Orthodontic Treatment in the General Dental Service Assessed by the Occlusal Index

1983 ◽  
Vol 10 (4) ◽  
pp. 178-186 ◽  
Author(s):  
R. J. Elderton ◽  
J. D. Clark
Keyword(s):  
Health Care ◽  
Measurement Errors ◽  
Orthodontic Treatment ◽  
Dental Service ◽  
Index Score ◽  
End Of Treatment ◽  
Before And After ◽  
The Mean

As with all other aspects of health care, orthodontic treatment should be evaluated in as objective a manner as possible. In this study, the models of a sample of 256 patients treated by appliance therapy in the General Dental Service were examined. The Occlusal Index was first refined and variability in its use due to articulation and measurement errors was assessed. It was then used to quantify occlusal status both before and after treatment, and thereby monitor changes brought about by treatment. The mean Occlusal Index score at the beginning of treatment was 9·9. At the end of treatment, the mean score had dropped to 5·5. There was wide variation among individual cases, but some reduction was found in 88 per cent of instances. In 56 per cent of cases the reduction ranged up to 6 units, while in 29 per cent of cases the reduction was 6–12 units. However, in cases which started with a marked malocclusion, only about one-third showed a sizeable improvement. In about one-third of all cases there was little improvement in the malocclusion. While there is room for further refinement of the Occlusal Index to increase its usefulness in quantifying occlusal status brought about during orthodontic treatment, the present findings provide a basis for future comparisons.

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 Orthodontic treatment stability predictors: A retrospective longitudinal study

2016 ◽  
Vol 87 (2) ◽  
pp. 223-229 ◽  
Author(s):  
Paloma González-Gil de Bernabé ◽  
José María Montiel-Company ◽  
Vanessa Paredes-Gallardo ◽  
Jose Luis Gandía-Franco ◽  
Carlos Bellot-Arcís
Keyword(s):  
Longitudinal Study ◽  
Orthodontic Treatment ◽  
Protective Factor ◽  
Peer Assessment ◽  
Anterior Segment ◽  
End Of Treatment ◽  
The Mean ◽  
The Difference ◽  
The Stability

ABSTRACTObjective: To examine medium- to long-term orthodontic treatment stability and its possible association with certain variables.Materials and Methods: In a retrospective longitudinal study of 70 postretention patients, the Peer Assessment Rating (PAR) index was measured at the start (T1) and end (T2) of treatment and between 4 and 10 years afterwards (T3). The stability was considered absolute when the T2 and T3 values were identical and relative when the difference was within the ±5 range.Results: Among the 70 patients, 65.8% were female and 34.2% were male. Their mean age was 14.5 years. The mean treatment length was 2.4 years. The mean retention phase was 3.3 years. The mean pre- and posttreatment PAR scores were 29.8 (T1) and 6.3 (T2). The mean T1–T2 difference was 23.6. The mean T2–T3 difference was −0.39.Conclusions: Within the study, 7.1% presented absolute stability and 68.6% presented relative stability. Lower anterior segment alignment and overbite were the most unstable occlusal features and tended to worsen. Fixed retainer (odds ratio [OR] 0.31; 95% confidence interval [CI] 0.10–0.98) as a protective factor and years without retention (OR 1.32; 95% CI 1.03–1.68) as a risk factor are predictor variables of instability in the case of lower anterior segment alignment. The PAR value at the end of treatment (OR 1.29; 95% CI 1.08–1.54) and extractions (OR 4.76; 95% CI 1.05–21.6) before treatment are predictors for midline instability.

scholarly journals EFFICACY OF AN AUDIO-VISUAL AID IN IMPROVING KNOWLEDGE AND AWARENESS TOWARDS INFANT ORAL HEALTH CARE FOR EXPECTANT MOTHERS

2020 ◽  
Author(s):  
Chahita Mahesh Lalchandani ◽  
Sandeep Tandon ◽  
Tripti Sharma Rai ◽  
Anupama Kajal
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
Visual Aids ◽  
Maternity Hospitals ◽  
Before And After ◽  
Visual Aid ◽  
Expectant Mothers ◽  
The Mean ◽  
Infant Oral Health

