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1.
Orthod Fr ; 91(1-2): 47-55, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33146132

RESUMO

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.


Assuntos
Ortodontistas , Anquilose Dental , Criança , Humanos , Dente Molar , Erupção Dentária
2.
Dental Press J Orthod ; 25(5): 23e1-23e12, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33206824

RESUMO

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.


Assuntos
Qualidade de Vida , Universidades , Colômbia , Estudos Transversais , Humanos , Ortodontistas , Inquéritos e Questionários
3.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(9): 667-672, 2020 Sep 09.
Artigo em Chinês | MEDLINE | ID: mdl-32878403

RESUMO

In 2019, the Board of Trustees of the American Association of Orthodontists asked a panel of medical and dental experts in sleep medicine and dental sleep medicine to create a document designed to offer guidance to practicing orthodontists on the suggested role of the specialty of orthodontics in the management of obstructive sleep apnea hypopnea syndrome. The present article aimed to provide interpretation of this White Paper, and to further help Chinese orthodontist to understand it.


Assuntos
Ortodontia , Médicos , Apneia Obstrutiva do Sono , Assistência Odontológica , Humanos , Ortodontistas , Estados Unidos
4.
Dental Press J Orthod ; 25(4): 68-74, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965389

RESUMO

OBJECTIVE: To evaluate the skill of orthodontists and oral/maxillofacial surgeons (OMFS) in providing a prognosis of mandibular third molars spontaneously erupted, through follow-up panoramic analysis. METHODS: 22 orthodontic patients treated without extraction, presenting spontaneously erupted mandibular third molars (n = 44) were analyzed through panoramic serial radiographs. The first panoramic radiograph was obtained just after orthodontic treatment (PR1), in patients aging from 13 to 19 years. A second panoramic radiograph (PR2), was obtained in average two years later. The radiographs were randomly analyzed by 54 specialists, 27 orthodontists and 27 OMFS, to obtain the opinion about the approach to be adopted to these teeth in PR1. Then, another opinion was collected by adding a serial radiograph (PR1+2). RESULTS: The concordance of the answers was moderate for OMFS (Kappa 0.44; p< 0.0001) and significant for orthodontists (Kappa 0.39; p< 0.0001). In the analysis of the first radiograph (PR1) of the spontaneously erupted molars, OMFS indicated extraction in 44.5% of cases, while orthodontists indicated in 42%, with no difference between groups (p= 0.22). In PR1+2 analysis, orthodontists maintained the same level of extraction indication (45.6%, p= 0.08), while surgeons indicated more extractions (63.2%, p< 0.0001). CONCLUSIONS: Orthodontists and OMFS were not able to predict the eruption of the third molars that have erupted spontaneously. Both indicated extractions around half of the third molars. A follow-up analysis, including one more radiograph, did not improve the accuracy of prognosis among orthodontists and worsened for OMFS.


Assuntos
Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Dente Impactado/diagnóstico por imagem , Humanos , Mandíbula/diagnóstico por imagem , Dente Molar , Cirurgiões Bucomaxilofaciais , Ortodontistas , Radiografia Panorâmica , Erupção Dentária , Extração Dentária
5.
Dental Press J Orthod ; 25(4): 85-100, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965392

RESUMO

INTRODUCTION: Due to the search for more aesthetic and comfortable alternatives to perform orthodontic treatments and to the great technological development, orthodontic aligners have assumed great importance. More and more complex treatments have been carried out with these appliances without, however, having all aspects involved in their use being studied in depth. Its biomechanical planning requires different approaches than those used in fixed orthodontics, as the force systems involved in movements, responses and side effects are distinct, and the professional must be prepared when opting for the technique. OBJECTIVE: The objective of this article is to perform an evaluation of the force systems created on the space closure with aligners, its characteristics, and problems, as well as make some suggestions to overcome the difficulties inherent to its use. CONCLUSION: Space closure with aligners is possible, but depends on the correct selection of the patient, in addition to requiring the proper planning of the applied forces. The use of auxiliary resources and overcorrections to address the deficiencies of the aligner systems should always be considered. Digital planning should be used as a map of the force systems that will be applied, and not just as a marketing tool, keeping in mind that determining the objectives and the way to achieve them is the responsibility of the orthodontist, and that treatment plans must be individualized for each situation, following appropriate biomechanical precepts.


