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1.
Am J Orthod Dentofacial Orthop ; 159(6): 750-757, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33888377

RESUMEN

INTRODUCTION: Maxillary anterior crowding (MxAC) has been considered to be an esthetically favorable characteristic of young women in Japan. It has been hypothesized that laypeople and orthodontists have different esthetic preferences; however, to date, this has not been investigated in detail. Therefore, the present study compared the facial attractiveness of women with MxAC and the interpretation of MxAC among orthodontists and laypeople with and without orthodontic treatment experience in Japan. METHODS: Thirty-eight orthodontists, 42 laypeople with orthodontics (patients), and 43 laypeople without orthodontics (laypeople) evaluated the attractiveness of resting and smiling frontal images of 12 women with MxAC (MxAC models; mean age, 21.7 ± 2.6 years) and 12 women with normal occlusion (normal models; mean age, 20.1 ± 0.7 years) using a visual analog scale. In addition, they responded to a questionnaire that asked them to select the terms most closely associated with MxAC. All evaluators and models were Japanese. RESULTS: For all evaluator groups, the facial attractiveness of the MxAC models was significantly lower than that of the normal models for both the resting and smiling images. For MxAC models, orthodontists evaluated resting images more attractive than smiling images, whereas laypeople evaluated smiling images more attractive than resting images. Significantly more patients and laypeople than orthodontists selected "cute" as the term most closely associated with MxAC (P <0.05). CONCLUSIONS: The orthodontists, patients, and laypeople showed a different tendency in their facial attractiveness preferences. Regardless of their orthodontic experience, the laypeople showed more positive interpretations of MxAC than orthodontists. This finding seems to be influenced by Japanese culture, which values irregularity in nature as one form of beauty.


Asunto(s)
Maloclusión , Ortodoncistas , Adulto , Actitud del Personal de Salud , Estética Dental , Femenino , Humanos , Japón , Maloclusión/terapia , Sonrisa , Adulto Joven
2.
Am J Orthod Dentofacial Orthop ; 159(6): 766-773, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33906771

RESUMEN

INTRODUCTION: This study evaluated the trends in orthodontic practitioner choice over the past 15 years and explored the lay public's understanding of different orthodontic practitioner options in the U.S., specifically, orthodontists compared with general dentists. METHODS: A survey was distributed to a representative sample of laypersons in the U.S. The response rate was 90.2%, and 727 completed responses were analyzed. RESULTS: A 28.2% shift away from orthodontists toward general dentists over the last 15 years was significant (P <0.001). The 2 most frequently endorsed ways respondents found their orthodontic practitioners were a recommendation from another dentist (54.2%) and their family's general dentist who offered orthodontic treatment in-house (22.9%). Respondents' knowledge of orthodontists was limited; 85.0% believed that dentists who perform orthodontic treatment are also orthodontic specialists. Only 17.1% of respondents disagreed with the statement that "a dentist who advertises orthodontic treatment is an orthodontic specialist." In addition, 89.7% were not aware that a dentist could not be called an orthodontist without separate training from an accredited residency program. Finally, 64.2% of respondents did not know that an orthodontist must complete more education than a general dentist. CONCLUSIONS: Over the past 15 years, the percentage of orthodontic patients treated by general dentists has increased significantly. The public's ability to differentiate between different types of orthodontic practitioners is poor, showing substantial confusion about orthodontists' qualifications. Most respondents believed that orthodontists are best suited for their orthodontic treatment, but they rely heavily on their general dentists for orthodontic practitioner decisions.


Asunto(s)
Ortodoncia , Ortodoncistas , Atención Odontológica , Odontólogos , Humanos , Encuestas y Cuestionarios , Estados Unidos
3.
Orthod Fr ; 92(1): 141-157, 2021 Mar 01.
Artículo en Francés | MEDLINE | ID: mdl-33871366

