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1.
Am J Orthod Dentofacial Orthop ; 158(6): 799-806, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33010979

RESUMEN

INTRODUCTION: Patients and parents want shorter treatment times, but it is unclear whether they would compromise outcome quality to shorten treatment. The purpose of this study was to compare orthodontists' and parents' perceptions of finished occlusion and their willingness to extend treatment time to achieve improved outcomes. The effects of elapsed treatment time and patient compliance were also investigated. METHODS: Parallel surveys for orthodontists (n = 1000) and parents (n = 750) displayed simulated treatment outcomes of well-aligned teeth with occlusions in 1 mm increments from 3 mm Class III to 3 mm Class II. Participants rated their preferences on a visual analogue scale (VAS; 0-100) and specified whether they would extend treatment, and for how long, to improve the occlusion. RESULTS: Two hundred thirty-three orthodontists (23%) and 243 parents (32%) responded. Despite differences between the scores given (P < 0.0001), both groups rated Class I occlusion most acceptable (mean VAS = 93.9 and 80.7, respectively) and 3 mm Class III malocclusion least acceptable (mean VAS = 25.9 and 40.9, respectively). Parents were willing to extend treatment more often and for a greater time than orthodontists to improve results (P < 0.0001). In addition, parents were less willing to terminate treatment early (P < 0.05). Both groups perceived existing outcomes as more acceptable if the patient was noncompliant (P < 0.05), but elapsed time in treatment had no significant effect on ratings. CONCLUSIONS: For outcomes with well-aligned teeth, orthodontists and parents agreed on what the most and least acceptable occlusal relationships were. To achieve better outcomes, parents were willing to extend treatment duration more often and for a greater time than were orthodontists. In addition, parents were less willing than orthodontists to terminate treatment early.


Asunto(s)
Maloclusión de Angle Clase III , Ortodoncia , Actitud del Personal de Salud , Oclusión Dental , Humanos , Ortodoncistas , Padres
2.
Am J Orthod Dentofacial Orthop ; 158(1): 84-91, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32448566

RESUMEN

INTRODUCTION: The purpose of this study was to evaluate the ability of a publicly available facial recognition application program interface to calculate similarity scores for presurgical and postsurgical photographs of patients who underwent orthognathic surgeries. Our primary objective was to identify which surgical procedure(s) had the greatest effect(s) on the similarity score. METHODS: Existing photographs for 25 orthodontic-orthognathic patients were analyzed using the application program interface to calculate similarity scores between the presurgical and postsurgical photographs. Photographs from 2 presurgical timepoints were compared as controls. Both relaxed and smiling photographs were included to assess the added impact of a facial pose. Patient characteristics and surgery types were recorded for statistical analysis. Nonparametric Kruskal-Wallis rank-sum tests were performed to analyze the relationship between patient characteristics and similarity scores. Multiple comparisons Wilcoxon rank-sum tests were performed on the statistically significant characteristics. RESULTS: Recognition scores were significantly lower after orthognathic surgery at rest (P = 0.009) and smiling (P <0.001). Patients receiving both LeFort I and bilateral sagittal split osteotomy (BSSO) surgeries had a lower median similarity score compared with those that received only BSSO (P = 0.009) when comparing relaxed photographs before and after surgery. Similarly, for the score comparing presurgical relaxed photographs to postsurgical smiling photographs, patients that received both surgeries were found to have lower similarity scores compared with those receiving only BSSO (P = 0.036). CONCLUSIONS: Two-jaw surgeries were associated with a statistically significant decrease in similarity score when compared with 1-jaw procedure. Pose was also found to be a factor influencing similarity scores, especially when comparing presurgical relaxed photographs to postsurgical smiling photographs.