Assuntos
Desenho de Aparelho Ortodôntico , Aparelhos Ortodônticos Removíveis , Estética Dentária , Humanos , Ortodontistas , Técnicas de Movimentação Dentária
7.
Prog Orthod ; 21(1): 25, 2020 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-32776156

RESUMO

BACKGROUND: The aims of this study were to survey the occurrence of acute medical situations in Dutch orthodontic practice and to examine the self-perceived competence of orthodontists in managing acute medical emergencies. METHODS: A self-designed questionnaire was distributed among all 149 Dutch orthodontists attending the spring meeting of the Dutch Society for Orthodontists. The questionnaire was divided into three parts, addressing background information of the orthodontist, precautions against and experiences in acute medical situations, and self-perceived competence of nine common medical emergencies. The statistical analysis was performed using the chi-square test and a multiple logistic regression analysis. RESULTS: The response rate was 74.5% (105 out of 149). The male to female ratio in this population was 55:50. Mean age of all participants was 46.9 years (SD 10.4 years) with on average 16.7 years of working experience (SD 10.6 years). The most common medical emergency reported by Dutch orthodontists was vasovagal collapse (n = 219), followed by acute allergic reaction (n = 163) and hyperventilation (n = 83). On average, 75% (n = 79) of the orthodontists felt competent to handle any acute medical situation with an average occurrence of 0.36 acute medical emergencies per orthodontist per year. Male participants were more likely to send patients towards the emergency department (p = 0.049). Moreover, a statistically significant negative correlation was observed between self-perceived competence handling hypoglycemia and years of clinical experience. The longer orthodontists were clinically active, the less competent they felt when encountered with a hypoglycemia (p = 0.031). CONCLUSIONS: Medical emergencies may be rare but challenging occurrences in the orthodontic practice. It is strongly recommended for all orthodontists and supporting staff to be trained regularly in the management of medical emergencies and to possess up-to-date evidence-based knowledge. Familiarity with and availability of appropriate drugs and equipment are deemed essential to the management of acute medical emergencies that may arise in the orthodontic practice.


Assuntos
Emergências , Ortodontistas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
8.
Am J Orthod Dentofacial Orthop ; 158(2): 237-246.e4, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32746975

RESUMO

INTRODUCTION: Patients may express views about their orthodontic care by posting publicly available reviews on the Internet. This study analyzed online reviews of orthodontists with an emphasis on the types and frequency of complaints expressed in negative reviews. METHODS: A random sample of 10.6% of the American Association of Orthodontists membership was evaluated to identify members practicing in a North American office that is limited to orthodontics and has an online presence. Information regarding those orthodontists and their offices was collected. For offices with Google and/or Yelp reviews, all negative (1- or 2-star) reviews were saved for content analysis. If an office posted a response to a negative review, those responses were also collected for analysis. RESULTS: Of the 807 eligible orthodontists, 92.4% had reviews on Google and/or Yelp. Average ratings of orthodontists were very positive (ie, 4- and 5-star reviews constituted >97% of Google reviews and >88% of Yelp reviews), yielding an average orthodontist rating of 4.72 on Google and 4.42 on Yelp. However, approximately half of those orthodontists (50.9%) also had at least 1 negative review. The 3 most frequently mentioned categories of complaints were regarding quality of care and/or service, interpersonal interactions, and money and/or financial issues. An analysis of the specific kinds of complaints is described. Orthodontists posting responses to negative reviews had significantly better average ratings than those who did not, but this association does not demonstrate a causal relationship. CONCLUSIONS: Understanding the complaints orthodontic patients express in online reviews may suggest strategies to improve patient satisfaction and an orthodontist's online reputation.


Assuntos
Ortodontia , Ortodontistas , Humanos , Satisfação do Paciente
9.
Am J Orthod Dentofacial Orthop ; 158(5): 661-667, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32828609

RESUMO

INTRODUCTION: The present study aimed to evaluate the most common urgencies and emergencies in orthodontics during the coronavirus disease 2019 (COVID-19) pandemic and to assess how orthodontists in Brazil were dealing with patients and challenges. METHODS: Early in 2020, as the COVID-19 pandemic spread around the world, routine dental care was suspended in many countries, and only patients needing urgent or emergency care could be seen. During this period, orthodontists in Brazil were invited to participate in an anonymous online survey. Over 48 hours (May 1-3, 2020), 395 orthodontists (specialists, MScs, and PhDs) responded. They answered questions regarding dental office and appointments during the pandemic, the type of urgency or emergency care provided, the type of appliance and urgencies, etc. The level of concern about the impact of the pandemic on patients' orthodontic treatments and the financial impact on the dental office was also evaluated. Descriptive statistics were performed with percentages, and responses were compared between specialists, MScs, and PhDs, using chi-square tests. RESULTS: Specialists were the majority of respondents. Most orthodontists were handling only emergencies or urgencies. The most frequent urgencies were bracket breakage, archwire breakage, and breakage of molar tubes and/or bands. Stainless steel fixed appliances were the most common type of appliance related to unscheduled appointments. The majority of patients got in touch with the orthodontist using the professional WhatsApp messenger (WhatsApp Inc, Menlo Park, Calif). Orthodontists were more concerned with the financial impact of the pandemic than with the orthodontic treatment itself. CONCLUSIONS: Breakage of brackets, archwires, or tubes and/or bands were the most common causes of urgency and/or emergency appointments during the pandemic. The level of concern about the financial impact of the stay-at-home orders and the COVID-19 pandemic was significantly greater for specialists and MScs than for PhDs.


