Claims Data Analysis of Comprehensive Orthodontic Treatments Rendered by Orthodontists and Non-orthodontists PDF Download
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Author: Mary Frances Antkowiak
Publisher:
ISBN:
Category : Dental economics
Languages : en
Pages : 232
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Author: Mary Frances Antkowiak
Publisher:
ISBN:
Category : Dental economics
Languages : en
Pages : 232
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Author: Yumi Abei
Publisher:
ISBN:
Category :
Languages : en
Pages : 318
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Author: Paul Chong Chan Lee
Publisher:
ISBN:
Category :
Languages : en
Pages : 156
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Book Description
With the advent of cephalometrics in the 1930s, numerous studies have focused on the profile of a face to achieve a more esthetic orthodontic treatment outcome. With such heavy emphasis on facial esthetics, a shift in focus from the profile view to the oblique view has become necessary as the smile in the oblique view is what the general public evaluates. The purpose of this pilot study was to determine whether the current tools for diagnosis and treatment evaluation are sufficient. Currently, 2-dimensional composite photographs are utilized in evaluating the soft tissue. At Temple University, 3-dimensional images, which show all sides of the patient's face, are used adjunctively to 2-dimensional composite photographs. In this study, faculty members at the Temple University Department of Orthodontics were asked to complete surveys after viewing two different image modalities, 2-dimensional images and a 3-dimensional video of the same patient. They were asked to fill out the soft tissue goals for specific facial landmarks. Patient photos were in the smiling view as current literature lacks studies on this view. Faculty members' responses from analyzing the 2-dimensional images and 3-dimensional video for each patient were compared to determine which areas had frequent discrepancies from using two different image modalities. During the survey, a voice recorder captured any comments regarding the images. The ultimate goal of this qualitative pilot study was to identify when 3-dimensional imaging is necessary in treatment planning and evaluation, with an added hope to further advance research in 3-dimensional imaging and its vast possibilities to advance the field of orthodontics. Based on the data collected, the following conclusions were made: 1. The qualitative data highlighted that 3-dimensional imaging would be necessary in cases with skeletal deformities. 2. In the oblique view, 3-dimensional imaging is superior than 2-dimensional imaging by showing more accurate shadow, contour, and depth of the soft tissue. 3. Further improvement is necessary to create a virtual patient with treatment simulation abilities. 4. The comfort level among orthodontists of 2-dimensional imaging was higher than 3-dimensional imaging. With more widespread use of 3-dimensional imaging, more orthodontists may gradually reach a higher comfort level in using this relatively new technology. 5. Faculty members expressed high willingness to use 3-dimensional imaging if improvement in new technology could allow for more manipulation and accurate soft tissue prediction. 6. 3-dimensional imaging is superior in its efficiency, quick capture time, and lack of need for multiple images. Implementation of 3-dimensional imaging could streamline the records process and help with practice efficiency without compromising the image quality. 7. Both patients and orthodontists may benefit from using 3-dimensional imaging. Patients can see an accurate representation of themselves and possibly view their own treatment simulation upon further improvement in current technology. Orthodontists would benefit with much more accurate images that may serve as the virtual patient. 8. Besides the exorbitantly high cost, faculty members thought that more advances were needed and the current benefit was not great enough to justify the investment. The results were consistent with other studies that used the oblique view in that the 2-dimensional oblique view lacks depth and does not provide adequate information. With further improvement in current 3-dimensional imaging, this technology can benefit orthodontists in visualizing their patients. In addition, patients can benefit by hopefully seeing a live and accurate simulation of themselves instantly as a virtual patient. With these benefits of 3-dimensional imaging, it may one day be the new standard in patient records in the field of orthodontics.
Author: William R. Proffit
Publisher: Elsevier Health Sciences
ISBN: 032329152X
Category : Medical
Languages : en
Pages : 771
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Book Description
Now in full color, Contemporary Orthodontics, 5th Edition is a practical resource with a long tradition of excellence. Line drawings and more than 1,000 new color images illustrate concepts more clearly than ever. This book includes detailed information on diagnosis, treatment planning concepts, related problems or controversies, and current treatment procedures, including the role of orthodontics in comprehensive treatment of patients with multiple problems. - Updated material on psychosocial problems in orthodontic treatment, oral function, and the relationship between injury and dental disease. - Case studies throughout the text highlight the demand for orthodontic treatment, the etiology of orthodontic problems, and treatment planning for cleft lip and palate patients. - NEW! Review of the contemporary applications of 3D imaging in both diagnosis and evaluation of treatment. - NEW! Updated information on Temporary Anchorage Devices (TADs) and miniplates. - NEW! The latest advances in the biology of orthodontic treatment, including new ways to accelerate orthodontic tooth movement and the continuing evolution of improved fixed appliances. - NEW! Over 200 new figures to illustrate new concepts and procedures.
