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Navya S, Prashantha G, Sabrish S, Roshan M, Mathew S. Evaluation of the effect of local administration of PRP vs vitamin D3 on the rate of orthodontic tooth movement and the associated external apical root resorption. J Oral Biol Craniofac Res 2022; 12:879-884. [PMID: 36250145 PMCID: PMC9563185 DOI: 10.1016/j.jobcr.2022.09.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 08/01/2022] [Accepted: 09/22/2022] [Indexed: 11/22/2022] Open
Abstract
Background Increased orthodontic treatment duration is associated with iatrogenic risks such as root resorption, white spot lesions etc. Recent research using pharmacological agents to accelerate tooth movement has mostly been conducted on animals and there is no reported research conducted on humans comparing the effects of Vitamin D3 and Platelet Rich Plasma (PRP) in the same subjects using a split mouth technique. Objectives To determine and compare effects of local injection of PRP and Vitamin D3 on the rate of tooth movement. Also, to assess association of external apical root resorption with the use of PRP, Vitamin D3 and compare it to a control group. Materials & methods 11 subjects who diagnosed with Class I bi-maxillary malocclusion and who gave informed consent were recruited in the study. The patients were randomly divided using split mouth design and each quadrant served as either experimental or control group one. At the beginning of retraction phase, Vitamin D3 and PRP were injected to the randomly assigned quadrants while the contralateral side served as a control. The amount of space closure in 4 months was measured from distal surface of canine to mesial surface of 2nd premolar. Root resorption was assessed using CBCT taken at the beginning and at the closure of retraction phase. Results Mean rate of tooth movement was higher in PRP and Vitamin D3 groups compared to their controls. In the PRP group, the increased rate of tooth movement was observed throughout the study interval, but in the Vitamin D3 group it was only seen in first two months. Also, the PRP group demonstrated a higher rate of tooth movement compared to Vitamin D3 group. Root resorption was lesser in both experimental groups. Among the teeth assessed, lateral incisor showed maximum root resorption and canine the least. Conclusions PRP is a more efficient pharmacological agent compared to Vitamin D3 for accelerating tooth movement.
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Affiliation(s)
- S. Navya
- Department of Orthodontics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, New BEL road, MSR Nagar, Bangalore, 560054, Karnataka, India
| | - G.S. Prashantha
- Department of Orthodontics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, New BEL road, MSR Nagar, Bangalore, 560054, Karnataka, India
| | - S. Sabrish
- Department of Orthodontics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, New BEL road, MSR Nagar, Bangalore, 560054, Karnataka, India
| | - M.S. Roshan
- Faculty of Dental Sciences, Department of Orthodontics, Ramaiah University of Applied Sciences, New BEL road, MSR Nagar, Bangalore, 560054, Karnataka, India
| | - S. Mathew
- Department of Orthodontics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, New BEL road, MSR Nagar, Bangalore, 560054, Karnataka, India
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Malaysian Patients’ Expectations of Orthodontic Treatment in Indian Dental Care Set up: A Questionnaire Survey. ScientificWorldJournal 2022; 2022:1549185. [PMID: 36051569 PMCID: PMC9427292 DOI: 10.1155/2022/1549185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 08/03/2022] [Indexed: 11/22/2022] Open
Abstract
Materials and Methods A cross-sectional study was conducted on 349 Malaysian patients (182 females and 167 males) aged 18–30 years. A questionnaire consisting of ten items developed by Sawyers and Newton was administered to the patients who visited the department of Orthodontics seeking orthodontic treatment. Outcome measures. Descriptive analysis of the responses and comparison of male and female expectations. Results Most of the patients expected only a check-up/diagnosis/discussion at their initial appointment, anticipated a fixed type of orthodontic treatment, did not prefer extraction/removal of their teeth, thought the treatment to be painful, and can restrict what they could eat or drink. Positive expectations from the patient included better tooth alignment, enhanced smile, improved confidence, and advancement in professional career. At the same time, nearly half of the patients' assumed speech/mastication does not get affected during the treatment. Moreover, very few patients believed it would be easier to eat/speak/keep their teeth clean after the treatment. Compared to males, more females had significantly anticipated fixed types of orthodontic treatment, thinking the treatment to be painful and restrictive in terms of what they could eat or drink. Most of the females were unsure about the length of the orthodontic treatment and had significantly higher expectations concerning career improvement. Conclusions To meet the varied expectations of each of the patients, effective communication between the orthodontist and the patient is essential.
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Ribeiro MGE, Oliveira EDFF, Pantuzo MCG, Côrtes MIDSG, Andrade I. Cross-cultural adaptation of a questionnaire assessing the child and parents' expectations of orthodontic treatment in Brazil. Dental Press J Orthod 2022; 27:e222083. [PMID: 35703617 PMCID: PMC9191859 DOI: 10.1590/2177-6709.27.2.e222083.oar] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 08/25/2020] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The Sayers and Newton questionnaire was developed in England to assess the child's and parent's expectations about orthodontic treatment. OBJECTIVE The aim of this study was to carry out the cross-cultural adaptation of the questionnaire for the Brazilian Portuguese language, to test its reliability, and to compare patients' and their parents' expectations of orthodontic treatment. METHODS After translation and cross-cultural adaptation, the questionnaire was applied to 98 patients (12-14 years), who had been referred for treatment, and their caregivers. The internal consistency of the instrument was assessed by Cronbach's Alpha Coefficient and the test-retest reliability, by Intraclass Correlation Coefficient (ICC). RESULTS Internal reliability was confirmed by a Cronbach's alpha coefficient of 0.75. Test-retest reliability revealed satisfactory reproducibility (ICC = 0.85). The results showed some significant differences between the expectations of the patients and their caregivers (p < 0.05). There were no significant gender differences (p > 0.05). CONCLUSIONS The process of cross-cultural adaptation of the Sayers and Newton questionnaire for the Brazilian Portuguese was concluded. This study demonstrated that this instrument is reliable and applicable to assess the child's and parent's expectations about orthodontic treatment in Brazil, and it has acceptable psychometric properties.
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Affiliation(s)
- Mariana Gonzaga Erthal Ribeiro
- Pontifícia Universidade Católica de Minas Gerais, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Belo Horizonte/MG, Brazil)
| | | | - Mariele Cristina Garcia Pantuzo
- Pontifícia Universidade Católica de Minas Gerais, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Belo Horizonte/MG, Brazil)
| | - Maria Ilma de Souza Gruppioni Côrtes
- Pontifícia Universidade Católica de Minas Gerais, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Belo Horizonte/MG, Brazil)
| | - Ildeu Andrade
- Medical University of South Carolina, College of Dental Medicine, Department of Orthodontics (Charleston/SC, USA)
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Digumarthi UK, Prakash R. A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index. JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2021. [DOI: 10.1177/03015742211056251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Self-perceived orthodontic treatment need is strongly influenced by what is perceived to be the esthetic norm amongst a community, and reluctance toward treatment amongst adolescents with clinically ascertained malocclusion may often be due to readily remediable factors. Of particular interest is the prevalence of malocclusion amongst such communities as a probable indicator of the role of diet and genetics in establishing a predominant clinical phenotype that may also play a role in the construct of what is perceived as the esthetic norm amongst the community, thereby influencing the self-perceived need for treatment. Studies aimed at evaluating the association between self-perceived esthetics, and self-perceived treatment need have not been performed amongst a population with no prior exposure to orthodontic treatment Objectives: The purpose of this study was to evaluate the self-perceived orthodontic treatment need amongst the tribal adolescents belonging to regions with remote access to orthodontic treatment by way of a verbally assigned index and to also identify the reasons of reluctance toward treatment to better understand how to make orthodontic treatment readily accessible to such populations. Participants, Materials, and Methods: The agency areas of Paderu located at 18.0833°N 82.667°E and Parvathipuram located at 18°46'N 83°25'E are 2 revenue districts of Visakhapatnam and Vizianagaram, respectively, in the state of Andhra Pradesh, India, that are home to various tribal populations with remote access to orthodontic treatment. A total of 2,016 school-going tribal adolescents of the Paderu revenue division and 819 tribal adolescents of the Parvathipuram revenue division were examined to ascertain the prevalence of malocclusion. Necessary consent and permissions were obtained from the tribal authorities, the school authorities, parents, and the institutional ethical clearance committee. The screening was done utilizing natural daylight in compliance with infection prevention and control protocol. Clinical examination aimed at categorizing the observed occlusion into either ideal occlusion or one of the three classes of Angle’s class I, II, and III malocclusions. The Simplified Malocclusion Index For Layperson Evaluation (SMILE) was verbally assigned in the vernacular language while interacting with each child and the findings made note of for calculation of relevant scores related to their orthodontic awareness, self-esteem as related to self-perceived esthetics, and their self-perceived need for treatment. Reasons for reluctance to undergo treatment were noted down if expressed. An initial group of 31 adolescents categorized as presenting with clinical malocclusion were randomly picked up and assigned the SMILE index a second time to assess the reliability of the index by way of Cohen’s kappa statistic. Results: The initial test group of 31 individuals assigned the SMILE twice showed a Cohen’s kappa of 0.93 validating almost perfect intraoperator agreement. The SMILE index revealed that 80.95% of the adolescents of Paderu revenue division had orthodontic awareness and 79.51% had self-perceived esthetics but only 15.97% felt a need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 1,371] = 19.71, P < .001). The Index assigned to the Parvathipuram division revealed that 77.04% had orthodontic awareness and 78.38 had self-perceived esthetics but only 6.95% felt the need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 764] = 4.95, P = .02). Conclusion: The self-perceived need for orthodontic treatment is often based on the self-perceived esthetics of an individual or the self-esteem as influenced by the perceived esthetic norm of the community. Orthodontic treatment of adolescents with borderline malocclusion derangements requires careful ascertaining of the actual perceived need of the patient to enable the rendering of a justifiable orthodontic treatment with the complete trust of the young patient. This helps build community trust in regions where orthodontic treatment has not yet made in roads and may help ensure higher end of treatment satisfaction levels.
