Orthodontic treatment outcomes obtained by application of a finishing protocol

Carvajal-Flórez, Álvaro; Barbosa-Lis, Diana María; Zapata-Noreña, Óscar; Marín-Velásquez, Julissa Andrea; Afanador-Bayona, Sergio Andrés

doi:10.1590/2177-6709.21.2.088-094.oar

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…This condition is mostly associated with class II, division 1 malocclusion so that early treatment of this condition is often a duty on the part of the clinician, especially when the patients still have with mixed dentition [ 5 , 24 ]. Finally, the scrupulous and careful finishing of the case is fundamental to the long-term therapeutic success [ 25 , 26 ]. A case may be considered to have been treated adequately with the achievement of all 6 keys of occlusion.…”

Section: Discussionmentioning

confidence: 99%

Can Orthodontic Treatment Be Stable 20 Years after the End of the Treatment Scheme? Treatment of a Class 2, Division 1 Malocclusion with Severe Skeletal Discrepancy and Its 20-Year Follow-Up

Aiello

Nucera

Costa

et al. 2021

Case Reports in Dentistry

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Class II malocclusions, after class I malocclusions, are the most frequent in the juvenile Italian population. They are most often skeletal in origin and due to mandibular retrusion. Functional devices seem to have a beneficial effect on the growth of the jaw. Long-term maintenance of the achieved results is essential for therapeutic success in any orthodontic treatment; moreover, the retention phase should last as long as possible, especially in the lower anterior sector. A female patient aged 10 years and 3 months presented a visibly convex profile and a severe mandibular retrusion. The anamnesis brought to light the habit of oral breathing and lower-lip sucking. The cephalometric analysis showed a normodivergent skeletal class II. The first treatment phase involved the use of a Bass type for 12 months at the end of the functional treatment; the second phase of fixed therapy was carried out following the principles of bioprogressive techniques. The photos at the end of treatment show an important improvement in the profile; a full class I ratio of molar and canine teeth was achieved with an excellent interarch relationship and a correction of the V-shaped upper arch. The result is occlusally and profilometrically stable after 2, 4, 5, 10, 14, and 20 years. The maintenance of a stable orthodontic result over time is the result not only of a correct and physiological occlusion but also and above all of a correct diagnosis and correct identification of problems that can cause the malocclusion itself. Flawed habits such as interposition of the lower lip and oral breathing must be intercepted and corrected early in order to correct them and not affect the long-term result of orthodontic treatment. In this case, a functional device associated with an orthodontic fixed finishing and a correct retention phase were necessary to correctly treat a second-class mandibular retrusion whose result remained stable 20 years after the end of therapy.

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Section: Discussionmentioning

confidence: 99%

Can Orthodontic Treatment Be Stable 20 Years after the End of the Treatment Scheme? Treatment of a Class 2, Division 1 Malocclusion with Severe Skeletal Discrepancy and Its 20-Year Follow-Up

Aiello

Nucera

Costa

et al. 2021

Case Reports in Dentistry

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“…The occlusal criteria were measured in the cast models previously scanned with the Ortho Insight 3D Laser and using Motion View Software Design LLC software. The root parallelism and marginal ridges were measured manually following the protocol described by Carvajal et al (13). The evaluators were calibrated for all digital and manual variables with a kappa>0.8 for qualitative and an ICC>80% for quantitative variables.…”

Section: Interventionmentioning

confidence: 99%

“…1 / enero-junio 2020 / Medellín, Colombia Universidad Cooperativa de Colombia finished treatment were evaluated and an average ogs of 31.7 ± 8.4 was found, a score less than acceptable (8), but similar to the averages reported by other national and international universities (9)- (12). Later, in order to improve scores, Carvajal et al (13) implemented a Finishing Protocol (UDEA1 protocol) for evaluating the results under the same criteria and comparing them to the first research. This research provided evidence of a decrease in some variables, but with the persistence of high scores.…”

Section: Introductionmentioning

confidence: 99%

Objective Grading System Scores After the Use of a New Finishing Protocol

Flórez¹,

Noreña²,

Liz³

et al. 2020

Rev. nac. odontol.

