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Статті в журналах з теми "Orthodontic services"

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Автор: Grafiati

Опубліковано: 10 грудня 2022

Оновлено: 28 січня 2023

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1

Smorthit, Kelly, David Sawbridge, and Rhian Fitzgerald. "Eating disorders and the orthodontist: Diagnosis, considerations and referral." Journal of Orthodontics 48, no. 3 (February 20, 2021): 313–22. http://dx.doi.org/10.1177/1465312521993491.

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Background: Eating disorders are relatively common mental health disorders in Western European and North American populations. The peak incidence occurs within the adolescent years, which correlates with the largest orthodontic patient population. The morbidity associated with these psychological conditions is significant, and has a direct impact upon patient well-being, orthodontic outcomes and the success of treatment. Therefore, it is of relevance to the orthodontist to be aware of potential presenting features of these conditions, when and where to seek advice, and how such disorders may impact upon orthodontic outcomes. Methods: Articles published on PUBMED and MEDLINE relevant to orthodontics and eating disorders were reviewed. Key information was extracted, and the relevant evidence for the orthodontist summarised. Results: Eating disorders may present to the orthodontist in specialist or hospital practice, either undiagnosed or as a co-morbidity. Orthodontists may benefit from an appreciation of these potential diagnoses, the orthodontic implications and to have the confidence to refer their patients to the necessary services. Limitations: There is little existing research in this area. Conclusions: These conditions have a significant impact on patient morbidity and mortality. This cohort of patients is not suitable for orthodontic treatment while their disease is active. The impact of a developing eating disorder can adversely affect orthodontic treatment.

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2

I Dewa Gde Budijana, Dwis Syahrul, and Putu Leony Kartika Putri. "Patient perception of orthodontic services during the Covid-19 pandemic." Makassar Dental Journal 11, no. 2 (August 31, 2022): 170–72. http://dx.doi.org/10.35856/mdj.v11i2.585.

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In the field of dental and oral health services, orthodontists are one of the professions that have a high enough risk of being ex-posed to Covid-19. It is possible for each patient to transmit the SARS Cov-2 virus to orthodontists, other health workers and another patient. This study was aimed to determine patient perception to orthodontic clinic services and routine orthodontist vi-sits in orthodontic treatment during pandemic Covid-19. Methods: This study used adescriptive correlational, non-experimental study with a cross-sectional design. The sample of the study consisted of 134 orthodontic appliance users who had routine or-thodontic visits to orthodontic clinic around Denpasar City. Result. Based on the research, it is known that 132 orthodontic ap-pliance users (98,51% of the respondents) had a good perception of orthodontic clinic services during the Covid-19 pandemic and 117 orthodontic appliance users (87,31% of the respondents) had a fairly good perception of routine orthodontic treatment visits during the Covid-19 pandemic. In addition, the results of the Spearman’s rank correlation coefficient (Spearman’s ρ) test show a significance value of 0.065>0.05. It can be concluded that the orthodontic clinic services have had no impact on the routine orthodontic visits of orthodontic appliance users during pandemic Covid-19

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3

Shetty, Sharath Kumar, Cecilia Wilson, Mahesh Kumar Y, and Vijayananda K. Madhur. "Orthodontic Treatment with Clear Aligners." Scholars Journal of Dental Sciences 8, no. 7 (August 13, 2021): 230–33. http://dx.doi.org/10.36347/sjds.2021.v08i07.008.

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The paradigm shift in orthodontics arrived with the introduction of Aligner System. It allows both dental practitioner and patient to develop a visual understanding of orthodontic tooth movement. The esthetic and practical advantages of the system have extended orthodontic services to a greater population. The transparency of the clear aligners enhances its esthetic appeal for those adult patients who are averse to wearing conventional labial fixed orthodontic appliances. Although guidelines about the types of malocclusions that this technique can treat exist, few clinical studies have assessed the effectiveness of the appliance.

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4

Khaerunnisa, Rahmadaniah, and Lisna Wati Solihat. "EFFECT OF FIXED ORTHODONTIC TREATMENT BY UNLICENSED DENTAL SERVICE ON DENTAL HEALTH." Journal of Health and Dental Sciences 2, Volume 2 No 1 (May 31, 2022): 63–74. http://dx.doi.org/10.54052/jhds.v2n1.p63-74.

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Orthodontic treatment is a treatment that induces light pressure on the teeth by using an orthodontic appliance so that the teeth move in a determined direction. Fixed orthodontic treatment must be following the instructions of an orthodontist however many unlicensed dental services and online shop sites offer free braces. Side effects can occur in patients with a fixed orthodontic appliance, but this has been minimized by dentists in the treatment process so that patients get greater benefits. Fixed orthodontic treatment by unlicensed dental services is done without any responsibility in case of an error that threatens dental health. It was reported that 22 years old woman complained that her lower anterior teeth were mobile and there was a white spot on the part where the bracket was set up. The patient wanted to remove the braces that were attached by the unlicensed dental services several years ago. Patients diagnosed with periodontitis localized of teeth 32-42 with mobility grade II et causa trauma of fixed orthodontic appliances. The dental emergencies of tooth mobility, in this case, were carried out by orthodontic bracket removal on the upper and lower teeth and followed by periodontal treatment. So that it does not cause further damage to the underlying supporting tissue and cause the tooth to extrude.

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5

Shamsul Fadzil, SS, AI Ahmad Khalil, IY Noviaranny, NM Abdullah Al-Jaf, and KA Jamil. "Treatment Satisfaction and Its Influencing Factors Among Fixed Orthodontic Patients in UiTM." Compendium of Oral Science 7, no. 1 (September 1, 2020): 21–31. http://dx.doi.org/10.24191/cos.v7i0.17491.