RESUMEN

The gum and the gingival festoon in particular are essential elements of the good periodontal health and the harmony of the smile. How does this engage orthodontics? Orthodontists are directly concerned by the vertical position of the collars which they must consider. More indirectly, they can have an influence on the gum festoon and in particular on the papillae. The analysis of the literature of the undesirable effects of orthodontics on the periodontium is provided but with limited conclusions which do not constitute scientific evidence. It remains very important to analyze them in order to draw a guide of clinical conduct. The vestibular version and the alveolar expansion present risks of gingival recession that must be taken into account. The presence of the papillae responds to precise anatomical conditions that have to be controlled to avoid disastrous black triangles when aligning the teeth. The shape of the teeth is directly involved in these phenomena. Stripping may be an appropriate therapeutic response to prevent or limit these iatrogenic effects. The approach is first of all diagnostic (identification of the shape of the teeth, analysis of the dento-dental disharmony (DDD), evaluation of the amount of stripping and its consequences on the DDD) and then prognostic in order to establish the treatment plan... The author will illustrate this approach by the teachings of the literature and by clinical illustrations of treated cases. The balance of a smile is based on the respect of shapes, anatomical proportions and the conditions necessary for healthy tissue. It is our role to respect them in the project of establishing harmony. The beauty of the smile reflects the patient's own personality: « Orthodontists are the technicians of the semaphore of the soul ¼, Axel Kahn, Journées de l'Orthodontie, 2007.


Asunto(s)
Estética Dental , Sonrisa , Encía , Humanos , Enfermedad Iatrogénica/prevención & control , Ortodoncistas
4.
Prog Orthod ; 22(1): 7, 2021 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-33682012

RESUMEN

BACKGROUND: Many patients choose health professionals using the Internet, whether through websites or social media. In orthodontics, an orthodontist's relationship with active and potential patients can be affected by social media interactions, both as a marketing tool and as a tool for providing educational information. The purpose of the present study was to analyze the public perception of professional credibility and willingness to become a client, based on images posted by orthodontists on Instagram. METHOD: This was a cross-sectional study performed using a digital self-administered questionnaire based on images from public Instagram profiles of orthodontists found using certain hashtags. The themes of the posts were analyzed through a qualitative analysis, and the results were expressed as categories. After analyzing 2445 images, 12 thematic categories emerged. A total of 446 individuals (225 laypeople, 66 dental students, and 155 dentists) evaluated the images in regard to the perception of professional credibility and willingness to become a client. One-way ANOVA and chi-square tests were applied, considering a 5% significance level. RESULTS: It was found that more than 95% of the participants used social media, primarily Instagram, WhatsApp, and Facebook, and the social network most used to research health services was Instagram. Statistically significant differences were found in the mean value of perceived professional credibility between the groups (p < 0.05) for the following categories: "dental traction," "mini-implant mechanics," "before and after treatment," "aesthetic brackets," "metallic brackets," and "clear aligners." The categories "being a teacher" and "before and after treatment" had a higher impact on the participants' perception of credibility and willingness to become a client, unlike the "social relationship" and "family relationship" categories. CONCLUSIONS: Some of the themes found in the orthodontists' social media posts were found to influence the perceptions around professional credibility and willingness to become a client, although there were differences among the participants in the present study.


Asunto(s)
Medios de Comunicación Sociales , Estudios Transversales , Estética Dental , Humanos , Ortodoncistas , Opinión Pública
5.
Am J Orthod Dentofacial Orthop ; 159(5): e411-e422, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33648802

RESUMEN

INTRODUCTION: Since the introduction of direct to consumer orthodontic (DTCO) products in the last decade, these products have been increasing in popularity among orthodontic patients. The purpose of the current article was to assess the populations' perception of DTCOs and to examine various factors that may influence their decision in choosing treatment with DTCO products. METHODS: A cross-sectional population-based survey was conducted in the United States. The 35-question survey was disseminated through Amazon Mechanical Turk (Amazon.com, Inc, Seattle, Wash), and participants were asked questions about their demographics, their perceptions of DTCOs, orthodontists, and factors that may influence their decision should they decide to pursue orthodontic treatment. Pearson's correlations were conducted to assess the association between various factors and the participants' likelihood to choose DTCO products. RESULTS: A total of 1441 subjects participated in the study. More than 83% of the participants have considered pursuing orthodontic treatment to some extent. Twenty-three percent reported that they would highly likely choose DTCO products. The majority of participants reported convenience to be the greatest benefit of DTCOs, followed by cost. The majority of responses seemed to favor DTCOs. Forty-seven percent reported that the coronavirus disease 2019 pandemic did not affect their preference, whereas 26.6% reported to be more likely to pursue DTCOs because of the pandemic. CONCLUSIONS: The majority of participants seemed to perceive DTCOs as a viable alternative for seeking orthodontic care. Although participants had concerns about the coronavirus disease 2019 pandemic, results showed that the pandemic might not significantly affect the preferences. Orthodontists and their constituent organizations may consider more robust awareness and advocacy campaigns to educate the population about orthodontic treatment and the benefits of pursuing treatment with a trained orthodontist.