Asunto(s)
Reconocimiento Facial , Cirugía Ortognática , Procedimientos Quirúrgicos Ortognáticos , Algoritmos , Huesos Faciales , Humanos
3.
Am J Orthod Dentofacial Orthop ; 157(4): 526-532.e2, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32241359

RESUMEN

INTRODUCTION: This study aimed to evaluate the factors that influence potential orthodontic patients choosing an orthodontist, general dentist, or direct-to-consumer (DTC) aligners for their treatment, and to determine the level of interest in each provider type. METHODS: An electronic survey was administered to 249 adults among the general population in the United States to determine and evaluate the level of interest in pursuing orthodontic treatment with each provider type. RESULTS: When asked their preference for provider type, 44% of respondents selected orthodontist, 34% selected DTC aligners, and 22% selected general dentist. Among respondents with the highest level of interest in pursuing orthodontic treatment, 50% selected orthodontist, and 27% selected DTC aligners (P = 0.002). For respondents with a moderate interest in pursuing treatment, only 21% selected orthodontist, and 48% selected DTC aligners (P = 0.002). The biggest perceived advantage of treatment with orthodontists was the quality of treatment, and for DTC aligners, it was convenience, followed by cost. Among adults with children, 34% selected DTC aligners for themselves, and only 16% selected DTC aligners when selecting for their children (P = 0.0001). CONCLUSIONS: There is a high level of interest among adults in pursuing treatment with both orthodontists and DTC aligners. Patients with the highest level of interest in pursuing orthodontic care tend to prefer orthodontists, whereas those with a moderate interest in pursuing treatment prefer DTC aligners. Patients tend to select orthodontists primarily because of treatment quality, whereas they select DTC aligners for convenience and then cost. Parents tend to select an orthodontist for their child's treatment, even when selecting DTC aligners for themselves.


Asunto(s)
Atención Odontológica , Ortodoncistas , Adulto , Niño , Humanos , Padres , Encuestas y Cuestionarios
4.
Am J Orthod Dentofacial Orthop ; 155(6): 881-885, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31153509

RESUMEN

This clinical report describes a retained archwire fragment, discovered during a new-patient examination of a young woman seeking orthodontic retreatment. The diagnostic process, care coordination, and patient management decisions are discussed, along with a brief exploration of clinical considerations associated with this incident. A suggested emergency prevention and response protocol is also presented.


Asunto(s)
Cuerpos Extraños/diagnóstico por imagen , Mandíbula/diagnóstico por imagen , Alambres para Ortodoncia/efectos adversos , Diagnóstico Diferencial , Femenino , Humanos , Radiografía Panorámica , Adulto Joven
5.
Prog Orthod ; 20(1): 10, 2019 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-30854613

RESUMEN

PURPOSE: To evaluate differences between orthodontists and general dentists in experience with clear aligners (CA), patients' demand and perception, types of patients, and malocclusion treated with CA and to compare the two groups of clinicians not using CA in their practice. METHODS: A Web-based survey was developed and sent to the 129 members of the European Aligner Society and randomly to 200 doctors of dental surgery by e-mail. They responded on demographics and to one of two different parts for clinicians using CA or not using CA. Statistical analysis was performed with SAS EGv.6.1. RESULTS: The response rate was 74%. Among the total of respondents, the majority reported utilizing CA in their practice with a greater percentage of orthodontists (P = 0.0040). Overall, orthodontists learned more about CA during academic seminars comparing to general dentists, and they treated more class I with crowding (P = 0.0002) and with open bite (P = 0.0462). The majority of patients treated with CA were female and adults with a full-time employment, and the patients' knowledge about CA treatment was mainly provided by information from external media advertising. For respondents not using CA, orthodontists were more likely to report that CA limit treatment outcomes, whereas general practitioners were reported not having enough experience to use them. CONCLUSIONS: There were some significant differences between orthodontists and general dentists mainly in experience and case selection for clinicians using CA as well as in the reasons provided for not using CA in their practice.