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Affiliation(s)
- Uday Kumar Digumarthi
- Department of Orthodontics, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, Andhra Pradesh, India
- Shri Lalitha’s Superspecialty Dental Hospital, Dabagardens, Visakhapatnam, Andhra Pradesh, India
| | - R. Prakash
- Department of Orthodontics, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, Andhra Pradesh, India
- Department, Prosthodontics, Anil Neerukonda Institute of Dental Sciences, Andhra Pradesh, India
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Jopson JL, Ellis PE, Jerreat AS, Kneafsey LC, Moore MB, Day C, Scott JK, Griffiths H, Lee TV, Oliver GR, Fowler PV, Sherriff M, Ireland AJ. Patient reported experiences and treatment outcomes of orthodontic patients treated within secondary care settings in the South West of England during the COVID-19 pandemic. J Orthod 2021; 49:39-47. [PMID: 34240639 DOI: 10.1177/14653125211029959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To assess the impact of the temporary cessation of orthodontic services on patients undergoing treatment during the COVID-19 pandemic. DESIGN Two-phase multicentre service evaluation. SETTING Secondary care orthodontic departments in the South West of England. MATERIALS AND METHODS Phase 1 - Patient-Reported Experience Measure questionnaire (PREM). The questionnaire was distributed to patients who had undergone orthodontic treatment during the COVID-19 pandemic once services had resumed. Phase 2 - assessment of treatment outcomes, specifically with the Peer Assessment Rating (PAR) Index. A total of 280 PAR scores were obtained from a cohort of patients treated before and during the pandemic. RESULTS A total of 711 PREM questionnaires were completed. Participants generally felt relaxed when visiting secondary care settings, orthodontic departments and whilst wearing orthodontic appliances during the pandemic. Nearly 40% of participants were concerned that the pandemic would impact on their treatment, particularly treatment length. Treatment outcomes revealed that patients treated before and during the pandemic experienced percentage PAR score reductions of 83.9% and 80.6%, respectively. Patients receiving treatment during the pandemic experienced longer treatment durations of 126 days. CONCLUSION During the pandemic, low levels of anxiety were reported with respect to receiving orthodontic treatment in secondary care settings. Irrespective of the pandemic, a high standard of orthodontic treatment was provided. However, patient concerns regarding treatment length were justified.
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Affiliation(s)
- Jenifer L Jopson
- Department of Orthodontics, Bristol Dental Hospital, Bristol, UK
| | | | - Amelia S Jerreat
- Department of Orthodontics, Royal Devon and Exeter Hospital, Exeter, Devon, UK
| | - Louise C Kneafsey
- Department of Orthodontics, Royal Devon and Exeter Hospital, Exeter, Devon, UK
| | - Matthew B Moore
- Department of Orthodontics, Royal Devon and Exeter Hospital, Exeter, Devon, UK
| | - Christian Day
- Department of Orthodontics, Bristol Dental Hospital, Bristol, UK
| | - Julia K Scott
- Department of Orthodontics, University Hospitals Plymouth, Plymouth, UK
| | - Helen Griffiths
- Department of Orthodontics, Musgrove Park Hospital, Taunton, Somerset, UK
| | - Tara Vn Lee
- Department of Orthodontics, Royal United Hospitals Bath, Bath, UK
| | - Graham R Oliver
- Department of Orthodontics, Gloucestershire Hospitals, Cheltenham, Gloucestershire, UK
| | - Peter V Fowler
- Department of Orthodontics, Bristol Dental Hospital, Bristol, UK
| | - Martyn Sherriff
- Department of Statistics, Bristol Dental Hospital, Bristol, UK
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Perception of Iraqi Orthodontists and Patients toward Accelerated Orthodontics. Int J Dent 2021; 2021:5512455. [PMID: 34007278 PMCID: PMC8102096 DOI: 10.1155/2021/5512455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 04/15/2021] [Accepted: 04/22/2021] [Indexed: 11/18/2022] Open
Abstract
Background/Purpose. In the literature, no consensus about the duration of orthodontic treatment has been reached out. This study aimed to identify orthodontist's and patient's perception about the time of orthodontic treatment and their willingness to undergo and pay for various acceleration techniques and procedures. Materials and Methods. An electronic survey was conducted from August to October 2020. The questionnaire consisted of 20 multiple choice questions which was designed and emailed to members of the Iraqi Orthodontic Society and self-administered to patients in several orthodontic centers in Baghdad. The questionnaire included questions about the perception toward the duration of orthodontic treatment, approval of different procedures used to reduce treatment time, and how much fee increment they are able to pay for various techniques and appliances. Descriptive and chi-square test statistics were used, and the level of significance was set at p ≤ 0.05. Results. The response rate was 78.7%. The willingness for additional techniques and procedures was rated in the following order: customized appliances: 50.8% orthodontists and 38.4% patients, followed by intraoral vibrating devices: 49.2% orthodontists and 38.1% patients, piezocision: 10.2% orthodontists and 8.2% patients, and corticotomies: 8.1% orthodontists and 5.9% patients. Most orthodontists were willing to pay up to 40% of treatment income for the acceleration procedure, while the payment of patients was up to 20%. Conclusion. Both orthodontists and patients were interested in techniques that can decrease the treatment duration. Noninvasive accelerating procedures were more preferable by orthodontists and patients than invasive surgical procedures.