Author: Karen Moawad
Publisher: Hummingbird Publications
ISBN:
Category : Medical
Languages : en
Pages : 348
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Author: Paula L. Harre
Publisher:
ISBN:
Category :
Languages : en
Pages : 192
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Author: Jean-Marc Retrouvey
Publisher: Springer
ISBN: 9783030572259
Category : Medical
Languages : en
Pages : 322
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Book Description
This richly illustrated book is a wide-ranging guide to modern diagnostics and treatment planning in orthodontics, which are mandatory prior to the initiation of any type of comprehensive treatment. The importance of three-dimensional (3D) imaging techniques has been increasingly recognized owing to the shortcomings of conventional two-dimensional imaging in some patients, such as those requiring complex adult treatment and those with temporomandibular joint dysfunctions or sleep disturbances. In the first part of this book, readers will find clear description and illustration of the diagnostic role of the latest 3D imaging techniques, including cone beam computed tomography, intra-oral scanning, and magnetic resonance imaging. The second part explains in detail the application of 3D techniques in treatment planning for orthodontic and orthognathic surgery. Guidance is also provided on the use of image fusion software for the purposes of accurate diagnosis and precise design of the most appropriate biomechanical approach in patients with malocclusions.
Author: Edith Young Kang
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 290
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Book Description
Abstract: Introduction: A few studies have shown minimal recall of risks after an orthodontic case presentation/consultation appointment, where obtaining informed consent is usually part of this process. Reducing the reading grade level and altering the format for improved processability may improve recall and comprehension of this information. This study developed a measuring tool for recall and comprehension and investigated differences in these variables among different methods of communicating orthodontic informed consent information. Methods: The American Association of Orthodontists' (AAO®) informed consent document was used as the gold standard; a modified informed consent document (MIC) represented improved readability; and an automated PowerPoint® slide show with visual and audio cues for elements of informed consent had improved processability. A questionnaire that probed 18 elements of an orthodontic informed consent was created. A pilot study consisting of 20 orthodontists validated this measurement tool for face and content validity. The slideshow was also validated for face and content validity. Twenty graduate orthodontic clinic patients and their parents were recruited for a second pilot study to establish face validity of the measurement tool and the slideshow. A convenience sample of 90 patient/parent pairs (n=180) from a university-based graduate orthodontic clinic were recruited at their initial orthodontic consultationltreatment presentation appointment. Patients were 12-18 years of age, with no previous history of orthodontic treatment, no family members had treatment or were currently in treatment at the clinic, and spoke English (as did their parents). The subject pairs were stratified into three treatment groups matched by age of the patient. Group A received only the AAO® document (grade level 14) during their consultation -- gold standard informed consent. Group B received the MIC document (grade level 7) -- improved readability. Group C received the MIC document and the PowerPoint® slide show -- improved readability and processability. Reading level, health literacy, and anxiety were evaluated using three standard measurement tools - the Wide Range Achievement Test 3 (WRAT 3)̧, Rapid Estimate of Adult Literacy in Medicine (REALM)̧, and the 6 item State Trait Anxiety Inventory (STAI-6), respectively. The validated measurement tool was administered to subjects in an interview format to determine comprehension and recall of orthodontic treatment risks and benefits. All interviews were digitally recorded and later transcribed. Each response in the interview was scored for the desired response on a 4 point scale: inappropriate response; on target; don't know/don't remember; no answer given/skipped. Demographic information was collected to determine if various socioeconomic factors have an impact on comprehension. Fisher's exact test, X2 test and multivariate regression analysis were used for data analysis. Results: The orthodontist pilot study showed no significant difference (p>0.05) between the pre and post refinements and a greater than 96% rating of approval for the measurement tool. There was no significant difference (p>0.05) in the pre and post refinements regarding the content validity of each of the questions in the measurement tool. The clinic pilot study showed the level of recall and comprehension to be 73.2% and 78% acceptable for pre and post refinements, respectively, with no significant difference (p>0.05) between pre and post refinements for the questionnaire. There was no statistically significant difference (p>0.05) in the level of recall and comprehension between treatment group A and treatment group B. Internal reliability was low for both patient and parent. Conclusions: The patient and parent subjects and orthodontists appear to have established face validity for the measurement tool and the slideshow. The orthodontist established content validity for the measurement tool. The clinical pilot study also established face validity. The level of recall and comprehension is moderate at best and does not appear to improve with an improved readability form.
