Adult orthodontic retreatment: A survey of patient profiles and original treatment failings

被引:27
作者
Chow, Luke [1 ]
Goonewardene, Mithran S. [1 ]
Cook, Richard [1 ]
Firth, Martin J. [2 ]
机构
[1] Univ Western Australia, Sch Dent, Dept Orthodont, 17 Monash Ave, Nedlands, WA 6009, Australia
[2] Univ Western Australia, Sch Math & Stat, Ctr Appl Stat, Perth, WA, Australia
关键词
MAXILLARY EXPANSION; TREATMENT NEED; STABILITY; PERCEPTIONS; INDEX; MALOCCLUSION; COMPLEXITY;
D O I
10.1016/j.ajodo.2019.09.010
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: A growing number of adult patients are seeking orthodontic treatment. This research aimed to analyze the particulars of patients seeking retreatment and identify the causes of their original treatment failure. Methods: An online questionnaire survey of adults seeking first-time orthodontic treatment (control) and retreatment (study) was conducted. Index of complexity, outcome, and need (ICON) scores were determined. Appraisal of treatment records was carried out to identify the causes of original treatment failure. Results: No significant differences were found between retreatment adult patients and first-timers regarding reasons for seeking orthodontic treatment, malocclusion type, self-perception of malocclusion, level of self-motivation, willingness for surgery, expectations of treatment improvement and duration. The predominant reason for seeking treatment in both groups was for aesthetic concerns. Retreatment patients presented with lower ICON scores (39.4; standard error, 0.26) than the first-time patients (54.3; standard error, 0.23), P <= 0.001. The predominant reasons for original treatment failings were poor treatment, maturational changes, inadequate retention, shortcomings in diagnosis and treatment planning, and unfavorable growth. Other causes were related to transverse deficiency, secondary malocclusion (after periodontal breakdown), poor retention compliance, and temporomandibular joint degeneration. Conclusions: Adult orthodontic retreatment and first-time seekers' profiles are remarkably similar. Aesthetic concerns were the leading reasons patients sought treatment. ICON was not a useful proxy of patient profiles. Poor treatment was the chief reason for the failure of the original treatment. In terms of clinical significance, clinicians should be mindful of the patient profiles of retreatment seekers and vigilant about the possible causes of failings of orthodontic treatment to avoid suboptimal outcomes.
引用
收藏
页码:371 / 382
页数:12
相关论文
共 65 条
[2]  
[Anonymous], 2007, DENT UPDATE
[3]  
[Anonymous], 2007, DENT UPDATE
[4]  
Australian Bureau of Statistics, TECHN PAP SOC IND AR
[5]  
Australian Bureau of Statistics, INF PAP MEAS SOCIOEC
[6]  
Baccetti T., 2007, SEMIN ORTHOD, V13, P130, DOI [DOI 10.1053/J.SODO.2007.05.006, DOI 10.1053/j.sodo.2007.05.006]
[7]  
Behrents RG, 1984, THESIS
[8]  
Behrents RG., 1985, GROWTH AGING CRANIOF
[9]  
Behrents RG., 1985, ATLAS GROWTH AGING C
[10]   Relationship between occlusion and satisfaction with dental appearance in orthodontically treated and untreated groups. A longitudinal study [J].
Birkeland, K ;
Boe, OE ;
Wisth, PJ .
EUROPEAN JOURNAL OF ORTHODONTICS, 2000, 22 (05) :509-518