Asunto(s)
Odontología , Aparatos Ortodóncicos Removibles , Ortodoncia , Técnica de Expansión Palatina , Niño , Femenino , Humanos , Masculino , Encuestas y Cuestionarios
6.
Oral Maxillofac Surg Clin North Am ; 30(3): 299-302, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29866453

RESUMEN

This article explores the long-standing controversy between orthodontics and temporomandibular disorders (TMDs). It reviews the history of this controversy and presents a discussion of the current literature concerning the potential role of malocclusion in the onset of TMDs. It also explores the potential role of orthodontic treatment as a possible cure for TMDs and concludes, based on the most current evidence-based literature, that there is no relationship.


Asunto(s)
Maloclusión/complicaciones , Maloclusión/terapia , Ortodoncia Correctiva/métodos , Trastornos de la Articulación Temporomandibular/etiología , Trastornos de la Articulación Temporomandibular/terapia , Humanos , Derivación y Consulta
7.
J Oral Maxillofac Surg ; 76(4): 709-715, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29245001

RESUMEN

PURPOSE: There is considerable controversy in the literature concerning the indications for frenectomy for treating a maxillary diastema and for timing of the procedure. The purpose of this study was to survey pediatric dentists, orthodontists, and oral and maxillofacial surgeons on their opinion of this matter to develop a consensus. MATERIALS AND METHODS: An anonymous 7-item electronic questionnaire was sent to members of the American Academy of Pediatric Dentists, the American Association of Orthodontists, and the American Association of Oral and Maxillofacial Surgeons asking about the etiology of the maxillary diastema, its diagnosis, and treatment. RESULTS: Although there was no agreement among the oral and maxillofacial surgeons for the timing of frenectomy and when the diastema should be closed, the pediatric dentists and orthodontists generally agreed that frenectomy should not be performed before the permanent canines are erupted and that the operation should follow orthodontic closure of the space. CONCLUSION: Although there was no complete consensus among the 3 groups, a logical treatment approach for the maxillary diastema is proposed.


Asunto(s)
Diastema/terapia , Odontólogos/estadística & datos numéricos , Diastema/etiología , Diastema/cirugía , Humanos , Maxilar/cirugía , Cirujanos Oromaxilofaciales/estadística & datos numéricos , Cierre del Espacio Ortodóncico , Ortodoncistas/estadística & datos numéricos , Odontología Pediátrica/estadística & datos numéricos , Pautas de la Práctica en Odontología , Encuestas y Cuestionarios
8.
J Dent Child (Chic) ; 84(3): 139-144, 2017 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-29282170

RESUMEN

PURPOSE: The purposes of this study were to: (1) assess children's preferences for their pediatric dentist's attire; (2) assess guardians' preferences for their child's pediatric dentist's attire; and (3) determine which attributes are associated with different types of attire. This was a cross-sectional descriptive study using survey methodology with patients and parents who attended the pediatric dental clinic at Virginia Commonwealth University, Richmond, Va., USA. METHODS: A total sample of 100 guardians and 97 pediatric patients completed the computer-based questionnaire. Four subjects posed for photographs wearing various combinations of attire (professional, casual, white coat, scrubs). RESULTS: Among guardians, 56 percent reported preferring a provider in scrubs, with white coat the second most preferred attire (39 percent) for their children. For pediatric patients, scrubs were still most often selected, but at a lower rate (43 percent), and the white coat remained the second most preferred (37 percent). CONCLUSIONS: Children and parents have strong perceptions and preferences regarding their dentists' attire.


Asunto(s)
Cuidadores/psicología , Vestuario , Atención Dental para Niños/psicología , Relaciones Dentista-Paciente , Odontólogos , Padres/psicología , Prioridad del Paciente , Adolescente , Adulto , Niño , Preescolar , Computadores , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Virginia
9.
Angle Orthod ; 87(3): 377-383, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28059576

RESUMEN

OBJECTIVE: To examine the orthodontic patient experience having braces compared with Invisalign by means of a large-scale Twitter sentiment analysis. MATERIALS AND METHODS: A custom data collection program was created that collected tweets containing the words "braces" or "Invisalign" for a period of 5 months. A hierarchal Naïve Bayes sentiment analysis classifier was developed to sort the tweets into five categories: positive, negative, neutral, advertisement, or not applicable. Each category was then analyzed for specific content. RESULTS: A total of 419,363 tweets applicable to orthodontics were collected. Users posted significantly more positive tweets (61%) than they did negative tweets (39%; P ≤ .0001). There was no significant difference in the distribution of positive and negative sentiment between braces and Invisalign tweets (P = .4189). Positive orthodontics-related tweets often highlighted gratitude for a great smile accompanied with selfies. Negative orthodontic tweets frequently focused on pain. CONCLUSION: Twitter users expressed more positive than negative sentiment about orthodontic treatment with no significant difference in sentiment between braces and Invisalign tweets.