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Sampson A, Figueiredo DSF, Jeremiah HG, Oliveira DD, Freitas LRP, Chahoud M, Soares RV, Cobourne MT. The effect of social media on patient acceptance of temporary anchorage devices. Angle Orthod 2021; 91:363-370. [PMID: 33461218 DOI: 10.2319/071020-618.1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 10/01/2020] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVES To investigate the relationship between the use of social networking sites (SNSs) on patient perceptions, acceptance, and expectations of treatment using temporary anchorage devices (TADs) and to compare differences between patients from the United Kingdom and Brazil. MATERIALS AND METHODS Cross-sectional questionnaires were administered to 39 participants at orthodontic practices in the United Kingdom and Brazil about patients' use of SNSs, exposure to TADs on SNSs, and thoughts on extractions, jaw surgery, or TADs as treatment options. RESULTS UK patients prefer for clinicians to have SNS profiles (P = .022). Most UK and Brazilian patients want to see their clinician's work online (76.7%) and use SNSs to get information about treatment options (76.6%). There was a statistically significant difference in Brazilian patients' acceptance of TADs as a treatment option compared with UK patients, particularly if it meant avoiding extractions (P = .002), avoiding jaw surgery (P = .004), or reducing treatment time (P = .010). Knowledge of TADs was greater in Brazilian patients (P < .001). CONCLUSIONS Patients use SNSs to obtain information about treatments and prefer clinicians to have social media accounts. Patients exposed to TADs on SNSs are more likely to accept them as an orthodontic treatment option. UK patients have less knowledge of TADs and are therefore less sure to consider TADs as an option. Brazilian patients are more confident in considering the use of TADs. Clinicians should consider increasing their social media presence to accommodate patients' expectations and acceptance of TADs.
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Mandava P, Singaraju GS, Obili S, Nettam V, Vatturu S, Erugu S. Impact of self-esteem on the relationship between orthodontic treatment and the oral health-related quality of life in patients after orthodontic treatment - a systematic review. Med Pharm Rep 2021; 94:158-169. [PMID: 34013186 PMCID: PMC8118222 DOI: 10.15386/mpr-1843] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 11/05/2020] [Accepted: 12/09/2020] [Indexed: 12/11/2022] Open
Abstract
Objective The treatment protocol in the modern health care paradigm has shifted considerably towards enhancing the quality of life in the last decade. This is particularly important in cosmetic and elective treatments, and hence the interest in oral health-related quality of life (OHRQoL) also has increased. OHRQoL always been measured by endogenous, functional, social, or psychological determinants. Self-esteem (SE) is one of the internal factors that affect the perception of malocclusion and hence OHRQoL before and after treatment. The purpose of this review is to assess whether there exists any correlation between the Oral Health-Related Quality of Life, Self-esteem (SE) in patients following orthodontic treatment. Methods A literature search was confined to the English language using Medical Subject Heading terms (MeSH) in PubMed, Cochrane Library, and Ovid® covering the period from January 1, 1951 to May 15, 2020. Search in Google Scholar, grey literature, and hand search on cross-references was performed to find additional data. The studies found to be suitable were selected based on the predefined inclusion and exclusion criteria. The quality of assessment and risk of bias for the included studies were evaluated independently by two invigilators utilizing "The Cochrane Collaboration's tool for assessing the risk of bias" and "Modified version of the Newcastle Ottawa scale" for Randomized Controlled Trials (RCTs) and non-randomized trials respectively. Results A total of 7688 studies were retrieved from all the sources. After screening all the titles and excluding the duplicates, 28 studies were finally included for text review, and all of them were fit for quality appraisal. The design of the final studies included comprised of 3 RCTs, 14 cohort studies, 9 cross-sectional studies, and 2 case-control studies. Conclusion There is moderate evidence to show that fixed orthodontic treatment improves OHRQoL and SE in children. OHRQoL also increased in adolescents and adults. However, there is a weak correlation between SE and OHRQoL. More evidence-based studies are needed to analyze the relationship.
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Affiliation(s)
- Prasad Mandava
- Department of Orthodontics, Narayana Dental College, Nellore, Andhra Pradesh, India
| | | | - Sobitha Obili
- Department of Orthodontics, Narayana Dental College, Nellore, Andhra Pradesh, India
| | - Venkatesh Nettam
- Department of Orthodontics, Narayana Dental College, Nellore, Andhra Pradesh, India
| | - Sasipriya Vatturu
- Department of Orthodontics, Narayana Dental College, Nellore, Andhra Pradesh, India
| | - Seshu Erugu
- Department of Orthodontics, Narayana Dental College, Nellore, Andhra Pradesh, India
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Oral Health Impact Profile in Orthodontic Patients with Ectopic Canine: A Prospective Clinical Intervention of Four Treatment Modalities. Healthcare (Basel) 2021; 9:healthcare9030337. [PMID: 33809808 PMCID: PMC8002425 DOI: 10.3390/healthcare9030337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/11/2021] [Accepted: 03/12/2021] [Indexed: 11/17/2022] Open
Abstract
This study evaluated the oral health-related quality of life (OHRQoL) in Saudi subjects with ectopic canine, severe crowding, and class I normal occlusion. Moreover, we assessed the differences among orthodontic treatment modalities (OTM) in the ectopic canine group. Study design: Retrospective and prospective evaluation. A total of 96 subjects were assessed for OHRQoL using the Oral Health Impact Profile, English version (OHIP-16). Initial comparison of the baseline data of ectopic canine subjects was made with severe crowding (>8 mm) and class I normal occlusion with the matched number and age of the subjects in later groups. Moreover, a comparison of OHIP-16 scores among four OTM in the ectopic canine group, baseline, 1 day, and 28 days after treatment were performed. OHIP-16 scores of ectopic canine, severe crowding, and class I normal occlusion group were 33.06, 33.09, and 26.43, respectively. Subjects with ectopic canine and severe crowding reported a significantly greater negative impact in terms of embarrassment, avoiding smiling, and lack of self-confidence. OHRQoL had no significant changes among the four OTM groups (p > 0.05). Untreated malocclusion had a significant negative impact on OHRQoL. The negative impact was seen in several domains 1 day after treatment, and gradual improvement was noted 28 days after treatment.
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Michelogiannakis D, Gajendra S, Pathagunti SR, Sayers MS, Newton JT, Zhou Z, Feng C, Rossouw PE. Patients' and parents' expectations of orthodontic treatment in university settings. Am J Orthod Dentofacial Orthop 2021; 159:443-452. [PMID: 33568276 DOI: 10.1016/j.ajodo.2020.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2019] [Revised: 01/01/2020] [Accepted: 02/01/2020] [Indexed: 10/22/2022]
Abstract
INTRODUCTION The primary aim was to compare patients' and parents' orthodontic treatment expectations at the Eastman Institute for Oral Health, University of Rochester, Rochester, NY (UR) in the United States. Secondary aims were to assess the association between sociodemographic factors and UR participants' expectations; and compare participants' expectations between UR, Academic Centre for Dentistry Amsterdam (ACTA) and King's College Dental Hospital, London, United Kingdom (KC) (previously published data). METHODS One hundred and forty participants [70 patients and one of their parents (n = 70)] completed a validated questionnaire (10 questions) to measure orthodontic treatment expectations before screening at the Orthodontic Department at UR. Various sociodemographic factors were assessed. The paired t test (for continuous responses) and the Fisher exact test (for categorical responses) were used to compare UR patients' and parents' responses. Two-sample t test and the Fisher exact test were used to compare participants' responses among sociodemographic groups. One-way analysis of variance followed by the Tukey test, and the Fisher exact test were used to compare participants' responses between UR, and ACTA and KC (data collected from previous publications). A multiplicity correction was performed to control the false discovery rate. RESULTS Patients at UR expected less check-up and diagnosis, and less discussion about treatment at the initial visit, more dietary restrictions, and less improvement in smile esthetics and social confidence with orthodontic treatment than parents. Participants' responses differed by sociodemographic factors at UR and between UR, ACTA, and KC. CONCLUSIONS Expectations of orthodontic treatment differ between patients and their parents, are associated with sociodemographic factors, and vary among United States and European University centers.
