ABSTRACT
Background: Extraction in Orthodontics has always been a topic of debate and is one of the controversies in Orthodontics. There are numerous studies available regarding the frequency of Orthodontic extraction in clinics, but very less such institution borne studies have been reported. It is important to have demographic data on the prevalence of extraction. The present study was aimed to determine the epidemiological data regarding the prevalence of extraction in Orthodontic patients with respect to various demographic features.Material & Methods:This cross sectional study was done over a period of five months prospectively. Prevalence of Orthodontic extractions was obtained with regard to Gender, Age group, Education level. Various Orthodontic extraction patterns and overall extraction frequencies in relation to malocclusions was evaluated. Chi-square test was used to determine correlations between variables, Shaperio?Wilk W test and independent ‘t’ test was used for comparison between two groups.Results:Majority of the patients reporting for Orthodontic Extraction were females (65.1%).. Most of the patients belonged to ?19 age group, with higher secondary education level and belonging to urban area. The most commonly extracted tooth for Orthodontic treatment was premolar and the most common extraction pattern was all first premolars which was seen in Class I malocclusion. Females underwent more Orthodontic extractions.Conclusion:The data from this study is a dental tertiary institution borne data and reveals the frequency of Orthodontic patients indicated and reporting for extraction. The epidemiologic data from this study has given a comparison of extraction rates among gender, age, education level, residence and provides an insight about the most commonly extracted tooth and extraction pattern in orthodontic patients with various malocclusions. This study revealed a more trend towards all four premolar extraction. Prevalence of Orthodontic extraction was more among females (65.1%). The mean rate of extraction was found to be 4.14 with standard deviation of 1.04.
ABSTRACT
Background: Record keeping is an essential process and its importance cannot be ignored when it comes to Orthodontics. Even diagnosis is dependent on accurate and reliable Orthodontic records. Apart from diagnosis and treatment planning, these records are also important for medico-legal issues, publications, self -appraisals, patient education. The Basic record keeping armamentarium in Orthodontics includes: Case history, consent forms plaster models, a panoramic radiograph, Lateral cephalogram, intra and extra oral pictures. The objective of this study was be to determine the knowledge and Practice trend of Orthodontic record keeping amongst the dental practioners.Material & Methods:This cross-sectional study was conducted across various dental clinics in Bangalore city. The sample selection for Dental clinics was made by the lottery method, and total of 40 clinics were selected from the list of registered dental clinics. Questionnaires were designed in such a way so as to determine the knowledge, awareness and practice trends about the Orthodontic records keeping among dental practitioners. Questionnaires were collected back by hand and analysed. The data was tabulated in excel sheet and statistical analysis was performed on the data.Results:Chi-square/ Fisher Exact test has been used to find the significance of study parameters on a categorical scale between two or more groups. Student t-test has been used to find the significance of study parameters on a continuous scale between two groups (Intergroup analysis) on metric parameters. 65% practitioners didn’t attend any CDE program on maintaining health records program whereas 35% had attended such program’s. Majority of general practitioners had knowledge and awareness about Orthodonticrecord keeping while as practice of Orthodontic record keeping was not completely as per norms.Conclusion:The present study found the good knowledge and awareness about orthodontic record keeping, but record keeping practice was found to be average due to lack of adequate infrastructure at clinics and non-usage of digital technology in most of the clinics . This study suggests that more awareness programs stressing the importance of Orthodontic record taking and workshops for incorporating digital technology related to the storage & preservation of Orthodontic record should be conducted.