Journal of Orthodontics最新文献

{"title":"Malocclusion, orthodontic treatment and peer relationships in adolescents: A qualitative study.","authors":"Andrew DiBiase, Saghi Arabi, Lindsey Cameron","doi":"10.1177/14653125261448602","DOIUrl":"10.1177/14653125261448602","url":null,"abstract":"<p><strong>Objective: </strong>To explore the relationship between malocclusion, orthodontic treatment and peer relationships in adolescents.</p><p><strong>Design: </strong>A cross-sectional qualitative study.</p><p><strong>Setting: </strong>Three secondary schools in the South-East of the U.K.</p><p><strong>Participants: </strong>A total of 14 schoolchildren aged 14-16 years (mean age = 15.7 years; age range = 14.4-16.5 years).</p><p><strong>Methods: </strong>In-depth one-to-one semi-structured interviews carried out online. All interviews were transcribed verbatim and analysed thematically according to Braun and Clarke's model of thematic analysis.</p><p><strong>Results: </strong>The central finding of this research was that adolescents are self-conscious of their dental appearance, it impacts on social interactions, and peers and friends are both a source of pressure and support regarding dental appearance and treatment. Two main themes were identified: (1) malocclusion and peer relationships; and (2) social expectations and experience of orthodontic treatment. Participants reported being self-consciousness of their teeth before treatment, and this increased with age. They feared being judged based on their dental appearance, undertaking behaviour to hide their teeth in social situations, in photographs or online. All participants reported either being teased personally about their teeth or witnessing this happening to someone else although they mostly did not see this as bullying. This had a negative impact on self-confidence. No one reported being teased after starting orthodontic treatment. Orthodontic treatment was seen as desirable and normal within this age group, with an expectation it would improve self-confidence, particularly in social settings. Friends and peers were a source of support during treatment.</p><p><strong>Conclusion: </strong>Young people are self-conscious of their dental appearance, which impacts their peer relationships and can make them a target for teasing and bullying. Orthodontic treatment is considered normal, with peers and friends providing support.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"203-214"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252075","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":"Meet the Editors.","authors":"Catherine A Brierley","doi":"10.1177/14653125261475745","DOIUrl":"https://doi.org/10.1177/14653125261475745","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"53 3","pages":"283-284"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897424","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":"Othman Hameed","doi":"10.1177/14653125261475744","DOIUrl":"10.1177/14653125261475744","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"287-289"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669778","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":"Strategies for improving compliance with removable retention appliances: A qualitative study.","authors":"Ingalill Feldmann, Anke Krämer, Mats Sjöström, Christina Storm Mienna","doi":"10.1177/14653125261450635","DOIUrl":"10.1177/14653125261450635","url":null,"abstract":"<p><strong>Objective: </strong>To explore experiences affecting patients' compliance with removable retention appliances, and to investigate strategies for improving adherence to wear recommendations from the profession.</p><p><strong>Design: </strong>A qualitative study designed alongside a randomised controlled trial regarding post-treatment stability and patients' perceptions.</p><p><strong>Setting: </strong>Orthodontic Clinic, Public Dental Health Service, Region Gävleborg, Gävle, Sweden.</p><p><strong>Participants: </strong>A total of 15 purposively selected participants (age range = 25-32 years) with a recommendation of long-term retainer wear.</p><p><strong>Methods: </strong>In-depth interviews were performed, using a pre-tested topic guide, and analysed according to the qualitative method of Grounded Theory.</p><p><strong>Results: </strong>Compliance failures were preceded by one or more triggers that emerged after a couple of weeks or after several years of retention. A core category was identified and labelled 'Pragmatic actions for improved adherence', which summarises the decisions to either discontinue or continue to follow current retention protocol as being based on pragmatic patient-centred considerations. Data analysis revealed three interacting categories for improving compliance from both the patient and the clinician perspectives: Individual factors, Support, Self-motivation and Routines.</p><p><strong>Conclusions: </strong>To be successful, strategies to enhance compliance with removable retainers must originate from the individual patient and their life situation. Long-term support from both family and professionals, as well as good routines, are considered crucial for this process.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"226-236"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054790","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":"A novel aesthetic technique for alignment of an impacted anterior tooth: A case report.","authors":"Molly Ailsa McCleary, Saskia Andrea Schwabe, David Waring","doi":"10.1177/14653125261433571","DOIUrl":"10.1177/14653125261433571","url":null,"abstract":"<p><strong>Introduction: </strong>Impacted anterior teeth are common, with sequalae including root resorption of adjacent or nearby teeth. Management depends on patient- and tooth-specific factors; however, in cases of severe resorption, elective tooth loss may be favoured. This case discusses an aesthetic solution to disimpaction of an anterior tooth, involving multidisciplinary input.