Asunto(s)
Ortodoncia , Estudios Transversales , Humanos , Ortodoncistas , Encuestas y Cuestionarios , Estados Unidos
6.
J Esthet Restor Dent ; 33(1): 237-252, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33609417

RESUMEN

Vertical positioning of the maxillary incisors is critical in smile design, and orthodontists also have the capability of working in the anterior-posterior plane of space. As a result, the anterior posterior positioning of the maxillary incisors becomes equally important for smile aesthetics. This manuscript presents the concept of smile projection for incorporation into the current concepts of smile design.


Asunto(s)
Actitud del Personal de Salud , Estética Dental , Humanos , Incisivo , Ortodoncistas , Sonrisa
7.
Am J Orthod Dentofacial Orthop ; 159(4): e311-e320, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33568274

RESUMEN

INTRODUCTION: This study aimed to analyze differences in esthetic smile preferences between Thai dentists and the general population and determine factors that affect smile perception. For the analysis, in addition to the frontal smile view, the three-quarter and lateral smile views were considered. METHODS: A computer-based questionnaire was used that comprised a demographic survey and multiple photographs of smiles. In total, 61 orthodontists, 180 general dentists, 378 orthodontic patients, and 421 laypersons were asked to select the most preferred digitally altered smile for each variable in the frontal, three-quarter, and lateral views. Chi-square and Kruskal-Wallis tests with post-hoc tests were used for comparing groups. Multiple linear regression was used to analyze the influence of demographic factors on smile esthetics. Significance was set at P < 0.05. RESULTS: Chi-square tests revealed significant differences in preference between men and women and between the professional and nonprofessional groups for almost all variables. Demographic factors influenced smile esthetics in the nonprofessional group. CONCLUSIONS: Both sex and dental knowledge background affected smile preference. The smile preferences of observers varied based on the view, and therefore, the lateral and three-quarter views should be routinely included in smile analyses. Demographics negligibly affected smile perception in the professional group, whereas they significantly affected perceptions in the nonprofessional group, especially age and education.


Asunto(s)
Estética Dental , Ortodoncistas , Actitud del Personal de Salud , Odontólogos , Femenino , Humanos , Incisivo , Masculino , Sonrisa
9.
Swiss Dent J ; 131(3): 220-227, 2021 03 08.
Artículo en Inglés | MEDLINE | ID: mdl-33515226

RESUMEN

Individuals with special healthcare needs have increased orthodontic treatment need, but access to care may be insufficient. The aim of this study was to assess the uptake of patients with special needs in orthodontic settings throughout Switzerland. A web-based survey was sent to all specialist orthodontist members of the Swiss Orthodontic Society. From 220 questionnaires sent, 60% were returned (n=131). 84% of participants responded that they treat patients with special needs, but most orthodontists saw only two new patients per year with special needs. Patients most frequently treated were those with Down syndrome, autism spectrum disorder, or intellectual deficiency. Many practitioners use fixed, removable or functional appliances for treatment of these patients, while aligner use was much less prevalent. Interceptive measures were also used. Chairside time was increased on average by 50%, and treatment duration increased by 25% when compared to other patients. Treatment goals for about half of these patients was compromised. Of orthodontists not providing treatment to individuals with special needs, 79% stated they would not be interested in treating these patients, while 56% of orthodontists already providing treatment stated they would not be interested in treating more of these patients. Reasons given included the lack of additional strategies to treat these patients, lack of referrals, problems with cooperation, and time constraints. In conclusion, roughly four in five orthodontists in Switzerland treat patients with special needs, with most of these orthodontists seeing one or two new patients with special needs annually. The majority of practitioners do not wish to increase their intake of patients with special needs.


Asunto(s)
Trastorno del Espectro Autista , Ortodoncia , Humanos , Ortodoncistas , Sociedades Odontológicas , Encuestas y Cuestionarios , Suiza
10.
BMC Oral Health ; 21(1): 42, 2021 01 22.
Artículo en Inglés | MEDLINE | ID: mdl-33482798