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Affiliation(s)
- Dimitrios Michelogiannakis
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY.
| | - Sangeeta Gajendra
- Division of Community Dentistry and Oral Disease Prevention, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Srinivasa Reddy Pathagunti
- Division of Community Dentistry and Oral Disease Prevention, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Mark Stewart Sayers
- Orthodontic Department, Queen Mary's Hospital Sidcup, King's College Hospital NHS Foundation Trust, London, United Kingdom
| | - Jonathon Tim Newton
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Zhirou Zhou
- Department of Biostatistics and Computational Biology, University of Rochester, Rochester, NY
| | - Changyong Feng
- Department of Biostatistics and Computational Biology, University of Rochester, Rochester, NY
| | - Paul Emile Rossouw
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
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Hou SY, Zhou W, Dai H, Wong HM, Wen YF, Zhou J. Soft tissue facial changes among adult females during alignment stage of orthodontic treatment: a 3D geometric morphometric study. BMC Oral Health 2021; 21:57. [PMID: 33563265 PMCID: PMC7874451 DOI: 10.1186/s12903-021-01425-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 02/01/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To investigate changes in facial morphology during the first six months of orthodontic treatment among adult females receiving orthodontic treatment. METHODS 43 adult females receiving orthodontic treatment were randomly recruited. 3D facial images were taken at baseline (T0), three months (T1), and six months (T2) after treatment initiation. Spatially dense facial landmarks were digitized to allow for sufficient details in characterization of facial features. 3D geometric morphometrics and multivariate statistics were used to investigate changes in mean and variance of facial shape and facial form associated with treatment. RESULTS We observed statistically significant changes in facial shape across the three treatment stages (p = 0.0022). Pairwise comparisons suggested significant changes from T0 to T1 (p = 0.0045) and from T0 to T2 (p = 0.0072). Heatmap visualization indicated that the buccal and temporal region were invaginated while the labial region became protruded with treatment. The magnitude of shape change was 0.009, 0.004, and 0.010 from T0 to T1, T1 to T2, and T0 to T2, respectively, in unit of Procrustes distance. The average magnitude of change per-landmark was 1.32 mm, 0.21 mm, and 1.34 mm, respectively. Changes in mean facial form were not statistically significant (p = 0.1143). No changes in variance of facial shape were observed across treatment stages (p > 0.05). CONCLUSION Rate of facial changes was twice as fast during the first three months as that during fourth to sixth month. Buccal and temporal region became invaginated while labial region became protruded with treatment.
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Affiliation(s)
- Si Yu Hou
- Stomatological Hospital of Chongqing Medical University China, No. 426 Songshi North Road, Chongqing, China.,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
| | - Wenwen Zhou
- Stomatological Hospital of Chongqing Medical University China, No. 426 Songshi North Road, Chongqing, China
| | - Hongwei Dai
- Stomatological Hospital of Chongqing Medical University China, No. 426 Songshi North Road, Chongqing, China.,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Hai Ming Wong
- Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, China, 34 Hospital Road, Hong Kong, Hong Kong
| | - Yi Feng Wen
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University., No. 98 Xiwu Road, Xi'an, Shaanxi Province, China.
| | - Jianping Zhou
- Stomatological Hospital of Chongqing Medical University China, No. 426 Songshi North Road, Chongqing, China. .,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. .,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China.
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Linjawi AI, Abushal AM. Young Adults' Preferences and Willingness to Pay for Invasive and Non-invasive Accelerated Orthodontic Treatment: A Comparative Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing 2020; 57:46958020963595. [PMID: 33063600 PMCID: PMC7576895 DOI: 10.1177/0046958020963595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
To evaluate the preference of young adult patients and their willingness to pay for the different approaches accessible to accelerate orthodontic tooth movement. A cross-sectional survey was conducted in Jeddah, Saudi Arabia from September to December 2019. Young adult orthodontic patients from 18 to 45 years old were interviewed via online survey regarding their perception to the extent of treatment, acceptability of non-invasive (customized appliances and medications) and invasive (surgery) approaches accessible to accelerate orthodontic treatment and increase in fees they were willing to pay. Statistical analyses were performed, and gender difference was calculated at P < .05. There are 100 respondents: 70% aged between 18 to 25, 50% male, and 56% with annual income <10 000 SR. About 72% of the respondents decided that treatment takes longer period and 51% wished it would last for less than 6 months. Customized appliances were reported to be the most convenient to use (58%) and to pay (44%), followed by medications (48%). On the other hand, surgery was reported to be the most inconvenient to use (58%) and to pay for (55%). About 70% of the respondents were unwilling to pay more than 10% to 20% for all procedures assessed; considerable variation was not observed in responses between gender at 95% confidence level. Majority of the respondents believed that orthodontic treatment is taking lengthy duration. Less invasive, nonsurgical techniques and procedures were more preferred. Likewise, financial factors play vital role in the selection of their preferred approach. Most of them agrees to provide up to 20% increment of the fee for additional procedures.
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Affiliation(s)
- Amal I Linjawi
- Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Amal M Abushal
- Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Sayers MS, Cunningham SJ, Newton JT. How do you identify the patient with 'high expectations' of orthodontic treatment: An empirical approach. J Orthod 2020; 47:289-293. [PMID: 32662318 DOI: 10.1177/1465312520939970] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To identify an empirical method for identifying patients with 'high expectations' of orthodontic treatment with fixed appliances using a questionnaire-based approach. DESIGN Secondary analysis of data from four studies which collected data on patients' expectations of orthodontic treatment using the same questionnaire. SETTING Secondary care orthodontic services. PARTICIPANTS All four datasets comprised new patients aged 12-15 years, with no history of orthodontic treatment, who fulfilled the criteria for NHS treatment using the Index of Orthodontic Treatment Need (IOTN). Unpublished dataset 1 comprised 100 participants, while dataset 2 had 70 participants, dataset 3 had 67 participants and dataset 4 comprised 40 participants. METHODS The questionnaire utilised in all studies had a question which asked respondents to rate seven different expectations of outcome relating to straight teeth, better smile, ease of eating, speaking, cleaning teeth, improved career prospects and social confidence. Dataset 1 was analysed to determine the proportion of patients who had rated all seven outcome expectation items at a maximum score. Similar analyses were performed for the other three datasets to explore the trend in the proportion of patients with high expectations over time. RESULTS For dataset 1, 2.0% of participants had high expectations, as defined by their scores on the questionnaire. The proportions for the datasets 2, 3 and 4 were 4.0%, 4.5% and 2.5%, respectively. CONCLUSION The method outlined provides an empirical basis for identifying patients with statistically infrequent high expectations. This can potentially help clinicians in the management of such patients.
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Affiliation(s)
- Mark S Sayers
- Department of Orthodontics, Queen Mary's Hospital, Sidcup, King's College Hospital NHS Foundation Trust/King's College, London, UK
| | - Susan J Cunningham
- Department of Orthodontics, University College London, Eastman Dental Institute, London, UK
| | - J Tim Newton
- Centre for Oral, Clinical and Translational Sciences, King's College London, London, UK
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Cotrin P, Peloso RM, Oliveira RC, de Oliveira RCG, Pini NIP, Valarelli FP, Freitas KMS. Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthod Craniofac Res 2020; 23:455-461. [PMID: 32449999 PMCID: PMC7283847 DOI: 10.1111/ocr.12395] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/11/2020] [Accepted: 05/18/2020] [Indexed: 12/21/2022]
Abstract
Objective To evaluate the impact of the coronavirus pandemic and the quarantine in orthodontic appointments, and patients' anxiety and concerns about their ongoing orthodontic treatment. Settings and sample population Patients from private dental clinics of two orthodontists that were undergoing active orthodontic treatment. Material and methods An online anonymous questionnaire regarding their anxiety about the coronavirus situation, availability/acceptance to attend an appointment, among others, was answered by orthodontic patients. Descriptive statistics with percentages was performed and responses were compared between sexes, cities, and association of the feelings/level of anxiety of patients and willingness to attend an appointment were performed with chi‐square, independent t test, one‐way ANOVA and Tukey's tests. Results The questionnaire was answered by 354 patients (231 female; 123 male) with mean age of 35.49 years. Most patients are respecting the quarantine, 44.7% related to be calm and 46.3% afraid or anxious. The level of anxiety was greater for females than males. There was significant association of the level of anxiety and the willingness to attend an appointment. The greatest concern of patients was delay in the end of treatment. Conclusion The quarantine and coronavirus pandemic showed to have impact on orthodontic appointments and patients’ anxiety. Patients willing to attend an orthodontic appointment presented significantly lower level of anxiety than patients that would not go or would go only in urgency/emergency. Females were more anxious than males about coronavirus pandemic, quarantine and impact on their orthodontic treatments. Delay in treatment was the greatest concern of patients undergoing orthodontic treatment.
