scholarly journals Factors related to orthodontic treatment time in adult patients

2013 ◽  
Vol 18 (5) ◽  
pp. 59-63 ◽  
Author(s):  
Ana Camila Esteves de Oliveira Melo ◽  
Lilianne Oliveira Thiers Carneiro ◽  
Luana Farias Pontes ◽  
Rodolpho Lobão Cecim ◽  
José Nazareno Rufino de Mattos ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Case Reports ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Adult Patients ◽  
Missed Appointments ◽  
Facial Pattern ◽  
Orthodontic Treatment In Adults ◽  
Tooth Extractions

INTRODUCTION: The length of time that it takes an orthodontist to treat adult patients varies widely. OBJECTIVE: The aim of this study was to investigate how different variables influence treatment time. METHODS: Seventy clinical case reports of successfully treated adult patients were examined. The patients were selected from 4,723 records held by three experienced orthodontists. The influence exerted by the following variables on treatment time was assessed: age, sex, facial pattern, severity of malocclusion (measured by the PAR index), sagittal relationship of canines, type of brackets (ceramic or metal), tooth extractions, missed appointments and orthodontic appliance issues/breakages, the latter being the dependent variable. Assessment was performed by multiple linear regression analysis, followed by the stepwise method with P < 0.05. RESULTS: The number of times a patient missed their appointment (no-show) (R² = 14.4%, p < 0.0001) and the number of appliance issues/breakages (R² = 29.71%, p = 0.0037) significantly affected variability in treatment time, and these two variables together can predict 43.75% (R² total) of the overall variability in treatment time. Other factors, such as canine relationship at the beginning of treatment, bracket type (metal or ceramic), tooth extractions, age at start of treatment, severity of the initial malocclusion, sex and facial pattern had no significant bearing on treatment time. CONCLUSIONS: The duration of orthodontic treatment in adults, when performed by experienced orthodontists, is mainly influenced by factors related to patient compliance. However, several factors which were not included in this study may contribute to variability in orthodontic treatment time.

scholarly journals Level of Knowledge, Understanding, and Impact of the COVID-19 Pandemic on Continuing Fixed Orthodontic Treatment in Adults: A Questionnaire Study

2021 ◽  
Vol 55 (2) ◽  
pp. 184-189
Author(s):  
RSVM Raghu Ram ◽  
I Ranganayakulu ◽  
K Anand Viswanadh ◽  
TSS Manikanta Kumar ◽  
C Viswa Chaitanya ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Adult Patients ◽  
Missed Appointments ◽  
Clinical Area ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
Level Of Knowledge ◽  
Orthodontic Treatment In Adults ◽  
Status Disclosure ◽  
Descriptive Survey

Objectives: To evaluate the level of knowledge, understanding, and impact of the coronavirus disease 2019 (COVID-19) pandemic on adult patients regarding their ongoing fixed orthodontic treatment. Subjects and Methods: A cross-sectional and descriptive survey was conducted on 108 adult patients undergoing fixed orthodontic treatment at GSL Dental College (GSLDC), India. All the candidates were aged 18 years and above, who were in lockdown due to the COVID-19 pandemic and devoid of treatment. Results: Among the patients 43.5% were male and 56.5% were female; 22.3% were not at all aware that the COVID-19 virus spreads quickly in a dental setup; 64.8% were definitely willing for their status disclosure and to undergo pretreatment screening; 71.3% were definitely willing to adhere to strict appointment timings for adequate sanitization of the clinical area; 60.2% thought that missed appointments during the COVID-19 pandemic would prolong their overall orthodontic treatment and affect their treatment outcome; and 51.9% were financially affected due to the pandemic. Conclusions: Not all adult orthodontic patients were in knowledge of COVID-19 cross infection. The majority were in a state of understanding and willing to follow infection-eradicating protocols. Patients’ view on overall orthodontic treatment was altered due to the psychological and financial impact of COVID-19.

scholarly journals Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation

2016 ◽  
Vol 86 (5) ◽  
pp. 839-845 ◽  
Author(s):  
Vanessa de Couto Nascimento ◽  
Ana Cláudia de Castro Ferreira Conti ◽  
Maurício de Almeida Cardoso ◽  
Danilo Pinelli Valarelli ◽  
Renata Rodrigues de Almeida-Pedrin
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Health Impact ◽  
Self Esteem ◽  
Adult Patients ◽  
Life Questionnaire ◽  
Psychological Benefits ◽  
Oral Rehabilitation ◽  
Orthodontic Treatment In Adults

