scholarly journals Orthodontic treatment in National Dental Centre of Singapore: Trends toward higher proportion of adult patients

2019 ◽  
Vol 9 ◽  
pp. 89-93 ◽  
Author(s):  
Elaine Li Yen Tan ◽  
Yi Lin Song ◽  
Zhengyi Zhang ◽  
Kevin Jia Jun Yong ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Linear Trend ◽  
Adult Patients ◽  
Significant Linear Trend ◽  
Significant Difference ◽  
Increasing Trend ◽  
Chi Squared ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Age Range

Background Adult patients used to be daunted with the prospect of having fixed appliances to correct malocclusions. However, this has gradually changed and recent literature reported an increasing trend in adults receiving orthodontic treatment. To date, there has been no information regarding the trend of adult orthodontic patients in Singapore. Objective The objective of this study was to determine the changes in the proportion of adult patients seeking orthodontic treatment at the National Dental Centre Singapore (NDCS) from 2011 to 2017. Materials and Methods The study sample consists of all patients who commenced active orthodontic treatment from 2011 to 2017 at the NDCS. The data collected were analyzed for the number, gender, and proportion of adult orthodontic patients treated annually from 2011 to 2017. Linear-by-linear association test was used to test for any significant linear trend in proportion of adult orthodontic patients over the 7 years. Pearson’s Chi-squared test was used to test for any significant gender differences. Results There was a significant increasing linear trend (p = 0.001) in the proportion of adult orthodontic patients from 2011 to 2017. No significant difference (p = 0.770) between the proportions of male and female adults undergoing orthodontic treatment was found. The ages of adults undergoing orthodontic treatment ranged from 21 to 73 years old and majority (48.61%) of them was in the 21–25 years old age range. Conclusion There is a rising trend in adults seeking orthodontic treatment at the NDCS from 2011 to 2017. No statistically significant gender difference was observed in this rising trend.

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 Perception and Practice of Nepalese Adult and Adolescent Patients towards Orthodontic Treatment

2015 ◽  
Vol 5 (1) ◽  
pp. 7-11
Author(s):  
Rabindra Man Shrestha ◽  
Sujita Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Good Practice ◽  
Adult Patients ◽  
Duration Of Treatment ◽  
Significant Difference ◽  
Adolescent Patients ◽  
Orthodontic Patients ◽  
The Difference ◽  
Patient’S Perception ◽  
Structured Questionnaire

Introduction: Patient’s perception and practice on ongoing treatment is very important to evaluate the practice management.Objective: To assess the perception and practice of Nepalese orthodontic patients towards orthodontic treatment and to find the difference between adolescent and adult.Materials & Method: A structured questionnaire with 3-point Likert scale was used among 536 orthodontic patients at eight orthodontic centers. The data were rescored based on their views and depicted on good, moderate and poor levels. The difference in perception and practice between adolescent and adult patients was analyzed using Mann-Whitney U test.Result: More than 80% patients feel that, orthodontist’s dealing and skill is good, while more than two-third feel that orthodontic treatment is expensive. More than half adolescent and two-third adult patients restrict certain food due to braces; about one third adolescent and one-fourth adult patients are careless on appliance breakage. More number of adult patients consume analgesics compared to adolescents. There was significant difference in perception about ‘duration of treatment’ and ‘chance of relapse’, and practice on ‘food restriction’ and ‘carelessness of appliance’ between adolescent and adult patients.Conclusion: Nepalese orthodontic patients possess good perception about orthodontist’s dealing and skill, and good practice on regular brushing habits. Adolescent patients lack positive perception about duration of treatment and majority of patients feel that orthodontic treatment is expensive. Adult patients have better perception and practice about the orthodontic treatment than adolescent in all parameters studied except for ‘cost of treatment’ and ‘use of analgesics’. 

scholarly journals Comparative Study of Duration of Orthodontic Treatment among Nepalese Adolescent and Adult Patients

2011 ◽  
Vol 1 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Prakash Bhattarai ◽  
Rabindra M Shrestha
Keyword(s):  
Comparative Study ◽  
Orthodontic Treatment ◽  
Average Duration ◽  
Adult Patients ◽  
Duration Of Treatment ◽  
Two Phase ◽  
Significant Difference ◽  
Impacted Canine ◽  
Orthodontic Patients ◽  
Transferred Patients

The purpose of this study is to compare the duration of orthodontic treatment among Nepalese adolescent and adult orthodontic patients. A total of 134 adolescent patients and 46 adult patients who have completed the orthodontic treatment from The Orthodontic Center (TOC) were randomly selected. All patients were treated with straight wire brackets. Transferred patients, impacted canine, two-phase treated patients and previous orthodontic treated patients were excluded. The result of the study found that the average duration of treatment for adolescent was 30.38 months while that for the adult was 28.83 months. The independent sample t test revealed that there is no clinical significant difference in adolescent and adult patients in duration of orthodontic treatment

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.

