Factors influencing treatment efficiency:

Abstract

Objectives The purpose of this cohort study was to evaluate the effect of self-ligating brackets (SB) and other related factors that influence orthodontic treatment time. Materials and Methods This was a two-armed prospective study. Consecutively treated patients who were recruited from a private practice were enrolled and asked to choose between SB and conventional brackets (CB). If the patient did not have a preference, that patient was randomly allocated. An identical archwire sequence was used, and all patients were treated by a single orthodontist. Treatment duration, number of bracket failures, poor oral hygiene, poor elastic wear, whether or not to orthodontic mini-implants (OMI) were used, OMI failure, extraction, American Board of Orthodontics Discrepancy Index, and arch length discrepancy were measured and statistically analyzed using t-tests, correlation analysis, and analysis of covariance (ANCOVA). Stepwise regression analysis was conducted to generate an equation to predict treatment duration. Results A total of 134 patients with an average age of 22.73 years were included. The average treatment duration was 28.63 months. ANCOVA showed no significant difference in treatment duration between CB and SB. Stepwise regression analysis could explain 64.6% of the variance in treatment duration using five variables. Conclusions SB did not exhibit a significant reduction in treatment time as compared with CB. Patient cooperation, extractions, and malocclusion severity had a significant impact on treatment duration.

A Novel Technique for Shortening Orthodontic Treatment: The “JET System”

“…A conventional treatment involves either three steps (alignment and leveling [step 1], space closure [step 2], anterior retraction [step 3]) or four steps (alignment and leveling [step 1], canine retraction [step 2], anterior retraction [step 3], and finishing [step 4]). In general, the treatment period is longer for cases involving extraction [3][4][5][6][7] because closing the space takes extra time. In addition, it is difficult to shorten the average orthodontic treatment time in extraction cases [20,21].…”

“…Factors in the duration of treatment included the patient's cooperation [2][3][4][5], malocclusion severity [3][4][5], presence or absence extractions [3][4][5][6][7], techniques involving the use of fixed appliances [5,8], and bracket prescription [9].…”

Artificial intelligence in orthodontics: Where are we now? A scoping review

“…Orthodontic treatments are usually long procedures with an average treatment duration of nearly 29 months, 4 which is why orthodontists must become more efficient to adapt to the needs of society. The application of ML techniques can help to solve this issue.…”

“…2,3 • Big data refers to large data sets and/or the combination of all available data points drawn from multiple sources which can be used to recognize patterns that inform a customized experience for different individuals. 1 Orthodontic treatments are usually long procedures with an average treatment duration of nearly 29 months, 4 which is why orthodontists must become more efficient to adapt to the needs of society. The application of ML techniques can help to solve this issue.…”

Evaluation of the Anxiety Levels of Orthodontics Patients During Covid-19 Pandemic

“…16 In our study 59.4 % VP major concern about COVID-19 pandemic affect was delays the end of treatment. This is an inevitable side effect of the pandemic, Beckwith et al 20 and Jung 21 stated that appointment missing and brackets breaking increased treatment time significantly. On the other hand, 19.1 % VP had no concern.…”