Asunto(s)
Tirantes , Aparatos Ortodóncicos Removibles , Ortodoncia Correctiva/instrumentación , Satisfacción del Paciente , Medios de Comunicación Sociales , Teorema de Bayes , Humanos
10.
Angle Orthod ; 87(3): 432-439, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-27874282

RESUMEN

OBJECTIVE: To investigate differences in case selection, treatment management, and aligner treatment expertise between orthodontists and general practitioners. MATERIALS AND METHODS: A parallel pair of original surveys with three sections (case selection, treatment management, and demographics) was sent to orthodontists (N = 1000) and general dentists (N = 1000) who were providers of aligner treatment. RESULTS: Orthodontists had treated significantly more patients with aligners, had treated more patients with aligners in the previous 12 months, and had received more aligner training than general dentists (P < .0001). In general, case confidence increased with increasing experience for both orthodontists and general dentists. After adjusting for experience, there was a significant difference in aligner case confidence between orthodontists and general dentists for several malocclusions. General dentists were more confident than orthodontists in treating deep bite, severe crowding, and Class II malocclusions with aligners (P ≤ .0001). Significant differences were also found for all treatment management techniques except interproximal reduction. CONCLUSION: There was a significant difference in case selection, treatment management, and aligner expertise between orthodontists and general dentists, although the differences in case selection were small. Overall, it was shown that orthodontists and general dentists elected to treat a variety of moderate to severe malocclusions with aligners but with different utilization of recommended auxiliaries, perhaps demonstrating a difference in treatment goals.


Asunto(s)
Médicos Generales , Maloclusión/terapia , Aparatos Ortodóncicos Removibles , Ortodoncia Correctiva/instrumentación , Ortodoncistas , Pautas de la Práctica en Odontología/estadística & datos numéricos , Competencia Clínica , Humanos , Selección de Paciente , Encuestas y Cuestionarios
11.
Angle Orthod ; 85(5): 897-8, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26308107

Asunto(s)
Mentores , Humanos
12.
Angle Orthod ; 85(6): 1035-41, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25738740

RESUMEN

OBJECTIVE: To (1) assess orthodontic patient and practitioner use of and preferences for social media and (2) investigate the potential benefit of social media in marketing and communication strategies in orthodontic practices. MATERIALS AND METHODS: A survey was developed and randomly distributed to orthodontists via the American Association of Orthodontists and to patients/parents via private practices throughout the United States. Participants were asked to answer questions related to their use of social media and their perceptions of the use of social media in the orthodontic practice. RESULTS: Of the participants, 76% of orthodontists and 89% of patients/parents use social media. Furthermore, Facebook was the social media platform that was most preferred. Social media use was more common in female and younger adult participants. Orthodontists posted information more often in the morning (40%) and afternoon (56%), and patients/parents used social media mainly in the evening (76%). The most commonly used marketing strategies in the orthodontic practices were social media (76%) and a practice website (59%). Social media and practice websites were positively related with new patient starts (P  =  .0376, P  =  .0035, respectively). CONCLUSIONS: Most orthodontists and patients/parents used social media. Social media may be an effective marketing and communication tool in an orthodontic practice.