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Affiliation(s)
- Paula Cotrin
- Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.,Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil
| | | | | | | | | | | | - Karina Maria Salvatore Freitas
- Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.,Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil
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Abstract
OBJECTIVES To qualitatively explore, and analyse, patients' expectations before the start of fixed appliance orthodontic treatment and determine whether typologies exist. DESIGN A prospective cross-sectional qualitative study, which involved 13 patients (aged 12-15 years). SETTING NHS Hospital Orthodontic Department (UK). MATERIALS AND METHODS In-depth interviews were conducted with patients who consented to participate before the start of fixed appliance orthodontic treatment. The in-depth interview data were transcribed and then managed using a framework approach, followed by associative analysis. RESULTS The in-depth interviews revealed two major themes and associated subthemes which were: first, patients' expectations about the treatment process and outcome; and second, patients' expectations of themselves during and after treatment. Three typologies related to patients' expectations of the orthodontic treatment process were also identified. The first group of participants had minimal expectations of the treatment process, did not anticipate discomfort or pain and did not anticipate that treatment would cause disruption to their daily life. The second group of participants had expectations that treatment would involve arch wire changes, dental extractions and result in some discomfort/pain, which would cause some limited disruption to their daily life (moderate expectations). The third type of participant had expectations of the treatment process involving arch wire changes and dental extractions, and anticipated that the discomfort and pain experienced would significantly affect their daily life (marked expectations). CONCLUSIONS These results provide the clinician with information about patient typologies and provide the clinician with some direction when communicating with their patients and managing their expectations before the start of treatment.
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Affiliation(s)
- Mark S Sayers
- Department of Orthodontics, King's College Hospital NHS Foundation Trust/King's College, London, UK
| | - Susan J Cunningham
- Department of Orthodontics, University College London Eastman Dental Institute, London, UK
| | - Tim J Newton
- Centre for Oral, Clinical and Translational Sciences, King's College London, London, UK
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Yassir YA, McIntyre GT, Bearn DR. The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: an overview of systematic reviews. Eur J Orthod 2019; 42:223-230. [DOI: 10.1093/ejo/cjz043] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
SummaryBackgroundPatient perception with fixed appliance orthodontic treatment is important to improve oral health-related quality of life.ObjectiveThe main objective of this study was to evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after the treatment.Search methodsRelevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database; 1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018), and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.Selection criteriaOnly studies investigating patient perception of fixed appliance orthodontic treatment were included.Data collection and analysisScreening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)], and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.ResultsA total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were as follows: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist–patient–parent is important to achieve patient compliance and satisfaction.ConclusionsThere is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment but improves in the later stages of treatment. Assessment before, during, and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.Trial registrationCRD42019122653.Conflict of InterestNone to declare.
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Affiliation(s)
- Yassir A Yassir
- Orthodontic Department, College of Dentistry, University of Baghdad, Iraq
- Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - Grant T McIntyre
- Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - David R Bearn
- Orthodontic Department, School of Dentistry, University of Dundee, UK
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Sohrabi A, Tahamtan S, Rafighi A, Moslemzadeh SH, Seyedshariatdoost S. Patient-centered evaluation of alignment changes during the first stage of orthodontic treatment: A longitudinal observational study. J Dent Res Dent Clin Dent Prospects 2019; 13:75-82. [PMID: 31217923 PMCID: PMC6571523 DOI: 10.15171/joddd.2019.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 03/15/2019] [Indexed: 11/09/2022] Open
Abstract
Background. The aim of this longitudinal observational study was to evaluate patients’ perceptions of alignment changes during the first stage of fixed orthodontic treatment. Methods. Ninety-three non-extraction patients (mean age: 17.6 years) who were scheduled to undergo fixed-appliance treatment in the first author's private office were included. Patients assessed the alignment of their teeth subjectively using visual analogue scale at the bonding session and four, eight and 12 weeks later. The amount of Little's irregularity index at each session was calculated on stone casts. Freidman test was used to compare the "alignment changes" between different intervals. Correlation coefficients were calculated using Spearman test between Little’s irregularity indices and alignment scores reported by the patients in each session. Results. No patients reported regression in alignment changes during three-month course of treatment. The final changes (from bonding session to the 12th-week visit) were smaller than the sum of the three intervals, which indicated that patients became more perceptive as the treatment progressed. Comparison of two scores reported for each session (in the same session and in the next session) revealed that patients could not recall their previous situation well. Patients do not perceive alignment changes in the same way as clinicians. Furthermore, patients who were 16 or older perceived smaller alignment changes during the first four-week period and smaller final alignment changes. Conclusion. To obtain better patient compliance and improve their motivation throughout orthodontic treatment, patientspecific measures should be undertaken, including reminding them about their initial conditions and highlighting the changes as the treatment progresses.
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Affiliation(s)
- Aydin Sohrabi
- Aydin Sohrabi, Associate Professor, Department of Orthodontics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shabnam Tahamtan
- Shabnam Tahamtan, Assistant Professor, Department of Orthodontics, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Rafighi
- Ali Rafighi, Associate Professor, Department of Orthodontics, Tabriz University of medical sciences, Tabriz, Iran
| | - Seyed Hossein Moslemzadeh
- Seyed Hossein Moslemzadeh, Assistant Professor, Department of Orthodontics, Tabriz University of medical sciences, Tabriz, Iran
| | - Sana Seyedshariatdoost
- Sana Seyedshariatdoost, Dentistry Student, Faculty of Dentistry, Tabriz University of Medical Sciences, Iran
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Geoghegan F, Birjandi AA, Machado Xavier G, DiBiase AT. Motivation, expectations and understanding of patients and their parents seeking orthodontic treatment in specialist practice. J Orthod 2019; 46:46-50. [DOI: 10.1177/1465312518820330] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: To determine patient and parent/guardian motivation, expectation and understanding of orthodontic treatment. Design: A self-completion questionnaire survey of new patients referred for orthodontic assessment. Setting: Specialist practices in Surrey and Berkshire (United Kingdom). Participants: A total of 500 questionnaires were issued (250 were issued to patients and 250 to parents). Methods: The survey was based on a self-completed questionnaire which was issued at the assessment appointment. Both questionnaires were adapted and extended from originally validated questionnaires previously used in a hospital setting. Patients and parents were asked to complete separate anonymous questionnaires. The patient questionnaire consisted of 24 closed-ended questions divided into three domains: motivation; understanding; and expectation of orthodontic treatment. The parent questionnaire consisted of 13 questions covering the same three domains Results: The response rate for the patient and parent questionnaires was 95% and 91%, respectively. Forty-seven percent of the patients were aged 11–13 years. In 77% of cases, the referral was initiated by their dentist. Only 3% of patients thought there was nothing wrong with their teeth. There was a poor understanding of what a retainer is and for how long patients are expected to use it. Conclusions: Referral for orthodontic treatment was initiated by the patients’ general dental practitioner in the majority of the cases. The anticipation of improved dental appearance was a prime motivating factor. Participants had realistic expectations and there was a good acceptance of appliances and dental extractions for orthodontic treatment. Nevertheless, both patients and parents/guardians were less well informed on the nature and duration of orthodontic retention.
