Article: Volume 11 Number 3 Page 100 - July 2018

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  Orth Update 2018; 11: 100-104

Orthodontics:  Can We Justify Combined Orthodontic and Orthognathic Surgery Treatment?

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Abstract: Patients requiring combined orthodontic and orthognathic surgical treatment make up 7% of a UK-based Orthodontic Consultant’s caseload. This has significant time and cost implications within the NHS. In a climate of spending cuts across our health service, a need has arisen to justify service provision. Accordingly, a new index has been devised to aid in the prioritization and provision of care for orthognathic patients.

Clinical relevance: To carry out a retrospective audit of 44 patients who had orthognathic surgery in the NHS between May 2012 and October 2014, assign each an Index of Orthognathic Functional and Orthodontic Treatment Need, IOFTN and IOTN, score, respectively and identify any differences.

Author notes: John Good, BDS, MFDS RCSEd, Specialty Registrar in Orthodontics, Ipswich Hospital Trust and Royal London Hospital, Ross Jones, BDS(Hons), BMSc(Hons), MFDS RCS(Edin), MOrth RCS(Edin), MSc, FDS RCS(Edin), Consultant Orthodontist, Hairmyres Hospital, NHS Lanarkshire, Vikas Sood, BSc, FDS RCS, FRCS(OMFS), Consultant Oral and Maxillofacial Surgeon, Monklands Hospital, NHS Lanarkshire and Clare Kelly, BDS, MFDS, MOrth, MSc, FDS(Orth) RCSEd, Consultant Orthodontist, Monklands Hospital, NHS Lanarkshire, UK.

Objective: To identify any differences in IOTN/IOFTN for the same malocclusions and determine if patients’ IOFTNs placed them in a higher need for treatment category.