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Objectives: The aims of this study were to evaluate patient’s satisfaction regarding the orthodontic treatment provided by the Faculty of Dentistry Universiti Teknologi MARA (UiTM) and to determine the factors that affected their satisfaction level. Methods: A cross-sectional study was conducted among the patients treated with full fixed appliances in the faculty’s orthodontic clinic using a validated questionnaire. Results: The final sample consisted of 105 subjects (response rate 76%) which comprises of 26 males and 79 females were chose with 97% of the respondents are Malay. Most subjects had orthodontic treatment duration of more than 1.5 years (100%) and were still wearing fixed appliances (89%). Items included in the questionnaire: reasons for seeking orthodontic treatment, questions relevant to satisfaction with orthodontic treatment, doctor-patient relationship and pain experience during orthodontic treatment. Concerning the doctor patient relationship, 91% of the respondents were contented with their orthodontist. Respondents answered ‘Yes’ to the treatment plan explained prior to the procedure (91.4%), questions answered promptly (94.3%), gentleness of the orthodontist (91.4%) and dental assistant (88.6%), orthodontist honesty about treatment duration (90.5%) and cost (97.1%), and recommendation to others (90.5%). Conclusion: Generally, patients who had received orthodontic treatment from the orthodontic clinic in Faculty of Dentistry UiTM were satisfied with the overall treatment outcomes. However, there were still some aspects of the service that can be improved in the future in order to provide a better healthcare services specifically in orthodontic treatment.

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6

McComb, J., J. Wright, and K. O'Brien. "Dentists' perceptions of orthodontic services." British Dental Journal 178, no. 12 (June 1995): 461–64. http://dx.doi.org/10.1038/sj.bdj.4808803.

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7

Banks, Phil. "Changes in hospital orthodontic services." Dental Nursing 7, no. 8 (August 2011): 432–33. http://dx.doi.org/10.12968/denn.2011.7.8.432.

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8

El-Gheriani, Abdelhakim A., Zachary P. Ehrmantrout, Larry J. Oesterle, Rob Berg, and Damon C. Wilkerson. "Medicaid expenditures for orthodontic services." American Journal of Orthodontics and Dentofacial Orthopedics 132, no. 6 (December 2007): 728.e1–728.e8. http://dx.doi.org/10.1016/j.ajodo.2007.05.011.

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9

Chadwick, Stephen. "Commissioning of primary care orthodontic services." Bulletin of the Royal College of Surgeons of England 96, no. 5 (May 2014): 147. http://dx.doi.org/10.1308/147363514x13964537912042.

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The recently published Transitional commissioning of primary care orthodontic services represents an opportunity for real engagement between the British Orthodontic Society (BOS), British Dental Association (BDA) and NHS England.

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10

Petrova, A. V., O. M. Makarova, Yu V. Rud, and V. D. Kuroiedova. "CURRENT STRUCTURE OF PATIENTS SEEKING FOR ORTHODONTIC CARE." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 20, no. 2 (July 6, 2020): 215–20. http://dx.doi.org/10.31718/2077-1096.20.2.215.

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Now an orthodontist is a very demandable dental specialist due to increasing number of patients seeking for orthodontic care. Analysis of patients by their age, diagnosis and sex can allow orthodontists to understand more clearly which pathology and which patients are the most prevalent and to find the best approaches to satisfy the clients’ demands. This analysis provides the potential to create more targeted approach in diagnosis, treatment and prevention of malocclusions. At the Department of Postgraduate Education of Orthodontists, Ukrainian Medical Stomatological Academy, we performed an analysis of 2,359 outpatient medical cards (1296 patients, who took treatment in 2019, and 1063 patients, who took treatment in 1999). It is noteworthy that for the 20-year period the number of people seeking for orthodontic care has risen in 9.9 times, despite the rapid development of private dentistry services. The data of the analysis have demonstrated that today adults make up the larges share of the orthodontic patients. Therefore, orthodontic correction by using fixed appliances has become a priority. Moreover, female individuals ask for help more often that is determined by the increase in women's social attitude to their appearance. All this confirms social and psychological significance of orthodontics. As for the male individuals seeking for orthodontic care, their number has been found out to increase in the age 14 – 18 that may be related to the findings revealed at pre-military medical checkups. As for the commonest types of malocclusions for these two periods, I class malocclusion by Angle has been found out as the most prevalent, II class by Angle is ranking the second position and III class by Angle and a deep bite are sharing the third position.

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11

Gandedkar, Narayan H., Oyku Dalci, and M. Ali Darendeliler. "The past and present research at the University of Sydney’s Discipline of Orthodontics." APOS Trends in Orthodontics 11 (July 9, 2021): 90–99. http://dx.doi.org/10.25259/apos_77_2021.

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The University of Sydney’s Discipline of Orthodontics has been actively pursuing research in the areas of root resorption, sleep apnea, magnets in orthodontics, implants, acceleration of orthodontic tooth movement (OTM), and remote monitoring (RM). Our research has shed light on many specific factors that influence orthodontically induced inflammatory root resorption (OIIRR). We also explored the effects of some of the most discussed acceleration interventions on OTM and OIIRR, such as vibration, micro-osteoperforations, piezocision, low-level laser therapy, light emitting diode, light amplification by stimulated emission of radiation, and pharmacological substances. Further, we have researched into maximizing orthopedic treatment outcomes of maxillary deficient children with use of intraoral force application with utilization of miniscrew-assisted rapid palatal expander. We are currently trialing use of RM to facilitate orthodontic services in the public dental clinics.

