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What factors might affect the success of fixed appliance therapy in adolescent patients? part 1 Julie C Williams Jonathan Sandy Anthony Ireland Dental Update 2024 6:3, 707-709.
Authors
Julie CWilliams
BDS, MFGDP, DPDS MA (Ethics of Healthcare)
StR in Orthodontics, Musgrove Park Hospital, Taunton and Yeovil District Hospital and University of Bristol, Bristol, UK
The success of orthodontic treatment can be judged in a number of ways, two of which are treatment efficiency and occlusal outcome. Treatment efficiency can be measured in terms of length of treatment and number of visits, whilst occlusal outcomes can be both dynamic and static. The factors that affect success can be considered under three headings, namely patient factors, operator factors and appliance factors. This article will consider outcome and the patient factors which might affect treatment success in our adolescent patients, whilst Part 2 will consider operator and appliance factors.
Clinical Relevance: The conversational model of consent requires that clinicians disclose all of the appropriate information to patients prior to them making the decision whether to accept or decline treatment.1 Understanding factors that could affect the outcome with respect to both treatment efficiency and occlusal result will therefore help inform this consent process.
Article
There are at least four stakeholders involved with orthodontic treatment namely:
Each stakeholder may have a different understanding of the ideal orthodontic treatment outcome. Common sense suggests that they would all consider an aesthetically pleasing, healthy and functional occlusion, treated in the minimum time, at minimal cost and with minimal risk, to be a successful outcome. This article will attempt to define what we currently understand by the terms ‘treatment efficiency’ and ‘occlusal outcome’ and will focus on factors that have been shown to influence one or both of these measures of success.
The efficiency of a course of orthodontic treatment can be defined not only in terms of the total duration of treatment, but also by the total number of visits, their length, the cost and quantity of materials used and by the level of training of the person(s) required to perform the treatment tasks. Published evidence appears to focus upon the duration of treatment and number of visits.
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