Journal of Orthodontics最新文献

{"title":"Orthodontic clinicians' attitudes and knowledge of dentogingival aesthetics: A cross-sectional survey of BOS members.","authors":"Eman Ajrash, Andrew T DiBiase, Nikolaos Pandis, Martyn T Cobourne, Jadbinder Seehra","doi":"10.1177/14653125211034878","DOIUrl":"10.1177/14653125211034878","url":null,"abstract":"<p><strong>Objective: </strong>To assess orthodontic clinicians' knowledge and attitudes towards dentogingival aesthetics and to explore characteristics that predict the knowledge of dentogingival aesthetics.</p><p><strong>Design: </strong>Cross-sectional questionnaire.</p><p><strong>Setting: </strong>On-line survey of members of the British Orthdontic Society.</p><p><strong>Materials and methods: </strong>An 11-item online questionnaire was sent to orthodontic practitioners for completion. The questionnaire covered respondent demographics and questions relating to both knowledge and attitudes towards dentogingival aesthetics (six parameters). Descriptive statistics were calculated for study characteristics and summary values for the survey items. Responses to the eight knowledge-based questions were converted to a binary outcome (correct and incorrect answer). The maximum score that could be achieved was eight. Multivariable modelling was used in order to examine associations between the study characteristics and the aggregate score.</p><p><strong>Results: </strong>A total of 252 responses were obtained resulting in a response rate of 17%. Within this cohort, the respondents were primarily women (52.8%) and aged 30-40 years (35.7%). The mean score for the eight knowledge-based questions was 3.8 ± 1.8 (range = 0-8). Knowledge of the ideal gingival margin position of the anterior teeth was high (92.4%). Knowledge of the other five dentogingival aesthetic parameters was variable. In the multivariable analysis, lower knowledge scores were predicated by respondents who did not have a special interest in dental aesthetics (-0.54; 95% confidence interval [CI] = -1.01 to -0.07; <i>P</i> = 0.02), who could not recall attending courses, lectures or seminars on dental aesthetics in the past five years (-0.80; 95% CI = -1.43 to -0.17; <i>P</i> = 0.01) and with increasing age (-0.43; 95% CI = -0.62 to -0.23; <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Knowledge of ideal dentogingival parameters is generally suboptimal among orthodontists in the UK. The reported lack of knowledge of the ideal dentogingival parameters may also influence respondents' attitudes towards the importance of dentogingival aesthetics. Further teaching or courses related to dentogingival aesthetics is desired by orthodontic clinicians.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"400-409"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39299836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fifty years of the <i>British</i> / <i>Journal of Orthodontics</i>.","authors":"Philip E Benson","doi":"10.1177/14653125231215834","DOIUrl":"10.1177/14653125231215834","url":null,"abstract":"<p><strong>Background: </strong>It is 50 years since publication of the first volume of the <i>British Journal of Orthodontics</i> (<i>BJO</i>). Now known as the <i>Journal of Orthodontics</i> (<i>JO</i>), the official journal of the British Orthodontic Society strives to published high quality, evidence-based research.</p><p><strong>Aim: </strong>To compare the content of articles published by the <i>BJO</i> in 1973-1974 with those in the <i>JO</i> in 2022-2023 to identify any changes over 50 years.</p><p><strong>Methods: </strong><i>BJO</i> volume 1 issues 1-5 and <i>JO</i> volume 49 issues 2-4 and volume 50 issues 1-2 were hand-searched and full articles obtained. Some articles were excluded. The included reports were assessed using objective criteria (see Supplemental materials).</p><p><strong>Results: </strong>Similar proportions of articles reporting the results of studies collecting data directly from participants of orthodontic interest were published (<i>BJO</i>: n = 12, 26%; <i>JO</i>: n = 15, 23%); however, there was an increase in the proportion of articles reporting studies that collected data from a non-orthodontic patient sample (<i>BJO</i>: n = 5, 11%; <i>JO</i>: n = 15, 23%). There was also an increase in the reporting of prospective data collection (<i>BJO</i>: n = 1; 6%; <i>JO</i>: n = 23, 79%), but much of this research was cross-sectional (<i>BJO</i>: n = 8, 50%; <i>JO</i>: n = 20, 69%), using convenience sampling (<i>BJO</i>: n = 13, 81%; <i>JO</i>: n = 23, 79% of articles reporting the results of data collected from human participants). Most research was non-experimental (<i>BJO</i>: n = 16, 100%; <i>JO</i>: n = 26, 90%).</p><p><strong>Conclusions: </strong>Some similarities in the types of reports published were found, as well as some encouraging differences. Decreasing retrospective data reports and increasing prospective data reports is welcome, but many are still non-experimental and cross-sectional. There is a need to publish more longitudinal, experimental clinical data to enhance knowledge and understanding of the effects of orthodontic treatment.