Jennifer Haworth, Sally Walker, Anthony Ireland, Jonathan Sandy
{"title":"Orthodontic education in the UK: Evolution over the last 50 years and potential future developments.","authors":"Jennifer Haworth, Sally Walker, Anthony Ireland, Jonathan Sandy","doi":"10.1177/14653125231215096","DOIUrl":"10.1177/14653125231215096","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"26-33"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697715","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}
Journal of OrthodonticsPub Date : 2023-12-01Epub Date: 2022-04-02DOI: 10.1177/14653125221088888
Isabela Sales Pinheiro, Marcio José da Silva Campos, Luisa Gatti Reis, Sergio Luiz Mota Júnior, Robert Willer Farinazzo Vitral
{"title":"Eyes wide open to avoid misleading diagnosis and treatment planning.","authors":"Isabela Sales Pinheiro, Marcio José da Silva Campos, Luisa Gatti Reis, Sergio Luiz Mota Júnior, Robert Willer Farinazzo Vitral","doi":"10.1177/14653125221088888","DOIUrl":"10.1177/14653125221088888","url":null,"abstract":"<p><strong>Introduction: </strong>The treatment of impacted and transposed teeth is a challenge for clinical practice. A precise assessment of the relative position of the transposed tooth could lessen the risks of adverse effects, such as root resorption and periodontal problems.</p><p><strong>Description of the case: </strong>An 18-year-old patient went to the Orthodontic Department of the Federal University of Juiz de Fora, Brazil for a re-evaluation of the orthodontic treatment to which she had been receiving since the age of 12. Attempted traction of an impacted maxillary canine resulted in root resorption, marked mobility and alteration in the position of adjacent teeth as well as loss of alveolar bone in the anterior region of the maxilla. This tooth was not only partially transposed, but it also had ankylosis, external and internal tooth resorption, which indicated the need for tooth extraction. A change was made to the treatment plan, with the extraction of the canine, bone graft and mesial movement of the posterior teeth.</p><p><strong>Results: </strong>All the spaces were closed at the end of treatment, with normal overbite and overjet. At the follow-up, the teeth position, the shape of dental arches, disocclusion guides and dental occlusion were preserved. The bone graft in the maxilla showed height and mineral density stability.</p><p><strong>Conclusion: </strong>The presence of the maxillary permanent canines in the dental arch is important for both aesthetics and a functional occlusion. However, despite the importance of their maintenance in the arch, it is well advised that each case be analysed individually.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"1 1","pages":"385-390"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46890528","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}
Journal of OrthodonticsPub Date : 2023-12-01Epub Date: 2023-04-01DOI: 10.1177/14653125231166015
Maurice J Meade, Elizabeth Ng, Tony Weir
{"title":"Digital treatment planning and clear aligner therapy: A retrospective cohort study.","authors":"Maurice J Meade, Elizabeth Ng, Tony Weir","doi":"10.1177/14653125231166015","DOIUrl":"10.1177/14653125231166015","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the total number of digital treatment plan (DTPs) and aligners manufactured for clear aligner therapy (CAT) by Invisalign<sup>®</sup> from initial treatment planning to the completion of CAT.</p><p><strong>Design: </strong>A retrospective cohort study.</p><p><strong>Material and methods: </strong>A total of 30 patients, from each of 11 experienced orthodontists, who commenced treatment over a 12-month period, were assessed regarding the number of DTPs and aligners prescribed from initial planning to completion of CAT. Patients were categorised according to the number of aligners prescribed by the initial DTP into mild (<15), moderate (15-29) or severe (>29).</p><p><strong>Results: </strong>After the application of inclusion/exclusion criteria, 324 patients (71.9% women; median age = 28.5 years) undergoing non-extraction treatment with the Invisalign<sup>®</sup> appliance were assessed. The median number of initial DTPs was 3 (interquartile range [IQR] = 2, 1-9) per patient before acceptance by the orthodontist. Most (99.4%) patients required a refinement phase with a median of 2 (IQR = 2, 2-7) refinement plans recorded. A total of 9135 aligners per dental arch, was prescribed in the initial DTP of the 324 patients assessed and 8452 in the refinement phase. The median number of aligners per dental arch prescribed from the initial DTP was 26 (IQR = 12, 6-78) and from the refinement plans was 20.5 (IQR = 17, 0-132).</p><p><strong>Conclusion: </strong>A median of three initial DTPs and two refinement plans were required for patients undergoing non-extraction treatment with the Invisalign<sup>®</sup> appliance. Patients were prescribed almost double the number of aligners initially predicted to manage their malocclusion.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"361-366"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226515","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}