Asunto(s)
Comunicación en Salud/métodos , Mercadotecnía/métodos , Ortodoncia/métodos , Medios de Comunicación Sociales/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Estados Unidos , Adulto Joven
13.
Angle Orthod ; 85(6): 1042-50, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25751013

RESUMEN

OBJECTIVE: To evaluate similarities and differences in orthodontists' and general dentists' perceptions regarding their interdisciplinary communication. MATERIALS AND METHODS: Orthodontists (N  =  137) and general dentists (N  =  144) throughout the United States responded to an invitation to participate in a Web-based and mailed survey, respectively. RESULTS: The results indicated that orthodontists communicated with general dentists using the type of media general dentists preferred to use. As treatment complexity increased, orthodontists shifted from one-way forms of communication (letters) to two-way forms of communication (phone calls; P < .05). Both orthodontists and general dentists reported that orthodontists' communication regarding white spot lesions was inadequate. When treating patients with missing or malformed teeth, orthodontists reported that they sought input from the general dentists at a higher rate than the general dentists reported (P < .005). CONCLUSIONS: Orthodontists' and general dentists' perceptions of how often specific types of media were used for interdisciplinary communication were generally similar. They differed, however, with regard to how adequately orthodontists communicated with general dentists and how often orthodontists sought input from general dentists. The methods and extent of communication between orthodontists and general dentists need to be determined on a patient-by-patient basis.


Asunto(s)
Odontólogos , Intercambio de Información en Salud/estadística & datos numéricos , Ortodoncistas , Actitud del Personal de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Estados Unidos
14.
Angle Orthod ; 85(5): 820-5, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25393802

RESUMEN

OBJECTIVE: To determine if interproximal reduction of teeth (IPR) is perceived differently by orthodontists and general dentists. MATERIALS AND METHODS: A Web-based survey containing statements about IPR was developed and randomly distributed to orthodontists and general dentists. RESULTS: The majority of orthodontists and general dentists strongly agreed that IPR is a minimally invasive procedure that poses little risk for the development of interproximal decay. However, general dentists were more likely to perform post-IPR polishing and to apply topical fluoride than are orthodontists (P < .0001). A greater percentage of orthodontists strongly believed that the esthetic and occlusal benefits of IPR outweigh the potential risk of tooth decay when IPR was performed (P < .0001). A greater percentage of general dentists were hesitant to perform IPR, despite research supporting that IPR has little negative effect on the health of teeth. CONCLUSIONS: The results of this study disproved the null hypothesis that orthodontists and general dentists share similar views regarding the use of IPR during orthodontic treatment. General dentists were more conservative in their views of IPR and were less comfortable with performing IPR as a routine procedure. General dentists felt more strongly about the importance of post-IPR polishing and application of topical fluoride. Orthodontists were more likely to have researched the long-term effects of IPR on the health of teeth and therefore felt more comfortable performing IPR during orthodontic treatment.


Asunto(s)
Odontólogos/psicología , Estética Dental/psicología , Ortodoncistas/psicología , Actitud del Personal de Salud , Humanos , Persona de Mediana Edad
15.
Angle Orthod ; 84(2): 225-30, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23944224

RESUMEN

OBJECTIVE: To test the null hypothesis that orthodontist characteristics and factors related to retainer choice do not influence the management of the retention phase with regard to frequency and duration of follow-up care provided. MATERIALS AND METHODS: Orthodontists (n  =  1000) were randomly selected to participate in an online survey divided into three categories: background, retainer choice, and time management. RESULTS: Of the 1000 selected participants, 894 responded. When deciding the type of retainer to use, the following were considered most frequently: pretreatment malocclusion (91%), patient compliance (87%), patient oral hygiene (84%), and patients' desires (81%). Orthodontists who considered the presence of third molars (P  =  .03) or "special needs" patients (P  =  .02) had significantly more follow-up visits than those who did not. When vacuum-formed retainers (VFRs) were prescribed, there were significantly fewer visits (P  =  .02) compared to when other types of retainers were used. As practitioner experience increased, so did the number of visits (P < .0001). Orthodontists who considered the primary responsibility of retention to fall on the patient had significantly fewer follow-up visits (P < .0001) than those who considered it either a joint or orthodontist-only responsibility. CONCLUSIONS: The null hypothesis was rejected because the number of follow-up visits during the retention phase was affected by practitioner experience, whether VFRs were used, whether the orthodontist considered the presence of third molars or special-needs patients when choosing the type of retainer, and to whom the orthodontist attributed responsibility during the retention phase.


