ABSTRACT
The 35-year-old male patient was treated at the University of the Pacific, San Francisco U.S.A., as part of an on-going study investigating the feasibility of the Invisalign System of tooth movement. The study called for 40 subjects, 10 with minor, 15 with moderate and 15 with severe tooth deviation. This patient fell into the "moderate" degree-of-difficulty category, due to the position of the maxillary incisors. Treatment time with the initial series of aligners was 14 months. Treatment objectives were met, with the exception of adequate anterior overbite.
Subject(s)
Computer-Aided Design , Malocclusion/therapy , Orthodontic Appliances, Removable , Orthodontics, Corrective , Adult , Cuspid/pathology , Feasibility Studies , Follow-Up Studies , Humans , Male , Mandible/pathology , Patient Care PlanningABSTRACT
The aim of this study was to determine the relationship between patients' perceptions of orthodontic treatment need and need as determined with professionally derived indexes, namely the dental aesthetic index and the index of orthodontic treatment need. This study was undertaken at orthodontic offices in San Francisco, Calif. The pretreatment study casts of 50 consecutive patients, presenting for orthodontic treatment, were objectively assessed with these indexes by 2 examiners trained and calibrated in their use. Patients were asked to complete a questionnaire consisting of 4 questions addressing appearance, function, speech, and treatment need, using either a 5-point Likert scale or a yes/no response. The professionally derived indexes showed that statistically significant correlations existed between the aesthetic component and dental health component (r = 0.46; P <.01), the aesthetic component and dental aesthetic index (r = 0.54; P <.01), and the dental health component and dental aesthetic index (r = 0.46; P <.01). Statistically significant correlations were also found for subjective assessments between biting/chewing and speech (r = 0.31; P <.05), between speech and the aesthetic component (r = -0.39; P <. 01) and the dental aesthetic index (r = 0.34; P <.05), and between the aesthetic component and appearance (r = -0.28; P <.05). Logistic regression analysis after dichotomization (treatment/no treatment need) confirmed that the aesthetic component was the only statistically significant factor (odds ratio, 0.57; 95% confidence limits 0.34 to 0.97).
Subject(s)
Esthetics, Dental , Jaw Relation Record/methods , Malocclusion/diagnosis , Malocclusion/psychology , Adolescent , Child , Female , Health Status Indicators , Humans , Male , Mastication , Needs Assessment , Observer Variation , Odds Ratio , Patient Satisfaction , Regression Analysis , Self Concept , Speech , Statistics, Nonparametric , Surveys and QuestionnairesABSTRACT
This article reviews the current status of investigation into apical root resorption within the context of orthodontic treatment. Treatment and patient factors that have traditionally been investigated are discussed, along with the results of current research in this area. The need for rethinking traditional research strategies in the quest for identifying both control and causative mechanisms is explored. Finally, proposals for key areas of future interest are highlighted.
