Perceptions of orthodontic case complexity among orthodontists, general practitioners, orthodontic residents, and dental students

Heath, Elizabeth M.; English, Jeryl D.; Johnson, Cleverick D; Swearingen, Elizabeth B.; Akyalçın, Sercan

doi:10.1016/j.ajodo.2016.06.045

Cited by 32 publications

(31 citation statements)

References 18 publications

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“…It has been reported that practitioners with different levels of orthodontic education differed in aligner expertise and the management of aligner patients [ 7 ]. Moreover, practitioners with more advanced orthodontic training are better at recognizing case complexity and eliminating potential risks [ 10 ]. Thus, to guarantee successful treatment of clear aligner patients, the expertise of recognizing case complexity of aligner patients is very important.…”

Section: Introductionmentioning

confidence: 99%

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool (CAT–CAT)

Long

Yan

et al. 2020

BMC Oral Health

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Background Recent years have witnessed a remarkable evolution of clear aligner technology and clear aligners are becoming more and more versatile in treating orthodontic patients. The aim of this study was to develop an objective evaluation system for assessing clear aligner treatment difficulty. Methods A total of 120 eligible patients (100 patients for developing and testing the evaluation system and 20 patients for validating this system) were recruited in this retrospective cross-sectional study. Based on clinical data (dental models, radiographs and photographs), complexity levels of cases were evaluated by two experts and regarded as the gold standard. Difficulty scores were determined through an evaluation system encompassing three domains (dental model analysis, radiographic examinations and clinical examinations). The reliability of the evaluation system was examined through analyzing the agreement between complexity levels and difficulty scores. Moreover, multivariable linear regression test was used to examine the independent association of each variable (e.g. overbite and crowding) with the complexity level. Results The results revealed that the assessment of treatment difficulty by this objective evaluation system substantially matched the gold standard (R2 = 0.80). The multivariable regression test revealed that complexity level was significantly associated with difficulty score (p < 0.001), age (p = 0.015), tooth extraction (p < 0.001), treatment stage (p < 0.01) and the number of difficult tooth movement (p = 0.005). This objective evaluation system elaborated in this study was viable and reliable in appraising clear-aligner treatment difficulty in clinical practice. Conclusions We suggest orthodontists and general practitioners use this objective evaluation system (CAT-CAT) to appraise clear aligner treatment difficulty and to select appropriate clear aligner patients.

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Section: Introductionmentioning

confidence: 99%

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool (CAT–CAT)

Long

Yan

et al. 2020

BMC Oral Health

View full text Add to dashboard Cite

show abstract

“…It has been reported that practitioners with different levels of orthodontic education differed in aligner expertise and management of aligner patients (5). Moreover, practitioners with more orthodontic training are better at recognizing case complexity and eliminating potential risks (8). Thus, to guarantee a successful treatment of aligner patients, the expertise of recognizing case complexity of aligner patients is very important.…”

Section: Introductionmentioning

confidence: 99%

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool

Long

Wang

et al. 2020

Preprint

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Background : Recent years has witnessed a remarkable evolution of clear aligner technology and clear aligners are becoming more and more versatile in managing orthodontic patents. The aim of this study was to develop an objective evaluation system for assessing clear-aligner treatment difficulty. Methods : A total of 100 eligible patients were recruited in this study. Based on clinical data (dental models, radiographs and photographs), difficulty levels were evaluated by two experts and regarded as the gold standard. Difficulty scores were determined through an evaluation system encompassing three domains (dental model analysis, radiographic examinations and clinical examinations). The reliability of the evaluation system was examined through analyzing the agreement between difficulty levels and difficulty scores. Moreover, multivariate linear regression test was used to examine the independent effect of each variable (e.g. overbite and crowding) on difficulty level. Results : The results revealed that the assessment of treatment complexity by this objective evaluation system matched perfectly with the gold standard (kappa=0.80). The multivariate regression test revealed that difficulty level was significantly associated with difficulty score (β=0.13, p<0.001), age (β=-0.04, p=0.015<0.01), tooth extraction (β=1.14, p<0.001) and number of difficult tooth movement (β=0.09, p=0.005<0.05). This objective evaluation system elaborated in this study is viable and reliable in appraising clear-aligner treatment difficulty in clinical practice. Conclusions : We suggest practitioners, especially general practitioners, use this evaluation system for appropriate clear-aligner patient selections.

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“…The aesthetic component of the IOTN, cross bite, upper arch crowding or spacing, overbite or open bite, and buccal segment antero-posterior relationship are used to determine treatment need, treatment outcome, complexity, and degree of improvement [2] It has been shown in the previous studies that geographic location may affect the specialist's determination of treatment need and outcome [5,6]. Evidence in medicine is there that treatment provision differs by geographic location, despite the fact that prevalence of the underlying disease does not vary [7][8][9]. Thus it is important to validate an index which shows correctly identify treatment need with the suggestions of orthodontic specialists who are practicing within that particular geographic location [2,3].…”

Section: Introductionmentioning

confidence: 99%

Index of Complexity, Outcome and Need (Icon) for Determining Treatment Need in The Northern Border Region of Saudi Arabia: An Epidemiological Study

kundi¹

2020

Preprint

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Background: Assessment of orthodontic treatment need is a complicated issue. As integral part of oral health care programs, Orthodontic treatment needs to be based on information of treatment needs. The evaluation of malocclusion is the essential component in establishing the diagnosis and treatment need of the orthodontic patient.Taking decision of whether or not one should undergo orthodontic treatment, both the desire of the patient (and/ or parents) and the opinion of the orthodontist must be taken into account. One of the major problems in studying malocclusion is the availability of a suitable objective method for recording the occurrence and severity of orthodontic problem. Thus, orthodontic indices are used in clinical and epidemiological studies of malocclusion. The aim of this study is to determine the necessity and complexity of orthodontic anomalies by applying Index of Complexity, Outcome and Need (ICON) in Saudi population.Methods: A descriptive cross-sectional study was conducted on dental casts of 150 patients (mean age 15.66±1.07) adolescents randomly selected from the northern border region of Saudi Arabia (KSA). Index of Complexity Outcome and Need (ICON) was applied to find out the orthodontic treatment need and initial stage complexity grades. The data was performed using the statistical software package IBM SPSS Statistics 24.0. Results: 80% of the patients needed some sort of orthodontic therapy. More than 65% of the cases were classified as being difficult and very difficult to treat. Conclusion: It was concluded that a high number of cases were in need of the orthodontic therapy and majority of the patients undergoing orthodontic treatment were in difficult grades.

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Perceptions of orthodontic case complexity among orthodontists, general practitioners, orthodontic residents, and dental students

Cited by 32 publications

References 18 publications

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool (CAT–CAT)

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool (CAT–CAT)

An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool

Index of Complexity, Outcome and Need (Icon) for Determining Treatment Need in The Northern Border Region of Saudi Arabia: An Epidemiological Study

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