An audit of ‘early debond’ cases in the national outcomes audit of patients treated with upper and lower fixed appliances by Consultant Orthodontists in the UK

McMullan, Roslyn E.

doi:10.1179/146531205225021231

Cited by 5 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of discontinued orthodontic treatment in the UK is approximately 12% (Turbill et al, 2003, McMullan, 2005. It has been linked to patient factors, such as age and socio-economic status, as well as treatment factors, such as appliance type and clinician qualifications (Turbill et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Marshman

Eddaiki

Bekker

et al. 2016

Journal of Orthodontics

View full text Add to dashboard Cite

Objectives: To develop and evaluate a child-centred patient decision aid for young-people, and their parents, supporting shared decision making about fixed orthodontic appliance treatment with dental health professionals, namely the Fixed Appliance Decision Aid (FADA). Methods:The studies were undertaken in a UK teaching dental hospital orthodontic department in 2013-14.The development phase involved an interview study with: a) 10 patients (12-16 years old), and their parents, receiving orthodontic care to investigate treatment decision making and inform the content of the FADA and b) 23 stakeholders critiquing the draft decision aid's content, structure and utility. The evaluation phase employed a pre-/post-test study design, with 30 patients (12-16 years old) and 30 parents. Outcomes included the Decisional Conflict Scale; measures of orthodontic treatment expectations and knowledge.Results: Qualitative analysis identified two informational needs: effectiveness of treatment on orthodontic outcomes and treatment consequences for patients' lives. Quantitative analysis found decisional conflict reduced in both patients (mean difference -12.3, sd 15.3, 95% CI 6.6 to 17.9; p<0.001) and parents (mean difference -8.6, sd 16.6, 95% CI 2.5 to 14.8; p=0.002); knowledge about duration and frequency of orthodontic treatment increased; expectations about care were unchanged. Conclusions:Using the FADA may enable dental professionals to support patients and their parents, decisions about fixed appliance treatments more effectively, ensuring young people's preferences are integrated into care planning.(word count = 217)

show abstract

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Marshman

Eddaiki

Bekker

et al. 2016

Journal of Orthodontics

View full text Add to dashboard Cite

show abstract

The Seven-year Outcome of an Early Orthodontic Treatment Strategy

et al. 2008

View full text Add to dashboard Cite

The benefits of early orthodontic treatment are continuously discussed, but studies are few. We examined whether definite need for orthodontic treatment could be eliminated in public health care by systematically focusing on early intervention. One age cohort living in a rural Finnish municipality (N = 85) was regularly followed from ages 8 to 15 years, and persons with malocclusions were treated according to a pre-planned protocol. Treatment need was assessed according to the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need, and treatment outcome by the Peer Assessment Rating Index (PAR). Fifty-two percent of the cohort received treatment, and definite treatment need decreased from 33% to 9%. In the treated group, the mean PAR score reduction was 63%, and 51% showed more than 70% improvement. The results suggest that an early treatment strategy may considerably reduce the need for orthodontic treatment in public health care with limited specialist resources.

show abstract

What factors might affect the success of fixed appliance therapy in adolescent patients? part 1

2013

View full text Add to dashboard Cite

The success of orthodontic treatment can be judged in a number of ways, two of which are treatment efficiency and occlusal outcome. Treatment efficiency can be measured in terms of length of treatment and number of visits, whilst occlusal outcomes can be both dynamic and static. The factors that affect success can be considered under three headings, namely patient factors, operator factors and appliance factors. This article will consider outcome and the patient factors which might affect treatment success in our adolescent patients, whilst Part 2 will consider operator and appliance factors. Clinical Relevance: The conversational model of consent requires that clinicians disclose all of the appropriate information to patients prior to them making the decision whether to accept or decline treatment. 1 Understanding factors that could affect the outcome with respect to both treatment efficiency and occlusal result will therefore help inform this consent process.

show abstract

An audit of ‘early debond’ cases in the national outcomes audit of patients treated with upper and lower fixed appliances by Consultant Orthodontists in the UK

Abstract: Discontinuation of orthodontic treatment is associated with a reduced level of treatment outcome.

Cited by 5 publications

References 6 publications

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

The Seven-year Outcome of an Early Orthodontic Treatment Strategy

What factors might affect the success of fixed appliance therapy in adolescent patients? part 1

Contact Info

Product

Resources

About