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12

Emery, B. J. "Community orthodontic services: a local review." British Dental Journal 166, no. 1 (January 1989): 23–26. http://dx.doi.org/10.1038/sj.bdj.4806686.

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13

Wolsky, Shari L., and James A. McNamara. "Orthodontic services provided by general dentists." American Journal of Orthodontics and Dentofacial Orthopedics 110, no. 2 (August 1996): 211–17. http://dx.doi.org/10.1016/s0889-5406(96)70111-7.

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14

Drugan, C. S., S. Hamilton, H. Naqvi, and J. R. Boyles. "Inequality in uptake of orthodontic services." British Dental Journal 202, no. 6 (February 9, 2007): E15. http://dx.doi.org/10.1038/bdj.2007.127.

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15

Grytten, Jostein, Irene Skau, and Arild Stenvik. "Distribution of orthodontic services in Norway." Community Dentistry and Oral Epidemiology 38, no. 3 (March 26, 2010): 267–73. http://dx.doi.org/10.1111/j.1600-0528.2010.00530.x.

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16

Richmond, S., and A. Karki. "Complexities associated with orthodontic services in the National Health Service." British Dental Journal 212, no. 3 (February 10, 2012): E5. http://dx.doi.org/10.1038/sj.bdj.2012.98.

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17

Shrestha, Rabindra Man, and Asal Acharya. "An Interview with the First Orthodontist of Nepal." Orthodontic Journal of Nepal 10, no. 1 (September 4, 2020): 88–91. http://dx.doi.org/10.3126/ojn.v10i1.31013.

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Born on July 4, 1952, Dr Shambhu Man Singh is the first orthodontist of Nepal. He completed his BDS degree from Kerala University in 1974 and D. Ortho from Royal College of Surgeons Edinburgh in 1989. He started specialist orthodontic service in Kathmandu in 1990. He joined Nepal Army in 1977, where he served for thirty years till 2007 when he retired as a Brigadier General. Dr Singh is an Honorary and Life Member of Orthodontic & Dentofacial Orthopedic Association of Nepal. Besides his glorious involvement in military and civil health services, he is recognized as a humble and gentle person in Nepalese dentistry. Here is an excerpt of the interview between Dr Shambhu Man Singh and the representatives of Orthodontic Journal of Nepal.

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18

Myrberg, N. E. A., H. S. Duterloo, C. Booy, F. P. G. M. van der Linden, H. Boersmay, and B. Prahl-Andersen. "Orthodontic services in the Netherlands: the standpoint of the Dutch Professors in orthodontics." European Journal of Orthodontics 8, no. 1 (February 1, 1986): 65–66. http://dx.doi.org/10.1093/ejo/8.1.65.

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19

O'Brien, Kevin. "Orthodontic Interactions: The Relationships between the Orthodontic Services in England and Wales." British Journal of Orthodontics 18, no. 2 (May 1991): 91–98. http://dx.doi.org/10.1179/bjo.18.2.91.

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20

Pires, Andressa Cavalcanti, Smyrna Luiza Ximenes de Souza, and Alessandro Leite Cavalcanti. "Panorama of Orthodontics after COVID-19: A critical literature review." Research, Society and Development 9, no. 9 (September 13, 2020): e924998103. http://dx.doi.org/10.33448/rsd-v9i9.8103.

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A new Coronavirus (2019-nCov, renamed SARS-CoV-2) was identified in the Chinese city of Wuhan in late 2019, and was declared a pandemic by the World Health Organization, on March 11, 2020. As it is a highly infectious disease, major regional and national changes have been made, social isolation was recommended, which led to the interruption of various services, including elective dental treatments. This review aimed to identify the changes that occurred in the post-COVID-19 orthodontic practice scenario. For such, a search was made for articles published in the bibliographic bases PubMed, Scopus and SciELO, using the keywords “Orthodontics” and “Covid-19”. From the eligibility criteria, 11 articles were selected for analysis. It was found that social isolation impacted the scheduling of orthodontic appointments and patient’s anxiety about the duration of treatments. The use of teleodontology proved to be an ally in screening and in patient care. Preventive infection control must be adopted for safe orthodontic practice.

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21

Francisco, Inês, Gregory S. Antonarakis, Francisco Caramelo, Maria Helena Fernandes, and Francisco Vale. "Cleft Orthodontic Care in Europe: A Cross-Sectional Survey." Healthcare 10, no. 8 (August 17, 2022): 1555. http://dx.doi.org/10.3390/healthcare10081555.

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(1) Background: Orthodontists have an important role in cleft care. Over the two decades since the Eurocleft studies, a significant improvement in healthcare systems has been achieved but there has been no critical assessment regarding the establishment of proposed standard protocols. This study aimed to describe the current provider characteristics, orthodontic appliances, services offered, orthodontic complications, and cost analysis of cleft treatment in Europe. (2) Methods: A cross-sectional 22-question online survey, accessible from January 2021 to July 2021, was sent to 214 practitioners, pertaining to provider characteristics, orthodontic appliances, services offered, orthodontic complications, and cost analysis. Descriptive statistics were calculated for each question. Fisher’s exact test was used to assess the association between categorical variables. (3) Results: A total of 79 responses from 23 European countries completed the survey (response rate = 37%), with 69 surveys being assessed after the exclusion of incomplete surveys. Rapid maxillary expansion was the preferred expansion protocol (45%). Distraction osteogenesis was the most reported alternative treatment to secondary bone grafts (19%), with private practitioners being less likely to perform these treatments (Fisher’s exact test, p = 0.001). Orthodontic services offered were, however, rather similar in the various locations of provision (hospital and/or university, private). Compromised oral hygiene (77%) was the most reported orthodontic complication. The National Health Services support the majority of cleft orthodontic care (67%) in Europe. (4) Conclusion: An apparent improvement in orthodontic healthcare provision has been achieved within Europe in the last two decades, but there are several discrepancies, namely regarding treatment timing and the appliances offered.