</p><p><strong>Patient concerns: </strong>A girl aged 13 years 10 months presented to an orthodontic department, complaining of missing teeth and poor dental aesthetics.</p><p><strong>Clinical findings: </strong>Class II division 1 incisor relationship on a Class I skeletal base, complicated by unerupted maxillary canines (UR3, UL3), retained URC and potential for severe crowding in the upper arch. Radiographic assessment confirmed impacted maxillary canines and an unerupted supernumerary tooth lying palatal to UR1. The impacted UR3 had caused significant root resorption to the UR1.</p><p><strong>Interventions: </strong>After a multidisciplinary discussion, the impacted UR3 was exposed and aligned into the UR1 position, with elective loss of the resorbed UR1. A novel pontic design, incorporating a traction spring, was used, enabling maintenance of a pontic in-situ while simultaneously allowing for orthodontic traction of the UR3. Restorative input after debond disguised the UR3 as the UR1.</p><p><strong>Outcomes: </strong>UR3 was successfully disimpacted and aligned into the UR1 position with the use of a novel pontic design.</p><p><strong>Conclusion: </strong>This case delivers a novel solution to a complex aesthetic dilemma in the anterior dentition that can be modified, and adapted, to suit other anterior impactions.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"268-276"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581581","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":"Prevalence and perceptions of e-cigarette use in orthodontic patients: A cross-sectional survey.","authors":"Bronagh McGuckin, Kishan Patel, Lucy Davenport-Jones","doi":"10.1177/14653125261449264","DOIUrl":"10.1177/14653125261449264","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the prevalence of e-cigarette use among orthodontic patients in a UK hospital setting, while investigating patterns of use and evaluating patients' knowledge of the oral health effects of e-cigarettes, along with how it may impact orthodontic treatment outcomes.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to patients aged 11 years and above attending routine appointments at the Orthodontic Department of St George's University Hospitals NHS Foundation Trust over 3 months. The 34-item survey captured demographics, e-cigarette use and device type, initiation age, cessation attempts, knowledge of oral health effects, perceived treatment impact and patient-clinician communication. Descriptive statistics were used for data analysis.</p><p><strong>Results: </strong>A total of 140 participants completed the survey. A high prevalence of e-cigarette use was observed, with 25% of participants having tried them and 14.3% of all participants being regular users. The average age of initiation was 16 years, and 68% of users had no history of tobacco smoking. Reasons for use were primarily 'curiosity' (38%) and 'social reasons' (32%). A significant knowledge gap regarding oral health risks was identified, with only 11% of participants rating themselves as 'very' or 'extremely' knowledgeable. Despite this, 82% of participants believed e-cigarette use could affect their braces and 59% expressed some concern. A notable communication gap was found, as 92% of all participants had never spoken to their orthodontist about e-cigarette use. However, when advice was given, three out of four users reported a reduction or cessation of their habit.</p><p><strong>Conclusion: </strong>The prevalence of e-cigarette use in this cohort of orthodontic patients exceeds national averages and is largely driven by social factors. These patients have limited knowledge of the oral health risks and report a lack of clinical discussion, highlighting the need for routine screening, targeted education and cessation support from orthodontists.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"259-267"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150199","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":"Satisfaction of parents with orthodontic treatment of children and adolescents: a cross-sectional survey.","authors":"Renata Negreiros Alvarenga, Anna Carolina Rye Sato Kimura, José Alcides Almeida de Arruda, Luisa Gatti-Reis, Saul Martins Paiva, Lucas Guimarães Abreu","doi":"10.1177/14653125261473622","DOIUrl":"10.1177/14653125261473622","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is an important indicator of healthcare quality and a determinant of treatment success.</p><p><strong>Aims: </strong>To assess parents'/carers' satisfaction with their children's/adolescents' orthodontic treatment and to investigate associations among study variables using a validated instrument.</p><p><strong>Methods: </strong>A cross-sectional survey study was conducted with parents/carers of 68 children/adolescents aged 6-17 years. Satisfaction was assessed using the Questionnaire of Satisfaction with Orthodontic Treatment, comprising 25 items distributed across three subscales: treatment process, psychosocial effect of treatment and treatment outcome. Sociodemographic and clinical data were also collected. Descriptive analyses and Poisson regression models were performed, with results expressed as odds ratio (OR) and 95% confidence interval (CI).</p><p><strong>Results: </strong>Of the 68 parents/carers, 48 (70.6%) were male. Among the children/adolescents, 34 (50%) were male (mean age 12.84 years). Parents/carers from households with four or more individuals had significantly lower satisfaction scores on the treatment process subscale than those from households with three or fewer individuals (OR = 0.93; 95% CI = 0.83-0.98; <i>P</i> = 0.016). Parents/carers of children/adolescents who had undergone corrective treatment had significantly higher scores on the psychosocial effect subscale (OR = 1.10; 95% CI = 1.01-1.21; <i>P</i> = 0.023), treatment outcome subscale (OR = 1.07; 95% CI = 1.01-1.14; <i>P</i> = 0.016) and total score (OR = 1.06; 95% CI = 1.01-1.13; <i>P</i> = 0.032) than those whose children/adolescents had received interceptive/corrective treatment. Parents/carers of children/adolescents with more severe malocclusion reported significantly higher satisfaction scores than those with less severe malocclusion (OR = 1.02; 95% CI = 1.01-1.03; <i>P</i> = 0.010).