Asunto(s)
Retenedores Ortodóncicos , Ortodoncia , Adulto , Anciano , Citas y Horarios , Actitud del Personal de Salud , Toma de Decisiones , Atención Dental para Personas con Discapacidades , Relaciones Dentista-Paciente , Femenino , Estudios de Seguimiento , Humanos , Masculino , Maloclusión/clasificación , Persona de Mediana Edad , Tercer Molar/anatomía & histología , Higiene Bucal , Diseño de Aparato Ortodóncico , Cooperación del Paciente , Participación del Paciente , Práctica Profesional , Administración del Tiempo
16.
Angle Orthod ; 84(2): 208-13, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24028316

RESUMEN

OBJECTIVE: To determine if text message reminders regarding oral hygiene compliance have an influence on the level of compliance within an orthodontic population. MATERIALS AND METHODS: In this prospective, randomized, controlled clinical trial, 42 orthodontic patients were assigned to a text message or control group. Parents of patients assigned to the text message group received a reminder text message one weekday each week. Oral hygiene compliance was measured using bleeding index (BI), modified gingival index (MGI), and plaque index (PI), and visual examination of white spot lesion (WSL) development at baseline (T0), two appointments after baseline (T1), and four appointments after baseline (T2). RESULTS: BI, MGI, and PI scores were significantly lower in the text message group than in the control group at T2. CONCLUSION: A text message reminder system is effective for improving oral hygiene compliance in orthodontic patients.


Asunto(s)
Higiene Bucal , Ortodoncia Correctiva , Cooperación del Paciente , Sistemas Recordatorios , Envío de Mensajes de Texto , Adolescente , Niño , Caries Dental/clasificación , Dispositivos para el Autocuidado Bucal , Índice de Placa Dental , Femenino , Estudios de Seguimiento , Humanos , Masculino , Antisépticos Bucales/uso terapéutico , Higiene Bucal/educación , Índice Periodontal , Estudios Prospectivos , Cepillado Dental/instrumentación , Adulto Joven
17.
Angle Orthod ; 84(3): 404-9, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24069879

RESUMEN

OBJECTIVE: To evaluate parents' preferences regarding the appearance and attire of orthodontists. MATERIALS AND METHODS: Parents attending their child's first orthodontic appointment were asked to choose from among sets of photographs of potential orthodontic providers. Selected factors were varied within the sets, including sex and age of the provider as well as attire (casual, formal, white coat, or scrubs), hairstyle (loose or tied back for women, facial hair or clean shaven for men), and presence of a nametag. RESULTS: A total of 77 parents participated. There were significant differences in choice of provider in terms of the provider's sex (P<.0001), age (P=.0013), dress (P<.0001), hair (P<.0001), and nametag (P=.0065). There were no significant differences in preference attributable to parent characteristics (P>.05). CONCLUSION: Parents of orthodontic patients demonstrated clear preferences for choosing a provider related to factors that are not within the control of the practitioner (sex and age) as well as factors that can be changed by the practitioner (attire, hairstyle, and wearing a nametag).


Asunto(s)
Actitud , Vestuario/psicología , Odontólogos , Ortodoncia , Padres/psicología , Adulto , Afroamericanos , Factores de Edad , Conducta de Elección , Escolaridad , Grupo de Ascendencia Continental Europea , Femenino , Cabello , Hispanoamericanos , Humanos , Renta , Masculino , Persona de Mediana Edad , Factores Sexuales
19.
J Am Dent Assoc ; 143(7): 777-83, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22751981

