Who Should Practise Orthodontics?

1989 ◽  
Vol 16 (4) ◽  
pp. 235-241 ◽  
Author(s):  
John F. Gravely
Keyword(s):  
Regional Variation ◽  
Orthodontic Treatment ◽  
Undergraduate Curriculum ◽  
Dental Service ◽  
Further Training

The provision for orthodontic treatment in the General Dental Service of the NHS is examined. Regional variation in the service is described and evidence presented of dissatisfaction with the treatment received. A case is made for changes in the undergraduate curriculum and for the provision of further training for practitioners.

Regional Variation in the Provision and Cost of General Dental Service Orthodontic Treatment in England and Wales

1989 ◽  
Vol 16 (2) ◽  
pp. 67-74 ◽  
Author(s):  
K. D. O'Brien ◽  
W. C. Shaw ◽  
C. T. Roberts ◽  
C. D. Stephens
Keyword(s):  
Regional Variation ◽  
Orthodontic Treatment ◽  
Regional Distribution ◽  
Dental Service ◽  
Treatment Rate ◽  
Significant Relationships ◽  
General Dental Practitioner ◽  
Treatment Provision ◽  
Capita Spending ◽  
Per Capita

The regional distribution of orthodontic treatment provision through the General Dental Service was examined, with reference to, per capita spending, cost per case and treatment rate; a marked regional variation in these variables was detected. The regional distributions of the specialist orthodontic practitioner and the General Dental Practitioner were calculated; and also exhibited a marked regional variation. The relationships between the regional distributions of manpower, treatment rate, and spending on orthodontic treatment were calculated. It was found that there were significant relationships between the regional distribution of manpower and treatment rate and per capita spending, but not cost per case. Possible explanations are discussed.

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.

Orthodontic Treatment with Fixed Appliances in the General Dental Service in Scotland

2000 ◽  
Vol 27 (2) ◽  
pp. 175-180 ◽  
Author(s):  
L. H. Teh ◽  
W. J. S. Kerr ◽  
J. H. McColl
Keyword(s):  
Orthodontic Treatment ◽  
Dental Service ◽  
Fixed Appliances

Short-Term Orthodontics: Reasons for Treatment and their Associated Risks, Precautions in Patient Selection

Dental Update ◽  
2020 ◽  
Vol 47 (3) ◽  
pp. 231-237
Author(s):  
Hassan-Ali Ismail ◽  
Sangeeta Misra
Keyword(s):  
Patient Selection ◽  
Clinical Relevance ◽  
Orthodontic Treatment ◽  
Care Delivery ◽  
Quality Care ◽  
Scope Of Practice ◽  
Further Training ◽  
Short Term ◽  
Dental Practitioners ◽  
Valid Consent

Short-term orthodontics (STO) is a concept that is being utilized principally on adult patients to correct minor dental irregularities. It is a cosmetically motivated treatment that is being increasingly sought as an alternative to conventional orthodontic treatment (COT). Although general dental practitioners (GDPs) who have completed further training can provide STO, for quality care delivery it is important to know the limitations of the scope of practice. This article aims to discuss the reasons for adults seeking STO, the societal pressures responsible for desiring it, precautions required by GDPs during patient selection and its associated risks. CPD/Clinical Relevance: Most importantly, GDPs should have a good understanding of societal pressures that induce patients' desires to seek STO. Therefore, the dental practitioner can manage patient expectations appropriately. This highlights the challenge that not every patient's desires can be delivered with STO. Furthermore, the article explains the limits and risks of STO which should be thoroughly explained to patients in the process of obtaining valid consent.

A Quantitative Study of General Dental Practitioner Orthodontic Care in Scottish Health Board Areas (1966–1975)

1979 ◽  
Vol 6 (4) ◽  
pp. 171-176 ◽  
Author(s):  
Sydney Haynes
Keyword(s):  
National Health Service ◽  
Orthodontic Treatment ◽  
Quantitative Assessment ◽  
Dental Service ◽  
Health Board ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
The Mean ◽  
Area Health

A quantitative assessment of the true dental practitioner contribution to orthodontic care in Scottish Health Board areas during the period 1966–1975, shows that the amount of orthodontic treatment given by general dental practitioners in Scotland has diminished in the 10 year period studied. A wide variation was observed in respect of the mean number of orthodontic treatments per year per practitioner, and there was also a lack of uniformity in the proportion of practitioners providing an orthodontic service relative to the different area health boards. The findings have also shown that between 1966–1975, a considerable reduction has occurred in the mean number of practitioner orthodontic treatments commenced each year in the Greater Glasgow and Lothian Health Board areas. The evidence of this study also suggests that orthodontics should become recognized as a postgraduate dental specialty and that it would be appropriate to introduce specialist registration as a means of improving the quality and quantity of orthodontic care within the National Health Service. This should also be accompanied by certain administrative changes, as the present anomalous situation whereby specialist practitioners are permitted to practise within the general dental service should be discontinued.

Orthodontic Treatment in the General Dental Service Assessed by the Occlusal Index

1983 ◽  
Vol 10 (4) ◽  
pp. 178-186 ◽  
Author(s):  
R. J. Elderton ◽  
J. D. Clark
Keyword(s):  
Health Care ◽  
Measurement Errors ◽  
Orthodontic Treatment ◽  
Dental Service ◽  
Index Score ◽  
End Of Treatment ◽  
Before And After ◽  
The Mean

As with all other aspects of health care, orthodontic treatment should be evaluated in as objective a manner as possible. In this study, the models of a sample of 256 patients treated by appliance therapy in the General Dental Service were examined. The Occlusal Index was first refined and variability in its use due to articulation and measurement errors was assessed. It was then used to quantify occlusal status both before and after treatment, and thereby monitor changes brought about by treatment. The mean Occlusal Index score at the beginning of treatment was 9·9. At the end of treatment, the mean score had dropped to 5·5. There was wide variation among individual cases, but some reduction was found in 88 per cent of instances. In 56 per cent of cases the reduction ranged up to 6 units, while in 29 per cent of cases the reduction was 6–12 units. However, in cases which started with a marked malocclusion, only about one-third showed a sizeable improvement. In about one-third of all cases there was little improvement in the malocclusion. While there is room for further refinement of the Occlusal Index to increase its usefulness in quantifying occlusal status brought about during orthodontic treatment, the present findings provide a basis for future comparisons.

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.

An Investigation of Treatment Provided in the General Dental Service for Patients with Class II Division 1 Malocclusions

1984 ◽  
Vol 11 (1) ◽  
pp. 2-8 ◽  
Author(s):  
R. J. Elderton ◽  
J. D. Clark
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Service ◽  
Treatment Standards ◽  
Division 1 ◽  
Class Ii Division 1

The study models of a sample of 51 cases with Class II division 1 malocclusions treated in the General Dental Service in Scotland, were investigated and analysed with respect to the changes which had taken place in the overjet, overbite and incisor alignment. Residual spacing in the arches was also measured. Occlusal Index scores were calculated at the start and finish of treatment. The results suggest that only a limited measure of success was achieved; they indicate a need to improve orthodontic treatment standards.

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