Literature DB >> 19524829

Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom.

Kevin O'Brien1, Jean Wright, Frances Conboy, Priscilla Appelbe, David Bearn, Susan Caldwell, Jayne Harrison, Jamil Hussain, David Lewis, Simon Littlewood, Nicola Mandall, Tim Morris, Alison Murray, Mojtaba Oskouei, Stephen Rudge, Jonathan Sandler, Badri Thiruvenkatachari, Tanya Walsh, Elizabeth Turbill.   

Abstract

INTRODUCTION: The aim of this study was to evaluate the effectiveness of orthodontic/orthognathic surgical care provided in the North West region of England. It was an observational, prospective cohort study at 13 maxillofacial clinics in the United Kingdom.
METHODS: The 131 patients comprised 47 males (35.9%) and 84 females (64.1%), with an average age of 22.6 years. They received orthodontic/orthognathic treatment according to the normal protocols of the operators. They were then followed until all orthodontic treatment was completed. Final skeletal pattern, final peer assessment rating score, number of attendances, and duration of treatment were recorded.
RESULTS: At the end of the 5-year study, 94 patients had completed treatment, and 71 had complete data. Data analysis showed that, overall, the treatments provided were effective in terms of skeletal and dental occlusal outcomes; the final mean peer assessment rating score was 10.58. However, treatment duration was longer than commonly expected, with a mean length of 32.8 months (SD,11.3). The outcome of treatment was influenced by only pretreatment skeletal discrepancy.
CONCLUSIONS: This prospective investigation showed that orthodontic/orthognathic surgical care was effective. The outcome of treatment was influenced only by the severity of the pretreatment skeletal discrepancy.

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Year:  2009        PMID: 19524829     DOI: 10.1016/j.ajodo.2007.10.043

Source DB:  PubMed          Journal:  Am J Orthod Dentofacial Orthop        ISSN: 0889-5406            Impact factor:   2.650


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2.  Soft tissue outcome after mandibular advancement--an anthropometric evaluation of 171 consecutive patients.

Authors:  Gregor F Raschke; Ulrich M Rieger; Rolf-Dieter Bader; Arndt Guentsch; Oliver Schaefer; Stefan Schultze-Mosgau
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3.  Influence of single-jaw surgery vs bimaxillary surgery on the outcome and duration of combined orthodontic-surgical treatment.

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Review 4.  Surgical adjunctive procedures for accelerating orthodontic treatment.

Authors:  Padhraig S Fleming; Zbys Fedorowicz; Ama Johal; Ahmed El-Angbawi; Nikolaos Pandis
Journal:  Cochrane Database Syst Rev       Date:  2015-06-30

5.  Morphologic outcome of bimaxillary surgery--an anthropometric appraisal.

Authors:  Gregor F Raschke; Ulrich M Rieger; Andre Peisker; Gabriel Djedovic; Marta Gomez-Dammeier; Arndt Guentsch; Oliver Schaefer; Stefan Schultze-Mosgau
Journal:  Med Oral Patol Oral Cir Bucal       Date:  2015-01-01

6.  Treatment duration and factors associated with the surgery-first approach: a two-center study.

Authors:  Flavio Uribe; Sara Adabi; Nandakumar Janakiraman; Veerasathpurush Allareddy; Derek Steinbacher; David Shafer; Carlos Villegas
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Review 7.  An overview of surgery-first approach: Recent advances in orthognathic surgery.

Authors:  Vipul Kumar Sharma; Kirti Yadav; Pradeep Tandon
Journal:  J Orthod Sci       Date:  2015 Jan-Mar

8.  The changes of oral health-related quality of life and satisfaction after surgery-first orthognathic approach: a longitudinal prospective study.

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9.  Soft tissue changes after mandibular setback and bimaxillary surgery in Class III patients.

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Review 10.  Concepts, protocol, variations and current trends in surgery first orthognathic approach: a literature review.

Authors:  Hafiz Taha Mahmood; Maheen Ahmed; Mubassar Fida; Adeel Tahir Kamal; Farheen Fatima
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