ABSTRACT Objective:  To evaluate whether orthodontic treatment in adults requiring oral rehabilitation is effective for increasing patients’ self-esteem and quality of life (QoL). Materials and Methods:  The sample consisted of 102 adult patients (77 women and 25 men) aged between 18 and 66 years (mean, 35.1 years) requiring oral rehabilitation and orthodontic treatment simultaneously. Rosenberg’s Self-Esteem (RSE) Scale and a questionnaire about QoL based on the Oral Health Impact Profile (OHIP-14) were used to determine self-esteem and QoL scores retrospectively. Questionnaires were carried out in two stages, T1 (start of treatment) and T2 (6 months after). To compare score changes between T1 and T2, the data obtained from the RSE Scale were evaluated with paired t tests, and data from the quality-of-life questionnaire were assessed by applying descriptive statistics. Results:  The results showed a statistically significant increase in self-esteem (P &lt; .001) and a great improvement on patients’ QoL. Conclusions:  Orthodontic treatment causes a significant increase in self-esteem and QoL, providing psychological benefits for adult patients in need of oral rehabilitation.

scholarly journals Effect of anterior overbite malocclusion on smile esthetics in adult patients

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110395
Author(s):  
Johnson Hsin-Chung Cheng ◽  
Tracy Yi-Hsuan Lee ◽  
Pei-Chin Cheng ◽  
Daniel De-Shing Chen
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Adult Patients ◽  
Hard Tissue ◽  
Smile Esthetics ◽  
Cephalometric Measurements ◽  
Buccal Corridor

Objective To investigate whether overbite affects smile esthetics. Methods This study involved 106 patients with complete pretreatment records. Lateral cephalometric tracings were used to measure hard tissue variables. Frontal smile and upper occlusal photographs were used to measure nine smile esthetic variables: arc ratio, number of teeth, upper incisor exposure, upper midline, buccal corridor ratio, smile index, archform index, lower teeth exposure, and interlabial gap. The patients were classified into three groups according to their overbites (B1: 0–4 mm, B2: >4 mm, and B3: <0 mm). Analysis of variance was performed to compare 14 cephalometric measurements and the 9 smile esthetic variables. Multiple linear regression analysis was performed to determine the influencing cephalometric factors. Results Only upper incisor exposure was significantly different among the groups. In the multiple linear regression analysis, upper incisor exposure was positively associated with the distance from the upper incisor to the palatal plane in Group B2. No significant correlations were observed between cephalometric measurements and smile variables in Groups B1 and B3. Conclusions Smile variables were not significantly different among patients with various overbite malocclusions with the exception of upper incisor exposure. Overbite malocclusions do not appear to influence smile esthetics in adult patients.

scholarly journals Periodontally Accelerated Osteogenic Orthodontics (PAOO) vs Osteoperforations (A Review on Periodontal Reactions to Orthodontic Tooth Movement)

2021 ◽  
Vol 3 (32) ◽  
pp. 36-51
Author(s):  
Miral Agrawal ◽  
◽  
Shefali Sharma ◽  
Parmeshwari Rathod ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Invasive Procedure ◽  
Adult Patients ◽  
Periodontal Tissues ◽  
Mini Implants ◽  
Adults And Children ◽  
Regional Acceleratory Phenomenon

A high number of adult patients are undertaking orthodontic treatment now because of the newer methods, technology, and innovations available in the market. Orthodontic profession is continually looking for new ways to perform treatment effectively for such patients, as there are many differences in the biology, motivation, and treatment objectives between adults and children. Aligner therapy and mini-implants are some of the ways of managing orthodontic treatment for adult patients. Treatment time is a concern for adult patients and methods to accelerate the orthodontic tooth movement have been a focus in the orthodontic field. Periodontal accelerated osteogenic orthodontics (PAOO) is a surgical procedure that is performed with a combination of alveolar corticotomy, bone grafting, followed by orthodontic treatment. This procedure uses the principle of regional acceleratory phenomenon (RAP). Another procedure commonly used for accelerated orthodontic tooth movement is osteoperforations. This is a minimally invasive procedure, which does not include a flap surgery. The purpose of this article is to describe the differences between adult and children periodontal tissues, the use of different appliances for adult treatment, how orthodontic treatment has been modified for adult patients, and the detailed explanation of procedures for accelerating orthodontic tooth movement such as PAOO and osteoperforations and the potential complications

scholarly journals Motor stereotypies in adult patients with Tourette syndrome

2020 ◽  
Vol 15 (2) ◽  
pp. FNL42 ◽  
Author(s):  
Maneeka Ubhi ◽  
Kanu Achinivu ◽  
Stefano Seri ◽  
Andrea E Cavanna
Keyword(s):  
Asperger Syndrome ◽  
Tourette Syndrome ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Repetitive Behaviors ◽  
Adult Patients ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Hyperactivity Disorder ◽  
Comorbid Diagnosis