RESUMEN

BACKGROUND: The maxillary anterior teeth play a crucial role in smile aesthetics. Previous studies regarding the importance of maxillary lateral incisors for smile aesthetics concentrated on their size, incisor edge level, and inclination, etc. However, the aesthetic effect of lateral incisor movement in the spatial position has not been studied yet. Therefore, the purpose of this study was to explore the influence of the labiolingual position of maxillary lateral incisors on the aesthetic perception of smiles by orthodontists and laypersons, as well as analyze differences in this perception between male and female raters. METHODS: A three-dimensional (3D) dental model was generated from the photograph of a man's smile using iOrtho7.0 software (Time Angel, Wuxi, China). Based on this model, seven images were generated with different labiolingual positions of the maxillary lateral incisors in 0.5 mm increments (+ indicating labial translation, and-indicating lingual translation). The images were evaluated by 86 orthodontists and 161 laypersons using a visual analog scale, with lower scores indicating less attractiveness. Data were analyzed using Student's t test and one-way analysis of variance with post hoc test. RESULTS: There was no significant difference in smile ratings by males and females. Orthodontists assigned lower scores to all images than laypersons. The smile at + 1.5 mm was considered the least attractive by orthodontists, while smiles at + 1.5 mm and - 1.5 mm were regarded as the least attractive by laypersons. The smile at 0 mm was evaluated as the most attractive by all raters. Laypersons gave different scores to smiles at 0 or - 0.5 mm, but orthodontists did not. CONCLUSIONS: The labiolingual position of maxillary lateral incisors does affect the perception of smile aesthetics. Orthodontists may rate smile aesthetics more critically than laypersons. Therefore, communication and discussion between orthodontists and patients is needed to achieve better therapeutic and aesthetic outcomes.


Asunto(s)
Incisivo , Ortodoncistas , Actitud del Personal de Salud , Actitud Frente a la Salud , China , Estética Dental , Femenino , Humanos , Masculino , Sonrisa
11.
J Orthod ; 48(1): 74-81, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33325314

RESUMEN

Dental trauma is common in the UK, with more than one in ten children having experienced some form of dental trauma. In addition, one in ten patients have been reported to have experienced dental trauma before orthodontic treatment. A recent survey of orthodontists' knowledge and experience of orthodontic management of traumatised teeth has highlighted large inconsistencies in management of traumatised teeth among UK orthodontists, highlighting the need for further information or training on orthodontic management of traumatised teeth.Therefore, the following guidelines have been developed in order to provide an evidence-based approach to treat this cohort of patients. The following guidance is based on the available literature, expert opinion and UK orthodontists' consensus drawn from a recent survey.


Asunto(s)
Ortodoncistas , Niño , Humanos , Encuestas y Cuestionarios
12.
Angle Orthod ; 91(1): 61-66, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33339043

RESUMEN

OBJECTIVES: To investigate the correspondence between programmed interproximal reduction (p-IPR) and implemented interproximal reduction (i-IPR) in an everyday-practice scenario. The secondary objective was to estimate factors that might influence i-IPR to make the process more efficient. MATERIALS AND METHODS: Fifty patients treated with aligner therapy by six orthodontists were included in this prospective observational study. Impressions were taken at the beginning of treatment and after the first set of aligners. Data on p-IPR, i-IPR and technical aspects of IPR were gathered for 464 teeth. Statistical analyses included the Wilcoxon signed-rank test, Kruskal-Wallis, and multilevel mixed regression. RESULTS: Mean difference between p-IPR and i-IPR was 0.15 mm (SD: 0.14 mm; P = .0001), with lower canines showing the highest discrepancy. Use of burs and measuring gauges resulted in a smaller difference (respectively: coeff.: 0.09, P = .029; coeff.: -0.06, P = .013). IPR was performed more accurately on the mesial surface of teeth than on the distal surface. Round tripping before IPR resulted in a slightly more precise i-IPR compared to the previous alignment (coeff.: -0.021, P = .041). CONCLUSIONS: Implemented IPR tends to be less than p-IPR, especially for lower canines and distal surfaces of teeth. Burs tend to provide more precise i-IPR, especially compared to manual strips; however, there is variation between the techniques. Using a measuring gauge tends to increase the precision of i-iPR. As several factors influence the implementation of IPR, particular attention must be paid during the procedure to maximize its precision.


