A national survey of current practice in pre-alveolar bone graft orthodontics in the United Kingdom.

IF 1.4 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Orthodontics Pub Date : 2024-09-26 DOI:10.1177/14653125241279462

Georgina Kane, Sarah Good

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引用次数: 0

Abstract

Objective: To obtain an overview of current practice for pre-alveolar bone graft (pre-ABG) orthodontics at cleft centres across the United Kingdom.

Design: Cross-sectional survey.

Setting: Web-based.

Methods: The survey was distributed online to UK orthodontic consultants undertaking cleft care and was piloted before use. The domains explored included level of experience, perceived benefits and concerns with undertaking pre-ABG orthodontics, types of appliances used and ABG outcomes.

Results: A total of 38 consultant orthodontists responded, with a response rate of 56%. Pre-ABG orthodontics was performed most commonly (81.6%) in patients with a bilateral cleft lip and palate; however, 21.1% never performed it in any cleft phenotypes. The most common types of appliances used were fixed slow expanders and fixed appliances. No respondents reported poor ABG outcomes.

Conclusion: There was no clear protocol for providing pre-ABG orthodontic treatment, with wide variation across the UK. A variety of orthodontic treatment approaches are being undertaken, and the outcomes of ABGs remain successful. Multidisciplinary teams should have a holistic approach to patient care when deciding to perform pre-ABG orthodontics and involve patients in decision making. Future UK research should focus on additional secondary outcomes and determining a standardised approach to ensure best possible care is delivered.

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英国牙槽骨移植术前牙齿矫正现状全国调查。

目的了解英国各地唇裂中心目前牙槽骨移植前（pre-ABG）正畸的实践情况：设计：横断面调查：网络调查：调查表通过网络分发给英国从事唇裂治疗的正畸顾问，并在使用前进行了试用。调查的领域包括经验水平、对进行ABG前正畸的益处和顾虑、使用的矫治器类型以及ABG的结果：共有 38 名口腔正畸顾问做出了回应，回应率为 56%。双侧唇腭裂患者最常进行ABG前正畸（81.6%）；但21.1%的患者从未对任何唇腭裂表型患者进行过ABG前正畸。最常用的矫治器类型是固定式缓慢扩张器和固定矫治器。没有受访者报告 ABG 效果不佳：结论：ABG 前正畸治疗没有明确的方案，英国各地的差异很大。目前正在采用多种正畸治疗方法，ABG 的治疗结果仍然很成功。多学科团队在决定进行 ABG 前正畸治疗时，应采用整体的患者护理方法，并让患者参与决策。英国未来的研究应重点关注更多的次要结果，并确定标准化方法，以确保提供最佳护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.60

自引率

15.40%

发文量

期刊介绍： The Journal of Orthodontics has an international circulation, publishing papers from throughout the world. The official journal of the British Orthodontic Society, it aims to publish high quality, evidence-based, clinically orientated or clinically relevant original research papers that will underpin evidence based orthodontic care. It particularly welcomes reports on prospective research into different treatment methods and techniques but also systematic reviews, meta-analyses and studies which will stimulate interest in new developments. Regular features include original papers on clinically relevant topics, clinical case reports, reviews of the orthodontic literature, editorials, book reviews, correspondence and other features of interest to the orthodontic community. The Journal is published in full colour throughout.