scholarly journals Orthodontic treatment outcomes obtained by application of a finishing protocol

2016 ◽  
Vol 21 (2) ◽  
pp. 88-94 ◽  
Author(s):  
Alvaro Carvajal-Flórez ◽  
Diana María Barbosa-Lis ◽  
Oscar Arturo Zapata-Noreña ◽  
Julissa Andrea Marín-Velásquez ◽  
Sergio Andrés Afanador-Bayona
Keyword(s):  
Orthodontic Treatment ◽  
Graduate Program ◽  
Clinical Performance ◽  
Intervention Group ◽  
Control Group ◽  
Grading System ◽  
Panoramic Radiographs ◽  
American Board Of Orthodontics ◽  
Objective Grading System

ABSTRACT Objective: To evaluate the results of a finishing protocol implemented in patients treated in the Orthodontics graduate program at Universidad de Antioquia. Evaluation was carried out by means of the criteria set by the Objective Grading System (OGS) of the American Board of Orthodontics (ABO). Methods: Cast models and panoramic radiographs of 34 patients were evaluated. The intervention group (IG) consisted of 17 patients (19.88 ± 4.4 years old) treated under a finishing protocol. This protocol included training in finishing, application of a finishing guide, brackets repositioning and patient's follow-up. Results of the IG were compared to a control group of 17 patients (21.88 ± 7.0 years old) selected by stratified randomization without finishing intervention (CG). Results: The scores for both CG and IG were 38.00 ± 9.0 and 31.41 ± 9.6 (p = 0.048), respectively. The score improved significantly in the IG group, mainly regarding marginal ridges (CG: 5.59 ± 2.2; IG: 3.65 ± 1.8) (p = 0.009) and root angulation (CG: 7.59 ± 2.8; IG: 4.88 ± 2.6) (p = 0.007). Criteria that did not improve, but had the highest scores were: alignment (CG: 6.35 ± 2.7; IG: 6.82 ± 2.8) (p = 0.62) and buccolingual inclination (CG: 3.6 ± 5.88; IG: 5.29 ± 3.9) (p = 0.65). Conclusions: Standardization and implementation of a finishing protocol contributed to improve clinical performance in the Orthodontics graduate program, as expressed by occlusal outcomes. Greater emphasis should be given on the finishing phase to achieve lower scores in the ABO grading system.

scholarly journals The differences in the objective grading system index before and after dentoskeletal class I ortodontic treatment using the standard Edgewise appliances

2014 ◽  
Vol 26 (3) ◽  
Author(s):  
Endah Damaryanti ◽  
Bergman Thahar ◽  
Jono Salim ◽  
Endah Mardiati
Keyword(s):  
Orthodontic Treatment ◽  
Class I ◽  
Grading System ◽  
Panoramic Radiographs ◽  
American Board Of Orthodontics ◽  
Objective Grading System ◽  
Before And After ◽  
The Difference ◽  
Smile Esthetics ◽  
Dental Casts

Orthodontic treatment has a main purpose to reach balanced functional occlusion and create a harmonic esthetic face. But several studies indicates that orthodontic treatment influence smile esthetics, especially smile arc and buccal corridor. One-third of the treated patients showed a flat smile arc and orthodontic treatment with extraction resulted in excessive buccal corridors. The purpose of this research is to evaluate the difference of the Objective Grading System index, developed by the American Board of Orthodontics (ABO) and smile aesthetics in patients with Class I dentoskeletal malocclusion before and after orthodontic treatment. Twenty dental casts, panoramic radiographs and grouped pre and post-treatment. Dental casts and panoramic radiographs are scored according to the guidelines of the Objective Grading System. Extra-oral photographs were assessed by researcher using modified Goldstein dentofacial analysis. Result of measurements were evaluated with statistical t-test. Results of the research indicates Objective Grading System index and also score of smile esthetics before and after orthodontic treatment shows difference statistically (for Objective Grading System index P = -1121 > 2.09 and for smile esthetics P = 5.15 > 2.09). But extremely weak relationship was found between Objective Grading System index and Aesthetics smiles (231).

scholarly journals Tooth Positioner Effects on Occlusal Contacts and Treatment Outcomes

2008 ◽  
Vol 78 (6) ◽  
pp. 1050-1056 ◽  
Author(s):  
Yongjong Park ◽  
James Kennedy Hartsfield ◽  
Thomas R. Katona ◽  
W. Eugene Roberts
Keyword(s):  
Control Group ◽  
Grading System ◽  
Consecutive Series ◽  
Fixed Appliance ◽  
First Order ◽  
American Board Of Orthodontics ◽  
Significant Difference ◽  
Objective Grading System ◽  
Principal Effect ◽  
Better Than