Asunto(s)
Esmalte Dental , Ortodoncistas , Diente Premolar , Humanos
13.
Ned Tijdschr Tandheelkd ; 127(12): 665-670, 2020 Dec.
Artículo en Holandés | MEDLINE | ID: mdl-33367292

RESUMEN

By means of an online questionnaire, the opinions of dental health practitioners on 'orthodontics' were assessed on the basis of 10 statements. There were 523 responses, 51% of which were from general practitioners, a relatively large number from orthodontists (31%) and 18% from other dental health practitioners. Concerning indication of treatment, dental health prior to treatment and the value of straightened teeth, opinions were clearly positive, somewhat more among orthodontist than among general practitioners. Patients knowledge concerning orthodontics and the negative side of orthodontics and their trust in the durability of orthodontic retention are all considered to be more positively present in patients by orthodontists than general practitioners. 1 in 3 non-orthodontists considered carrying out orthodontic procedures in the general practice to be fine. More than 90% of orthodontists disagreed. Female dental practitioners more often consider orthodontic treatment to belong with an orthodontist. The number of women was equally divided across the different groups.


Asunto(s)
Ortodoncia , Odontólogos , Femenino , Humanos , Ortodoncistas , Rol Profesional , Encuestas y Cuestionarios
14.
Ned Tijdschr Tandheelkd ; 127(12): 719-726, 2020 Dec.
Artículo en Holandés | MEDLINE | ID: mdl-33367300

RESUMEN

The aim of orthodontic retention is to counteract post-treatment changes and thereby to preserve the result of active treatment. For active orthodontic treatment, a certain level of patient compliance is necessary and the same applies for the retention phase. Ideally, the retainer will never fail or get lost, the patient will adhere to all recommendations and will wear the retainer in accordance with the instructions, necessary precautions with the fixed retainer are followed, the patient reports a problem immediately, and appointments for retention check-ups will always be met. Unfortunately, the reality is often different. This article considers the need to provide the patient with information about retention before treatment and the problems that may arise during the retention phase. Recommendations are made on how to avoid these problems as much as possible, and solutions are offered for problems that do arise. Finally, it is made clear how the orthodontist, patient and dentist can be jointly responsible for the retention phase.


Asunto(s)
Retenedores Ortodóncicos , Ortodoncistas , Citas y Horarios , Humanos , Diseño de Aparato Ortodóncico , Cooperación del Paciente
15.
Ned Tijdschr Tandheelkd ; 127(12): 727-733, 2020 Dec.
Artículo en Holandés | MEDLINE | ID: mdl-33367301

RESUMEN

In general, the result of orthodontic treatment is not stable. After active treatment, changes can occur as a result of a number of biological processes. The application of retention aims to counteract such changes and thereby preserve the result of orthodontic treatment. The way practitioners design the retention phase varies considerably. To reduce undesired variation in orthodontic retention between practices and to improve quality of care, clinical practice guidelines for retention were developed by the Dutch Association of Orthodontists. These guidelines contain recommendations for the application of retention. The duration of retention, additional techniques and retention after treatment of Class II malocclusions are discussed; consensus has not yet been reached on these subjects.


Asunto(s)
Fenómenos Biológicos , Pautas de la Práctica en Odontología , Atención Odontológica , Humanos , Diseño de Aparato Ortodóncico , Ortodoncistas
16.
Artículo en Inglés | MEDLINE | ID: mdl-33379144

RESUMEN

Fifteen percent of the 5000 to 8000 rare diseases (RDs) can manifest in the oral and maxillofacial region. Little attention has been paid to the care situation of people with RDs in dentistry. Hence, the aim of this study was to assess the level of knowledge about RDs among dentists at a university hospital (DUs) compared to dentists with different professional backgrounds and among general dentists, specialist dentists and DUs in the chamber district of Westfalen-Lippe. Moreover, self-assessment of the level of knowledge was evaluated. A questionnaire was designed, which was made available digitally via a link. A random sample of 1500 dentists, specialist dentists, and oral- and craniomaxillofacial surgeons from the membership of the Dental Association of Westfalen-Lippe, and all dentists, specialist dentists, and oral- and craniomaxillofacial surgeons working at the University Dental Hospitals Münster and Witten/Herdecke, were invited to participate to our study. Differences in the level of knowledge between DUs and non-DUs and differences between DUs, general dentists, and specialist dentists were tested via two-sided Fischer's exact tests. Differences between the three groups of self-assessment of the level of knowledge and the self-assessment of how sufficient their own knowledge about RDs is were tested via two-sided Kruskal-Wallis tests. The global level of significance was controlled by the Bonferroni method. A total of 267 questionnaires were completed, of which 64.0% were answered by general dentists, 25.5% by specialist dentists and 10.5% by DUs. DUs had a significant higher level of knowledge about RDs (adjusted p = 0.012) compared to non-DUs and achieved higher scores (median = 16.5 points) than general (median = 13 points) and specialist dentists (median = 13 points) (p = 0.001). In the self-assessments, the differences were not significant (p > 0.05). In conclusion, most participants showed no or little knowledge about RDs, and DUs had a significant higher level of knowledge than non-university dentists.


