Document Detail


Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom.
MedLine Citation:
PMID:  19524829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this study was to evaluate the effectiveness of orthodontic/orthognathic surgical care provided in the North West region of England. It was an observational, prospective cohort study at 13 maxillofacial clinics in the United Kingdom. METHODS: The 131 patients comprised 47 males (35.9%) and 84 females (64.1%), with an average age of 22.6 years. They received orthodontic/orthognathic treatment according to the normal protocols of the operators. They were then followed until all orthodontic treatment was completed. Final skeletal pattern, final peer assessment rating score, number of attendances, and duration of treatment were recorded. RESULTS: At the end of the 5-year study, 94 patients had completed treatment, and 71 had complete data. Data analysis showed that, overall, the treatments provided were effective in terms of skeletal and dental occlusal outcomes; the final mean peer assessment rating score was 10.58. However, treatment duration was longer than commonly expected, with a mean length of 32.8 months (SD,11.3). The outcome of treatment was influenced by only pretreatment skeletal discrepancy. CONCLUSIONS: This prospective investigation showed that orthodontic/orthognathic surgical care was effective. The outcome of treatment was influenced only by the severity of the pretreatment skeletal discrepancy.
Authors:
Kevin O'Brien; Jean Wright; Frances Conboy; Priscilla Appelbe; David Bearn; Susan Caldwell; Jayne Harrison; Jamil Hussain; David Lewis; Simon Littlewood; Nicola Mandall; Tim Morris; Alison Murray; Mojtaba Oskouei; Stephen Rudge; Jonathan Sandler; Badri Thiruvenkatachari; Tanya Walsh; Elizabeth Turbill
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics     Volume:  135     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-15     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  709-14     Citation Subset:  D; IM    
Affiliation:
School of Dentistry, University of Manchester, Manchester, United Kingdom. Kevin.OBrien@manchester.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Cephalometry
Cohort Studies
England
Female
Follow-Up Studies
Great Britain
Humans
Male
Malocclusion / classification,  surgery*,  therapy
Mandible / pathology
Maxilla / pathology
Middle Aged
Oral Surgical Procedures / statistics & numerical data*
Orthodontics, Corrective / statistics & numerical data*
Osteotomy / methods
Patient Compliance
Peer Review, Health Care
Prospective Studies
Time Factors
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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