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22

Richmond, S. "The use of IOTN in orthodontic services." British Dental Journal 195, no. 12 (December 2003): 696. http://dx.doi.org/10.1038/sj.bdj.4810829.

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23

Spassov, Alexander, Bernard Braun, Sofija Carceva-Salja, Hartmut Bettin, and Dragan Pavlovic. "Decision aids against overuse of orthodontic services?" Journal of Orthodontics 44, no. 1 (January 2, 2017): 70–71. http://dx.doi.org/10.1080/14653125.2017.1282207.

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24

Banks, Phil. "Long-term management of hospital orthodontic services." British Journal of Healthcare Management 17, no. 7 (July 2011): 291–97. http://dx.doi.org/10.12968/bjhc.2011.17.7.291.

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25

Aparecida Rodrigues Vieira, Mayra, Lavínea Silva de Lima, and Isabel Cristina Gonçalves Leite. "ACESSO E IMPACTOS FINANCEIROS DA PROVISÃO ORTODÔNTICA PÚBLICA NOS SISTEMAS DE SAÚDE MUNDIAIS: REVISÃO INTEGRATIVA." Revista Ciência Plural 8, no. 1 (October 26, 2021): e25225. http://dx.doi.org/10.21680/2446-7286.2022v8n1id25225.

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Introduction: The supply of public orthodontic services is still unable to meet the demand for treatment of malocclusions. The resources available are sometimes mismanaged and significant financial impacts contribute to limited access to the services. Objective: To carry out an integrative review regarding the access and financial impacts of public orthodontic service among the various health systems worldwide, considering social inequalities and the referral and counter-referral systems for services. Methodology: A survey was conducted using the BVS (Biblioteca Virtual em Saúde / Virtual Health Library), PubMed, and Cochrane databases, including articles available from 1970 to 2019, which elucidated the guiding question “How does access work and what are the financial impacts of the provision of orthodontic services in different public health systems worldwide?”. Results: 204 articles were found, of which 19 were analyzed. The chronological distribution was relatively uniform. The topic ‘access to orthodontic services’ was most frequently reported and there was a predominance of studies addressing the provision of treatment for children and adolescents. Conclusions: There are significant financial impacts and demographics have a strong influence on access to services. The provision of orthodontic treatments by the private sector predominates, preventive approaches are scarce, and an optimization in the use of available resources is necessary. Primary Care has much to contribute in increasing access, reducing costs, and making the referral / counter-referral system effective.

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Fitri, Anisa Aini, Suharyono Suharyono, and Furaida Khasanah. "Hubungan motivasi kontrol pasien dengan kepatuhan kontrol orthodonti cekat pada masa pandemi COVID-19." PUINOVAKESMAS 1, no. 2 (November 30, 2020): 78–83. http://dx.doi.org/10.29238/puinova.v1i2.979.

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Background: The motivation to control patients for fixed orthodontic treatment usually comes from themselves or from outside that affects the expected goals. During the Covid-19 pandemic, dental services, especially orthodontic treatment, were disrupted. This treatments requires a long and continuous time and process,in order to obtain maximum results, patient compliance is required to control. Research objectives: To know the correlation between patients motivation control and compliance of fixed orthodontic appliance control in pandemic of Covid-19 times at clinics in Yogyakarta. Research method: This research method is analytic survey with cross sectional approach. The population of study was fixed orthodontics users who visited the dental clinic at January-November 2020 and used fixed orthodontics for 12 months. Sampling using accidental sampling technique data collection using primary data taken from the results of questionnaires and secondary data taken and report of patient visits data analysis using The Kendalls Tau test. Research results: The gender of female had strong control motivation as much as16 people (53.3%), higher than 7 people (23.3%), while the adherence of female controls had adherence criteria as many as 18 people (60.0%) were higher thanthat of men. Male as many many as 8 people (26.7%). The result showed a significant relationship between patient control motivation and adherence to fixedorthodontic control during the Covid-19 pandemic at aclinic in Yogyakarta, with a value of p=0.033<0.05, while the correlation coefficient value was 0.293. Conclusion: Patient control motivation has a fairly close relationship with adherence to fixed orthodontic controls during the Covid-19 pandemic, becausethe higher the level of patient control motivation, the higher the patients compliance to perform fixed orthodontic control.

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Imani, Mohammad Moslem, Amir Jalali, Mohammadreza Dinmohammadi, and Parichehr Nouri. "The Effect of Orthodontic Intervention on Mental Health and Body Image." Open Access Macedonian Journal of Medical Sciences 6, no. 6 (June 17, 2018): 1132–37. http://dx.doi.org/10.3889/oamjms.2018.243.