Aim: The objective of this study was to evaluate the efficacy of a PowerPoint Presentation in Up-grading the knowledge and awareness towards infant oral health care among expectant mothers. Methods: This was a cross sectional survey conducted in various maternity hospitals throughout Jaipur city, India. A 15 minute PowerPoint Presentation based on infant oral health care was presented to a total of 120 expectant mothers. The participants were made to fill a 15-point questionnaire on the same subject before and after the presentation. Based on a formulated scoring criterion, the knowledge and awareness level of each participant was quantified pre-intervention and post-intervention. The data thus obtained was analysed using descriptive statistics and chi square test, with the level of significance set at P<0.05. Results: There was a very high statistical difference (p=0.000) between the mean scores of the participants before and after the presentation, from 5.55 to 13.96 out of a maximum possible score of 15. The range of scores improved from 0-14 pre-presentation to 9-15 post- presentation. A significant improvement was seen in the mean scores of every socio- demographic group (p=0.000). A relatively high number of participants (85.8%) agreed that the presentation would change how they care for their child in the future. Conclusion: Based on the results of the study, it can be concluded that the use of audio-visual aids is beneficial in improving the knowledge and awareness towards infant oral health care among expectant mothers. Further research can be conducted to evaluate different designs of various audio-visual aids and their long-term efficacy catering to different socio- demographic groups. KEYWORDS Expectant mothers, infant oral health care, awareness, audio-visual aid, pregnant women, maternal awareness

scholarly journals The Impact of Malocclusions and Orthodontic Treatments on a Patient's Quality of Life

2020 ◽  
Vol 7 ◽  
Author(s):  
Farid Bourzgui ◽  
Samir Diouny ◽  
Dounia Kamal ◽  
Hakima Aghoutan ◽  
Zineb Serhier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Psychosocial Impact ◽  
Index Score ◽  
Par Index ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
The Impact

Aim: This study aimed to compare the variations in patients’ perception of oral health-related quality of life (OHRQoL), using the Moroccan version of PIDAQ, before and after orthodontic treatment among patients with the same initial PAR Index score, age, and gender.Methods: In this study, 67 participants were divided into 2 groups. Group A (treated, control group) consisted of 30 patients who received orthodontic treatment; group B comprised of 37 patients who were either at the initiation stage of treatment or potential candidates. The matching of group A and group B was achieved by reaching a compromise between PAR index score, age and gender. The assessment of the psychosocial impact of malocclusion was carried out using the Moroccan version of PIDAQ. The Chi-square test was used to establish associations between qualitative variables. Levene and Mann Whitney's tests were employed to determine the associations between quantitative variables.Results: The age of the patients ranges from 7 to 58 years, with a mean age of 23 years +/_10. 22. While 41 subjects (61.2%) consulted for aesthetic reasons, 26 subjects (38.8%) consulted for a functional reason. The distribution of scores of the two groups before and after orthodontic intervention showed no significant difference between the mean scores of the four PIDAQ domains.Conclusion: The results of our study showed a significant improvement in the psychosocial impact of malocclusion when comparing the two case-control groups, with a reduction in the perceived needs of patients who completed orthodontic treatment.

scholarly journals Prospective Evaluation of Gastric Neurostimulation for Diabetic Gastroparesis in Canada

2015 ◽  
Vol 29 (4) ◽  
pp. 198-202 ◽  
Author(s):  
Himanish Panda ◽  
Philip Mitchell ◽  
Michael Curley ◽  
Michelle Buresi ◽  
Lynn Wilsack ◽  
...  
Keyword(s):  
Health Care ◽  
Short Form ◽  
Real Life ◽  
Diabetic Gastroparesis ◽  
Medication Cost ◽  
Care Utilization ◽  
Medication Costs ◽  
Before And After ◽  
The Mean ◽  
One Year

BACKGROUND: The efficacy of gastric neurostimulation therapy for diabetic gastroparesis (GP) in a ‘real-life’ Canadian setting has not been assessed.AIMS: To assess changes in health-related quality of life (QoL), weekly vomiting frequency (WVF), total symptom score (TSS) and health care utilization 12 months before and after gastric neurostimulator implantation in a diabetic GP cohort.METHODS: Medication-refractory diabetic GP patients (n=7, four female, mean age 42 years) were prospectively recruited from 2008 to 2012. QoL scores were self-administered and obtained at baseline, 24 and 48 weeks postimplantion. WVF and TSS were assessed similarly. Health care usage, measured as hospitalization frequency and medication cost, was obtained six and 12 months before and after implant. Changes from baseline to six and 12 months for all outcomes were compared.RESULTS: The mean (± SD) QoL according to EuroQol was significantly better at 24 weeks after the baseline measurement (baseline 29±5, 24 weeks 52±7; P=0.03). The mean improvement in TSS was significantly better at one year postintervention (baseline score 35±5 versus 12 months 27±3; P=0.03). Changes in Short-Form 36 Health Survey and WVF were not significant. Days of GP-related hospitalization were highly variable but decreased from a median of 71 days (range 0 to 227 days) to 29 days (range two to 334 days) one year before and after surgery, respectively (P=0.735). Outpatient medication costs did not decrease to a significant extent.CONCLUSION: Gastric neurostimulation for diabetic GP appeared to show some beneficial palliative effects overall in the present small open-label series, but the effect is highly variable among patients, and placebo effect cannot be ruled out.

