Motivation, expectations and understanding of patients and their parents seeking orthodontic treatment in specialist practice

2019 ◽  
Vol 46 (1) ◽  
pp. 46-50
Author(s):  
Finn Geoghegan ◽  
Ana Ahmadi Birjandi ◽  
Guilherme Machado Xavier ◽  
Andrew T DiBiase
Keyword(s):  
Orthodontic Treatment ◽  
Response Rate ◽  
Hospital Setting ◽  
Patient Questionnaire ◽  
Parent Questionnaire ◽  
General Dental Practitioner ◽  
Poor Understanding ◽  
Dental Appearance ◽  
Specialist Practice ◽  
Motivating Factor

Objectives: To determine patient and parent/guardian motivation, expectation and understanding of orthodontic treatment. Design: A self-completion questionnaire survey of new patients referred for orthodontic assessment. Setting: Specialist practices in Surrey and Berkshire (United Kingdom). Participants: A total of 500 questionnaires were issued (250 were issued to patients and 250 to parents). Methods: The survey was based on a self-completed questionnaire which was issued at the assessment appointment. Both questionnaires were adapted and extended from originally validated questionnaires previously used in a hospital setting. Patients and parents were asked to complete separate anonymous questionnaires. The patient questionnaire consisted of 24 closed-ended questions divided into three domains: motivation; understanding; and expectation of orthodontic treatment. The parent questionnaire consisted of 13 questions covering the same three domains Results: The response rate for the patient and parent questionnaires was 95% and 91%, respectively. Forty-seven percent of the patients were aged 11–13 years. In 77% of cases, the referral was initiated by their dentist. Only 3% of patients thought there was nothing wrong with their teeth. There was a poor understanding of what a retainer is and for how long patients are expected to use it. Conclusions: Referral for orthodontic treatment was initiated by the patients’ general dental practitioner in the majority of the cases. The anticipation of improved dental appearance was a prime motivating factor. Participants had realistic expectations and there was a good acceptance of appliances and dental extractions for orthodontic treatment. Nevertheless, both patients and parents/guardians were less well informed on the nature and duration of orthodontic retention.

Role of the general dental practitioner in managing the risks of orthodontic treatment

BDJ ◽  
2021 ◽  
Vol 231 (11) ◽  
pp. 682-688
Author(s):  
Prashanth Narayanan ◽  
Badri Thiruvenkatachari ◽  
Andrew T. DiBiase
Keyword(s):  
Orthodontic Treatment ◽  
Dental Practitioner ◽  
General Dental Practitioner

scholarly journals How Well Do Core Faculty Understand The Emeregency Medicine Milestones?

2019 ◽  
Vol 21 (1) ◽  
pp. 160-162
Author(s):  
Randy Sorge ◽  
Simiao Li-Sauerwine ◽  
Jorge Fernandez ◽  
Gene Hern
Keyword(s):  
Emergency Medicine ◽  
National Survey ◽  
Response Rate ◽  
Program Directors ◽  
Electronic Media ◽  
Survey Tool ◽  
Core Faculty ◽  
Poor Understanding ◽  
Competency Based ◽  
Single Response

Introduction: It is unclear how emergency medicine (EM) programs educate core faculty about the use of milestones in competency-based evaluations. We conducted a national survey to profile how programs educate core faculty regarding their use and to assess core faculty’s understanding of the milestones. Methods: Our survey tool was distributed over six months in 2017 via the Council of Emergency Medicine Residency Directors (CORD) listserv. Responses, which were de-identified, were solicited from program directors (PDs), assistant/associate program directors (APDs), and core faculty. A single response from a program was considered sufficient. Results: Our survey had a 69.7% response rate (n=140/201). 62.9% of programs reported educating core faculty about the EM Milestones via the distribution of physical or electronic media. Although 82.6% of respondents indicated that it was important for core faculty to understand how the EM Milestones are used in competency-based evaluations, respondents estimated that 48.6% of core faculty possess “fair or poor” understanding of the milestones. Furthermore, only 50.7% of respondents felt that the EM Milestones were a valuable tool. Conclusion: These data suggest there is sub-optimal understanding of the EM Milestones among core faculty and disagreement as to whether the milestones are a valuable tool.

