scholarly journals Trends in Finnish Public Orthodontic Care from the Professionals' Perspective

2009 ◽  
Vol 2009 ◽  
pp. 1-6 ◽  
Author(s):  
Ilpo Pietilä ◽  
Terttu Pietilä ◽  
Juha Varrela ◽  
Pertti Pirttiniemi ◽  
Pentti Alanen
Keyword(s):  
Regional Variation ◽  
Orthodontic Treatment ◽  
Economic Resources ◽  
National Guidelines ◽  
Health Centres ◽  
Fixed Appliances ◽  
Municipal Health

The study maps out orthodontic care in Finnish municipal health centres in 2001, describes changes during the previous ten years reported by chief dental officers, and assesses the views of orthodontists on current public orthodontic services. The data were collected by questionnaires sent to all health centres and all orthodontists in Finland. Of all 0–18-year-olds, 11% were receiving orthodontic treatment with an appliance (range 2–43% among the health centres). The most frequently used appliances were headgear, quadhelix, and fixed appliances. Limited economic resources and the lack of orthodontic expertise were mentioned by the chief dental officers as factors decreasing the volume of services. The orthodontists mentioned the large regional variation and the lack of national guidelines as the most important aspects that should be improved on a national basis. To bring about improvement, they suggested increasing the number of specialist orthodontists and the delegation of orthodontic tasks to auxiliaries.

scholarly journals Acceptability of adolescents' occlusion in Finnish municipal health centres with differing timing of orthodontic treatment

2009 ◽  
Vol 32 (2) ◽  
pp. 186-192 ◽  
Author(s):  
I. Pietila ◽  
T. Pietila ◽  
A.-L. Svedstrom-Oristo ◽  
J. Varrela ◽  
P. Alanen
Keyword(s):  
Orthodontic Treatment ◽  
Health Centres ◽  
Municipal Health

scholarly journals An analysis of residual orthodontic treatment need in municipal health centres

2014 ◽  
Vol 37 (4) ◽  
pp. 398-402 ◽  
Author(s):  
Anna-Liisa Svedström-Oristo ◽  
Terttu Pietilä ◽  
Ilpo Pietilä ◽  
Mimmi Tolvanen ◽  
Juha Varrela ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Need ◽  
Health Centres ◽  
Municipal Health

scholarly journals Orthodontic treatment practices in Finnish municipal health centres with differing timing of treatment

2009 ◽  
Vol 31 (3) ◽  
pp. 287-293 ◽  
Author(s):  
I. Pietila ◽  
T. Pietila ◽  
A.-L. Svedstrom-Oristo ◽  
J. Varrela ◽  
P. Alanen
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Practices ◽  
Health Centres ◽  
Timing Of Treatment ◽  
Municipal Health

scholarly journals Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany

2021 ◽  
Author(s):  
Christina Oetzmann von Sochaczewski ◽  
Jan Gödeke
Keyword(s):  
Pilonidal Sinus ◽  
Regional Variation ◽  
Disease Incidence ◽  
Age Groups ◽  
Pilonidal Sinus Disease ◽  
National Guidelines ◽  
Reconstructive Procedures ◽  
Sinus Disease ◽  
The Mean ◽  
Almost All

Abstract Purpose Collective evidence from single-centre studies suggests an increasing incidence of pilonidal sinus disease in the last decades, but population-based data is scarce. Methods We analysed administrative case–based principal diagnoses of pilonidal sinus disease and its surgical therapy between 2005 and 2017 in inpatients. Changes were addressed via linear regression. Results The mean rate of inpatient episodes of pilonidal sinus disease per 100,000 men increased from 43 in 2005 to 56 in 2017. In females, the mean rate of inpatient episodes per 100,000 women rose from 14 in 2005 to 18 in 2017. In the whole population, for every case per 100,000 females, there were 3.1 cases per 100,000 males, but the numbers were highly variable between the age groups. There was considerable regional variation within Germany. Rates of inpatient episodes of pilonidal sinus disease were increasing in almost all age groups and both sexes by almost a third. Surgery was dominated by excision of pilonidal sinus without reconstructive procedures, such as flaps, whose share was around 13% of all procedures, despite recommendations of the national guidelines to prefer flap procedures. Conclusion Rates of inpatient episodes of pilonidal sinus disease in Germany rose across almost all age groups and both sexes with relevant regional variation. The underlying causative factors are unknown. Thus, patient-centred research is necessary to explore them. This should also take cases into account that are solely treated office-based in order to obtain a full-spectrum view of pilonidal sinus disease incidence rates.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

An Investigation to Estimate the Flouride Uptake Adjacent to a Fluoride-releasing Bonging Agent

1995 ◽  
Vol 22 (2) ◽  
pp. 113-122 ◽  
Author(s):  
S. M. Chadwick ◽  
P. H. Gordon
Keyword(s):  
At Risk ◽  
Clinical Significance ◽  
Orthodontic Treatment ◽  
Bonding Agent ◽  
Bonding Agents ◽  
Acid Etch ◽  
Fixed Appliances

Decalcification of the teeth remains a problem during orthodontic treatment with fixed appliances. It has been suggested that bonding agents which release fluoride could supply it to the area of the tooth most at risk from decalcification. The aim of this study was to estimate uptake by enamel adjacent to a fluoride releasing bonding agent. Acid etch biopsies were used to estimate the concentration of fluoride in enamel adjacent to brackets bonded with Vitrabond® and Geristore®. Results indicate that there was a significant increase in the concentration of fluoride in enamel adjacent to Vitrabond®. The clinical significance of the increase in the concentration of fluoride adjacent to Vitrabond® and the mechanism by which fluoride moves from the material into the enamel remain unclear.

scholarly journals Use of Cantilever Mechanics for Impacted Teeth: Case Series

2013 ◽  
Vol 7 (1) ◽  
pp. 186-197 ◽  
Author(s):  
Sergio Paduano ◽  
Gianrico Spagnuolo ◽  
Gerardo Franzese ◽  
Gioacchino Pellegrino ◽  
Rosa Valletta ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Permanent Teeth ◽  
Impacted Teeth ◽  
Adolescents And Adults ◽  
Fixed Appliances

This paper describes the orthodontic treatment, and the biomechanics of cantilevers for the impaction of permanent teeth in youngs, adolescents, and adults. In these case series, multibracket straightwire fixed appliances, together with cantilever mechanics, were used to treat the impaired occlusion.

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