Journal of OrthodonticsPub Date : 2023-12-01Epub Date: 2020-09-14DOI: 10.1177/1465312520954219
Zahid Ahmad, Parmjit Singh
{"title":"A four-year review of orthodontic cases appearing before the General Dental Council Professional Conduct Committee.","authors":"Zahid Ahmad, Parmjit Singh","doi":"10.1177/1465312520954219","DOIUrl":"10.1177/1465312520954219","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the characteristics of orthodontic cases at the General Dental Council's (GDC) Professional Conduct Committee (PCC).</p><p><strong>Design: </strong>Review of data from the GDC website for orthodontically related hearings or those involving orthodontic treatment providers during 2015-2018.</p><p><strong>Setting: </strong>Observational descriptive study.</p><p><strong>Methods: </strong>Data were accessed from the GDC website by a single researcher to retrieve orthodontic cases. The press office of the GDC was contacted to ensure all data were captured. For each case that met the inclusion criteria, demographic details of the registrant, the charges proved/not proved and final outcome of the case were recorded.</p><p><strong>Results: </strong>A total of 23 registrant cases involved orthodontics and this was 8% of the total number of PCC hearings during 2015-2018. Nine (39%) of the registrants had a Membership in Orthodontics qualification although only 7 (30%) were registered as orthodontists on the UK GDC Specialist List in Orthodontics. Charges related to clinical assessment, consent and record keeping were mostly proved for dentists (13/16 hearings for each) whereas a poor standard of treatment and not cooperating with the GDC were mostly proved for orthodontists (4/7 hearings for each). Overall, conditions were imposed in 10 (44%) cases, erasure in 7 (30%) cases, suspension in 5 (22%) cases and a reprimand in 1 (4%) case.</p><p><strong>Conclusion: </strong>The GDC continue to view misdemeanours seriously and it would be prudent for registrants to be familiar with the nature of these hearings to reduce the risk of finding themselves in such a predicament.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"391-399"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38380948","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 Author.","authors":"Othman Hameed","doi":"10.1177/14653125231211407","DOIUrl":"10.1177/14653125231211407","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 4","pages":"449"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470442","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":"Republication of Inaugural Editorial, <i>British Journal of Orthodontics</i>.","authors":"J R E Mills","doi":"10.1177/14653125231222685","DOIUrl":"10.1177/14653125231222685","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"5"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697716","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":"Diversity of authors in the <i>British Journal of Orthodontics</i> and <i>Journal of Orthodontics</i> over the last 50 years.","authors":"Jayne E Harrison","doi":"10.1177/14653125231215832","DOIUrl":"10.1177/14653125231215832","url":null,"abstract":"<p><strong>Aims: </strong>To explore any changes in the perceived gender and affiliation of first authors of papers published in the <i>British Journal of Orthodontics (BJO)</i> and <i>Journal of Orthodontics (JO)</i>, over the last 50 years.</p><p><strong>Methods: </strong>Electronic hand searches of the <i>BJO and JO</i> from 1973 to 2021, were undertaken to identify research and clinical papers published the first volume of the BJO (1973-74) and then the first two volumes of each subsequent decade i.e. 1980-81; 1990-91 to 2020-21. Articles such as Editorials, Product Updates and Abstract summaries, were excluded.The perceived gender of the first author was identified from their forename, internet sources and/or personal knowledge, where possible. The country of the first author's affiliation was identified from the author details stated in the papers. The countries were then grouped into geographical areas.