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.

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.

Abstract 469: Residential Lifestyle Interventions Reduce Blood Pressure in 18 Days

2016 ◽  
Vol 36 (suppl_1) ◽  
Author(s):  
Francisco E Ramirez ◽  
Jill Siebold ◽  
Linda Ivy ◽  
Kathelyn Antuna ◽  
Albert Sanchez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Linear Trend ◽  
Lifestyle Interventions ◽  
Blood Pressure Medication ◽  
Significant Linear Trend ◽  
Time Points ◽  
Positive Effects ◽  
Significant Difference ◽  
Post Hoc

Background: Tight control of blood pressure can have long term positive effects, non-pharmacological interventions to achieve it are documented in this study. Hypothesis: Vegan diets together with other lifestyle changes can safely decrease blood pressure. Methods: Twelve years of data was used, 1196 patients participated in a lifestyle program in Weimar California. The intervention consisted in whole food plant based diet (WFPD), exercise, sleep hygiene, medical, psychological and spiritual therapies. Treatments of massage and hydrotherapy were also given. A physician monitored the progress of each patient during the 18 days. Blood pressure was measured at baseline, at the end of the first week (time 1) and at the end of the second week (time 2) and at the end of 18 days. Some patients need it to decrease their blood pressure medication during the 18 days. Data was process with SPSS statistics package. Results: From 1196 patients, 764 of them were females. Mean age at baseline was 60.7 SD 15. Both systolic and diastolic blood pressure were reduced throughout treatment. For systolic on average (in mm HG) at baseline: 132.21, at time 1: 125.3, at rime 2: 121.96, at the end : 121.4. For diastolic on average (in mm HG) at baseline: 76.1, time 1: 72.2, time 2: 70.86, at the end : 69.9. A repeated measures ANOVA determined that mean systolic blood pressure differed significantly between time points (F(3,3585) = 69.008, P < .001). Post hoc polynomial contrasts revealed a significant linear trend in the data from start to end (F(1,1195 = 206.474. p<.001, partial η 2 = .14)). A similar pattern was found for diastolic blood pressure. The overall ANOVA found a significant difference in time points (F(3,3585) = 34.738, P < .001). Post hoc polynomial contrasts also showed a significant linear trend (F(1,1195 = 109.031. p<.001, partial η 2 = .08). Participants lost 4.8 pounds on average by the end of the program. Conclusion: WFPD together with lifestyle interventions are associated with a significant reduction of systolic and diastolic blood pressures. Many patients reduced their blood pressure medication. Lifestyle interventions options should be offered to patients with hypertension.

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 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 A comparison of treatment results of adult deep-bite cases treated with lingual and labial fixed appliances

2021 ◽  
Author(s):  
Hande Pamukçu ◽  
Ömür Polat Özsoy
Keyword(s):  
Orthodontic Treatment ◽  
Inclusion Criteria ◽  
Treatment Results ◽  
Lower Incisor ◽  
Deep Bite ◽  
Mandibular Plane ◽  
Number Of Patients ◽  
Significant Difference ◽  
Fixed Appliances ◽  
Lower Incisors

ABSTRACT Objectives To compare the cephalometric treatment results of adult deep-bite cases after labial and lingual fixed orthodontic treatment. Materials and Methods A total of 102 patients underwent lingual orthodontic treatment and complete records were evaluated. The following inclusion criteria were used: patients who had Angle Class I or mild Class II malocclusion; comprehensive orthodontic treatment that did not include intrusion mechanics or any extractions; patients with an initial overbite of more than 3.7 mm. Thirteen patients met the inclusion criteria. These cases were matched with the same number of patients according to age with a labial orthodontic treatment group. Pre- and post-treatment cephalometric radiographs were evaluated. Independent t test or Fisher exact tests were performed to assess the differences between the groups. Results Proclination of the upper incisors was higher in the labial group. Incisor mandibular plane angle (IMPA) showed an increase of 1.2° in the lingual group and 9.7° in the labial group. Lower incisor edge was approximately in a stable sagittal position in the lingual group but significant lower incisor proclination was seen in the labial group. The lower incisors were intruded (-1 mm) in the lingual group but lower incisors were minimally extruded (0.3 mm) in the labial group. No significant difference was found in the movements of upper and lower molars for both groups. Conclusions The nature of lower incisor movement involved less protrusion in lingual orthodontics than the labial treatment. Lingual orthodontic treatment is a better option in adult cases where intrusion of lower incisors without labial tipping is desired.

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