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Objective: This non-randomized controlled clinical trial compared a new finishing protocol UDEA2 with the UDEA1 finishing protocol, according to the Objective Grading System (ogs).Methods: Forty-one patients treated in the postgraduate orthodontics clinic were included. Twenty patients served as intervention group (ig) with whom was used the UDEA2 protocol which includes dental positioners, and were compared to twenty-one patients that served as control group (cg) with whom was used the UDEA1 finishing protocol. An orthodontist (gold standard) determined the required movements with positioners used in the UDEA2 protocol. Eight ogs variables were measured by a calibrated clinician.Results: Both groups were comparable in gender, age and severity, but not in type of treatment applied. The total ogs for gc was 28.9±10.0, for ig at T1 (before the positioner) was 20.4±6.0 and the score for ig at T2 (after the positioner) was 19.2±6.0, with statistically significant differences (P≤0.05). The ogs score was principally increased for “alignment” in gc and ig-T1 groups. This variable decreased significantly in the ig-T2 group. There were no patients with more than 30 points in the ig-T2. The regression analysis showed an association (P=0.002) between the finishing protocol applied and the final ogs score. Possibility of belonging to the ig-T2 decreases as the ogs score increases (odds ratio [or] 0.83; 95% confidence interval [CI] 0.738, 0.933).Conclusions: The implementation of the UDEA2 finishing protocol, which includes an orthodontics student’s constant training, a Finishing Protocol Guide application, and a dental positioner in the finishing phase, showed an improvement in quality of orthodontic treatments.

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“…± 8,5 puntos y luego de aplicar un protocolo de finalización mejoraron los resultados obtenidos (9). De otra parte, en la Universidad Autónoma de Manizales Barrera et al (23) encontraron un OGS de 30,9 ± 11,0 puntos en una muestra de 31 pacientes.…”

Section: Consideraciones éTicasunclassified

“…excelencia de cada programa. Con la utilización adecuada del OGS y haciendo de este instrumento una herramienta en planes de mejora continua, los programas de formación en ortodoncia han mostrado que la implementación de protocolos y guias de finalización mejoran los niveles de calidad de los tratamientos; un ejemplo de ello, lo reporta Barbosa-Lis et al en 2014(8), donde luego de implementar un protocolo de finalización se observaron mejoras en la calidad de los tratamientos según los criterios del OGS(9). De igual manera, Verma et al(10) implementaron un protocolo de…”

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Relación entre la calidad de los tratamientos de ortodoncia finalizados y la satisfacción en pacientes atendidos en la Universidad Santo Tomás desde 2018 hasta 2019

Murillo¹,

Delgado-Morales²,

Rodríguez³

2020

Rev. nac. odontol.

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Introducción: el aumento en la prestación de los servicios de ortodoncia exige resultados de alta calidad para lograr la satisfacción del paciente, pero son escasos los estudios que abordan el tema. Objetivo: determinar la relación entre la calidad de los tratamientos de ortodoncia finalizados con la satisfacción del paciente en las Clínicas del Ortodoncia de una universidad colombiana. Métodos: se realizó un estudio observacional de corte transversal con una muestra de 67 pacientes que completaron su tratamiento de ortodoncia entre febrero de 2018 y junio de 2019. La satisfacción se evaluó con un cuestionario de 17 ítems. La calidad de los tratamientos de ortodoncia se analizó según los ocho criterios del Objective Grading System (OGS) de la American Board of Orthodontics sobre modelos de estudio y radiografías panorámicas tomadas al finalizar el tratamiento. Se calcularon frecuencias y proporciones para variables cualitativas y medidas de tendencia central y dispersión para las cuantitativas. Se utilizaron la prueba chi-cuadrado, exacta de Fisher y el coeficiente de correlación de Pearson según fuera apropiado. Un valor de p <0,05 se consideró estadísticamente significativo. Resultados: entre los 67 participantes, 49 (73,1%) eran mujeres, la edad promedio fue 21,4 ± 9,1 años, la duración promedio del tratamiento fue 32,3 ± 5,0 meses y el número promedio de defectos fue 28,8 ± 9,2. El 38.8% respondió que estaba muy satisfecho con los resultados. No se observó una relación entre la satisfacción del paciente y la calidad de los tratamientos de ortodoncia agrupados en excelentes, aceptables y deficientes de acuerdo con los criterios del OGS. Conclusiones: no se encontró relación entre la calidad de los resultados del tratamiento de ortodoncia según los criterios del OGS y la satisfacción del paciente. Estos resultados mostraron que es necesario proponer planes de mejora continua en el centro universitario.

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Orthodontic treatment outcomes obtained by application of a finishing protocol

Cited by 8 publications

References 12 publications

Can Orthodontic Treatment Be Stable 20 Years after the End of the Treatment Scheme? Treatment of a Class 2, Division 1 Malocclusion with Severe Skeletal Discrepancy and Its 20-Year Follow-Up

Can Orthodontic Treatment Be Stable 20 Years after the End of the Treatment Scheme? Treatment of a Class 2, Division 1 Malocclusion with Severe Skeletal Discrepancy and Its 20-Year Follow-Up

Objective Grading System Scores After the Use of a New Finishing Protocol

Relación entre la calidad de los tratamientos de ortodoncia finalizados y la satisfacción en pacientes atendidos en la Universidad Santo Tomás desde 2018 hasta 2019

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