Assuntos
Infecções por Coronavirus , Coronavirus , Ortodontia , Pandemias , Pneumonia Viral , Betacoronavirus , Brasil/epidemiologia , Assistência Odontológica , Emergências , Humanos , Ortodontistas
10.
J World Fed Orthod ; 9(3): 123-128, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32768366

RESUMO

BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic has had far-reaching effects on orthodontic care delivery worldwide. This study aimed to assess the impacts of the pandemic on orthodontists and orthodontic residents in Nigeria. METHODS: This cross-sectional study was conducted among consenting orthodontists and orthodontic residents. The respondents were contacted through the WhatsApp group of the Nigerian Association of Orthodontists to fill the self-administered online questionnaires (Google forms). The questionnaire had two sections: A, Sociodemographics; B, Perceived impact of the COVID-19 pandemic. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics were used to compute mean and standard deviation and chi-square for association. Level of significance was set at P < 0.05. RESULTS: This study population comprised 98 people; however, only 73 participants responded, which represented a response rate of 74.5%. Approximately 60% (44) of the respondents thought that the COVID-19 pandemic would lead to a reduction in the number of orthodontic patients in the future, whereas almost all the respondents reported that it would affect their future practice of orthodontics. Most of the respondents (63.0%) reported that the pandemic had recorded a moderate to severe negative economic impact on them. Significant gender differences were recorded, in the social life of respondents, in addition to economic and psychosocial effects. CONCLUSIONS: Almost all respondents reported that they would change their future practice of orthodontics, particularly with respect to placing a greater emphasis on infection control. Most of the respondents reported perceived economic, psychosocial, and social impacts due to the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Ortodontistas , Pneumonia Viral/epidemiologia , Padrões de Prática Odontológica/estatística & dados numéricos , Adulto , Betacoronavirus , Estudos Transversais , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Pandemias , Inquéritos e Questionários
12.
Am J Orthod Dentofacial Orthop ; 158(2): 229-236, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32616322

RESUMO

INTRODUCTION: The evaluation of the quality of information (QOI) contained within oral health-related videos on the video-streaming Web site YouTube has been limited. This study aimed to determine the QOI regarding orthodontic retention and retainers contained within videos uploaded by dental professionals (DPs) to YouTube. METHODS: YouTube was systematically searched using 4 terms. The top 50 videos per search term by "number of times viewed" were stored in a specially created account. Following the application of inclusion/exclusion criteria, the videos were assessed for viewing characteristics, and a 4-point scoring system (0-3) was applied to evaluate QOI in 10 predetermined domains. Descriptive statistical analyses, intrarater, and interrater reliability tests were performed. RESULTS: Strong intrarater and interrater reliability scores were observed. Sixty-two videos from the top 50 most-viewed DPs were viewed a total of 1,367,810 times (range 77- 529,543). Most DPs originated from the United States (68%), and orthodontists (88%) uploaded most videos. The mean number (standard deviation [SD]) of reported domains was 5.5 out of 10 (SD, 2.2). The mean overall QOI score per domain was 1.14 out of 3 (SD, 0.64). The "importance of retention" domain scored highest (2.18; SD, 1.2). "The need for retention reviews" domain scored the lowest (0.3; SD, 0.65). The mean overall QOI score per DP was 11.72 out of 30.00 (SD, 5.85). CONCLUSIONS: The QOI related to orthodontic retention and retainers contained within videos provided by DPs through the YouTube Web site is deficient, particularly the need for retainer review. Orthodontists should be aware of the importance of YouTube as an information resource and ensure that videos related to orthodontic retention and retainers contain relevant, high-quality, and evidence-based information.