RESUMEN

BACKGROUND: The authors investigated the prevention and treatment of white-spot lesions (WSLs) during and after orthodontic therapy from the perspective of general dentists and orthodontists. METHODS: The authors administered a cross-sectional survey to general dentists (n = 191) and orthodontists (n = 305) in Virginia, Maryland and North Carolina. RESULTS: Sixty-nine percent of general dentists and 76 percent of orthodontists recommended in-office fluoride treatment for patients with severe WSLs immediately after orthodontic treatment. Sixty-nine percent of general dentists reported that they had treated WSLs during the previous year, and 37 percent of orthodontists reported that they had removed braces because of patients' poor oral hygiene. Sixty percent of orthodontists referred patients with WSLs to general dentists for treatment. Eighty-five percent of orthodontists responded that they encouraged patients to use a fluoride rinse as a preventive measure. More than one-third of general dentists indicated that severe WSLs after orthodontic treatment could have a negative effect on their perception of the treating orthodontist. CONCLUSIONS: WSLs are a common complication of orthodontic treatment and their presence can result in a negative perception of the treating orthodontist by the patient's general dentist. Clinical implications. General dentists and orthodontists should work together to prevent the development of WSLs in their patients. Treatment with fluoride supplements and motivating and training patients to practice good oral hygiene will help achieve this goal. Treatment after debonding should include the topical application of low concentrations of fluoride.


Asunto(s)
Cariostáticos/uso terapéutico , Caries Dental/prevención & control , Fluoruros/uso terapéutico , Odontología General , Antisépticos Bucales/uso terapéutico , Aparatos Ortodóncicos/efectos adversos , Ortodoncia , Distribución de Chi-Cuadrado , Estudios Transversales , Caries Dental/etiología , Odontólogos/psicología , Femenino , Fluoruros Tópicos/uso terapéutico , Humanos , Relaciones Interprofesionales , Modelos Logísticos , Masculino , Maryland , Antisépticos Bucales/química , North Carolina , Pautas de la Práctica en Odontología/estadística & datos numéricos , Estadísticas no Paramétricas , Virginia
20.
Am J Orthod Dentofacial Orthop ; 141(3): 337-344, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22381494

RESUMEN

INTRODUCTION: Despite the many advances to improve the practice of orthodontics, white spot lesions, or decalcifications, remain a common complication in patients with poor oral hygiene. The purpose of this study was to assess the perceptions and level of awareness of patients, parents, orthodontists, and general dentists toward the development of white spot lesions during orthodontic treatment. METHODS: This was a prospective epidemiologic survey of the perceptions of orthodontic patients (n = 315), parents (n = 279), orthodontists (n = 305), and general dentists (n = 191) regarding the significance, prevention, and treatment of white spot lesions. RESULTS: All surveyed groups indicated that white spot lesions detracted from the overall appearance of straight teeth, attributed primary responsibility for the prevention of white spot lesions to the patients themselves, and thought that the general dentist should be responsible for treating white spot lesions. Patients regarded themselves as ultimately responsible for the prevention of white spot lesions (P <0.05). CONCLUSIONS: The patients, parents, orthodontists, and general dentists had similar perceptions regarding the significance, prevention, and treatment of white spot lesions. All groups indicated that patients were the most responsible for the prevention of white spot lesions. Communication among patients, parents, orthodontists, and general dentists needs to improve to decrease the incidence of white spot lesions in the orthodontic population.


Asunto(s)
Actitud Frente a la Salud , Caries Dental/etiología , Aparatos Ortodóncicos/efectos adversos , Actitud del Personal de Salud , Cariostáticos/uso terapéutico , Caries Dental/prevención & control , Caries Dental/psicología , Dispositivos para el Autocuidado Bucal , Odontólogos/psicología , Estudios Epidemiológicos , Estética Dental , Femenino , Fluoruros/uso terapéutico , Educación en Salud Dental , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Antisépticos Bucales/uso terapéutico , Higiene Bucal , Ortodoncia , Padres/psicología , Participación del Paciente , Pacientes/psicología , Estudios Prospectivos , Desmineralización Dental/etiología , Desmineralización Dental/prevención & control , Desmineralización Dental/psicología , Cepillado Dental
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