scholarly journals Cephalometric effects of the Jones Jig appliance followed by fixed appliances in Class II malocclusion treatment

2014 ◽  
Vol 19 (3) ◽  
pp. 44-51 ◽  
Author(s):  
Mayara Paim Patel ◽  
José Fernando Castanha Henriques ◽  
Karina Maria Salvatore de Freitas ◽  
Roberto Henrique da Costa Grec
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Fixed Appliance ◽  
Face Height ◽  
End Of Treatment ◽  
Fixed Appliances ◽  
The Mean ◽  
Anchorage Loss ◽  
Mean Time

OBJECTIVE: The aim of this study was to cephalometrically assess the skeletal and dentoalveolar effects of Class II malocclusion treatment performed with the Jones Jig appliance followed by fixed appliances. METHODS: The sample comprised 25 patients with Class II malocclusion treated with the Jones Jig appliance followed by fixed appliances, at a mean initial age of 12.90 years old. The mean time of the entire orthodontic treatment was 3.89 years. The distalization phase lasted for 0.85 years, after which the fixed appliance was used for 3.04 years. Cephalograms were used at initial (T1), post-distalization (T2) and final phases of treatment (T3). For intragroup comparison of the three phases evaluated, dependent ANOVA and Tukey tests were used. RESULTS: Jones Jig appliance did not interfere in the maxillary and mandibular component and did not change maxillomandibular relationship. Jones Jig appliance promoted distalization of first molars with anchorage loss, mesialization and significant extrusion of first and second premolars, as well as a significant increase in anterior face height at the end of treatment. The majority of adverse effects that occur during intraoral distalization are subsequently corrected during corrective mechanics. Buccal inclination and protrusion of mandibular incisors were identified. By the end of treatment, correction of overjet and overbite was observed. CONCLUSIONS: Jones Jig appliance promoted distalization of first molars with anchorage loss represented by significant mesial movement and extrusion of first and second premolars, in addition to a significant increase in anterior face height.

scholarly journals The impact of malocclusions and orthodontic treatments on a patient's quality of life.

2020 ◽  
Author(s):  
Farid BOURZGUI ◽  
Samir Diouny ◽  
Dounia KAMAL ◽  
Zineb Serhier ◽  
Mohamed Bennani Othmani
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Psychosocial Impact ◽  
Index Score ◽  
Age And Gender ◽  
Before And After ◽  
Group A ◽  
And Gender ◽  
Group B

Abstract Aim: This study aimed to compare the variations in patients’ perception of oral health related quality of life (OHRQoL), using the Moroccan version of PIDAQ, before and after orthodontic treatment among patients with the same initial PAR Index score, age and gender. Methods: In this study, 67 participants were divided into 2 groups. Group A (normal, control group) consisted of 30 patients who received orthodontic treatment; group B comprised of 37 patients who were either at the initiation stage of treatment or potential candidates. The matching of group A and group B was achieved by reaching a compromise between PAR index score, age and gender. The assessment of the psychosocial impact of malocclusion was carried out using the Moroccan version of PIDAQ. The Chi-square test was used to establish associations between qualitative variables. Levene and Mann Whitney's tests were employed to determine the associations between quantitative variables. Results: The age of the patients ranges from 7 to 58 years, with an mean age of 23 years +/_10. 22. While 41 subjects (61.2%) consulted for aesthetic reasons, 26 subjects (38.8%) consulted for a functional reason. The distribution of scores of the two groups before and after orthodontic intervention showed no significant difference between the mean scores of the four PIDAQ domains. Conclusion: The results of our study showed a significant improvement in the psychosocial impact of malocclusion when comparing the two case-control groups, with a reduction in the perceived needs of patients who completed orthodontic treatment.

scholarly journals Comparison of Root Resorption in Endodontically and Non-Endodontically Treated Teeth in Patients with Fixed Orthodontic Treatment during 2009-2018

2020 ◽  
Author(s):  
Mehri Esfandiar ◽  
Maryam Sadat Seidaie ◽  
Mahdi Tabrizizade ◽  
Hossein Aghili ◽  
Narjes Hoshyari
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Medical Sciences ◽  
Endodontically Treated Teeth ◽  
Panoramic Radiographs ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Dental Offices