</p><p><strong>Results: </strong>A total of 385 papers were identified with a steady increase from 1973 to 2021. There was a statistically significant increase in papers published by authors who were perceived to be female (odds ratio 8.33; 95% CI 4.75, 14.64). The increase in papers published by non-UK affiliated first authors was significant (odds ratio 5.01; 95% CI 2.78, 9.02).</p><p><strong>Conclusions: </strong>The <i>Journal</i> has seen a significant change, over the last 50 years, in its authorship profile from nearly exclusively male, UK based authors to more than 60% of published papers having a first author who was perceived as being female and 37% originating from outside the UK.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"15-25"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697712","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":"British Orthodontic Society UTG session 2023.","authors":"","doi":"10.1177/14653125231211408","DOIUrl":"10.1177/14653125231211408","url":null,"abstract":"s of presentations at the British Orthodontic Conference on 28th September 2023 in London. These highlight the range and quality of research undertaken by UK orthodontic specialty trainees.","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 4","pages":"453-456"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470439","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}
Journal of OrthodonticsPub Date : 2023-12-01Epub Date: 2023-05-06DOI: 10.1177/14653125231172527
Shanya Kapoor, Tarulatha R Shyagali, Amit Kuraria, Abhishek Gupta, Anil Tiwari, Payal Goyal
{"title":"An artificial neural network approach for rational decision-making in borderline orthodontic cases: A preliminary analytical observational in silico study.","authors":"Shanya Kapoor, Tarulatha R Shyagali, Amit Kuraria, Abhishek Gupta, Anil Tiwari, Payal Goyal","doi":"10.1177/14653125231172527","DOIUrl":"10.1177/14653125231172527","url":null,"abstract":"<p><strong>Introduction: </strong>Artificial intelligence (AI) technology has transformed the way healthcare functions in the present scenario. In orthodontics, expert systems and machine learning have aided clinicians in making complex, multifactorial decisions. One such scenario is an extraction decision in a borderline case.</p><p><strong>Objective: </strong>The present in silico study was planned with the intention of building an AI model for extraction decisions in borderline orthodontic cases.</p><p><strong>Design: </strong>An observational analytical study.</p><p><strong>Setting: </strong>Department of Orthodontics, Hitkarini Dental College and Hospital, Madhya Pradesh Medical University, Jabalpur, India.</p><p><strong>Methods: </strong>An artificial neural network (ANN) model for extraction or non-extraction decisions in borderline orthodontic cases was constructed based on a supervised learning algorithm using the Python (version 3.9) Sci-Kit Learn library and feed-forward backpropagation method. Based on 40 borderline orthodontic cases, 20 experienced clinicians were asked to recommend extraction or non-extraction treatment. The decision of the orthodontist and the diagnostic records, including the selected extraoral and intra-oral features, model analysis and cephalometric analysis parameters, constituted the training dataset of AI. The built-in model was then tested using a testing dataset of 20 borderline cases. After running the model on the testing dataset, the accuracy, F1 score, precision and recall were calculated.</p><p><strong>Results: </strong>The present AI model showed an accuracy of 97.97% for extraction and non-extraction decision-making. The receiver operating curve (ROC) and cumulative accuracy profile showed a near-perfect model with precision, recall and F1 values of 0.80, 0.84 and 0.82 for non-extraction decisions and 0.90, 0.87 and 0.88 for extraction decisions.</p><p><strong>Limitation: </strong>As the present study was preliminary in nature, the dataset included was too small and population-specific.</p><p><strong>Conclusion: </strong>The present AI model gave accurate results in decision-making capabilities related to extraction and non-extraction treatment modalities in borderline orthodontic cases of the present population.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"439-448"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9418934","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}