Assuntos
Mídias Sociais , Humanos , Ortodontistas , Reprodutibilidade dos Testes , Gravação em Vídeo
13.
J Orthod ; 47(3): 265-272, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32627658

RESUMO

Many orthodontists are aware of the potential applications of three-dimensional (3D) printing in orthodontics but are hesitant in introducing this technology into their clinical practice and workflow. Therefore, this article explains the hardware and software requirements, plus the workflow.


Assuntos
Ortodontia , Impressão Tridimensional , Humanos , Ortodontistas
14.
Acta Clin Croat ; 59(1): 3-9, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32724269

RESUMO

The aim was to assess the views and practice of Croatian orthodontists concerning retention protocols. A total of 150 questionnaire copies were distributed, of which 92 were validly completed. The survey included sociodemographic characteristics, practices of informing patients about retention options, commonly used appliances, and reasons for choosing a particular type of retention and treatment duration. Orthodontists informed patients about retention mostly verbally, the retention period was 3-5 years, the choice of method depended on the malocclusion (76%), and the protocol was influenced by clinical experience of the orthodontist (39%). The most commonly used appliance in the maxilla was the vacuum-formed retainer (52%), whereas a combination of fixed and removable retainers was most common in the mandible (34%). Modus of acquiring knowledge, biological reasons (malocclusion type, oral health, treatment outcome, and growth) and the patient's wishes were not a predictor of retention duration or recall frequency. With an increase in orthodontic experience, the duration of retention decreased and orthodontists were more likely to change the duration of retention (p=0.001), as well as the type of retention appliance (p<0.001). In conclusion, retention protocols among Croatian orthodontists were influenced mostly by their clinical experience and clinical situation.


Assuntos
Contenções Ortodônticas , Ortodontistas , Croácia/epidemiologia , Humanos , Desenho de Aparelho Ortodôntico , Padrões de Prática Odontológica , Inquéritos e Questionários
16.
Dental Press J Orthod ; 25(2): 86-102, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32490929

RESUMO

INTRODUCTION: A significant increase in the number of adults in search of orthodontic treatment has raised a new challenge for orthodontists: the need to interact with other specialties to achieve excellent results, particularly when dealing with smile aesthetics and facial balance. Several factors should be considered to respond to their demand: adequate tooth leveling and alignment, individual tooth proportions between adjacent teeth and their contralateral teeth, shape and natural appearance of each tooth and gingival architecture, which should all be in agreement with facial harmony. Maxillary or mandibular incisors congenitally missing or lost due to caries or trauma and tooth-size discrepancies (Bolton) are some of the important aesthetic challenges for an integrated orthodontic treatment. OBJECTIVES: This study describes cases that illustrate the clinical challenges of treating the anterior area, as well as the multidisciplinary strategies required for their resolution. CONCLUSION: The increasingly frequent multidisciplinary orthodontic treatments of complex cases seem to effectively maximize aesthetic and functional results using a combination of procedures conducted by specialists in related areas, such as Surgery, Prosthetics, Implantology, Restorative Dentistry and Periodontics.


Assuntos
Estética Dentária , Incisivo , Adulto , Humanos , Maxila , Ortodontistas , Sorriso
17.
Artigo em Inglês | MEDLINE | ID: mdl-32570842

RESUMO

COVID-19 has severely impacted dentists, who are at a great risk of infection. This study aimed to investigate if dentists are anxious about returning to their daily activities, and what the perception of the risk is for dentists and orthodontists regarding orthodontic procedures. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was sent to Italian dentists during the final days of the lockdown with items about anxiety, fear, distress, perceived risk for operators, and concerns about orthodontic patients caused by working during the COVID-19 outbreak. Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set as p < 0.05. A total of 349 dentists completed the survey, including 183 orthodontists. Returning to their daily work activity was a source of anxiety for 192 participants and this was associated with the level of distress (odds ratio (OR) = 3.7; p < 0.001). Most of the orthodontists (67.6%) thought that they would increase the number of working hours during the week (OR = 1.8; p = 0.007). Italian dentists were mostly scared to return to their daily activities because they considered their jobs a high risk to them and their families. Dentists with an exclusive/prevailing orthodontic activity were forced to increase their working day during the week.