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Affiliation(s)
- Finn Geoghegan
- Specialist Orthodontic Practice, Dublin, Ireland
- Centre for Craniofacial and Regenerative Biology (CCRB), King’s College London Dental Institute, London, UK
| | - Ana Ahmadi Birjandi
- Centre for Craniofacial and Regenerative Biology (CCRB), King’s College London Dental Institute, London, UK
| | - Guilherme Machado Xavier
- Centre for Craniofacial and Regenerative Biology (CCRB), King’s College London Dental Institute, London, UK
| | - Andrew T DiBiase
- Department of Orthodontics, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent, UK
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Linjawi AI, Abushal AM, Al-Zahrani AM, Bakhamis BA. Patients' Perceptions To Reduced Orthodontic Treatment Time In Saudi Arabia. Patient Prefer Adherence 2019; 13:1973-1981. [PMID: 31819379 PMCID: PMC6875266 DOI: 10.2147/ppa.s222181] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Accepted: 10/19/2019] [Indexed: 12/13/2022] Open
Abstract
PURPOSE To evaluate patients' perceptions regarding orthodontic treatment duration, cost, and willingness to undergo different procedures and techniques available to accelerate orthodontic tooth movement in Saudi Arabia. PATIENTS AND METHODS A cross-sectional survey was conducted in Saudi Arabia from January to March 2019. Patients from multiple centers were electronically surveyed regarding their perception of orthodontic treatment duration, acceptance of appliances and techniques available to shorten the duration of orthodontic treatment, and how much increase in fees they were willing to pay for those appliances and techniques. Descriptive and group comparison statistics were conducted, and the significance level was set at p<0.05. RESULTS The response rate was 200/400 (50%): 50.5% were (>18-25 years old), 67.5% female, 80% Saudi, 67.5% self-pay and 52% with annual income <10,000 SR. A total of 83% of the participants agree that orthodontic treatment takes too long, and 55.5% wish it takes less than 6 months. The preferences for additional procedures were ranked in the following order: customized wires ranked 1 by 52.5%, followed by FDA (Food & Drug Administration) approved teeth vibrators by 40.5%, FDA approved drug injections by 33.5%, piezocision by 32.5%, and corticotomies by 46% of the participants. No significant differences in ranking between the groups according to age and annual income (p>0.05). 47.5% of the participants were able to pay for additional procedures. An increase in treatment fees was reported for up to (30-40%) for FDA approved teeth vibrators by 59% of the participants, followed by FDA approved drug injections by 33% of the participants. A significant difference in responses between the groups was reported according to gender and annual income (p<0.05). CONCLUSION Most of the patients strongly agreed that orthodontics treatment takes too long. The highest percentages of patients perceived customized wires as the most acceptable technique to undergo to shorten orthodontic treatment duration, followed by teeth vibrators.
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Affiliation(s)
- Amal I Linjawi
- Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah21589, Saudi Arabia
- Correspondence: Amal I Linjawi Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah21589, Saudi ArabiaTel +966 504155573 Email
| | - Amal M Abushal
- Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah21589, Saudi Arabia
| | - Amal M Al-Zahrani
- Undergraduate Program, Faculty of Dentistry, King Abdulaziz University, Jeddah21589, Saudi Arabia
| | - Bushra A Bakhamis
- Undergraduate Program, Faculty of Dentistry, King Abdulaziz University, Jeddah21589, Saudi Arabia
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Abreu LG, Dos Santos TR, Melgaço CA, Abreu MHN, Lages EMB, Paiva SM. Impact of orthodontic treatment on adolescents' quality of life: a longitudinal evaluation of treated and untreated individuals. Qual Life Res 2018. [PMID: 29532318 DOI: 10.1007/s11136-018-1830-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE To assess the impact of fixed appliance therapy on the quality of life of a cohort of Brazilian adolescents. METHODS The treatment group was composed of individuals who started orthodontic treatment. The control group was composed of individuals not selected for immediate treatment. Adolescents answered the Brazilian short form of the Child Perceptions Questionnaire (CPQ11-14). Higher scores indicate a greater negative impact on quality of life. Adolescents in the treatment group completed four sets of interviews: prior to appliances' bonding (T1), 1 month (T2), 6 months (T3) and 12 months (T4) after appliances' placement. Adolescents in the control group were assigned to a comparable schedule. Statistics included inter-group comparisons, Friedman and Wilcoxon tests, and mixed-effects models. RESULTS In the treatment group, the functional limitation score was higher at T1 (p = 0.004) and T2 (p = 0.007) compared to T4. The emotional well-being score was higher at T1 compared to T2 (p < 0.001), T3 (p < 0.001) and T4 (p < 0.001). The overall CPQ11-14 score was higher at T1 compared to T2 (p = 0.005), T3 (p < 0.001) and T4 (p < 0.001). The overall CPQ11-14 score was also higher at T2 compared to T3 (p = 0.001). No significant change was found in the control group. In the mixed-effects models, the interaction between group (treatment) and time was significant for functional limitations (p < 0.001), emotional well-being (p < 0.001), social well-being (p = 0.004) and the overall CPQ11-14 score (p < 0.001). CONCLUSION Quality of life improved among adolescents undergoing orthodontic treatment. Orthodontists should inform patients what they might expect regarding the physical and the psychosocial repercussions of appliance therapy.
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Affiliation(s)
- Lucas Guimarães Abreu
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
| | - Thiago Rezende Dos Santos
- Department of Statistics, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil
| | - Camilo Aquino Melgaço
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil
| | - Mauro Henrique Nogueira Abreu
- Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil
| | - Elizabeth Maria Bastos Lages
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, 31270-901, Brazil
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Obilade OA, da Costa OO, Sanu OO. Les attentes de patients/parents face au traitement orthodontique. Int Orthod 2017; 15:82-102. [DOI: 10.1016/j.ortho.2016.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
BACKGROUND Expectations of orthodontic treatment may differ between the patient and their parents, as the parents' expectations may not reflect those of the child. OBJECTIVES The aim of this study, therefore, was to determine the expectations of patients and their parents. MATERIALS AND METHODS This was a clinic-based, comparative, cross-sectional study involving 110 patients aged between 10 and 19 years, as well as their accompanying parents or guardians. The expectations of both patients and parents were determined using a questionnaire developed by Sayers and Newton. RESULTS Results showed that the expectations of the patients and parents differed significantly in a number of areas with the parents' expectations often exceeding those of the patients. Both patients and parents were found to be ignorant about some aspects of orthodontic treatment, with 47.3% of patients and 39.1% of parents unaware of the duration of orthodontic treatment and, as such, requiring information from their clinicians. CONCLUSION The results highlight the importance of patient education and counseling as well as the need to focus on the individual patient and not assume that their expectations mirror those of the accompanying parent.
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Affiliation(s)
- Omolara Abiodun Obilade
- Department of Child Dental Health, Lagos University Teaching Hospital, Lagos, PMB 12003, Idi-Araba, Lagos, Nigeria.
| | - Oluranti Olatokunbo da Costa
- Department of Child Dental Health, Faculty of Dental Sciences, College of Medicine University of Lagos, PMB 12003, Idi-araba, Lagos, Nigeria
| | - Oluwatosin Oluyemi Sanu
- Department of Child Dental Health, Faculty of Dental Sciences, College of Medicine University of Lagos, PMB 12003, Idi-araba, Lagos, Nigeria
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Hardwick LJ, Sayers MS, Newton JT. Patient's expectations of lingual orthodontic treatment: a qualitative study. J Orthod 2017; 44:21-27. [PMID: 28142399 DOI: 10.1080/14653125.2017.1281868] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To investigate patients' expectations of lingual orthodontic treatment. DESIGN In-depth interviews were conducted. A framework analysis was carried out to identify themes, concepts and a typology. SETTING Two secondary care hospital departments and four primary care orthodontic practices, UK. MATERIALS AND METHODS Fifteen new orthodontic patients aged 16-60 years participated in the interviews. All interviews were transcribed verbatim and analysed using framework analysis, including identification of themes within the responses, and typologies of respondents. RESULTS Patients seeking lingual orthodontics reported expectations that were similar in quality but different in extent to those seeking labial orthodontics. These patients were well informed about lingual orthodontic treatment before they decide to start treatment. Two typologies were identified. Firstly, males less than 30 years of age, undergoing changes in their lives, who were confident that they wanted a hidden brace, but were not entirely sure of the specifics of the system. Secondly, females aged 30-45, who request a hidden brace and had actively researched what particular systems were available. CONCLUSIONS This study shows that patients requesting lingual orthodontics have expectations that are similar in quality but greater in extent when compared to those seeking labial orthodontics.