Asunto(s)
Odontólogos , Conocimientos, Actitudes y Práctica en Salud , Cirujanos Oromaxilofaciales , Ortodoncistas , Enfermedades Raras , Competencia Clínica , Alemania , Humanos , Encuestas y Cuestionarios
17.
Angle Orthod ; 90(3): 405-410, 2020 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-33378442

RESUMEN

OBJECTIVES: To compare the effect of various degrees of decalcification after orthodontic treatment (white spot lesions) on orthodontists', general dentists', and laypersons' ratings of smile esthetics. MATERIALS AND METHODS: Eight photographs representing incrementally altered tooth decalcification lesions of maxillary anterior teeth ranging from mild to severe were shown randomly to the study participants. Photographs were rated by a matched sample of orthodontists (N = 42), general dentists (N = 52), and laypeople (N = 58). A visual analogue scale (VAS) was used to assess perceptions of smile esthetics. RESULTS: The three groups of raters could distinguish between different decalcification levels. Raters gave more negative scores as the decalcification level increased. CONCLUSIONS: The three groups of raters were able to distinguish between various degrees of decalcification lesions. General dentists were the most critical of all groups when rating decalcification lesions.


Asunto(s)
Caries Dental , Ortodoncia , Actitud del Personal de Salud , Actitud Frente a la Salud , Odontólogos , Estética Dental , Humanos , Incisivo , Ortodoncistas , Sonrisa
18.
Dental Press J Orthod ; 25(5): 23e1-23e12, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33206824

RESUMEN

INTRODUCTION: For dental professionals, including orthodontists, Quality of life (QOL) is a topic of growing concern and could be determined by objective and subjective complex factors. OBJECTIVE: This study analyzed the factors that influence the QOL of orthodontists graduated between 1993 and 2016 of a public university (Medellín, Colombia). METHODS: A mixed-methods study was conducted (cross-sectional survey; 88 participants; 3 focus groups, 21 participants). Quantitative analysis: the research included sociodemographic, labor and health characteristics as independent variables and the WHOQOL-BREF questionnaire as main outcome for QOL. Frequencies were calculated and the association between QOL and independent variables was estimated by bivariate analysis (Chi square tests) and a linear multivariate regression. Qualitative analysis: Narrative content analysis according to thematic categories. Mixed methods: a conceptual framework for QOL using the triangulation was developed. RESULTS: All the scores surpassed 55 points on the 4 domains of WHOQOL-BREF. A lower value was found in the physical dimension (57.1±10.7) and a greater value in the psychological dimension (70.8±8.3). The variables associated positively to QOL were permanent contract, teaching/research activities, monthly income, resting days per week and sex. Factors associated negatively were low social support, mental health and rent housing. Discourses of participants allowed to identify the concept of QOL and the contextual and social determinants and satisfiers. CONCLUSION: QOL of orthodontists is influenced by sociodemographic, employment, working and health factors. Therefore, QOL is a multidimensional concept that recognizes the political and socio-economic context and personal and professional experiences.


Asunto(s)
Calidad de Vida , Universidades , Colombia , Estudios Transversales , Humanos , Ortodoncistas , Encuestas y Cuestionarios
19.
Orthod Fr ; 91(1-2): 47-55, 2020 06 01.
Artículo en Francés | MEDLINE | ID: mdl-33146132

RESUMEN

In their daily practice, orthodontists and pedo- dontists have a common aim which is to ensure a functional establishment of the permanent denture. Due to the increase of eruption defects/failures with no clear obstacles, the doctor may encounter some difficulties to elaborate a diagnosis or even feels helpless when in need to define and put in motion a correct therapeutic strategy. The primary failure of eruption (PFE) is an extensively studied disease that has to be distinguished from an ankylosis during the diagnosis to improve the patient care. A thorough research of scientific literature has been achieved in order to keep our knowledge on the subject up to date and to develop the diagnosis further on primary failure of eruption. The exploitation of scientific data as well as the use of imagery and genetics, provided us with helpful elements for the primary failure of eruption diagnosis. It also allows the pedodontist and the orthodontist to avoid an unsatisfactory patient care who will be informed prior to the start of the treatment.


Asunto(s)
Ortodoncistas , Anquilosis del Diente , Niño , Humanos , Diente Molar , Erupción Dental
20.
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
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