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AIM: Physical health especially oral and dental health can play a leading role in individuals’ mental health status. Therefore, determining the relationship between orthodontics, mental health, and body image can provide solutions for the development of treatment services and provision of greater accessibility of communities to them.METHODS: The present study was natural experimental research conducted to determine the relationship between orthodontic treatment, mental health, and body image. To conduct this research, individuals referring to orthodontic clinics in the city of Kermanshah and meeting the inclusion criteria in the study were selected using convenience sampling method and then they were assessed before and after undergoing orthodontics via the standardised Goldberg’s General Health Questionnaire (GHQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ).RESULTS: The mean scores of mental health problems in the study participants reduced and such a difference calculated by Wilcoxon signed-rank test with a 95% confidence level was significant (P = 0.001). Moreover, all the subscales of GHQ in the study participants showed a significant decrease after orthodontics compared to the stage before that (P ˂ 0.05). The mean score of MBSRQ before orthodontics was equal to 171.78 and this value reached 172.51 after that, indicating individuals’ increased scores and their high levels of satisfaction with their body image. Nevertheless, the given difference was trivial, and it was not statistically significant (P = 0.751).CONCLUSIONS: The results of the present study showed that orthodontic treatment could significantly increase mental health status in the clients and also improve multidimensional attitudes towards body image.

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Nanjannawar, Lalita G., Jiwan Asha Agrawal, and Manish Agrawal. "Pattern of Malocclusion and Treatment Need in Orthodontic Patients: An Institution-based Study." World Journal of Dentistry 3, no. 2 (2012): 136–40. http://dx.doi.org/10.5005/jp-journals-10015-1144.

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ABSTRACT The aim of this study was to analyze the malocclusion pattern among patients who visited Department of Orthodontics of BVU Dental College and Hospital, Sangli (Maharashtra) as a baseline data for proper treatment planning, teaching and further research. Materials and methods This study was conducted on 125 patients who attended the orthodontic department from December 2008 to June 2010. Information regarding age, sex, type of malocclusion, dentofacial patterns and dentofacial characteristics was obtained from patients records. Orthodontic treatment need was assessed using DHC component of IOTN. Results The results of the study showed that the patients age ranged from 10 to 33 years with mean age of 16 years 9 months (+ 3.92). There were 91 (72.8%) females and 34 (28.2%) males. Chief complaints of majority of patients were ‘upper front teeth forward’ and ‘irregular teeth’. The commonest type of malocclusion was Angle's class II which was seen in 60 (48%) of patients. There was an increased overjet in 81% of subjects. Statistically significant association was found between skeletal and Angle's classes (p < 0.01). Assessment of need for orthodontic treatment using the DHC component of IOTN showed that 59 (47.2%) were in great need of orthodontic treatment and 53 (42.4%) had definite need of treatment. Conclusion The results give a detailed pattern of malocclusion in orthodontic patients and may provide a baseline data for research and planning orthodontic services. How to cite this article Nanjannawar L, Agrawal JA, Agrawal M. Pattern of Malocclusion and Treatment Need in Orthodontic Patients: An Institution-based Study. World J Dent 2012;3(2):136-140.

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Smyth, Robert SD, Khushbu Patel, Paul Ashley, and Joseph H. Noar. "Interceptive management of increased overjet in young children: a clinical protocol." Dental Update 49, no. 8 (September 2, 2022): 676–81. http://dx.doi.org/10.12968/denu.2022.49.8.676.

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Анотація:

This article describes the different techniques for the management of an increased overjet in a child considered too young for conventional orthodontics, as well as the clinical situations in which these techniques may be useful. This is particularly aimed at general dental practitioners and paediatric dentists working in areas with limited access to specialist orthodontic services. CPD/Clinical Relevance: Knowledge of techniques for early management of an increased overjet in young children is of interest.

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Robinson, P. G. "Summary of: Complexities associated with orthodontic services in the National Health Service." British Dental Journal 212, no. 3 (February 2012): 130–31. http://dx.doi.org/10.1038/sj.bdj.2012.117.

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31

Pietilä, Ilpo, Terttu Pietilä, Juha Varrela, Pertti Pirttiniemi, and Pentti Alanen. "Trends in Finnish Public Orthodontic Care from the Professionals' Perspective." International Journal of Dentistry 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/945074.

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The study maps out orthodontic care in Finnish municipal health centres in 2001, describes changes during the previous ten years reported by chief dental officers, and assesses the views of orthodontists on current public orthodontic services. The data were collected by questionnaires sent to all health centres and all orthodontists in Finland. Of all 0–18-year-olds, 11% were receiving orthodontic treatment with an appliance (range 2–43% among the health centres). The most frequently used appliances were headgear, quadhelix, and fixed appliances. Limited economic resources and the lack of orthodontic expertise were mentioned by the chief dental officers as factors decreasing the volume of services. The orthodontists mentioned the large regional variation and the lack of national guidelines as the most important aspects that should be improved on a national basis. To bring about improvement, they suggested increasing the number of specialist orthodontists and the delegation of orthodontic tasks to auxiliaries.

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Langford, J. W., and J. W. Ferguson. "A Comparison of Consecutive Orthodontic Referrals Seen by a Consultant Unit and Specialist Orthodontic Practitioners." British Journal of Orthodontics 22, no. 4 (November 1995): 347–52. http://dx.doi.org/10.1179/bjo.22.4.347.

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It has been suggested that the consultant orthodontic service and specialist practitioner service should have different roles, with the former concentrating its treatment input on the management of severe malocclusions. In an attempt to determine whether referring dental practitioners appeared to be aware of these differences, 100 consecutive orthodontic referrals seen at a consultant orthodontist's clinic were compared and contrasted with the same number seen at each of four specialist orthodontic practices located in the same city, and within 4 miles of the consultant unit. Comparisons were made both on the basis of clinical information obtained from study models and from analysis of referral letters. The consultant sample contained a greater proportion of requests for treatment plans, but there were few differences in terms of the range and severity of the actual malocclusions referred to each of these specialist services. The implications of these findings are discussed in relation to possible future developments of orthodontic services in the U.K.

