The Four Thames Project: Development of Training in Orthodontics for Dental Practice

1988 ◽  
Vol 15 (4) ◽  
pp. 269-275 ◽  
Author(s):  
N. Pender
Keyword(s):  
Postal Questionnaire ◽  
Dental Practice ◽  
Project Development ◽  
Personal Interview ◽  
Fixed Appliances ◽  
Removable Appliances

The Four Thames Project to develop training in orthodontics for dental practice, offered 26 clinical attachments with Consultants, over a 2-year period (October 1984–1986). A course of tuition was provided centrally in four modules. The programme was evaluated using a postal questionnaire and personal interview of the course participants, and with a postal questionnaire of the participating Consultants. The results of the evaluation are discussed an effects on the orthodontics in the participants' practices and consultants' units are outlined. Those on the first 2-year programme changed the range of their orthodontic practice to include more use of fixed appliances and a reduction in the use of removable appliances and of treatment by extraction and observation alone.

The Provision of Orthodontic Care in the General Dental Services of England and Wales: Extraction Patterns, Treatment Duration, Appliance Types and Standards

1993 ◽  
Vol 20 (4) ◽  
pp. 345-350 ◽  
Author(s):  
S. Richmond ◽  
M. Andrews ◽  
C. T. Roberts
Keyword(s):  
Treatment Duration ◽  
Older Age ◽  
Dental Practice ◽  
Age Group ◽  
Dental Services ◽  
England And Wales ◽  
Fixed Appliance ◽  
Systematic Sample ◽  
Fixed Appliances ◽  
Removable Appliances

A systematic sample of 1010 cases was collected by the Dental Practice Board. The commonest type of treatment involved extraction of the first premolars followed by removable appliances. Treatment duration was on average 1·9 years, one-arch fixed appliances were started in an older age group and two-arch fixed appliance treatment took longer to complete than other appliance types. The best standard of treatment was achieved using upper and lower fixed appliances.

A Survey of Users of a Dental Access Centre Situated in an Area of Mixed Socioeconomic Affluence and Deprivation

2007 ◽  
Vol os14 (4) ◽  
pp. 157-162 ◽  
Author(s):  
Rebecca Harris ◽  
Girvan Burnside
Keyword(s):  
National Health Service ◽  
Emergency Care ◽  
Geographical Area ◽  
Routine Care ◽  
Postal Questionnaire ◽  
Dental Practice ◽  
Clinical Database ◽  
The Third ◽  
Socioeconomic Profile

Objective To describe the users of a Dental Access Centre (DAC) situated in an area of England with a mixed socioeconomic profile, their pattern of use, and their perception of the role of the service. Method A sample of users was drawn from a DAC in Cheshire's clinical database. A postal questionnaire was sent to these users via a three-stage mailing, using a prize draw incentive to promote response. After the third mailing stage, non-responders were also contacted by telephone. Results A high proportion of users lived relatively near the DAC. Over 80% of respondents were unregistered with a dentist in Cheshire. The centre appeared to be used for symptomatic care only, with no respondents reporting using the centre for routine care (including check-ups). Conclusion The role of DACs was originally envisaged as providing a service for unregistered patients wanting convenient, accessible, emergency care, and as providing routine National Health Service (NHS) care, including check-ups in geographical areas where there is limited availability of NHS care in general dental practice. In a geographical area with low dental need, one might expect the DAC to fulfil the second of these roles. However, this study suggests that even in this type of area, users of the DAC who responded to the questionnaire viewed it as a source of emergency care and not as a provider of routine care.

The Development of Removable Appliances in the United Kingdom

1983 ◽  
Vol 10 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Anne Hoyle
Keyword(s):  
United Kingdom ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
New Materials ◽  
Orthodontic Appliance ◽  
The United Kingdom ◽  
Fixed Appliances ◽  
Removable Appliances

The evolution since 1900 of the removable orthodontic appliance is described. The effects upon this evolution of political and economic events, the introduction of new materials and the British approach to orthodontic treatment are discussed. Present opinion favours the increased use of fixed appliances but it seems likely that removable appliances will still be suitable in about half those cases requiring active treatment.

scholarly journals Orthodontic Management of Silver-Russell Syndrome. A Case Report

