The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Treatment recommendations and their association with patient and practitioner characteristics.
Aged
Cephalometry
Female
Humans
Incisor
Male
Mandible
Middle Aged
Open Bite
/ diagnostic imaging
Orthodontic Appliances
/ statistics & numerical data
Orthodontics, Corrective
/ instrumentation
Orthodontists
/ statistics & numerical data
Orthognathic Surgical Procedures
Practice Patterns, Dentists'
/ statistics & numerical data
Surveys and Questionnaires
Tooth Movement Techniques
/ instrumentation
United States
/ epidemiology
Journal
American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
ISSN: 1097-6752
Titre abrégé: Am J Orthod Dentofacial Orthop
Pays: United States
ID NLM: 8610224
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
01
02
2019
revised:
01
05
2019
accepted:
01
05
2019
entrez:
3
9
2019
pubmed:
3
9
2019
medline:
21
9
2019
Statut:
ppublish
Résumé
This aim of this paper is to describe and identify the practitioner and patient characteristics that are associated with treatment recommendations for adult anterior open bite patients across the United States. Practitioners and patients were recruited within the framework of the National Dental Practice-Based Research Network. Practitioners were asked about their demographic characteristics and their treatment recommendations for these patients. The practitioners also reported on their patients' dentofacial characteristics and provided initial cephalometric scans and intraoral photographs. Patients were asked about their demographic characteristics, previous orthodontic treatment, and goals for treatment. Four main treatment groups were evaluated: aligners, fixed appliances, temporary anchorage devices (TADs), and orthognathic surgery. Extractions were also investigated. Predictive multivariable models were created comparing various categories of treatment as well as extraction/nonextraction decisions. Ninety-one practitioners (mostly orthodontists) and 347 patients were recruited from October 2015 to December 2016. Increased aligner recommendations were associated with white and Asian patients, the presence of tongue habits, and female practitioners. TADs were recommended more often in academic settings. Recommendations for orthognathic surgery were associated with demographic factors, such as availability of insurance coverage and practitioner race/ethnicity, and dentofacial characteristics, such as anteroposterior discrepancies, more severe open bites, and steeper mandibular plane angles. Extraction recommendations were largely associated with severe crowding and incisor proclination. Both doctor and patient demographic factors, as well as dentofacial characteristics, were significantly associated with treatment recommendations for adult anterior open bite patients.
Identifiants
pubmed: 31474261
pii: S0889-5406(19)30515-3
doi: 10.1016/j.ajodo.2019.05.005
pmc: PMC6774609
mid: NIHMS1537652
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
312-325Subventions
Organisme : NIDCR NIH HHS
ID : U19 DE022516
Pays : United States
Investigateurs
Sarah Basile
(S)
Chris Enstad
(C)
Hannah Van Lith
(H)
Stephanie Hodge
(S)
Kim Stewart
(K)
Pat Ragusa
(P)
Deborah McEdward
(D)
Danny Johnson
(D)
Claudia Carcelén
(C)
Shermetria Massingale
(S)
Ellen Sowell
(E)
Stephanie Reyes
(S)
Meredith Buchberg
(M)
Monica Castillo
(M)
Informations de copyright
Copyright © 2019 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.
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