The Index of Orthognathic Functional Treatment Need accurately prioritises those patients already selected for orthognathic surgery within the NHS

Shah, Rupal J.; Breeze, J.; Chand, Mohit; Stockton, Peter

doi:10.1016/j.bjoms.2015.08.230

Cited by 1 publication

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“…The aim of this audit was to see whether these criteria were being met. In terms of the IOFTN scores, 91.07% of the patients in the first cohort had an IOFTN score of 4 or 5, which is similar to the findings of other studies (Harrington et al, 2015; James et al, 2015; Shah et al, 2016). A lesser percentage, 88.73%, had an IOTN score of 4 or 5, which would seem to indicate that the IOTN might may not identify some patients who could benefit from orthognathic treatment.…”

Section: Discussionsupporting

confidence: 89%

National British Orthodontic Society (BOS) Orthognathic Audit 2017–2018

et al. 2019

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Objective: To carry out a UK national clinical audit of orthognathic acceptance criteria and information provided to orthognathic patients before treatment. Design: National clinical audit. Setting: Data collected using Bristol Online Surveys. Participants: Sixty-nine UK hospital orthodontic departments submitted data. Methods: Data were collected at two time points using Bristol Online Surveys over a period of 12 months. These were before treatment at the first multidisciplinary clinic (MDT) and immediately after surgery. The data collected included: Index of Orthognathic Functional Treatment Need (IOFTN); Index of Orthodontic Treatment Need (IOTN); age; previous orthodontic treatment; attendance at an MDT; treatment times; and information provision. Results: Eighty-five units agreed to take part in the audit with 69 submitting data, giving a response rate of 81%. The data from 3404 patients were uploaded, 2263 before treatment and 1141 immediately after surgery. Of patients, 91.07% had an IOFTN score of 4 or 5 and 88.73% had an IOTN score of 4 or 5. The mean age at the first MDT was 22 years in the first cohort and 21 years and 4 months in the second immediate post-surgery cohort. Of patients, 37.93% had undergone some form of previous orthodontic treatment, but only 0.28% had undergone previous orthognathic treatment; 96.93% had an MDT confirm that orthodontic treatment by itself was insufficient to adequately correct their functional symptoms. The average treatment time from bond up to surgery was 2 years and 6 months. With respect to information provision, patients received information from a number of sources, principally the British Orthodontic Society (BOS) patient information leaflets and the BOS website Your Jaw Surgery. Conclusions: In the UK, the majority of orthognathic cases fulfil the criteria for acceptance for NHS-funded orthognathic treatment, as outlined by the Chief Dental Officer’s interim guidance on orthognathic treatment. This suggests any prior approval process would not be a good use of NHS resources in the commissioning of orthognathic treatment.

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Section: Discussionsupporting

confidence: 89%