Assuntos
Infecções por Coronavirus/transmissão , Odontólogos/psicologia , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Pneumonia Viral/transmissão , Padrões de Prática Odontológica/estatística & dados numéricos , Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Odontólogos/estatística & dados numéricos , Surtos de Doenças , Humanos , Itália/epidemiologia , Ortodontistas/psicologia , Ortodontistas/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
18.
Am J Orthod Dentofacial Orthop ; 158(1): 59-67, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32473765

RESUMO

INTRODUCTION: One factor that can affect treatment outcomes is the treatment provider, and this factor has not been extensively studied. This research aimed to evaluate orthodontic treatment quality, length, and efficiency when 2 orthodontists collaborated on treatment, compared with the treatment provided solely by either orthodontist. METHODS: A total of 150 consecutively treated subjects were divided into 3 equal groups based on the treating clinician. Patients in group A were treated by orthodontist A, group B by orthodontist B, and group C by both orthodontists in collaboration. The Peer Assessment Rating (PAR), Index of Complexity, Outcome, and Need (ICON), American Board of Orthodontics-Discrepancy Index, and American Board of Orthodontics-Cast and Radiographic Evaluation were used to assess the pretreatment and posttreatment status. Patient age, gender, type of malocclusion, extraction treatment, orthognathic surgery, treatment length, number of visits, and treatment efficiency index were assessed. RESULTS: Posttreatment PAR and ICON indices showed excellent results in all 3 groups. American Board of Orthodontics-Cast and Radiographic Evaluation was significantly higher in group C (25.3 points) than in group A (21.5 points) or group B (22.0 points) (P = 0.014). Patients in group A had significantly shorter treatment time (23 months) than those in either group B or C (26 months) (P = 0.011). Patients in group C required more appointments (27 visits) than those in either group A or B (23 and 25 visits, respectively). The treatment efficiency index showed no statistically significant difference among the 3 groups. CONCLUSIONS: There was no difference in treatment quality among the 3 groups, as assessed by the PAR index and ICON. Jointly treated cases required 2 to 4 more visits and had higher American Board of Orthodontics-Cast and Radiograph Evaluation scores than those treated by either orthodontist. Complex cases required 6 to 7 more months when they were treated collaboratively.


Assuntos
Má Oclusão , Ortodontia , Assistência Odontológica , Humanos , Ortodontia Corretiva , Ortodontistas , Resultado do Tratamento
19.
Am J Orthod Dentofacial Orthop ; 158(1): 68-74, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32473766

RESUMO

INTRODUCTION: In Australia and Sweden, orthodontic treatments may be performed by either a general dental practitioner (GDP) or a specialist orthodontist. Evidence suggests that the public may easily confuse a GDP who provides orthodontic treatment with a specialist orthodontist. We conducted a survey of people in Australia and Sweden to assess their understanding of the differences between a specialist orthodontist and a GDP who provides orthodontic treatments. METHODS: The sample comprised 2006 Australian adults and 1010 Swedish adults who completed an online questionnaire. The survey examined the respondents' understanding of the difference between a GDP and a specialist orthodontist. Demographic data and the respondents' preference concerning future practitioner type were also collected. RESULTS: Although most of the responses between the countries were different with statistical significance (P <0.001), many similarities in the responses were observed. More than 90% of the respondents in both countries did not know the difference between a GDP who provides orthodontic treatment and a specialist orthodontist. Almost 75% believed that a specialist orthodontist was the most qualified practitioner to perform orthodontic treatment. Fewer than 10% of the respondents preferred to see a GDP for orthodontic treatment over a specialist. These people tended to be male, have less education, and be younger. Cost was identified as an important factor in choosing an orthodontic practitioner, particularly in the Australian sample. CONCLUSIONS: The clear majority of both Australian and Swedish respondents were unable to identify the difference between a specialist orthodontic and a GDP who provides orthodontic treatments.


Assuntos
Ortodontia , Ortodontistas , Adulto , Austrália , Odontólogos , Humanos , Masculino , Papel Profissional , Inquéritos e Questionários , Suécia
20.
J Orthod ; 47(3): 245-250, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32493128

RESUMO

For all orthodontic patients, a detailed clinical examination is essential to obtain the correct diagnosis before the formulation of an orthodontic treatment plan. Additional information may be required from radiographs in order to supplement this clinical examination. While orthodontists principally prescribe dental panoramic tomographs for orthodontic patients to confirm the presence, position and morphology of unerupted teeth, the absence or presence of disease within the supporting structures may be overlooked. This case report presents one such instance where the pre-orthodontic radiographic examination of a young male patient revealed the presence of an asymptomatic odontogenic keratocyst in the right posterior body of the mandible.This case report discusses how this incidental finding was diagnosed, managed and how its surgical treatment subsequently affected the orthodontic management of the patient. Furthermore, this case highlights the importance of undertaking a thorough and systematic approach when analysing any prescribed radiographs, in order to reduce the risk of overlooking any evidence of underlying disease.


Assuntos
Cistos Odontogênicos , Dente não Erupcionado , Humanos , Achados Incidentais , Masculino , Ortodontistas , Radiografia Panorâmica
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