The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Treatment success

Todoki, Lauren; Finkleman, Samuel A.; Funkhouser, Ellen; Greenlee, Geoffrey M.; Choi, Kelly W; Ko, Hsiu-Ching; Wang, Hsuan-Fang; Shapiro, Peter A.; Khosravi, Roozbeh; Baltuck, Camille; Allareddy, Veerasathpurush; Dolce, Calogero; Kau, Chung How; Shin, Ki-Hoon; Jesús-Viñas, Jaime de; Vermette, Michael; Jolley, Cameron; Huang, Greg J.

doi:10.1016/j.ajodo.2020.07.033

Cited by 22 publications

(21 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Details regarding the earlier phases of this study have previously been reported. [10][11][12] Only adult patients 18 years of age or older were recruited to the study to minimize the impact of facial growth on treatment outcomes and stability. Practitioners were requested to enroll all eligible patients consecutively to avoid selection bias, with a maximum of 15 patients per practitioner.…”

Section: Methodsmentioning

confidence: 99%

“…Intraoral frontal photographs from all time points were de-identified and forwarded to the research team at the University of Washington. The Photographic Openbite Severity Index (POSI) 11 was used to assess the stability of a patient's open bite based on intraoral frontal photographs. Figure 1 shows examples of POSI scores 1 through 6, and the criteria for each score.…”

Section: Methodsmentioning

confidence: 99%

“…Prior publications reported on treatment recommendations, as well as the success rates and patient satisfaction at the end of treatment. [10][11][12] The purpose of the current paper is to report on the overall stability rate of AOB treatment at T3, patient satisfaction, and factors that might influence stability and satisfaction.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterior openbite malocclusion in adults:

Gu¹,

Finkleman²,

Todoki³

et al. 2021

The Angle Orthodontist

Self Cite

View full text Add to dashboard Cite

Objectives To investigate stability and satisfaction in adult anterior open bite (AOB) patients at least 9 months post-treatment, as well as patient and practitioner factors that may be associated with stability and satisfaction. Materials and Methods Practitioners and their adult AOB patients were recruited through the National Dental Practice-Based Research Network. Data on patient and practitioner characteristics, treatment recommendations and factors were previously collected. Treatment stability was determined by assessing post-treatment intraoral photographs. Patient satisfaction was determined from post-treatment questionnaires. Treatment was categorized into aligners, fixed appliances, temporary anchorage devices, and orthognathic surgery. Extractions were also investigated. Retention type was categorized into vacuum-formed, Hawley-style, or bonded retainers, and regimens were classified as full-time or part-time wear. Results Retention data collected from 112 patients had a mean post-treatment time of 1.21 years. There were no statistically significant differences in stability between treatment groups. Depending on whether a qualitative index or a millimetric measure was employed, stability ranged from 65% to 89%. Extractions and less initial lower incisor proclination were associated with higher stability in patients treated with fixed appliances only. High satisfaction was reported by patients at retention. There were no clear differences in stability or satisfaction among retention types or regimens. Conclusions The stability of adult AOB orthodontic treatment was high, regardless of treatment or retainer modality. Satisfaction in adult AOB patients was high, regardless of retention type or regimen.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Anterior openbite malocclusion in adults:

Gu¹,

Finkleman²,

Todoki³

et al. 2021

The Angle Orthodontist

Self Cite

View full text Add to dashboard Cite

show abstract

“…One of the most extensive prospective clinical studies in orthodontics (the National Anterior Open Bite Study) was conducted through the network during the 2012 to 2019 funding cycle. [3][4][5][6] A total of 347 adult subjects (with a diagnosis of anterior open bite) drawn from 91 practitioners throughout the United States were enrolled in the study. The study was completed successfully and provided valuable information on different treatment strategies, biomechanical approaches, end-of-treatment outcomes, patient/practitioner satisfaction, treatment success, and long-term stability of orthodontic correction of anterior open bites.…”

Section: Relevance Of Practice-based Research In the Current Landscapementioning

confidence: 99%

“…The study was completed successfully and provided valuable information on different treatment strategies, biomechanical approaches, end-of-treatment outcomes, patient/practitioner satisfaction, treatment success, and long-term stability of orthodontic correction of anterior open bites. [3][4][5][6] The study identified practice patterns that are in vogue nationally. The study was seamlessly conducted in private offices and academic centers with minimal impact on daily practice activities.…”

Section: Relevance Of Practice-based Research In the Current Landscapementioning

confidence: 99%

Relevance of practice-based research to orthodontics

Allareddy¹,

Frazier‐Bowers²,

Park³

et al. 2021

The Angle Orthodontist

Self Cite

View full text Add to dashboard Cite

The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Patient satisfaction with treatment

Finkleman¹,

Todoki²,

Funkhouser

et al. 2020

American Journal of Orthodontics and Dentofacial Orthopedics

Self Cite

View full text Add to dashboard Cite

Introduction: This paper evaluates patient satisfaction of adults, who received orthodontic treatment for anterior openbite malocclusion across the United States. The factors that influence the satisfaction of these patients are also described. Methods: Practitioners were recruited from the National Dental Practice-Based Research Network. Upon joining the Network, practitioner demographics and information on their practices were acquired. Practitioners enrolled their adult patients in active treatment for anterior openbite. Patient demographics, patient dentofacial characteristics, and details regarding previous and current treatment were collected through questionnaires at enrollment (T1). Pre-treatment lateral cephalograms and intraoral frontal photographs were submitted. Treatment performed and details related to treatment outcome were recorded through questionnaires at the end of active treatment (T2). Post-treatment lateral cephalograms and intraoral frontal photographs were submitted. Patient satisfaction at the end of active treatment (T2) was assessed using a five-point, Likert-like scale and open-ended responses. Predictive univariate models were developed to evaluate the factors that influence patient satisfaction. Open-ended responses were reviewed for general trends. Results: End of active treatment (T2) data was received for 256 patients. Two hundred forty-eight of these patients completed and returned the patient satisfaction questionnaires. High levels of satisfaction were found in our sample of adult patients receiving treatment for anterior openbite malocclusion. Specifically, 96% of the sample reported being very or somewhat satisfied. Only ten patients (4%) were not satisfied with the treatment provided or an element of the final result. Successful openbite closure, treatment modality, and certain patient characteristics may influence patient satisfaction. However, there was insufficient power to demonstrate statistical significance. Open-ended responses directly associated with patient satisfaction were received from twenty-three patients (9%). They relayed positive, neutral, and negative feelings about the treatment received and final results. Additional responses regarding the orthodontic treatment in general, but not specifically linked to patient satisfaction, were received from 119 patients (48%). These comments depict an overwhelmingly positive experience. Conclusions: Adult patients who received orthodontic treatment for anterior openbite malocclusion were generally satisfied with the treatment provided, as well as the final esthetic and functional results.

show abstract

The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Treatment success

Cited by 22 publications

References 20 publications

Anterior openbite malocclusion in adults:

Anterior openbite malocclusion in adults:

Relevance of practice-based research to orthodontics

The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Patient satisfaction with treatment

Contact Info

Product

Resources

About