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.

Factors Associated with the Standard and Duration of Orthodontic Treatment

1996 ◽  
Vol 23 (4) ◽  
pp. 335-341 ◽  
Author(s):  
P. J. S. Taylor ◽  
W. J. S. Kerr ◽  
J. H. McColl
Keyword(s):  
Multiple Regression ◽  
Patient Compliance ◽  
Regression Models ◽  
Orthodontic Treatment ◽  
Duration Of Treatment ◽  
Fixed Appliance ◽  
Factors Associated ◽  
Fixed Appliances ◽  
Influential Variable ◽  
Removable Appliance

The pretreatment and post-treatment study casts and records of 156 completed fixed appliance and removable appliance cases were analysed, and the influence of various factors on the standard of result, as measured by the change in PAR score produced by treatment and the duration of treatment, was assessed. For the purpose of analysis the sample was divided into two groups; a two-arch fixed appliance group (n = 81) and a removable/mini fixed appliance group (n = 75). Multiple regression procedures were carried out separately for both groups, first, with all gathered data and, secondly, with only information which would be known at the start of treatment. For fixed appliances the initial PAR score was consistently an influential variable on change in PAR score and duration of treatment. Patient compliance, the need to extract a permanent first molar and the presence of an anterior crossbite were also important. The initial PAR score also explained much of the variation in change in PAR for removable/mini fixed appliances, but generally, regression models for this group were less well fitting.

scholarly journals Quality of life in an adolescent orthodontic population: Invisalign versus fixed appliances

2021 ◽  
Author(s):  
Richa Sharma ◽  
Robert Drummond ◽  
William Wiltshire ◽  
Robert Schroth ◽  
Milos Lekic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Health Impact ◽  
Fixed Appliance ◽  
Treatment Groups ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Domain Scores

ABSTRACT Objectives To investigate adolescent orthodontic patient experiences and quality of life with fixed appliances compared to Invisalign. Materials and Methods Adolescent patients in active treatment with Invisalign or fixed appliances for a minimum of 6 months were provided with the Child Oral Health Impact Profile-Short Form 19 questionnaire, along with additional items of interest that were assessed separately. Pearson's χ2 test was used to compare responses (P < .05), and unpaired t-tests (P < .05) were used to test for differences in mean satisfaction, quality of life, and domain scores. Results In total, 74 patients (37 in each treatment group) participated. Overall, no significant differences were noted in the mean quality of life, satisfaction, or domain scores between the two groups. A significant difference was noted in the time taken to adjust to appliances, with the Invisalign group demonstrating faster adaptation. Additionally, the fixed appliance group was 3.8 times more likely to report missing school because of their appliance (95% confidence interval [CI]: 1.2, 12.5) and 2.7 times more likely to report having difficulty eating certain foods (95% CI: 1.1, 7.1). When the sample of females between the ages of 14 and 18 was analyzed, the Invisalign group reported feeling attractive more often than the fixed appliance group. Conclusions Both treatment groups were generally very satisfied with their treatment modality. The overall quality of life of adolescent orthodontic patients undergoing treatment with fixed appliances and Invisalign for a minimum of 6 months was similar.

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 Mandibular Incisor Extraction Case with Invisalign

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid H. Zawawi
Keyword(s):  
Treatment Option ◽  
Orthodontic Treatment ◽  
Adult Patients ◽  
Class I ◽  
Effective Treatment Option ◽  
Mandibular Incisor ◽  
Anterior Crowding ◽  
Number Of Patients ◽  
Orthodontic Patients ◽  
Fixed Appliances

Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.

scholarly journals Pain, masticatory performance and swallowing threshold in orthodontic patients

2013 ◽  
Vol 18 (6) ◽  
pp. 117-123 ◽  
Author(s):  
Marcos Porto Trein ◽  
Karina Santos Mundstock ◽  
Leonardo Maciel ◽  
Jaqueline Rachor ◽  
Gustavo Hauber Gameiro
Keyword(s):  
Particle Size ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Masticatory Performance ◽  
Threshold Test ◽  
Orthodontic Patients ◽  
Median Particle ◽  
Fixed Appliances ◽  
Baseline Values ◽  
Individual Capacity