Aim: Correctly diagnosing repetitive behaviors in patients with Tourette syndrome (TS) can be challenging. The differential diagnosis between tics and stereotypies is of particular importance, because of treatment implications. Methods: We assessed the prevalence and clinical characteristics of stereotypies in a large sample of adult patients with TS attending a specialist clinic. Results: Mild stereotypies were reported by 21/148 patients (14.2%). Patients with stereotypies were significantly more likely to have a comorbid diagnosis of Asperger syndrome, attention-deficit and hyperactivity disorder, and obsessive-compulsive disorder, compared with patients without stereotypies. Multiple linear regression analysis revealed that the presence of Asperger syndrome significantly predicted stereotypy severity. Conclusion: Stereotypies are not rare in adults with TS and other neurodevelopmental conditions, especially Asperger syndrome.

scholarly journals Comparison of airway dimensions in skeletal Class I malocclusion subjects with different vertical facial patterns

2017 ◽  
Vol 22 (6) ◽  
pp. 35-42 ◽  
Author(s):  
Ana Paula Flores-Blancas ◽  
Marcos J. Carruitero ◽  
Carlos Flores-Mir
Keyword(s):  
Linear Regression Analysis ◽  
Upper Airway ◽  
Multiple Linear Regression Analysis ◽  
Class I ◽  
Skeletal Class ◽  
Lateral Cephalograms ◽  
Total Variability ◽  
Facial Pattern ◽  
Student’S T ◽  
Thé Vert

ABSTRACT Objective: The aim of this study was to compare upper airway widths among skeletal Class I malocclusion subjects with different vertical facial patterns. Methods: The sample included a total of 99 lateral cephalograms of post pubertal individuals (18.19 ± 1.76 years old). The vertical facial pattern was determined by the Vert index. The McNamara method was used to quantify upper airway widths. ANOVA test and Student’s t test for independent groups were used, when normal distribution was not supported Kruskal-Wallis test and U-Mann-Whitney test were used. A multiple linear regression analysis was also performed. Results: Statistically significant differences in several nasopharyngeal widths were found among the distinct vertical facial patterns. Subjects with brachyfacial pattern presented larger nasopharyngeal widths than subjects with mesofacial (p= 0.030) or dolichofacial (p= 0.034) patterns. The larger the Vert value, the larger the nasopharyngeal widths (R2= 26.2%, p< 0.001). At the level of oropharynx no statistically significant differences were found. Conclusion: It was concluded that nasopharyngeal linear anteroposterior widths in Class I malocclusion brachyfacial are larger than in mesofacial and dolichofacial individuals. The Vert index only explained 25% of the total variability. No correlation was found for the oropharyngeal widths.

scholarly journals Orthodontic treatment in adults: restoring smile esthetics

2012 ◽  
Vol 17 (5) ◽  
pp. 53-63 ◽  
Author(s):  
Leopoldino Capelozza Filho ◽  
Maria Fernanda Barros Aranha ◽  
Terumi Okada Ozawa ◽  
Arlete de Oliveira Cavassan
Keyword(s):  
Adult Patient ◽  
Orthodontic Treatment ◽  
Proper Time ◽  
Adult Patients ◽  
Professional Life ◽  
Technological Advances ◽  
Orthodontic Treatment In Adults ◽  
Smile Esthetics ◽  
Conceptual Evolution ◽  
Selection Of

INTRODUCTION: The search for orthodontic treatment by adult patients is increasing. This demand may be explained by many reasons, but the most important was the change in the concept of normality, allowing the selection of simpler and more conservative and consistent therapeutic objectives. This conceptual evolution, combined with the technological advances allowed an improvement in orthodontic management, making it more effective, fast and comfortable. The promotion of awareness of the society on the advantages of this treatment and the increase in esthetic demands, with an increasingly longer and active social, affective and professional life, creates a context in which the need for Orthodontics is absolutely established for the adult individuals. OBJECTIVE: The objective of this article is to report the nuances in diagnosis and orthodontic treatment of an adult patient, in a different perspective. Within this approach, the objective is to recover the shape, i.e. to establish occlusal conditions that would probably be present if the patient had been assisted at the proper time, namely during growth and tooth irruption.

scholarly journals Efficiency of compensatory orthodontic treatment of mild Class III malocclusion with two different bracket systems

2017 ◽  
Vol 22 (6) ◽  
pp. 49-55 ◽  
Author(s):  
Mônica L. C. Aragón ◽  
Lívia M. Bichara ◽  
Carlos Flores-Mir ◽  
Guilherme Almeida ◽  
David Normando
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Peer Assessment ◽  
Randomized Study ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Missed Appointments ◽  
Significant Difference ◽  
Group 2 ◽  
Efficiency Comparison

