodontic treatment seem to improve the psychosocial impact of malocclusion. The patients analyzed in the present study reported a greater esthetic impact and less psychological impact after 6 months of using an orthodontic appliance.

Challenges in remote versus clinical pain diagnoses for an orthodontic patient during the 2020 COVID-19 crisis

Dental Update ◽  
2020 ◽  
Vol 47 (11) ◽  
pp. 924-926
Author(s):  
Sandeep Pai ◽  
PJ Turner ◽  
David Green
Keyword(s):  
Clinical Relevance ◽  
Orthodontic Treatment ◽  
Extended Period ◽  
Remote Consultation ◽  
Fixed Appliance ◽  
Clinical Pain ◽  
Clinical Diagnoses ◽  
Orthodontic Patients

Challenges arose in ascertaining accurate diagnoses for patients via remote phone triage during the COVID-19 crisis in 2020. We report on a case that highlights possible pitfalls in remote consultation versus chairside contact in making clinical diagnoses and illustrates a complication that may arise in orthodontic patients who have not been seen for an extended period of time. CPD/Clinical Relevance: This case illustrates an extreme example of a complication of fixed appliance orthodontic treatment and the difficulties and challenges of remote telephone consultations.

scholarly journals Orthodontic treatment of a severe unilateral open and crossbite, by palatal appliance with monolateral screw (by Veltri): A case report

2018 ◽  
Vol 75 (5) ◽  
pp. 504-511
Author(s):  
Tatjana Perovic ◽  
Ilija Aleksic ◽  
Zorica Blazej
Keyword(s):  
Case Report ◽  
Satisfactory Result ◽  
Poor Prognosis ◽  
Orthodontic Treatment ◽  
Logical Consequence ◽  
Total Duration ◽  
Open Bite ◽  
Dental Arch ◽  
Fixed Appliance ◽  
The Poor

Introduction. An appliance according to Veltri is a kind of palatal construction which is rarely used in our region. It appeared as a logical consequence of the evolution of appliances for rapid palatal separation. It is primarily indicated for upper molars distalization. However, its good qualities allow the use it in case of some other orthodontic problems. Case report. The aim of this report is overview of the therapy of 14-year-old boy with asymmetry of the upper dental arch and unilateral open bite and crossbite, using the appliance according to Veltri. The plan of therapy was primarily aimed at correction of upper arch asymmetry by using appliance according to Veltri. Extraction of the lower first premolars was done and then upper and lower fixed appliance for leveling the upper and lower dental arch, normalization overjet and the depth of overlap was placed. The total duration of the therapy was two years. Conclusion. Presented combined camouflage therapy achieved a satisfactory result, regardless of the poor prognosis due to hyperdivergent growth.

scholarly journals Taxonomic Analysis of Oral Microbiome during Orthodontic Treatment

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Alessandra Campobasso ◽  
Eleonora Lo Muzio ◽  
Giovanni Battista ◽  
Domenico Ciavarella ◽  
Vito Crincoli ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Data Extraction ◽  
Human Study ◽  
Oral Microbiome ◽  
Orthodontic Appliances ◽  
Rrna Gene ◽  
Microbial Composition ◽  
Fixed Appliance ◽  
Gene Search ◽  
Evidence Quality

Background. Orthodontic appliances induce significant changes in the oral microbiome, but this shift in microbial composition has not been well established by the available evidence yet. Objectives. To perform a systematic review of existing literature in order to assess the taxonomic microbial changes in orthodontic patients during Fixed Appliance Treatment (FAT) and Clear Aligner Treatment (CAT), using next-generation sequencing (NGS) technique of the bacterial 16S rRNA gene. Search Methods and Selection Criteria. The search for articles was carried out in PubMed, including articles published in English until May 2021. They included every human study report potentially relevant to the review. Data Collection and Analysis. After duplicate study selection and data extraction procedures according to the PICOS scheme, the methodological quality of the included papers was assessed by the Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies (SBU) method. Results. The initial search identified 393 articles, 74 of which were selected by title and abstract. After full-text reading, six articles were selected according to inclusion criteria. The evidence quality for all the studies was moderate. Conclusions. Orthodontic treatment seems to transiently affect the composition of subgingival microbiome, although not salivary, maintaining a stable microbial diversity. Different results were found in the shift of microbiome between plaque and saliva, depending on the type of orthodontic treatment. This review should be interpreted with some caution because of the number, quality, and heterogeneity of the included studies.

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