OBJECTIVE: The aim of this study was to assess pain, masticatory performance and swallowing threshold of patients undergoing orthodontic treatment. METHODS: Ten patients of both genders (mean age of 17.25 ± 5.21 years), with complete permanent dentition, who underwent orthodontic treatment with fixed appliances were evaluated. The masticatory performance and the swallowing threshold were assessed by patient's individual capacity of fragmenting an artificial test food (Optocal) which was chewed and had the resulting particles processed by a standardized sieving method, presenting the median particle size (MPS) of crushed units. The intensity of pain / discomfort during chewing was evaluated by means of a visual analog scale. All tests were performed at the following times: T0 - before activating the orthodontic appliance; T1 - 24 hours after activation, and T2 - 30 days after activation. RESULTS: The results showed a significant increase in pain at T1 (T0 - 0.60 ± 0.70 mm; T1 - 66.2 ± 34.5 mm), returning to baseline values at T2 (3.20 ± 3.82 mm). Masticatory performance was also reduced in T1 (MPS 10.15 ± 1.1 mm²) in comparison to T0 (MPS 7.01 ± 2.9 mm²) and T2 (MPS 6.76 ± 1.3 mm²). However, particle size was not affected in the swallowing threshold test (T0 - 5.47 ± 2.37 mm²; T1 - 6.19 ± 2.05 mm²; T2 - 5.94 ± 2.36 mm²). CONCLUSION: The orthodontic appliances did not interfere in the size of the particles that would be swallowed, even in the presence of pain.

scholarly journals Analysis of Patients with Skeletal Malocclusion Undergoing Orthognathic Surgery Along with Fixed Orthodontics in a Dental Hospital Setup

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 385-391
Author(s):  
Pooja Umaiyal M ◽  
Saravana Dinesh S P ◽  
Jaiganesh Ramamurthy
Keyword(s):  
Orthognathic Surgery ◽  
Class Ii ◽  
P Value ◽  
Class Iii ◽  
Chi Square ◽  
Fixed Appliance ◽  
Skeletal Malocclusion ◽  
Division 1 ◽  
Dental Hospital ◽  
Chi Square Test

Lately, people have become more conscious about their physical appearance. Orthodontic treatment has no doubt in providing a significant effect on facial aesthetics. Commonly treated dental and skeletal malocclusion includes class II and class III, skeletal malocclusions might need orthodontic fixed appliance, orthognathic surgery or a combination of both for its correction. The aim of this study is to analyse the prevalence percentage of patients with skeletal malocclusion undergoing orthognathic surgery along with fixed orthodontics. We reviewed and analysed the data of 86000 patients who visited a dental institutional hospital between June 2019 and March 2020. A total of 60 patients were chosen to be included in this retrospective study. They were diagnosed with either class II or class III malocclusions. Socio-demographic and clinical data of all the 60 patients were collected, such as age, gender, type of skeletal malocclusion, treatment suggested and treatment undergone were retrieved from the patient records provided by Saveetha Dental College and Hospitals. This data was tabulated in excel and analysed using SPSS software. Chi-Square test was performed, and the p-value was determined to evaluate the significance of the variables. Among the patients, 51.7% were males with the peak prevalence of reporting for skeletal malocclusion treatment at the age of 10-30 years (85%). Most predominant dental malocclusion being class II division 1 (38.3%) followed by class III(23.3%). Proclination (40%) and crowding (60%) were other common dental alignment issues in the maxillary and mandibular arches, respectively.

scholarly journals Changes of occlusal plane inclination after orthodontic treatment with four premolars extraction in dento-alveolar bimaxillary protrusion cases

2009 ◽  
Vol 21 (2) ◽  
Author(s):  
NR Yuliawati Zenab ◽  
Tono S. Hambali ◽  
Jono Salim ◽  
Endah Mardiati
Keyword(s):  
Orthodontic Treatment ◽  
Occlusal Plane ◽  
Test Analysis ◽  
Sexual Discrimination ◽  
Lateral Cephalograms ◽  
Before And After ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Bimaxillary Protrusion ◽  
Paired T Test

The purpose of this study was to find out whether there were changes in occlusal plane inclination after fixed orthodontic treatment of bimaxillary protrusion cases where extraction of four first premolars was needed using the standard Edgewise appliances. The sample was fourteen orthodontic patients, aged above sixteen years old, no sexual discrimination, treated with fixed appliances at Orthodontic Specialist Clinic Faculty of Dentistry Universitas Padjadjaran. The method was a pre-post design which compared occlusal plane inclination obtained from tracings of lateral cephalograms before and after orthodontic treatment. The results were calculated with the paired t-test analysis. The study revealed that there were no significant changes in occlusal plane inclination after the orthodontic treatment.

scholarly journals Patient’s Perception of Pain and Discomfort Towards Orthodontic Treatments

