Your browser doesn't support javascript.
National British Orthodontic Society (BOS) Orthognathic Audit 2017-2018.
J Orthod ; 46(4): 287-296, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31595815
ABSTRACT

OBJECTIVE:

To carry out a UK national clinical audit of orthognathic acceptance criteria and information provided to orthognathic patients before treatment.

DESIGN:

National clinical audit.

SETTING:

Data collected using Bristol Online Surveys.

PARTICIPANTS:

Sixty-nine UK hospital orthodontic departments submitted data.

METHODS:

Data were collected at two time points using Bristol Online Surveys over a period of 12 months. These were before treatment at the first multidisciplinary clinic (MDT) and immediately after surgery. The data collected included Index of Orthognathic Functional Treatment Need (IOFTN); Index of Orthodontic Treatment Need (IOTN); age; previous orthodontic treatment; attendance at an MDT; treatment times; and information provision.

RESULTS:

Eighty-five units agreed to take part in the audit with 69 submitting data, giving a response rate of 81%. The data from 3404 patients were uploaded, 2263 before treatment and 1141 immediately after surgery. Of patients, 91.07% had an IOFTN score of 4 or 5 and 88.73% had an IOTN score of 4 or 5. The mean age at the first MDT was 22 years in the first cohort and 21 years and 4 months in the second immediate post-surgery cohort. Of patients, 37.93% had undergone some form of previous orthodontic treatment, but only 0.28% had undergone previous orthognathic treatment; 96.93% had an MDT confirm that orthodontic treatment by itself was insufficient to adequately correct their functional symptoms. The average treatment time from bond up to surgery was 2 years and 6 months. With respect to information provision, patients received information from a number of sources, principally the British Orthodontic Society (BOS) patient information leaflets and the BOS website Your Jaw Surgery.

CONCLUSIONS:

In the UK, the majority of orthognathic cases fulfil the criteria for acceptance for NHS-funded orthognathic treatment, as outlined by the Chief Dental Officer's interim guidance on orthognathic treatment. This suggests any prior approval process would not be a good use of NHS resources in the commissioning of orthognathic treatment.
Assuntos

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Sociedades Odontológicas / Procedimentos Cirúrgicos Ortognáticos Aspecto clínico: Etiologia Limite: Adulto / Humanos / Jovem adulto Idioma: Inglês Revista: J Orthod Assunto da revista: Odontologia / Ortodontia Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: Reino Unido