Author: Vinod Krishnan
Publisher: John Wiley & Sons
ISBN: 1119870054
Category : Medical
Languages : en
Pages : 612
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Book Description
Integrates orthodontic diagnosis and treatment into the wider healthcare of the patient to achieve the highest possible standards of care Integrated Clinical Orthodontics offers an overview of clinical orthodontic theory and practice to equip clinicians to take an integrated approach to orthodontic practice. It presents the problems of orthodontics in an interdisciplinary context to describe how the potential complexity of dentofacial problems, the medical histories of patients, and a host of other factors contribute to orthodontic outcomes. The second edition has been expanded and thoroughly updated with new chapters and following an organized approach to the role of the orthodontist as part of a team. Cases in the book include orofacial deformities, sleep disorders, esthetic smile creation and temporomandibular joint problems. Orthodontic diagnosis and treatment are integrated into the wider health of the patient, including orthopedics, neurology, pediatrics, genetics and psychology, and the result is a modern, adaptable approach that places the patient and their needs at its center to achieve the highest possible standard of patient care. Readers of the second edition of Integrated Clinical Orthodontics will also find: New chapters on neuromuscular disorders, customized orthodontics, artificial intelligence, ethics and patient data Expanded content on special care in dentistry Guidance for the clinical interactions between orthodontics and other areas of dentistry and medicine Clinical implications and applications of the integrated approach in every chapter Integrated Clinical Orthodontics is an essential resource for clinical orthodontists and specialists in related medical and dental fields who wish to take the holistic view of orthodontic practice.
Author: Lee W. Graber
Publisher: Elsevier Health Sciences
ISBN: 0323069932
Category : Medical
Languages : en
Pages : 1106
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Book Description
A leading orthodontics reference, Orthodontics: Current Principles and Techniques, 5th Edition provides the latest information from the best experts in the field. It reflects today's emerging techniques, including new information on esthetics, genetics, cone-beam and other three-dimensional technologies, and evidence-based treatment. Coverage of diagnosis and treatment ranges from basic to highly complex situations, all in a concise, extensively illustrated format. Also included with this edition is a companion website that includes an electronic version of all chapters, supplemental content in select chapters, and a complete image collection to help with research and presentations. Written by Lee W. Graber, Robert L. Vanarsdall Jr., and Katherine W. L. Vig, along with a team of expert contributors, this is your go-to book for the practical orthodontic information you can use every day. Comprehensive coverage includes foundational theory and the latest on materials and techniques used in today's practice. Full-color photographs make it easy to see and distinguish the subtle differences that are necessary to mastering treatment planning. More than 2,500 images include a mixture of radiographs, clinical photos, and anatomic or schematic line drawings, showing examples of treatments, techniques, and outcomes. Detailed case studies guide you through the decision-making process, showing the consequences of various treatment techniques over time. Extensive references cite the latest in orthodontic research, so it's easy to follow up on evidence-based information. Authoritative research is provided by a team of three experienced, renowned authors/editors along with a team of worldwide experts. Cutting-edge content includes the latest concepts and techniques in orthodontics, including new coverage of temporary anchorage devices, self-ligating bracket biomechanics, clear aligner treatments, technological advances in imaging, and lasers. Improved organization separates topics into six parts and 29 chapters, enhancing both learning and research. Chapter outlines serve as a handy reference tool for practitioners and researchers. New lead author Dr. Lee Graber adds a fresh perspective to the experience of authors Drs. Robert Vanarsdall Jr., and Katherine W. L. Vig. Access to a companion website includes an electronic version of all chapters, plus case studies, a complete image collection, and supplemental content.