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Affiliation(s)
| | - Mark S Sayers
- b Orthodontic Department , Queen Mary's Hospital, Sidcup, King's College Hospital NHS Foundation Trust , UK
| | - J Timothy Newton
- c Dental Institute , King's College London, Guy's Hospital , London , UK
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Alzoubi EE, Hariri R, Mulligan K, Attard N. An evaluation of oral health-related quality of life in orthodontic patients treated with fixed and twin blocks appliances. J Orthod Sci 2017; 6:65-70. [PMID: 28546959 PMCID: PMC5433106 DOI: 10.4103/jos.jos_124_16] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To study the impact of orthodontic treatment on the quality of life in two patient groups, one treated with the twin block appliance and the other with fixed appliances. MATERIALS AND METHODS Ninety-eight patients, aged between 10 and 16 years, were recruited in the fixed (20 males and 29 females) or functional (29 males and 20 females) treatment groups. The oral health-related quality of life (OHRQoL) was measured before treatment and followed up at the end of the treatment. The instrument used to measure OHRQoL was a modified self-administered short version of the English Oral Health Impact profile (OHIP-16[E]) questionnaire. RESULTS OHRQoL worsened at the initial stages of the treatment. The overall score of OHRQoL reduced significantly at the end of the treatment in both groups. Both groups showed comparable improvements in OHRQoL as the treatment progressed (analysis of variance test P = 0.05). CONCLUSIONS The OHRQoL patterns, during the treatment with fixed and twin block appliances, were very similar. This suggests that the functional appliance's impact on the QoL may be overestimates by clinicians. OHRQoL improved significantly with both fixed and functional appliances by the end of the treatment. The OHRQoL trends observed during the study can be communicated to patients and used to increase patients' compliance since they are made aware of the whole treatment process.
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Affiliation(s)
- Emad Em Alzoubi
- Department of Dental Surgery, Faculty of Dental Surgery, University of Malta Medical School, Mater Dei Hospital, Malta
| | - Racha Hariri
- Department of Dental Surgery, Faculty of Dental Surgery, University of Malta Medical School, Mater Dei Hospital, Malta
| | - Kevin Mulligan
- Department of Dental Surgery, Faculty of Dental Surgery, University of Malta Medical School, Mater Dei Hospital, Malta
| | - Nikolai Attard
- Department of Dental Surgery, Faculty of Dental Surgery, University of Malta Medical School, Mater Dei Hospital, Malta
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Gassem AB, Foxton R, Bister D, Newton T. Development of a measure of hypodontia patients’ expectations of the process and outcome of combined orthodontic and restorative treatment. J Dent 2016; 55:114-120. [DOI: 10.1016/j.jdent.2016.10.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 10/10/2016] [Accepted: 10/19/2016] [Indexed: 10/20/2022] Open
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Marshman Z, Eddaiki A, Bekker HL, Benson PE. Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances. J Orthod 2016; 43:276-287. [DOI: 10.1080/14653125.2016.1241943] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Yao J, Li DD, Yang YQ, McGrath CPJ, Mattheos N. What are patients' expectations of orthodontic treatment: a systematic review. BMC Oral Health 2016; 16:19. [PMID: 26884053 PMCID: PMC4756524 DOI: 10.1186/s12903-016-0182-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Accepted: 02/09/2016] [Indexed: 11/24/2022] Open
Abstract
Background What patients expect to happen during treatment or benefit from the treatment might influence the subsequent factors such as treatment outcome, patient satisfaction, patient’s cooperation as well as compliance. The aim of this systematic review is to assess the role of patients’ expectations from orthodontic treatment. Methods A systematic literature search of four databases Pubmed, Cochrane, Web of Science and PsychINFO was conducted following PRISMA guidelines. Studies reporting expectations regarding orthodontic treatment were selected and a narrative review was conducted. The quality of study was rated according to STROBE statements and the methodology as well as key findings were summarized. Results Thirteen studies (14 papers) were finally included for analysis. Among them, only one was a randomized control trial, while the rest included one cohort study, two questionnaire-developments and ten cross-sectional studies. The STROBE quality of reporting scores of the studies ranged from 12 to 18. Seven papers described expectations of the treatment experiences, along with seven talking about benefit expectations from the treatment. Dental appearance and function improvement were most expected in studies relate to the treatment benefits. Conclusions Orthodontics appears to have adopted various standardized questionnaires. However, most of them are poor in the quality of methodology and results analyses, which prohibit synthesizing sufficient evidence to help identify which factors influence patient expectations. The evidence of “expectations” affecting treatment outcomes is not found in current research. Future studies are needed to better understand the impact of “expectation” on the treatment both theoretically and experimentally. Electronic supplementary material The online version of this article (doi:10.1186/s12903-016-0182-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Jie Yao
- Department of Oral Rehabilitation, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital 4/F, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China.
| | - Dan-Dan Li
- Department of Orthodontics, School of Dentistry, Nanjing Medical University, HanZhong Road 140, NanJing, 210029, China
| | - Yan-Qi Yang
- Department of Orthodontics, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital 2/F, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China
| | - Colman Patrick Joseph McGrath
- Department of Periodontology and Public Health, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital 3/F, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China
| | - Nikos Mattheos
- Department of Oral Rehabilitation, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital 4/F, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China
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Kazancı F, Aydoğan C, Alkan Ö. Patients' and parents' concerns and decisions about orthodontic treatment. Korean J Orthod 2016; 46:20-6. [PMID: 26877979 PMCID: PMC4751297 DOI: 10.4041/kjod.2016.46.1.20] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 06/03/2015] [Accepted: 06/23/2015] [Indexed: 11/12/2022] Open
Abstract
Objective Patients' and parents' expectations are important in orthodontic treatment decision making. The literature generally demonstrates the perceived benefits of orthodontic treatment, but patients' and their parents' concerns about orthodontic treatment have not been investigated comprehensively. The aim of this study was to identify patients' and parents' concerns about orthodontic treatment and compare them according to sex, age, and treatment demand level. Methods One hundred and eighty-nine children and their parents were interviewed about concerns related to orthodontic treatment. Patients and parents were asked about orthodontic treatment decisions. Answers were recorded as "yes," "no," or "don't know." Chi-squared and Fisher's exact tests were used to compare concerns between age groups, sexes, and treatment demand levels. Kappa statistics were used to assess agreement between patients and their parents. Results Concerns about orthodontic treatment were gathered under 10 items as follows: "feeling pain," "the appearance of braces," "being teased," "avoiding smiling," "speech problems," "dietary changes," "problems with transportation," "economic problems," "long treatment duration," and "missing school." There was no statistically significant difference in concerns between the sexes or age groups. Some concern items and treatment demand were inversely related in patients. Conclusions The results of this study demonstrate patients' and parents' concerns about orthodontic treatment. Differences between the concerns of patients with different treatment demands imply that children might reject orthodontic treatment because of their concerns. Appropriate consultation of patients addressing their concerns may help reduce anxiety and improve the acceptance of treatment.
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Affiliation(s)
- Fatih Kazancı
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
| | - Cihan Aydoğan
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
| | - Özer Alkan
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
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Minimally Invasive Techniques to Accelerate the Orthodontic Tooth Movement: A Systematic Review of Animal Studies. BIOMED RESEARCH INTERNATIONAL 2015; 2015:608530. [PMID: 26881201 PMCID: PMC4735979 DOI: 10.1155/2015/608530] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Accepted: 12/06/2015] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To evaluate various noninvasive and minimally invasive procedures for the enhancement of orthodontic tooth movement in animals. MATERIALS AND METHODS Literature was searched using NCBI (PubMed, PubMed Central, and PubMed Health), MedPilot (Medline, Catalogue ZB MED, Catalogue Medicine Health, and Excerpta Medica Database (EMBASE)), and Google Scholar from January 2009 till 31 December 2014. We included original articles related to noninvasive and minimally invasive procedures to enhance orthodontic tooth movement in animals. Extraction of data and quality assessments were carried out by two observers independently. RESULTS The total number of hits was 9195 out of which just 11 fulfilled the inclusion criteria. Nine articles were good and 5 articles were moderate in quality. Low level laser therapy (LLLT) was among the most common noninvasive techniques whereas flapless corticision using various instruments was among the commonest minimally invasive procedures to enhance velocity of tooth movement. CONCLUSIONS LLLT, low intensity pulsed ultrasound (LIPUS), mechanical vibration, and flapless corticision are emerging noninvasive and minimally invasive techniques which need further researches to establish protocols to use them clinically with conviction.