Abstract Objective: To determine if an increase in tooth contacts is the principal effect of tooth positioner wear. Materials and Methods: Patient charts from a consecutive series were reviewed until a sample of 100 cases that used a tooth positioner was obtained. One hundred control cases were randomly selected from patients treated at the same period. Malocclusion severity and finished occlusion were assessed with the American Board of Orthodontics (ABO) Discrepancy Index (DI) and Objective Grading System (OGS) score, respectively. Finish casts for each patient were mounted on a Galleti articulator. Occlusal registrations were obtained with silicone-based impression material from casts fabricated from impressions taken at the time of fixed appliance removal (control) or at the end of the tooth positioner treatment (experimental). The number of the perforations and transparent areas on the occlusal registrations were quantified. Results: There was no significant difference (P = .20) in the number of total occlusal contacts between the two groups. However, the OGS score of the tooth positioner group (16.7) was significantly (P = .0009) better than for the control group (19.9). Conclusions: Tooth positioners were effective in improving the occlusal finish, but the effects were independent of an increase in occlusal contacts. Positioners primarily improved first order alignment by tipping teeth into an improved intercuspation.

scholarly journals Objective Grading System Scores After the Use of a New Finishing Protocol

2020 ◽  
Vol 16 (1) ◽  
pp. 1-16
Author(s):  
Álvaro Carvajal Flórez ◽  
Óscar Zapata Noreña ◽  
Diana María Barbosa Liz ◽  
Patricia Plazas ◽  
Felipe Montoya Sepúlveda ◽  
...  
Keyword(s):  
Gold Standard ◽  
Odds Ratio ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Grading System ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Objective Grading System

Objective: This non-randomized controlled clinical trial compared a new finishing protocol UDEA2 with the UDEA1 finishing protocol, according to the Objective Grading System (ogs).Methods: Forty-one patients treated in the postgraduate orthodontics clinic were included. Twenty patients served as intervention group (ig) with whom was used the UDEA2 protocol which includes dental positioners, and were compared to twenty-one patients that served as control group (cg) with whom was used the UDEA1 finishing protocol. An orthodontist (gold standard) determined the required movements with positioners used in the UDEA2 protocol. Eight ogs variables were measured by a calibrated clinician.Results: Both groups were comparable in gender, age and severity, but not in type of treatment applied. The total ogs for gc was 28.9±10.0, for ig at T1 (before the positioner) was 20.4±6.0 and the score for ig at T2 (after the positioner) was 19.2±6.0, with statistically significant differences (P≤0.05). The ogs score was principally increased for “alignment” in gc and ig-T1 groups. This variable decreased significantly in the ig-T2 group. There were no patients with more than 30 points in the ig-T2. The regression analysis showed an association (P=0.002) between the finishing protocol applied and the final ogs score. Possibility of belonging to the ig-T2 decreases as the ogs score increases (odds ratio [or] 0.83; 95% confidence interval [CI] 0.738, 0.933).Conclusions: The implementation of the UDEA2 finishing protocol, which includes an orthodontics student’s constant training, a Finishing Protocol Guide application, and a dental positioner in the finishing phase, showed an improvement in quality of orthodontic treatments.

scholarly journals Invisalign and Traditional Orthodontic Treatment Postretention Outcomes Compared Using the American Board of Orthodontics Objective Grading System

2007 ◽  
Vol 77 (5) ◽  
pp. 864-869 ◽  
Author(s):  
Daniel Kuncio ◽  
Anthony Maganzini ◽  
Clarence Shelton ◽  
Katherine Freeman
Keyword(s):  
New York ◽  
Orthodontic Treatment ◽  
Rank Test ◽  
Grading System ◽  
American Board Of Orthodontics ◽  
Signed Rank ◽  
Objective Grading System ◽  
Signed Rank Test ◽  
Fixed Appliances ◽  
One Year