Introduction: Apical root Resorption is a common occurrence during fixed orthodontic treatment. This study used panoramic radiographs to compare the rate of root resorption in endodontically-treated and non-endodontically-treated roots. Methods: In this descriptive-analytic study, panoramic radiographs of 20 patients aged 11-18 years with Class I Crowding and Class II Mild Skeletal malocclusions and with one or more endodontically-treated maxillary anterior teeth in one side and corresponding non-endodontically-treated teeth on the other side of the jaw were selected. They had presented to Dental School of Shahid Sadoughi University of Medical Sciences and private dental offices in Yazd. All panoramic radiographs of central and lateral maxillary incisors obtained before and after treatment were scanned and displayed on a large monitor with X2 magnification. In this way, the real magnitude of root degeneration was estimated by comparing the root heights in the pre- and post-treatment radiographs. The data were analyzed by SPSS 22 and T-test. Results: The findings showed that the greatest rate of root resorption was observed in the upper maxillary lateral incisors of endodontically-treated teeth by 1 mm and in maxillary lateral incisors of the non-endodontically-treated teeth by 1.5 mm. The mean root resorption was 0.325 mm in the endodontically-treated teeth and 1.025 mm in the non-endodontically treated teeth with a statistically significant difference (P>0.001). Conclusion: The results demonstrated that root resorption was smaller after treatment in endodontically-treated teeth than non-endodontically-treated teeth.  

scholarly journals Orthodontic treatment in times of Covid-19

2021 ◽  
Vol 14 (2) ◽  
pp. 205-209
Author(s):  
Hariclea Morosan ◽  
◽  
Keyword(s):  
Private Practice ◽  
Orthodontic Treatment ◽  
Point Of View ◽  
Orthodontic Appliances ◽  
End Of Treatment ◽  
Before And After ◽  
Orthodontic Patients ◽  
Dental Practices ◽  
Question Form ◽  
Removable Orthodontic Appliances

During the first two months of the Coronavirus Disease 2019 (Covid-19) pandemic, Romania was in lockdown, and all dental practices were closed, so orthodontic patients had to postpone their check-ups for at least eight weeks. This led not only to a delayed end of treatment but also to accidents and complications. The present study tried to evaluate the orthodontic situation both from the patient’s and orthodontist’s point of view, so the patients were given a few questions to answer, and the orthodontist analyzed each treatment before and after the two-month lockdown and decided if it was mildly or severely affected by the absence of check-ups. The study group consisted of 105 patients evaluated by three orthodontists in the same private practice. Patients that have gotten worse after the lockdown or who had problems were included in the study. Also, all the patients were given a 7-question form in order to find out their opinion. After two months without check-ups, our orthodontists found that 9.52% got worse because of the lack of intermaxillary elastics, broken brackets, broken removable orthodontic appliances, and others. Most of the patients believe that their treatment was delayed by the Covid-19 pandemic, but none of the patients felt unsafe when visiting the clinic. The Covid-19 pandemic had severe effects on orthodontic treatments. Orthodontists noticed a delay for about one-third of their patients. However, from the patient’s point of view, half believe that their treatment was negatively affected by the Covid-19 pandemic in different degrees.

scholarly journals Apical Root Resorption After Orthodontic Treatment

2016 ◽  
Vol 12 (24) ◽  
pp. 43
Author(s):  
Irinel Panainte ◽  
Claudia – Georgeta Grancea ◽  
Valentina – Tamara Zamfir – Buta ◽  
Mariana Pacurar
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Treatment Time ◽  
Fixed Appliance ◽  
Apical Root Resorption ◽  
End Of Treatment ◽  
Male Patients ◽  
The Mean ◽  
Lower Arch ◽  
Time Type

Aim of the studyː to find if apical root resorption is related to orthodontic treatment time, type of appliance used and which are the most susceptible teeth to develop this type of resorption. Material and methodsː 70 patients (27 males and 43 females) selected from patients reffered for an orthodontic treatment at the Orthodontic Department of Faculty of Dentistry, University of Medicine and Pharmacy from TirguMures. The mean age at the beginning of treatment was 15.11 years for males and 14.67 years for females subjects. At the end of treatment, on their panormaic radiographs it was measured apical root resorption on incisors, premolars and molars in the upper and lower arch. Resultsː Root resorption was significantly (p< 0.05) correlated with fixed appliance treatment (49 percent). Patients with the longest treatment periods presented with significantly (p<0.05) more grade 2 resorptionː 28 months (± 2.6 SD) in the upper arch and 30 months (± 3.2 SD) in the lower arch. In the patients with the lowest treatment period (16 months in the maxilla and 18 months in the mandible arch) it was found no resorption. In the upper arch most of the patients (22.22 % males and 18.6% females) showed a grade 2 resorption in the incisor area. Root resorption of the premolars was seen in 18.5% of the male patients (7.4% with grade 2 ) and in 16.26 % of the female patients (6.97 with grade 2). Conclusionsː There is a high correlation between the orthodontic treatment time and apical root resorption. Most exposed to this process are incisors from bot, upper and lower arch. Less resorption was noticed in the premolar area.

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