A Quantitative Study of General Dental Practitioner Orthodontic Care in Scottish Health Board Areas (1966–1975)

1979 ◽  
Vol 6 (4) ◽  
pp. 171-176 ◽  
Author(s):  
Sydney Haynes
Keyword(s):  
National Health Service ◽  
Orthodontic Treatment ◽  
Quantitative Assessment ◽  
Dental Service ◽  
Health Board ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
The Mean ◽  
Area Health

A quantitative assessment of the true dental practitioner contribution to orthodontic care in Scottish Health Board areas during the period 1966–1975, shows that the amount of orthodontic treatment given by general dental practitioners in Scotland has diminished in the 10 year period studied. A wide variation was observed in respect of the mean number of orthodontic treatments per year per practitioner, and there was also a lack of uniformity in the proportion of practitioners providing an orthodontic service relative to the different area health boards. The findings have also shown that between 1966–1975, a considerable reduction has occurred in the mean number of practitioner orthodontic treatments commenced each year in the Greater Glasgow and Lothian Health Board areas. The evidence of this study also suggests that orthodontics should become recognized as a postgraduate dental specialty and that it would be appropriate to introduce specialist registration as a means of improving the quality and quantity of orthodontic care within the National Health Service. This should also be accompanied by certain administrative changes, as the present anomalous situation whereby specialist practitioners are permitted to practise within the general dental service should be discontinued.

scholarly journals Assessment of the Self-Perception of Dental Appearance, Its Comparison with Orthodontist’s Assessment and Demand for Treatment in Eastern Nepalese Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Varun Pratap Singh ◽  
Amita Sharma ◽  
Deepak Kumar Roy
Keyword(s):  
Educational Level ◽  
Orthodontic Treatment ◽  
The Self ◽  
Self Perception ◽  
Chi Square ◽  
Equal Importance ◽  
Chi Square Test ◽  
Dental Appearance ◽  
The Subject ◽  
Spearman’S Correlation

Aims. The aim of this study was to assess the self-perception of dental appearance among Eastern Nepalese patients using aesthetic component (AC) of the index of orthodontic treatment need (IOTN) and to compare it with that of an orthodontist’s assessment using the same scale and determine whether gender, area of residence, and level of education influence subject’s self-perception and orthodontist’s ratings.Methods. A total of 252 subjects (equal number of male and female) were conveniently selected. The average ages of subjects were22.33±2.114years. The level of subject’s perception and orthodontist’s assessment was analyzed by nonparametric Chi square test. Kappa coefficient was done to verify its agreement. The Spearman’s correlation test was used to check the association of educational level and age. Mann-Whitney test was used to check the associations of sex and areas of residence.Results. The demand for treatment was significantly associated with the perception of the subject and orthodontist’s assessment. However, age, gender, and educational level were statistically insignificant in influencing subject perception and orthodontist’s assessment.Conclusion. Patient’s self-perception should be given equal importance while planning orthodontic treatment.

scholarly journals Frequency of Using Miniscrew Anchorage by the Iranian Orthodontists

2021 ◽  
Vol 9 (D) ◽  
pp. 98-102
Author(s):  
Amin Golshah ◽  
Mohadese Feiz Rahnemoon ◽  
Zahra Bagheri ◽  
Nasim Karami
Keyword(s):  
Orthodontic Treatment ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Faculty Members ◽  
Satisfaction Level ◽  
Sectional Study ◽  
High Efficacy ◽  
Cross Sectional ◽  
High Satisfaction ◽  
Written Informed Consent

AIM: In recent years, miniscrews are extensively used for anchorage in orthodontic treatments. This study aimed to assess the frequency of using miniscrew anchorage by the Iranian orthodontists in 2020. MATERIALS AND METHODS: This descriptive, cross-sectional study evaluated 70 Iranian orthodontists. After obtaining their written informed consent, a questionnaire was emailed to them. The validity of the questionnaire was confirmed by four faculty members and its reliability was determined to be 75% by calculating the Cronbach’s alpha after administering it among 40 orthodontists. Data were analyzed using SPSS version 22. RESULTS: Of 97 administered questionnaires, 70 were filled out and returned (response rate=72.16%) by 42 males and 28 females. Of participants, 62.3% reported using miniscrews in their practice. Furthermore, 96.6% of the orthodontists reported that they would place the miniscrews by themselves. The majority of orthodontists (98.3%) were completely or relatively satisfied with the efficacy of miniscrews, and 93.5% recommended the use of miniscrews to their colleagues. Factors such as poor expertise in miniscrew insertion, doubts about its advantages, high cost, and time-consuming placement were the main reasons for reluctance of some orthodontists in using miniscrews. CONCLUSION: Considering the high efficacy of miniscrews for orthodontic treatment and high satisfaction level of Iranian orthodontists with miniscrews, their application is expected to rise by the Iranian orthodontists after eliminating the existing limitations against their widespread use.