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Nagarajappa R, Ramesh G, Sandesh N, Lingesha RT, Hussain MAZ. Impact of fixed orthodontic appliances on quality of life among adolescents' in India. J Clin Exp Dent 2015; 6:e389-94. [PMID: 25593662 PMCID: PMC4282907 DOI: 10.4317/jced.51651] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Accepted: 06/06/2014] [Indexed: 11/05/2022] Open
Abstract
Context: Malocclusion can seriously impair quality of life and they may affect various aspects of life, including function, appearance, interpersonal relationships and even career opportunities.
Objectives: To assess and determine various factors that may influence the impact of orthodontic treatment on the quality of life of adolescents.
Study Design: Cross sectional study in adolescents of Moradabad was conducted on 109 males and 113 females (n=222) adolescents having a fixed orthodontic appliance, aged 13 to 22 years (mean 17.5±1.5). A pre-structured questionnaire designed by Mandall et al, with nine conceptual impact sub-scales to highlight the problem faced by the patient in daily life after wearing the appliance was used to collect the data. Unpaired t-test was used to determine the statistical significance and the influence of variables were analysed using multiple linear regression analysis.
Results: Factors which demonstrated high impact were oral hygiene (Mean=3.42; SD=0.78) followed by time constraints (Mean=3.23; SD=0.72) and physical impact (Mean=3.00; SD=0.61). Gender difference showed statistical significance in social impact (p=0.009), time constraints (p=0.001) and travel or cost implications (p=0.009). Internal reliability of the questionnaire ranged from low to good (Cronbach’s alpha 0.29-0.81). Test-retest reliability ranged from an intra-class correlation coefficient 0.09-0.42.
Conclusions: Patients who had been comprehensively informed about their treatment had greatest levels of satisfaction and compliance with treatment. Younger patients showed an earlier adaptation to treatment with fixed appliances which influenced the treatment to be started at the earliest possible age.
Key words:Impact, malocclusion, quality of life.
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Affiliation(s)
- Ramesh Nagarajappa
- MDS, Professor and Head. Department of Public Health Dentisty, Rama Dental College and Hospital, A-1/8, Lakhanpur, Kanpur - 208024, Uttar Pradesh, India
| | - Gayathri Ramesh
- MDS, Associate Professor. Department of Oral and Maxillofacial Pathology, Rama Dental College and Hospital, A-1/8, Lakhanpur, Kanpur - 208024, Uttar Pradesh, India
| | - Nagarajappa Sandesh
- MDS, Associate Professor. Department of Public Health Dentistry, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Ravishankar-Telgi Lingesha
- MDS, Associate Professor. Department of Public Health Dentistry, Kothiwal Dental College and Hospital, Kanth Road, Moradabad, Uttar Pradesh, India
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Abstract
OBJECTIVE To investigate if the orthodontic treatment expectations of Black British children and their primary carers vary compared with White British children and their primary carers. SETTING A hospital orthodontic department (Queen Mary's Hospital, Sidcup, London, UK). PARTICIPANTS Patients and their accompanying primary carers who had not received fixed orthodontic appliance treatment and were aged between 12 and 14 years old. METHOD Informed consent was obtained from 100 patients and their primary carers, who completed a psychometrically validated questionnaire, to measure their expectations before a new patient orthodontic consultation. This cohort consisted of 50 Black British patients and their primary carers and 50 White British patients and their primary carers. RESULTS Mean responses from patients and their primary carers for each ethnic group were compared using the independent groups t-test. Significant statistical differences were found between the two ethnic groups. The greatest statistical differences occurred between Black British patients and their primary carer and Black British primary carers and White British primary carers. Patients tended to have similar orthodontic expectations. There were no statistical significant differences in expectations between White British children and their primary carers. CONCLUSION Differences in expectations of orthodontic treatment were more common between Black British and White British primary carers, than their children. White British primary carers had higher expectations at their child's initial appointment and expected dental extractions to be part of the orthodontic treatment plan. These differences have some implications for the provision of orthodontic care. A clinicians understanding of patients and their primary carer's expectations at the start of treatment can help in the quality and delivery of orthodontic care provided.
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Hiemstra R, Bos A, Hoogstraten J. Patients’ and parents’ expectations of orthodontic treatment. J Orthod 2014; 36:219-28. [DOI: 10.1179/14653120723247] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Nasr IH, Sayers M, Newton T. Do patient information leaflets affect patients’ expectation of orthodontic treatment? A randomized controlled trial. J Orthod 2014; 38:257-68. [DOI: 10.1179/14653121141614] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Newton JT, Cunningham SJ. Great expectations: What do patients expect and how can expectations be managed? J Orthod 2014; 40:112-7. [DOI: 10.1179/1465313312y.0000000038] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Bekker HL, Luther F, Buchanan H. Developments in making patients’ orthodontic choices better. J Orthod 2014; 37:217-24. [DOI: 10.1179/14653121043119] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Patients', parents', and orthodontists' perceptions of the need for and costs of additional procedures to reduce treatment time. Am J Orthod Dentofacial Orthop 2014; 145:S65-73. [DOI: 10.1016/j.ajodo.2013.12.015] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2013] [Revised: 12/01/2013] [Accepted: 12/01/2013] [Indexed: 01/01/2023]
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Banks P, Elton V, Jones Y, Rice P, Derwent S, Odondi L. The use of fixed appliances in the UK: a survey of specialist orthodontists. J Orthod 2010; 37:43-55. [PMID: 20439926 DOI: 10.1179/14653121042867] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE To investigate the use of fixed appliances in the UK. DESIGN Prospective postal questionnaire. SETTING UK. PARTICIPANTS All members of the General Dental Council Specialist List in Orthodontics still in active practice and not in training posts. METHOD A preemptive letter of explanation was sent inviting orthodontists to participate in the survey. The questionnaire was subsequently posted to 935 specialists. Data analysis investigated differences in clinical practice related to varying provider groups, level of operator experience and geographical region. RESULTS The response rate achieved was 66.3%. A majority of orthodontists routinely used the 0.022 inch pre-adjusted edgewise system, standard size Siamese pattern stainless steel brackets, conventionally ligated and bonded using standard etch and light cured composite. Nickel titanium and stainless steel were the most popular archwire materials. Anchorage was supported routinely by palatal and lingual arches in up to 25% and by headgear in over a third of respondents. Newer innovations showed variable popularity. Self-etching primer was used routinely by one-third of respondents with 11% use of self-ligating brackets. Banding of first molars was preferred by over 60% of clinicians. Bone screw implants were used by only 0.2% of respondents. Clinicians with less than 10 years experience used more headgear, light curing, MBT prescription and molar bonding. Operators with over 20 years experience used more chemically cured bonding, Roth prescription, banded first molars, 0.018 inch slot size and Tip-Edge(TM), with less use of headgear. Fixed appliance use differed from that reported in the US with lower use in the UK of standard edgewise and Roth systems, aesthetic, miniaturised and 0.018 inch slot brackets and rapid maxillary expansion. CONCLUSION Most UK orthodontic specialists routinely used the 0.022 inch pre-adjusted edgewise system with standard size Siamese steel brackets bonded using standard etch and light cured composite with conventional ligation. Variations were seen between different provider groups, types of treatment funding, levels of operator seniority and geographical regions. Differences were noted particularly in the use of bracket prescription and design, types of molar attachment and anchorage control.
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Josefsson E, Bjerklin K, Lindsten R. Factors determining perceived orthodontic treatment need in adolescents of Swedish and immigrant background. Eur J Orthod 2008; 31:95-102. [DOI: 10.1093/ejo/cjn069] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Patients' expectations of orthodontic treatment: part 2 – findings from a questionnaire survey. Br Dent J 2007. [DOI: 10.1038/bdj.2007.538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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