</p><p><strong>Conclusions: </strong>Family size, type of orthodontic treatment and malocclusion severity were associated with parents'/carers' satisfaction with their children's/adolescents' orthodontic treatment.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"237-247"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701559","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":"Standardised proformas for the management of hypodontia patients: A new standard for clinical documentation.","authors":"Ama Johal, Ferranti Wong, Shakeel Shahdad, Rabia Dean, Stuart Worthington","doi":"10.1177/14653125261463263","DOIUrl":"10.1177/14653125261463263","url":null,"abstract":"<p><strong>Background: </strong>Hypodontia is a common dental anomaly with complex treatment needs that often require a multidisciplinary approach. Despite its impact on aesthetics, function and psychosocial well-being, there remains a lack of standardised protocols for managing multidisciplinary services for patients with hypodontia.</p><p><strong>Objective: </strong>This paper describes the development and implementation of standardised proforma templates as part of a local standard operating procedure (SOP) for the management of patients with hypodontia at the Royal London Dental Hospital (RLH), with the broader goal of informing wider data collection efforts.</p><p><strong>Methods: </strong>Four proforma templates were created to standardise documentation at key stages of the patient pathway: initial referral (appendix 1), new patient assessment (appendix 2), initial treatment plan (appendix 3) and mid-treatment review (appendix 4). These have been implemented within the RLH service for patients with hypodontia.</p><p><strong>Results: </strong>The introduction of the templates has been seen to enhance compliance with local SOPs, improve consistency in clinical documentation, and facilitate more robust data collection and analysis.</p><p><strong>Conclusion: </strong>The implementation of standardised proformas represents a significant step toward unified data collection and improved multidisciplinary care in hypodontia management. Their broader adoption could support quality improvement initiatives, ensure alignment with NHS governance standards and contribute to the development of a national hypodontia database.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"277-280"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591976","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":"Discrepancies between actual and expected orthodontic treatment duration with pre-adjusted edgewise fixed appliances: A case-control study of factors associated with treatment delays.","authors":"Linda Sangalli, Diana Tucker De Sanctis, Jahnavi Rao, Quang Nguyen, Kenedy Fomenko, Tina Shekari, Anna Alessandri-Bonetti, Fabio Savoldi","doi":"10.1177/14653125261444745","DOIUrl":"10.1177/14653125261444745","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the prevalence of discrepancies between estimated and actual orthodontic treatment duration and identify predictors of treatment delays.</p><p><strong>Material and methods: </strong>A total of 96 patients (62.5% female; age = 15.6 ± 6.8 years) who completed an orthodontic treatment with pre-adjusted edgewise fixed appliances between 2015 and 2023 were retrospectively included. Differences between actual and estimated treatment duration >3 months were classified as discrepancies and categorised as \"overestimation\" or \"underestimation.\" Such discrepancies were compared on demographics, COVID period, and orthodontic parameters using Student's <i>t</i>-tests and chi-square tests, as appropriate. Predictors of underestimated treatment duration were assessed with logistic regression analysis.</p><p><strong>Results: </strong>Actual treatment duration significantly differed from the estimated duration (26.5 ± 9.6 vs. 21.6 ± 3.6 months; <i>P</i> <0.001), with 65.6% cases exhibiting treatment discrepancy (<i>P</i> = 0.003) and 61.5% of them being underestimated (<i>P</i> = 0.032). Cases with underestimated durations more commonly displayed posterior crossbite (30.9% vs. 5.4%; <i>P</i> = 0.004), larger SNA angle (83.7 ± 3.7 vs. 78.8 ± 3.8 degrees; <i>P</i> = 0.005), bracket debonding (53.4% vs. 31.4%; <i>P</i> = 0.039; odds ratio [OR] = 2.51, 95% confidence interval [CI] = 1.04-6.04), and were most likely conducted during COVID period (33.9% vs. 10.8%; <i>P</i> = 0.011; OR = 4.23, 95% CI = 1.31-13.62) compared to overestimated ones. Posterior crossbite (<i>P</i> = 0.006) and COVID period (<i>P</i> = 0.007) were significant predictors of treatment underestimation.</p><p><strong>Conclusions: </strong>Approximately two-thirds of orthodontic treatments showed discrepancies between estimated and actual duration, with 61.5% being underestimated especially in presence of posterior crossbite and during COVID period.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"248-258"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839274","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":"Meet the Editors.","authors":"Pratik K Sharma","doi":"10.1177/14653125261475753","DOIUrl":"https://doi.org/10.1177/14653125261475753","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"53 3","pages":"282"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897355","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}