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"9-14"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finite element analysis of two skeletally anchored maxillary molar distalisation methods.","authors":"Lorena Vilanova, Silvio Augusto Bellini-Pereira, Mayara Paim Patel, Roberto Grec, José Fernando Castanha Henriques, Guilherme Janson, Daniela Garib, Aron Aliaga-Del Castillo","doi":"10.1177/14653125231166437","DOIUrl":"10.1177/14653125231166437","url":null,"abstract":"<p><strong>Objective: </strong>To compare two methods of maxillary molar distalisation with skeletal anchorage using finite element analysis (FEA).</p><p><strong>Methods: </strong>Two digitised models were created: the miniscrew-anchored distaliser, which consisted of a distalisation method anchored in a buccal miniscrew between the first molar and second premolar (Model 1), and the miniscrew-anchored palatal appliance, which consisted of a distalisation method anchored in a miniscrew on the anterior region of the palate (Model 2). FEA was used to simulate both methods, assessing teeth displacements and stress concentration.</p><p><strong>Results: </strong>The miniscrew-anchored distaliser showed greater buccal than distal displacement of the first molar, while the opposite was observed in the miniscrew-anchored palatal appliance. The second molar responded similarly in the transverse and anteroposterior perspectives with both appliances. Greater displacements were observed at crown level than in apical regions. Greater stress concentration was observed at the buccal and cervical regions of the crown in the miniscrew-anchored distaliser and the palatal and cervical regions in the palatal appliance. The stress progressively spread in the buccal side of the alveolar bone for the miniscrew-anchored distaliser and in the palatal root and alveolar bone for the palatal appliance.</p><p><strong>Conclusion: </strong>FEA assumes that both appliances would promote maxillary molar distalisation. A skeletally anchored palatal distalisation force seems to provide a greater molar bodily movement with less undesirable effects. Greater stress is expected at the crown and cervical regions during distalisation, and the stress concentration in the roots and alveolar bone depends directly on the region the force was applied.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"344-351"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9659216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-making patterns among expert and novice orthodontists and oral maxillofacial surgeons in the management of adults with Class III malocclusions and moderate degree of skeletal discrepancies.","authors":"Karen Kai Rou Voon, Asher Ah Tong Lim, Hung Chew Wong, Yu Fan Sim, Kelvin Weng Chiong Foong","doi":"10.1177/14653125231181603","DOIUrl":"10.1177/14653125231181603","url":null,"abstract":"<p><strong>Objective: </strong>To explore the decision-making patterns among expert and novice orthodontists and oral maxillofacial surgeons in the management of adults with Class III malocclusions and moderate skeletal discrepancies.</p><p><strong>Design: </strong>Self-administered questionnaire survey.</p><p><strong>Setting: </strong>Faculty of Dentistry, National University of Singapore and the University Dental Cluster, National University Hospital, Singapore.</p><p><strong>Participants: </strong>A total of 55 clinicians, comprising 13 expert orthodontists, 20 novice orthodontists, 10 expert oral maxillofacial surgeons and 12 novice oral maxillofacial surgeons.</p><p><strong>Methods: </strong>Clinicians assessed six adults with a Class III malocclusion and moderate skeletal discrepancy. They were asked to decide who could be managed exclusively by orthodontic camouflage, who would require combined orthodontic-orthognathic surgery as the only viable treatment, or who could be offered both treatment options.</p><p><strong>Results: </strong>The study found variable decision-making patterns among the clinicians in each case. Only 18.2%-40.0% of clinicians agreed that the cases selected were of moderate skeletal discrepancies and could be offered both treatment options whereas the rest were either more inclined to recommend orthodontic camouflage or orthognathic surgery. Intra-clinician agreement (n = 20) was only fair (Kappa value = 0.31). There was only slight inter-clinician agreement (n = 55) on their clinical decisions (Kappa value = 0.10). Clinical experience and dental specialty did not significantly influence clinicians' decisions. Oral and maxillofacial surgeons were 1.98 times more likely to indicate orthognathic surgery as the only viable treatment compared to the orthodontists (95% confidence interval = 1.15-3.42).</p><p><strong>Conclusion: </strong>Variability in the patterns of decision-making for adults with a Class III malocclusion and moderate skeletal discrepancy was observed among the clinicians with low repeatability and agreement.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"410-422"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9685331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"50^th Birthday Reflections.","authors":"Jayne E Harrison","doi":"10.1177/14653125231222674","DOIUrl":"10.1177/14653125231222674","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"3-4"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fifty years of orthodontic clinical practice in the UK and a glimpse into the future: A personal reflection.","authors":"Anshu Sood","doi":"10.1177/14653125231214812","DOIUrl":"10.1177/14653125231214812","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"34-35"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The quality and reliability of the Internet as a source of information for hypodontia patients.","authors":"Emma Goodrum,&nbsp;Ama Johal","doi":"10.1177/14653125221145705","DOIUrl":"https://doi.org/10.1177/14653125221145705","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the quality, reliability and usability of information on the Internet regarding hypodontia.