Regional Variation in the Provision and Cost of General Dental Service Orthodontic Treatment in England and Wales

1989 ◽  
Vol 16 (2) ◽  
pp. 67-74 ◽  
Author(s):  
K. D. O'Brien ◽  
W. C. Shaw ◽  
C. T. Roberts ◽  
C. D. Stephens
Keyword(s):  
Regional Variation ◽  
Orthodontic Treatment ◽  
Regional Distribution ◽  
Dental Service ◽  
Treatment Rate ◽  
Significant Relationships ◽  
General Dental Practitioner ◽  
Treatment Provision ◽  
Capita Spending ◽  
Per Capita

The regional distribution of orthodontic treatment provision through the General Dental Service was examined, with reference to, per capita spending, cost per case and treatment rate; a marked regional variation in these variables was detected. The regional distributions of the specialist orthodontic practitioner and the General Dental Practitioner were calculated; and also exhibited a marked regional variation. The relationships between the regional distributions of manpower, treatment rate, and spending on orthodontic treatment were calculated. It was found that there were significant relationships between the regional distribution of manpower and treatment rate and per capita spending, but not cost per case. Possible explanations are discussed.

scholarly journals Oral Health-Related Quality of Life in Dutch Children Diagnosed with Oligodontia. A Cross-Sectional Study

2019 ◽  
Vol 16 (13) ◽  
pp. 2371
Author(s):  
Marieke A.P. Filius ◽  
Marco S. Cune ◽  
Marijn Créton ◽  
Arjan Vissink ◽  
Gerry M. Raghoebar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Dental Appearance ◽  
The Impact ◽  
Dutch Children

There is need to get insight into condition-specific oral health-related quality of life in Dutch children with oligodontia. Between October 2014 and March 2017, 11–17-year-old oligodontia patients were approached to join a study assessing the impact of oligodontia on condition-specific oral health-related quality of life (OHrQoL). The patients received a condition-specific OHrQoL questionnaire prior to the start of orthodontic treatment. Non-oligodontia children in the same age group, but also requiring orthodontic treatment, were approached to serve as a control. The Fisher’s Exact Test was used for comparison purposes with the control group because of the small group sizes. Furthermore, subgroup analyses were performed for gender, age, number of congenitally missing teeth, tooth agenesis in the aesthetic region, orthodontic classification and microdontia via independent t-tests. p-values of <0.05 were considered statistically significant. Twenty-eight oligodontia patients and 23 controls agreed to participate. The oligodontia patients’ scores were comparable to the controls except for the items about dental appearance and treatment complexity. The impact of oligodontia on OHrQoL in youngsters is limited and mainly concerns dental appearance and the complexity of the treatment.

An Electronic Questionnaire to Survey Colorectal Cancer Screening Status and Identify High-Risk Cohorts in Large Health Care Organizations

2020 ◽  
pp. 106286062093723
Author(s):  
Christopher T. Soriano ◽  
Thomas J. McGarrity ◽  
Junjia Zhu ◽  
Justin Loloi ◽  
Laurie P. Peiffer ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
High Risk ◽  
Human Resources ◽  
Health Care Organizations ◽  
Response Rate ◽  
Patient Questionnaire ◽  
Screening Practices ◽  
Crc Screening ◽  
Incidence And Mortality

Though improved screening practices have reduced the incidence and mortality of colorectal cancer (CRC), screening rates continue to be suboptimal. This is especially true of high-risk individuals, who are difficult for clinicians to identify during a typical health care encounter. The authors developed an electronic patient questionnaire that determined an individual’s CRC screening status and identified high-risk individuals. The questionnaire was administered to employees through the Department of Human Resources. The response rate was 44.7%; 81.2% of respondents aged ≥50 years were up-to-date on CRC screening; 878 high-risk individuals were identified, 77.7% of whom were up-to-date on CRC screening. However, among high-risk individuals aged 40 to 49 years, only 45.8% reported up-to-date CRC screening. The questionnaire was effective in measuring CRC screening rates and identifying high-risk individuals. Dissemination by the Department of Human Resources was novel, effective, and was not dependent on a health care encounter to assess screening or high-risk status.

Mortality risks associated with pediatric dental care using general anesthesia in a hospital setting

2003 ◽  
Vol 27 (4) ◽  
pp. 381-383 ◽  
Author(s):  
Jessica Lee ◽  
Michael Roberts
Keyword(s):  
General Anesthesia ◽  
Dental Care ◽  
Response Rate ◽  
Hospital Setting ◽  
Regional Hospital ◽  
American Hospital ◽  
American Hospital Association ◽  
Mortality Risks ◽  
Risk Of Mortality

The purpose of the present study was to the review the literature and survey the risk of mortality associated with general anesthesia in children in a hospital setting.An 8-item, one page, survey was sent to all (928) southeast regional hospital members of the American Hospital Association (AHA). A response rate of 41% was established. They reported 22,615 dental cases using general anesthesia on children the ages 1 to 6 years and there were no deaths associated with anesthesia reported by responding hospitals. It was concluded that no deaths were reported among more than 22,000 cases over a 10-year period. This provides valuable information on the safety using general anesthesia for pediatric dental care.

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