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Cure, Richard John. "Experiences of the challenges of undertaking an orthodontic needs assessment within the National Health Service in England." Journal of Orthodontics 46, no. 2 (May 7, 2019): 143–47. http://dx.doi.org/10.1177/1465312519842877.

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The purpose of undertaking Orthodontic (Oral Health) Needs Assessment is to identify unmet healthcare need in a systematic way. The NHS Five Year Forward View set out a clear direction for the NHS in 2014, showing why change is needed and what it will look like. It has been recognised that the health needs and personal preferences of individuals are continuously adapting; therefore, orthodontic services are required to meet this changing environment. Here, we describe some of the challenges for orthodontic needs assessment. Current methods used to assess normative, perceived and expressed need are reviewed, highlighting how these may fail to accurately identify current orthodontic need. Currently, there is no index assessing either psychological need or psychological benefit from orthodontic treatment, despite evidence to suggest that there is a moderate improvement in the emotional and social wellbeing dimensions of the oral health-related quality of life of adolescents following orthodontic treatment. Commissioning of NHS orthodontic services should be guided by the best available evidence of need. As such, a number of recommendations are made which include establishment of comprehensive and comparable datasets for both primary and secondary care providers; review of the instruments used for measuring normative need in view of a changing society influenced by social media developments; and electronic referral management systems should be established which accurately monitor treatment provision. Moreover, further research is required to understand the health inequalities associated with orthodontic care and determine how social deprivation impacts on orthodontic treatment needs and uptake in local populations.

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Shahrani, Ibrahim Al, Shreyas Tikare, Rafi Ahmad Togoo, Fahad Al Qahtani, Khalid Assiri, and Ahmad Al Meshari. "Patients satisfaction with orthodontic treatment at King Khalid University, College of Dentistry, Saudi Arabia." Bangladesh Journal of Medical Science 14, no. 2 (April 18, 2015): 146–50. http://dx.doi.org/10.3329/bjms.v14i2.17837.

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Introduction: Patient satisfaction is important for ensuring patients adherence in orthodontic treatment. As teaching institutions, dental college clinics must constantly strive to find a balance between satisfying the needs of the patients and ensuring proper training of the students. The objective of the present study was to assess dental patients satisfaction with orthodontic treatment and related services at King Khalid University, College of Dentistry (KKU COD), Saudi Arabia.Materials and methods: A 19 item closed end questionnaire was developed and pretested to assess patients satisfaction with orthodontic care. The questionnaire items were designed under three domains: 1) Reception and work environment, 2) doctor-patient relationship, and 3) treatment expectations and satisfaction. The study sample consisted of all patients consulting the orthodontic clinics during the time frame of the survey and those who were willing to participate.Results: A total of 72 patients completed the survey within the time framework. The mean age of the patients was 21.2±8.06 of which males were 69.5% and Females 30.5%. The highest subscale score was found to be with patients treatment expectations and satisfaction (92.6%) followed by reception and work environment (89.3%) and dentist-patient relationship (82.7%). The overall patients satisfaction for orthodontic services among the patients was found to be 87.1%.Conclusion: There was a high dental patients satisfaction with orthodontic services at COD KKU, Saudi Arabia as a teaching institution. The dentist-relationship was found to be key factor in determining dental patients satisfaction.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.146-150

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Sabo, Vinishe Y., Olutayo James, Olawale O. Adamson, Bright Otoghile, Wasiu L. Adeyemo, Akinola Ladeinde, and Mobolanle O. Ogunlewe. "The Impact of COVID-19 Pandemic on Cleft Care Services at a Tertiary Health Facility in Nigeria." FACE 2, no. 4 (October 11, 2021): 386–92. http://dx.doi.org/10.1177/27325016211048902.

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Background: This study assessed the impact of COVID-19 Pandemic on cleft care services at a Nigerian tertiary health facility and the adaptations made during and after the population quarantine period. Methodology: A prospective and retrospective survey of all patients with orofacial cleft who had cleft surgeries, orthodontic interventions, and speech therapy in isolation or any of the combination was carried out. The survey period was divided into pre-COVID-19 lockdown period, the COVID-19 lockdown period, and the post-COVID-19 lockdown period with each of the periods spanning 4 months. The data which include: number of cleft clinic attendance, number of cleft surgical procedures, orthodontic interventions, and speech therapy session were retrieved from patients’ case records in the cleft and orthodontic clinics. The data was also reported for each period and represented as numbers and percentages. The trend of cleft services was plotted as line graphs and the impact of the COVID-19 pandemic on cleft care services is said to be significant when P value is <.005. Result: During the COVID-19 Lockdown period, there was a 66% drop in level of cleft clinic attendance, 78% drop in cleft surgeries, 78% drop in Orthodontic interventions, and a 58% drop in the number of Speech Therapy sessions. After the Lockdown period, the clinic attendance increased by a 190%, cleft surgeries rose by more than 10-fold, and the orthodontic interventions increased 10-fold. The speech therapy sessions dwindled further by 6% during the post-COVID-19 Lockdown period. The drop in cleft care service during the study period was significant ( P = .001). The post Lockdown surge in cleft care services was also statistically significant ( P = .001). Conclusion: The COVID-19 pandemic significantly altered the volume of cleft care services but also with a significant rebound post-lockdown period.

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Josan, Lucian, Sorana Maria Bucur, Mariana Păcurar, Elina Teodorescu, Andreea Sălcudean, Cristina Stanca Molnar Varlam, and Alina Ormenișan. "Statistical Study on the Motivation of Patients in the Pediatric Dentistry." Children 9, no. 11 (November 20, 2022): 1782. http://dx.doi.org/10.3390/children9111782.

