Objective: To evaluate the results of a finishing protocol implemented in patients treated in the Orthodontics graduate program at Universidad de Antioquia. Evaluation was carried out by means of the criteria set by the Objective Grading System (OGS) of the American Board of Orthodontics (ABO). Methods: Cast models and panoramic radiographs of 34 patients were evaluated. The intervention group (IG) consisted of 17 patients (19.88 ± 4.4 years old) treated under a finishing protocol. This protocol included training in finishing, application of a finishing guide, brackets repositioning and patient's follow-up. Results of the IG were compared to a control group of 17 patients (21.88 ± 7.0 years old) selected by stratified randomization without finishing intervention (CG). Results: The scores for both CG and IG were 38.00 ± 9.0 and 31.41 ± 9.6 (p = 0.048), respectively. The score improved significantly in the IG group, mainly regarding marginal ridges (CG: 5.59 ± 2.2; IG: 3.65 ± 1.8) (p = 0.009) and root angulation (CG: 7.59 ± 2.8; IG: 4.88 ± 2.6) (p = 0.007). Criteria that did not improve, but had the highest scores were: alignment (CG: 6.35 ± 2.7; IG: 6.82 ± 2.8) (p = 0.62) and buccolingual inclination (CG: 3.6 ± 5.88; IG: 5.29 ± 3.9) (p = 0.65). Conclusions: Standardization and implementation of a finishing protocol contributed to improve clinical performance in the Orthodontics graduate program, as expressed by occlusal outcomes. Greater emphasis should be given on the finishing phase to achieve lower scores in the ABO grading system.
Aim The aim of the present study was to establish the relationship between lower facial third and smile type in silent mixed‐dentition patients. Methods This cross‐sectional study, approved by the ethics committee, was conducted in a population of 2760 children, from which a convenient sample of 198 was included: 75 with gingival smile (GS) and 123 without GS (1:1.64). Clinical examination and videos were taken. Occlusal relation, overjet (OJ), overbite (OB), superior lip length at rest, superior lip length while smiling (SLLS), lower facial third height (LFTH), mid‐facial third height (MFTH), clinical crown length, and lip lift ability (LLA) were measured by two calibrated examiners (intraclass correlation coefficient: ≥.95). A normality test and demographic and bivariate analyses were undertaken. A non‐paired Student's t test was carried out in order to observe statistically‐significant differences between variables. Results There were no differences between sexes or associations between LFTH and GS. Statistically‐significant differences (P < .05) in MFTH, SLLS, LLA, OJ, and OB were found. A logistic regression model showed that the sum of LLA (odds ratio [OR]: .65, 95% confidence intervals [CI]: .50,.83]) and OB (OR: .88, 95% CI: .82, .93]) were GS predictive factors in 81.3% of cases. Conclusions OB and LLA are GS predictive factors in prepubertal participants. There is no relation between LFTH and GS.
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