ABSTRACT Objective: The purpose of this study was to assess the efficiency of compensatory orthodontic treatment of patients with mild Class III malocclusion with two preadjusted bracket systems. Method: Fifty-six matched patients consecutively treated for mild Class III malocclusion through compensatory dentoalveolar movements were retrospectively evaluated after analysis of orthodontic records. The sample was divided into two groups according to the brackets used: Group 1 = non-Class III compensated preadjusted brackets, Roth prescription (n = 28); Group 2 = compensated Class III preadjusted brackets, Capelozza III prescription (n = 28). Cephalometric analysis, number of appointments and missed appointments, months using Class III elastics, and bond/band failures were considered. Treatment time, Peer Assessment Rating (PAR) index at the beginning (PAR T1) and end of treatment (PAR T2) were used to calculate treatment efficiency. Comparison was performed using a MANOVA at p< 0.05. Results: Missed appointments, bond or band failures, number of months using the Class III intermaxillary elastics, and cephalometric measurements showed no statistically significant difference (p> 0.05) between groups. Patients treated with Roth brackets had a treatment time 7 months longer (p= 0.01). Significant improvement in the patient’s occlusion (PAR T2-T1) was observed for both groups without difference (p= 0.22). Conclusions: Orthodontic brackets designed for compensation of mild Class III malocclusions appear to be more efficient than non-compensated straight-wire prescription brackets. Treatment time for Class III patients treated with brackets designed for compensation was shorter than with Roth prescription and no difference in the quality of the occlusal outcome was observed. A prospective randomized study is suggested to provide a deeper look into this subject.

scholarly journals Dentoalveolar surgery techniques combined with orthodontic treatment: A literature review

2013 ◽  
Vol 07 (02) ◽  
pp. 257-265 ◽  
Author(s):  
F. Deniz Uzuner ◽  
Nilufer Darendeliler
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Orthodontic Treatment ◽  
Historical Perspective ◽  
Tooth Movement ◽  
Treatment Time ◽  
Combined Treatment ◽  
Surgical Techniques ◽  
Orthodontic Tooth Movement ◽  
Adult Patients

ABSTRACTSurgery on the dentoalveolar process combined with orthodontic treatment was emphasized as an alternative method for reducing the treatment time and improving the orthodontic treatment on post-adolescent and adult patients. This combined treatment facilitates and accelerates orthodontic tooth movement. This article reviews the clinical practice in surgery-assisted orthodontic treatment in relation to historical perspective, indications and biological principles, as well as limitations and risks of dento-osseous surgical techniques, including dento-osseous osteotomy and/or ostectomy, dento-osseous microfracture, dento-osseous corticotomy, and/or corticoectomy, and dental distraction.

scholarly journals The effect of changes in primary attending doctor coverage frequency on orthodontic treatment time and results

2015 ◽  
Vol 85 (6) ◽  
pp. 1051-1056 ◽  
Author(s):  
Emily Caskey Peppers ◽  
V. Leroy Leggitt ◽  
Joseph M. Caruso ◽  
Roland Neufeld ◽  
James Green
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Peer Assessment ◽  
Missed Appointments ◽  
Treatment Results ◽  
Patient Age ◽  
Quality Of Treatment ◽  
The Mean ◽  
Peer Assessment Rating

ABSTRACT Objective:  To determine whether changes in primary attending (PA) doctor coverage frequency caused an increase in orthodontic treatment time or a decrease in the quality of treatment results in a postgraduate orthodontic clinic. The effect of T1 Peer Assessment Rating (PAR) scores on PA doctor coverage frequency, treatment times, and results was also evaluated. Materials and Methods:  A sample of 191 postorthodontic subjects was divided into three groups based on PA doctor coverage (high, medium, or low). Treatment times, treatment results, and other variables were compared between the three PA coverage groups. Additionally, the sample was divided into three groups based on T1 PAR scores. Attending coverage frequency, treatment times, and results were compared between the T1 PAR groups. Results:  No statistically significant differences were found in treatment time (P  =  .128) or results (P  =  .052). There were no statistically significant differences in the mean scores for T1 PAR (P  =  .056), T2 PAR (P  =  .602), patient age at T1 (P  =  .747), total appointments (P  =  .128), missed appointments (P  =  .177), or cancelled appointments (P  =  .183). Statistically significant differences were found between the low T1 PAR group and the medium and high T1 PAR groups (attending coverage, P  =  .008; results, P &lt; .001; treatment time, P  =  .001). Conclusions:  Under the conditions of this study, variations in PA doctor coverage frequency did not lengthen orthodontic treatment or reduce the quality of treatment results. Low T1 PAR scores were associated with less PA coverage, less change in PAR, and shorter treatment times.

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