</p><p><strong>Method: </strong>A survey of patients with hypodontia revealed seven key search terms favoured by patients: Hypodontia; Congenitally missing teeth; Missing teeth; Gaps in teeth; Cure of missing teeth; Information on missing teeth; and Treatment of missing teeth. These were entered into four search engines: Google; Ask; Wikipedia; and NHS Choices. Relevant websites were assessed for their overall demographics, author type, country of origin and rank within the search engine. They were then analysed using five validated assessment tools. Intra-examiner reliability was assessed, and statistical analysis of the data was undertaken.</p><p><strong>Results: </strong>Good intra-examiner reliability was observed. A total of 48 websites were included for analysis from an initial 1718. There was no relationship between the ranking of a website on a search engine and the quality of information it contained. When medical search terminology was used, it resulted in websites of better quality than layperson search terms. Most websites were produced by general dental or specialist dental practices but the quality of these was poorer than those developed by private companies and medical organisations. The country of origin was primarily the USA and UK; however, this had no relationship to website quality. Overall, the majority of websites scored poorly for the validated tools and none scored well across multiple tools. A statistical analysis showed a positive relationship between the LIDA and DISCERN instruments but no other correlation between other validated tools was found.</p><p><strong>Conclusion: </strong>The quality and reliability of information on the Internet regarding hypodontia is generally poor. There is a need for a reliable online hypodontia resource that can be recommended for patient use.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 3","pages":"268-275"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of orthognathic multidisciplinary team clinics in England. Part 1: A questionnaire survey.","authors":"Sasha Brannen,&nbsp;Sarah Rolland,&nbsp;Anna Cala,&nbsp;Christopher R Vernazza,&nbsp;Ninu Paul","doi":"10.1177/14653125231176570","DOIUrl":"https://doi.org/10.1177/14653125231176570","url":null,"abstract":"<p><strong>Background: </strong>Orthognathic clinics across England are currently run in a multidisciplinary team (MDT) format. It is, however, likely that there is a large variation in the style of these clinics and care pathways for orthognathic patients across the country. This was a cross-sectional, online questionnaire with a primary aim to obtain information on the way orthognathic care is currently delivered throughout England. The secondary objectives were to determine the compliance to the minimum dataset for record collection. The questionnaire, disseminated to orthodontic consultants, detailed 27 items split into waiting lists for new patients, mechanics of the clinic, support for patients and record collection.</p><p><strong>Results: </strong>A total of 36 participants responded (one was excluded) to give a total of 35 questionnaire responses. Descriptive statistics were used to analyse the data. Of the participants, 34% followed up their patients as per the commissioning guidelines at 1, 2 and 5 years after treatment. Of the participants, 20% said patients' mental health would be screened before adding them to a waiting list, with 26% of participants stating screening was not undertaken for all patients. Of the participants, 11% had available access to psychological support during the MDT meeting and 20% recorded the minimum dataset at the follow-up intervals.</p><p><strong>Conclusion: </strong>There are inconsistencies in the orthognathic MDT design across England. Acceptance criteria, support services available and records collected for patients showed substantial variation, highlighting the limited guidance offered by the commissioning guidelines and the potential need to revise the minimum dataset.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 3","pages":"287-295"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10214002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainability in Orthodontics.","authors":"Anjli Patel,&nbsp;Anshu Sood","doi":"10.1177/14653125231190472","DOIUrl":"https://doi.org/10.1177/14653125231190472","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 3","pages":"266-267"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10216261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continued Professional Development.","authors":"","doi":"10.1177/14653125231190462","DOIUrl":"10.1177/14653125231190462","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 3","pages":"320-321"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}