2021 ◽  
Vol 2 (2) ◽  
pp. 15-17
Author(s):  
Azrul Hafiz ◽  
Noor Ellyyu Hafizah ◽  
Nur Nisrin Nabihah
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pain Experience ◽  
Patient Will ◽  
Fixed Appliances ◽  
Patient’S Perception ◽  
Saliva Flow ◽  
Removable Appliance ◽  
Social Demographic

Background: Patient undergoes orthodontic treatment with removable and fixed appliances will usually complaint of pain and discomfort. The level of pain and discomfort experience by patient will determined the cooperation and compliance towards the treatment. This study explores the perception of pain and type of discomfort experience by patients when undergoes orthodontic treatment. Material and method: This cross-sectional study involve a set of questionnaires regarding patient social demographic and factors contributing to pain and discomfort among patients with removable and fixed appliances. Result: This study shows that the most common discomfort experienced by patients with removable appliance are increased in saliva flow, interferes with mastication and altering speech. Apart from that, ulcers, pain in the mouth and appliance breakages are the most common pain experience by the patients with fixed appliances. Conclusion: In conclusion, majority of patients will experience some form of pain and discomfort during orthodontic treatments. Thus, information regarding pain and discomfort during orthodontic treatment should be clearly convey during the first initial appointment to prepare patient mental and physically.

scholarly journals Microbiological Evaluation of 0.2% Chlorhexidine Gluconate Mouth Rinse in Orthodontic Patients

2007 ◽  
Vol 77 (5) ◽  
pp. 881-884 ◽  
Author(s):  
Emel Sari ◽  
Ilhan Birinci
Keyword(s):  
Streptococcus Mutans ◽  
Orthodontic Treatment ◽  
Chlorhexidine Gluconate ◽  
Wilcoxon Test ◽  
Orthodontic Appliances ◽  
Mouth Rinse ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Fixed Appliances

Abstract Objective: To assess the effectiveness of 0.2% chlorhexidine gluconate mouth rinse on Streptococcus mutans and lactobacilli in orthodontic patients with fixed appliances. Materials and Methods: Twenty patients, aged 13–18, with fixed orthodontic appliances participated in the study. The levels of S mutans and lactobacilli in saliva samples were evaluated at four stages: at the beginning of the orthodontic treatment, at least 2 weeks after the bonding of brackets, 1 week after the introduction of 0.2% chlorhexidine gluconate mouth rinse, and at the fourth week. The changes in S mutans and lactobacilli levels were analyzed via Wilcoxon test. Results: Increases in bacterial levels of S mutans and lactobacilli were detected after the orthodontic appliances were bonded. A significant decrease in S mutans levels was observed 1 week after the introduction of chlorhexidine mouth rinse. Conclusions: An 0.2% chlorhexidine gluconate mouth rinse decreased S mutans levels, but had no effect on lactobacilli levels.

scholarly journals Postoperative Stability of Patients Undergoing Orthognathic Surgery with Orthodontic Treatment Using Clear Aligners: A Preliminary Study

2021 ◽  
Vol 11 (23) ◽  
pp. 11216
Author(s):  
Chiho Moon ◽  
George K. Sándor ◽  
Edward Chengchuan Ko ◽  
Yong-Deok Kim
Keyword(s):  
Treatment Period ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Preliminary Study ◽  
Clear Aligner

Backgrond: Until now, there have been many studies on the postoperative stability of orthognathic patients treated with traditional fixed orthodontic appliances. Recently, the use of clear aligners as orthodontic appliances has increased in orthodontic treatment for aesthetic and patient convenience. The aim of this preliminary study was to investigate the stability and characteristics of patients undergoing orthognathic surgery using clear aligners. Patients and Methods: This study was performed on patients who underwent orthognathic surgery by one surgeon at Pusan National University Dental Hospital from April 2017 to August 2021. A comparative study was conducted on five patients treated with clear aligners during orthodontic treatment and ten patients treated with traditional fixed appliances as a control group. Postoperative skeletal changes and recurrence were evaluated by cone beam computed tomography and lateral cephalometric radiographs taken two days postoperatively and six months postoperatively. Several measurement variables were used to confirm the presence or absence of recurrence, preoperative and postoperative orthodontic treatment period, and the number of extracted teeth. Results: Postoperative stability for six months after surgery was not significantly different between the clear aligner group and the traditional fixed appliance group. The preoperative orthodontic treatment period was also shorter in the clear aligner group, and the number of extracted premolar teeth and impacted teeth were also fewer in the clear aligner group, but there was no significant difference. Conclusions: Orthodontic treatment using clear aligners continues to develop, and it is believed that there is no limit to what can be accomplished during orthodontic surgery accompanied by clear aligners.

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