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Our statistical study included 344 participants selected from the patients of the Pedodontics–Orthodontics Discipline of the Tîrgu-Mureş University of Medicine and Pharmacy. The patients’ age was between 6 and 18 years, with an average of 13.70 and a standard deviation of 4.62. The study participants were informed and agreed to complete two questionnaires of our conception regarding their health status, oral hygiene, and motivation for pedodontics or orthodontic treatment. The results of the two questionnaires were interpreted according to the gender and age of the patients. Data processing was performed with NCSS/PASS Dawson Edition statistical software, using the CHI2 test, considering a p of less than 0.05 as significant for comparative results. Results showed that girls were more motivated than boys in addressing pedodontic services due to dental, periodontal, and articular problems. Children, aged between 11 and 14 years, were less intrinsically motivated to solve oral health problems due to their low frequency. The intrinsic motivation for a more beautiful dentition was very strong, regardless of age and sex. Girls were more intrinsically motivated for orthodontic treatment than boys. There was a linear increase together in the age of those who wanted to improve their smile and facial appearance. Children between 11 and 14 years had the best self-perception of the appearance of their teeth, mouth, smile, and facial harmony. The strongest extrinsic motivation for orthodontic treatment came from parents or another doctor. The most important reason for orthodontics was dental malpositions, the last one was the improvement of masticatory efficiency. The extrinsic motivation from parents for orthodontics decreases linearly with age, along with the increase in motivation from the person with whom the participants relate emotionally and from the group of friends.

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Lee, Tara V. N., Peter V. Fowler, Julie C. Williams, Pamela Ellis, Nikki E. Atack, and Anthony J. Ireland. "Orthodontics at Times of National Emergency: Past and Current Crises Part 1: Past Crises and Lessons Learnt." Orthodontic Update 13, no. 3 (July 2, 2020): 102–7. http://dx.doi.org/10.12968/ortu.2020.13.3.102.

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This paper explores past natural disasters such as Hurricane Katrina (USA), the Great East Japan and Christchurch (New Zealand) Earthquakes as well as the HIV and SARS pandemics and the impact they had on providing orthodontic services at the time of the crisis. It also addresses the lessons learnt during the process of recovery and the long-term changes made as a result to the provision of care. CPD/Clinical Relevance: To provide a review of how orthodontics as a specialty survived past crises and to use the lessons learnt to navigate the current COVID-19 pandemic.

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38

Kruger, E., and M. Tennant. "Accessing government subsidized specialist orthodontic services in Western Australia." Australian Dental Journal 51, no. 1 (March 2006): 29–32. http://dx.doi.org/10.1111/j.1834-7819.2006.tb00397.x.

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39

Jacobs, Richard M., Samir E. Bishara, and Jane R. Jakobsen. "Profiling providers of orthodontic services in general dental practice." American Journal of Orthodontics and Dentofacial Orthopedics 99, no. 3 (March 1991): 269–75. http://dx.doi.org/10.1016/0889-5406(91)70008-k.

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40

Turpin, David L. "Need and demand for orthodontic services: The final report." American Journal of Orthodontics and Dentofacial Orthopedics 137, no. 2 (February 2010): 151–52. http://dx.doi.org/10.1016/j.ajodo.2009.12.008.

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41

Hunt, Nigel. "Why should the NHS continue to fund orthodontic treatment in the current financial climate?" Faculty Dental Journal 4, no. 1 (January 2013): 16–19. http://dx.doi.org/10.1308/204268513x13527109981012.

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The commissioning of future dental services is once again in the spotlight as we move into the transition phase before the full effect of the commissioning boards comes in April 2013. The delivery of specialist orthodontic care has been particularly badly disrupted over the past 18 months with gross variations in the way in which procurement exercises have been undertaken by some primary care trusts. As a consequence, the British Orthodontic Society (BOS) has received complaints from both patients and specialists focusing on the disruption to the delivery of services and continuity of patient care.

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Kaur, Harneet, and Arisha Izhar. "Can Orthodontic Informatics Combat the Pandemic Pitfalls?" Journal of Indian Orthodontic Society 54, no. 4 (October 2020): 389–90. http://dx.doi.org/10.1177/0301574220963433.

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The largest public health crisis of our time, COVID-19 has recklessly squandered many of the channelized healthcare facilities globally with execution of newer guidelines over the standard architectural norms. There has been unparalleled use of smartphones and internet services to bear the major pitfall- social distancing- especially for elective treatment services. This demands a new paradigm shift from offline to online doctor-patient, student-educator, researcher-researcher operations. This articles provides an insight into potential role of orthodontic informatics to provide a combined platform to generate a learning system that routinely collects, correlates, and analyzes data for developing artificial intelligence programs, lab exploratory systems, clinical decision support systems and health-information exchange systems. In order to develop this system, orthodontic analytic communities as start-ups for developing user-friendly programs must be encouraged, where orthodontic informatics itself can be taken up as a didactic career source.

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Williams, A. C., J. R. Sandy, W. C. Shaw, and H. B. Devlin. "Consultant Orthodontic Services for Cleft Patients in England and Wales." British Journal of Orthodontics 23, no. 2 (May 1996): 165–71. http://dx.doi.org/10.1179/bjo.23.2.165.

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A postal questionnaire survey of consultant orthodontists in England and Wales was undertaken as part of a national audit of the care of children horn with cleft lip/and or cleft palate. A 100% response rate was achieved. The majority of respondents stated that they provide orthodontic treatment for cleft patients hut only 78% of these attend multi-disciplinary cleft clinics. Consultant orthodontists provide treatment not only in the form of appliances for patients born with clefts hut are also involved in the counseling of parents and coordination of regional data bases. Only 24% of hospital orthodontists are involved in the provision of presurgical appliances for cleft babies on a regular basis. The lack of rationalisation of orthodontic services and a low uptake of standardised record keeping protocols for cleft patients by consultant orthodontists gives cause for concern.