2012 ◽  
Vol 6 (1) ◽  
pp. 131-136 ◽  
Author(s):  
Ioulia Ioannidou-Marathiotou ◽  
Ariel Sluzker ◽  
Athanasios E Athanasiou
Keyword(s):  
Case Report ◽  
Dental Arch ◽  
Comprehensive Treatment ◽  
Fixed Appliances ◽  
Gradual Expansion ◽  
Removable Appliances ◽  
Silver Russell Syndrome

This case report describes the orthodontic management of a 10-year-old female with Silver-Russell syndrome by means of gradual expansion of the mandibular dental arch using removable appliances and subsequent comprehensive treatment of malocclusion by means of fixed appliances.

scholarly journals Determination of Most Frequent Emergencies in Patients with Fixed and Removable Orthodontic Appliances at Tertiary Care Dental Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 69-74
Author(s):  
Syed Salman Shah ◽  
Kawish Syed ◽  
Zafar Ul islam ◽  
Shahab Adil
Keyword(s):  
Tertiary Care ◽  
Orthodontic Appliances ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

OBJECTIVES: To determine the frequency of emergencies in patients with fixed and removable orthodontic appliances at tertiary care dental hospital. METHODOLOGY: A questionnaire was designed for this descriptive cross-sectional study to be filled by the clinician (L3/L4 FCPS resident) at the end of addressing every orthodontic emergency. Sampling was done under consecutive non-probability protocols. Descriptive statistics were applied to determine the frequency of different orthodontic emergencies, and Pearson’s chi-square test was applied to determine association of emergencies with gender and etiology of emergency (patient related vs operator related). Data was analyzed on SPSS version 20. RESULTS: A total of 175 patients reported with orthodontic emergencies. The sample comprised 38.3% males and 61.7% females. Most frequent orthodontic emergency reported was deboned brackets in fixed appliances, while the most common emergency in removable appliances was traumatic PNAM. A statistically significant association (Pearson’s Chi Square=4.74, Cramer’s V=0.165, p=0.029) was seen for removable and fixed appliance emergencies with males and females. CONCLUSION: Most frequent fixed appliance orthodontic emergencies were deboned brackets while for removable appliance emergencies were trauma due to PNAM. Emergencies with removable appliances were mostly due to the operator related factors, while in fixed appliances patient related factors were dominating.

scholarly journals Kombinasi penggunaan quadhelix dan tanggul gigitan posterior pada perawatan crossbite anterior

2017 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
Rhabiah El Fithriyah
Keyword(s):  
Female Patient ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Median Line ◽  
Fixed Appliance ◽  
Anterior Crowding ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Quad Helix

Combination quad helix and bite riser posterior for anterior crossbite treatment. Anterior crossbite treatment can be done with the appliances either by removable appliances or fixed appliances. One fixed appliance that can be used in the treatment of anterior crossbite is a quad helix with a combination of bite raiser posterior. It is the preferred appliance for correction of maxillary dental constriction in a preadolescent child. Quad helix is activated by widening the anterior or posterior helices. An 11-year-old female patient referred to the clinic with a problem of crowding teeth that affected her appearance. The diagnosis for her case was malocclusions dentoalveolar class I angle along with anterior crossbite 12 and 21, anterior crowding maxilla with convex face profile, shifted median line, and no TMJ disorder. The treatment plan used a quad helix and bite riser posterior followed by a fixed orthodontic treatment. The aim of this study was to correct the anterior crossbite using a combination of a quad helix and bite raiser posterior. The patient was treated using composite bite raiser posterior on the occlusal surface of 16.26, and quad helix soldered to bands and cemented on 16 and 26. The patient was instructed to get her teeth controlled every two week to activate quad helix. After 3 months of active treatment, anterior crossbite was corrected. The appliance was left passively in place for 3 months as retention. The study concluded that crossbite treatment with a combination of a quad helix and bite riser was effective in correcting anterior crossbite in adolescents.ABSTRAKPerawatan crossbite anterior dapat dilakukan dengan beberapa macam alat baik dengan alat lepasan ataupun alat cekat. Salah satu alat semi cekat yang dapat digunakan pada perawatan crossbite anterior adalah quad helix dengan kombinasi tanggul gigitan posterior. Quad helix merupakan alat yang dapat digunakan untuk konstriksi dental di maksila pada masa remaja. Seorang pasien anak perempuan berusia 11 tahun mengeluhkan keadaan giginya yang berjejal dan menganggu penampilannya. Diagnosis kasus adalah maloklusi dentoalveolar kelas I angle disertai crossbite gigi 12 dan 21, crowding anterior rahang atas dengan profil muka cembung, garis median tidak sesuai dan tidak disertai gangguan TMJ. Rencana perawatan menggunakan quad helix dan tanggul gigitan posterior kemudian dilanjutkan dengan perawatan ortodontik cekat. Tujuan artikel ini adalah menyajikan perawatan crossbite anterior dengan menggunakan kombinasi quad helix dan tanggul gigitan posterior. Pasien dirawat menggunakan tanggul gigitan komposit posterior pada permukaan oklusal gigi 16, 26 dan quad helix yang disolder pada molar band dan disementasi di molar band pada gigi 16 dan 26 kemudian pasien diinstruksikan untuk kontrol setiap dua minggu satu kali kunjungan untuk aktivasi quad helix. Setelah perawatan aktif 3 bulan crossbite anterior telah terkoreksi. Alat ditinggalkan di dalam mulut dalam keadaan pasif selama 3 bulan sebagai retensi. Dapat ditarik kesimpulan bahwa perawatan crossbite dengan kombinasi quad helix dan tanggul gigitan posterior efektif dalam mengoreksi  crossbite anterior pada remaja.