Abstract Objective: To compare the postretention dental changes between patients treated with Invisalign and those treated with conventional fixed appliances. Materials and Methods: This is a comparative cohort study using patient records of one orthodontist in New York City. Two groups of patients were identified that differed only in the method of treatment (Invisalign and Braces group). Dental casts and panoramic radiographs were collected and analyzed using the objective grading system (OGS) of the American Board of Orthodontics (ABO). The cases were evaluated immediately after appliance removal (T1) and at a postretention time (T2), three years after appliance removal. All patients had completed active orthodontic treatment and had undergone at least one year of retention. A Wilcoxon rank sum test was used to evaluate differences in treatment outcomes between the groups for each of the eight categories in the OGS, including four additional subcategories in the alignment category. A Wilcoxon signed rank test was used to determine the significance of changes within each group from T1 to T2. Results: The change in the total alignment score in the Invisalign group was significantly larger than that for the Braces group. There were significant changes in total alignment and mandibular anterior alignment in both groups. There were significant changes in maxillary anterior alignment in the Invisalign group only. Conclusions: In this sample for this period of observation, patients treated with Invisalign relapsed more than those treated with conventional fixed appliances.

Increasing Life-Space Mobility in Community-Dwelling Older Persons With Cognitive Impairment Following Rehabilitation: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Phoebe Ullrich ◽  
Christian Werner ◽  
Martin Bongartz ◽  
Tobias Eckert ◽  
Bastian Abel ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Older Persons ◽  
Controlled Trial ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Life Space ◽  
Home Based ◽  
Independent Life

Abstract Background Community-dwelling older persons with cognitive impairment (CI) following discharge from geriatric rehabilitation are at high risk of losing life-space mobility (LSM). Interventions to improve their LSM are, however, still lacking. The aim of this study was to evaluate the effects of a CI-specific, home-based physical training and activity promotion program on LSM. Methods Older persons with mild-to-moderate CI (Mini-Mental State Examination: 17–26 points) discharged home from rehabilitation were included in this double-blinded, randomized, placebo-controlled trial with a 12-week intervention period and 12-week follow-up period. The intervention group received a CI-specific, home-based strength, balance, and walking training supported by tailored motivational strategies. The control group received a placebo activity. LSM was evaluated by the Life-Space Assessment in Persons with Cognitive Impairment, including a composite score for LSM and 3 subscores for maximal, equipment-assisted, and independent life space. Mixed-model repeated-measures analyses were used. Results One hundred eighteen participants (82.3 ± 6.0 years) with CI (Mini-Mental State Examination: 23.3 ± 2.4) were randomized. After the intervention, the home-based training program resulted in a significant benefit in the Life-Space Assessment in Persons with Cognitive Impairment composite scores (b = 8.15; 95% confidence interval: 2.89–13.41; p = .003) and independent life-space subscores (b = 0.39; 95% confidence interval: 0.00–0.78; p = .048) in the intervention group (n = 63) compared to control group (n = 55). Other subscores and follow-up results were not significantly different. Conclusions The home-based training program improved LSM and independent life space significantly in this vulnerable population. Effects were not sustained over the follow-up. The program may represent a model for improved transition from rehabilitation to the community to prevent high risk of LSM restriction.

scholarly journals The Effect of Javanese Language Videos with a Community Based Interactive Approach Method as an Educational Instrument for Knowledge, Perception, and Adherence amongst Tuberculosis Patients

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 86
Author(s):  
Fauna Herawati ◽  
Yuni Megawati ◽  
Aslichah ◽  
Retnosari Andrajati ◽  
Rika Yulia
Keyword(s):  
Intervention Group ◽  
Personal Control ◽  
Control Group ◽  
P Value ◽  
Interactive Approach ◽  
Community Based ◽  
Tuberculosis Patients ◽  
Level Of Knowledge ◽  
The Impact

The long period of tuberculosis treatment causes patients to have a high risk of forgetting or stopping the medication altogether, which increases the risk of oral anti-tuberculosis drug resistance. The patient’s knowledge and perception of the disease affect the patient’s adherence to treatment. This research objective was to determine the impact of educational videos in the local language on the level of knowledge, perception, and adherence of tuberculosis patients in the Regional General Hospital (RSUD) Bangil. This quasi-experimental study design with a one-month follow-up allocated 62 respondents in the intervention group and 60 in the control group. The pre- and post-experiment levels of knowledge and perception were measured with a validated set of questions. Adherence was measured by pill counts. The results showed that the intervention increases the level of knowledge of the intervention group higher than that of the control group (p-value < 0.05) and remained high after one month of follow-up. The perceptions domains that changed after education using Javanese (Ngoko) language videos with the Community Based Interactive Approach (CBIA) method were the timeline, personal control, illness coherence, and emotional representations (p-value < 0.05). More than 95% of respondents in the intervention group take 95% of their pill compared to 58% of respondents in the control group (p-value < 0.05). Utilization of the local languages for design a community-based interactive approach to educate and communicate is important and effective.

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