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44

Sharara, Shima, and Golfam Khoshkhounejad. "Orthodontic patient perception during the COVID era and teleorthodontics. A review of the literature." Orthodontic Update 15, no. 4 (October 2, 2022): 194–97. http://dx.doi.org/10.12968/ortu.2022.15.4.194.

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The use of teleorthodontics during the COVID-19 pandemic has greatly supported the provision of orthodontic care when dental services were disrupted. This disruption could adversely impact on the psychological wellbeing of orthodontic patients. To assure high-quality care, it is essential to assess the patient's perception. This article is a review of the current literature on what comprises teledentistry with a focus on patient perception of such digital technology, their orthodontic experience during the COVID-19 pandemic and our recommendations thereafter. CPD/Clinical Relevance: An assessment of orthodontic patients' experience of using teleorthodontics during the COVID pandemic with recommendations for effective use of the technology for the provision of high-quality care.

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Aikins, Elfleda Angelina, Oluranti Olatokunbo daCosta, Chukwudi Ochi Onyeaso, and Michael Chukwudi Isiekwe. "Orthodontic Treatment Need and Complexity among Nigerian Adolescents in Rivers State, Nigeria." International Journal of Dentistry 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/813525.

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Introduction. The assessment of orthodontic treatment need and complexity are necessary for informed planning of orthodontic services. The aim of this cross-sectional study was to assess these parameters using the Index of Complexity, Outcome, and Need (ICON) in a Nigerian adolescent population in a region where orthodontic services are just being established.Methods. Six hundred and twelve randomly selected Nigerian adolescents aged 12 to 18 years were examined using the ICON in their school compounds. Descriptive statistics were employed in the data analysis.Results. Out of a total of 38.1% of the population found to need orthodontic treatment, there were more males and older adolescents. The overall mean ICON score for the population was SD with males having statistically higher mean ICON score. The grades of complexity of the population were 21.6% for very difficult and difficult, 7.5% moderate, and 70.9% mild/easy.Conclusions. Although just over a third of the adolescents were found to have a need for treatment, about a quarter of them were found to have difficult and very difficult complexity grades indicating a need for specialist care. The authors recommend the training of more specialist orthodontists in this region.

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Pervez, Hana, Maria Khadija Siddiqui, Anam Sattar, Hareem Sultan, Taskeen Khan, and Rabiya Haqqui. "At-Home Management Strategies Adopted by Orthodontic Patients During COVID-19 Related Closure of Orthodontic Clinics." Journal of the Pakistan Dental Association 30, no. 02 (May 25, 2021): 99–102. http://dx.doi.org/10.25301/jpda.302.99.

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OBJECTIVE: The vast spread of COVID-19 not only affected the major businesses of the world but also the health care facilities like dentistry. Due to the unprecedented closure of dental services, on-going orthodontic patients also suffered the brunt. The aim of this study was to assess the at-home management approaches used by the patients to tackle the complications associated with orthodontic treatment. METHODOLOGY: It was a cross-sectional questionnaire-based study carried out from June 15 to September 15, 2020 in orthodontic OPD of Jinnah Medical and Dental College, Karachi. A total of 300 orthodontic patients, 208 females and 92 males between ages from 15 to 35 years completed a questionnaire on the complications faced by them and management techniques adopted by them during COVID-19 related office closures. Convenient sampling method was used for data collection. RESULTS: The majority of patients reported in this study were females. Approximately 69.33% (n = 300) of the responders were females and 31% were males. The highest numbers of complications reported during the lockdown period were loose brackets, loose bands and poking of archwire. The most common at-home hack used was removing the loose bracket/ bands and cutting of free end of arch wire with nail cutter like instrument. CONCLUSION: It is the responsibility of the clinician to keep in touch with their patients during pandemic like situation through telemedicine portal. In case of emergencies, patients should be provided with an adequate amount of information to tackle any complications with ease and without hurting themselves. KEYWORDS: COVID-19, Pandemic, Orthodontic Emergencies

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Kenealy, Pamela, Neil Frude, and William Shaw. "The Effects of Social Class on the Uptake of Orthodontic Treatment." British Journal of Orthodontics 16, no. 2 (May 1989): 107–11. http://dx.doi.org/10.1179/bjo.16.2.107.

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The relationship between social class and uptake of orthodontic treatment was investigated in a longitudinal cohort study of 1018 children living in South Glamorgan, Wales. Previous studies have shown that working class people make less use of dental services and receive inferior dental care than middle class people. The present investigation examined the role of one factor which appears likely to contribute to this effect: namely, the uptake of orthodontic treatment by families from different social classes. If a significant association were shown then findings relating to the effectiveness of orthodontic treatment might be confounded by this social class factor.

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48

Crawford, A. N. "The future provision of specialist oral surgery and orthodontic services." British Dental Journal 177, no. 4 (August 1994): 143–45. http://dx.doi.org/10.1038/sj.bdj.4808528.

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49

Pollard, T. "The future provision of specialist oral surgery and orthodontic services." British Dental Journal 177, no. 9 (November 1994): 322. http://dx.doi.org/10.1038/sj.bdj.4808599.

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50

Spray, D. J. "The future provision of specialist oral surgery and orthodontic services." British Dental Journal 177, no. 9 (November 1994): 322. http://dx.doi.org/10.1038/sj.bdj.4808600.

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