Orthodontic treatment and referral patterns: A survey of pediatric dentists, general practitioners, and orthodontists (original) (raw)

Abstract Objective: This study aims to assess the orthodontic diagnostic skills, referral patterns, and the perceptions of orthodontic benefits of pediatric and general dentists in comparison with orthodontists. Materialsandmethods: Twoonlinesurveysweree-mailedtopediatricdentists,generaldentistry practitioners, and orthodontists registered as members of the Saudi Dental Society and the Saudi Orthodontic Society. The surveys included questions about the type of orthodontic treatment pro- vided, referral trends, and timing; presumed benefits associated with successful orthodontic treat- ment; and diagnosis and treatment plans of seven cases representing different malocclusions. Results: In total, 25 orthodontists, 18 pediatric dentists, and 14 general practitioners completed the survey. Only 38.8% of pediatric dentists and 7.1% of general practitioners reported that they practiced orthodontics clinically. The perceptions of the three groups toward the benefits of ortho- dontic treatment were comparable in the psychosocial areas. However, the orthodontists perceived significantly lesser effects of orthodontic treatment on the amelioration of temporomandibular dis- order (TMD) symptoms. Pediatric dentists tended to rate the need and urgency of treatment higher, while general practitioners tended to rate the need of treatment lower. The selected treatment plans for three early malocclusion cases showed the greatest discrepancies between the orthodontists and the other two groups. Conclusions: The orthodontists consistently and significantly downplayed the perceived benefit of orthodontic treatment to reduce TMD symptoms. Also, while there was a similarity in the diag- nosis, there were notable differences in the proposed treatment approaches, perceived treatment need, and timing of intervention between the three groups of practitioners.

Orthodontic Treatment a Boon or Bane to TMJ

Abstract: TMJ disorders are a complication in itself. The orthodontic treatment is considered sometimes as a remedy for the TMJ disorders whereas other few times the same is considered as culprit. The common problems encountered in the clinical practice are Class II cases. Therefore the treatment plans for the cases are taken into consideration for the study. The main aim of the study is to determine, does Orthodontic treatment will cause TMD disorder or an remedy for TMD disorders.A Sample of 100 Patients between the age group of 10-22 yrs were taken for the Study, divided into two groups depending on the case and treatment plan. It was observed that during the course of the treatment patients of 1stgroup that is Class II Div2 experience less pain and the severity was reduced this might me due to the forward displacement of mandible when the incisors weretorquedlabially so there was less compression on the retrodiscal tissue and hencethe pain was reduced.In group 2 Patients those subjected to Head gear experienced little pain.Thereby, the study enlightens about the relationship of orthodontics & TMJ disorders.

Relationship Between Orthodontics and Temporomandibular Disorders: A Prospective Study

Journal of oral & facial pain and headache, 2016

To investigate the possible relationship between the orthodontic treatment of Class II malocclusion and the development of temporomandibular disorders (TMD). A total of 40 patients was evaluated at four time points: the day before the start of treatment employing bilateral Class II elastics (baseline), as well as at 24 hours, 1 week, and 1 month after the start of treatment. The development of TMD pain complaints in the orofacial region and changes in the range of mouth opening were assessed at these times. Shapiro-Wilk, McNemar, and Friedman tests with 5% significance level were used to analyze the data. The treatment produced pain of a transitory, moderate intensity, but there was no significant change from baseline after 1 month. There were no restrictions in the range of jaw motion or any evidence of limitations in mouth opening. Orthodontic treatment with bilateral Class II elastics does not cause significant orofacial pain or undesirable changes in the range of mouth opening. ...

Orthodontics is temporomandibular disorder–neutral

The Angle Orthodontist, 2015

Objectives: To assess if subjects with a clinical diagnosis of temporomandibular disorders (TMDs) have a similar prevalence of orthodontic history as a population of TMD-free individuals and to assess if those subjects who have a history of ideal orthodontics have fewer symptoms than those with a history of nonideal orthodontics. Materials and Methods: Two groups of age- and sex-matched individuals belonging to either a study (“TMD”) or a control group were recruited. Subjects who underwent orthodontic treatment were classified as having a history of ideal or nonideal orthodontics based on the current presence of normal values in five reference occlusal features. Results: The correlation with a history of orthodontic treatment was not clinically significant for any of the TMD diagnoses (ie, muscle pain, joint pain, disc displacement, arthrosis), with Phi (Φ) coefficient values within the −0.120 to 0.058 range. Within the subset of patients with a history of orthodontics, the corr...

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