Orthodontics

2019 ◽  
Author(s):  
Nicholas Longridge ◽  
Pete Clarke ◽  
Raheel Aftab ◽  
Tariq Ali
Keyword(s):  
Orthodontic Treatment ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Orthodontic Appliances ◽  
Normal Occlusion ◽  
Wide Range ◽  
The Face ◽  
Functional Appliances ◽  
Fixed Appliances ◽  
Removable Appliances

Orthodontics is ‘the specialty of dentistry concerned with growth of the face, the development of dentition, and the prevention and correction of occlusal anomalies. A malocclusion can be defined as ‘a deviation from the ideal that may be aesthetically or functionally unsatisfactory, with a wide range of occlusal traits’. Orthodontics is a constantly evolving specialty, with ever changing principles and techniques continuing to be developed. There has been huge progress in orthodontics in recent times, with changes in the types of brackets, archwire materials, and appliance systems (such as tem­porary anchorage devices and aligner technology). The key principles of orthodontics date back to 1899 when Edward Angle described ‘the key to a normal occlusion as the anteropos­terior relationship between the upper and lower first molars’. In 1972, Lawrence Andrews described ‘six keys to an ideal static occlusion’. This was the basis of early orthodontic treatment planning. Knowledge of craniofacial development and growth is required as a foundation for understanding the aetiology of a patient’s malocclusion, to reach a diagnosis, and to plan orthodontic treatment. A basic under­standing of the types of orthodontic appliances is beneficial (mainly fixed appliances, functional appliances, some use of removable appliances, and retainers). In addition to the management of a malocclusion, orthodontic treat­ment is often required in conjunction with other specialties, including oral and maxillofacial surgery, paediatric and restorative dentistry Key topics discussed in this chapter include: ● Fixed appliances ● Functional appliances ● Removable appliances ● Retention ● Index of treatment need ● Orthodontic assessment and diagnosis ● Cephalometric analysis ● Malocclusion ● Ectopic canines ● Dental anomalies.

An Approach to Appliance Therapy

1974 ◽  
Vol 1 (5) ◽  
pp. 191-198 ◽  
Author(s):  
J. R. E. Mills ◽  
Katherine W. L. Vig
Keyword(s):  
Present Article ◽  
Orthodontic Appliances ◽  
Short Series ◽  
Combined Use ◽  
Fixed Appliances ◽  
Removable Appliances

This is the first of a short series of articles in which it is proposed to review various types of appliance treatment available to the orthodontist. In the present article the simpler forms of treatment are considered; treatment without orthodontic appliances or with removable appliances only. In future article consideration will be given to the combined use of removable and fixed appliances, and finally of the more advanced, wholly fixed techniques.

The Casual Attender

1982 ◽  
Vol 9 (3) ◽  
pp. 154-157 ◽  
Author(s):  
R. G. Oliver
Keyword(s):  
Teaching Hospital ◽  
Older Patients ◽  
Younger Patients ◽  
Fixed Appliances ◽  
Removable Appliances

Patterns of casual attenders at a teaching hospital over a 17-week period are analysed and show that fixed appliances are more prone to problems than removable appliances, and younger patients tend to break appliances more frequently than older patients.

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