TY - JOUR
T1 - Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom
AU - O'Brien, Kevin
AU - Wright, Jean
AU - Conboy, Frances
AU - Appelbe, Priscilla
AU - Bearn, David
AU - Caldwell, Susan
AU - Harrison, Jayne
AU - Hussain, Jamil
AU - Lewis, David
AU - Littlewood, Simon
AU - Mandall, Nicola
AU - Morris, Tim
AU - Murray, Alison
AU - Oskouei, Mojtaba
AU - Rudge, Stephen
AU - Sandler, Jonathan
AU - Thiruvenkatachari, Badri
AU - Walsh, Tanya
AU - Turbill, Elizabeth
PY - 2009
Y1 - 2009
N2 - 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. (Am J Orthod Dentofacial Orthop 2009;135:709-14)
AB - 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. (Am J Orthod Dentofacial Orthop 2009;135:709-14)
KW - Orthognathic surgery
KW - Follow-up
KW - Antibiotic prophylaxis
KW - Controlled trial
KW - Fixation
KW - Satisfaction
KW - Perceptions
KW - Impact
KW - Long
KW - Term
UR - http://www.scopus.com/inward/record.url?scp=67649610946&partnerID=8YFLogxK
U2 - 10.1016/j.ajodo.2007.10.043
DO - 10.1016/j.ajodo.2007.10.043
M3 - Article
C2 - 19524829
SN - 0889-5406
VL - 135
SP - 709
EP - 714
JO - American Journal of Orthodontics and Dentofacial Orthopedics
JF - American Journal of Orthodontics and Dentofacial Orthopedics
IS - 6
ER -