دورية أكاديمية
The effect of digital diagnostic setups on orthodontic treatment planning.
| العنوان: | The effect of digital diagnostic setups on orthodontic treatment planning. |
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| المؤلفون: | Hou D; Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Wash; Private Practice, Vancouver, British Columbia, Canada. Electronic address: houderek@gmail.com., Capote R; Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Wash., Bayirli B; Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Wash., Chan DCN; Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash., Huang G; Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Wash; Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, Wash. |
| المصدر: | American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2020 Apr; Vol. 157 (4), pp. 542-549. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8610224 Publication Model: Print Cited Medium: Internet ISSN: 1097-6752 (Electronic) Linking ISSN: 08895406 NLM ISO Abbreviation: Am J Orthod Dentofacial Orthop Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis : Elsevier Original Publication: [St. Louis, Mo.] : C.V. Mosby, [c1986- |
| مواضيع طبية MeSH: | Malocclusion* , Malocclusion, Angle Class II* , Overbite* , Tooth*, Humans ; Tooth Movement Techniques |
| مستخلص: | Introduction: This study aimed to evaluate whether viewing digital treatment simulations influenced orthodontic treatment planning decisions or practitioners' confidence in their selected plans. Methods: Records of 6 patients representing different case types (eg, missing teeth, crowding, sagittal discrepancies) were collected. A total of 22 orthodontists and 7 orthodontic residents viewed these records and formulated treatment plans for each case, indicating their most recommended plan and up to 2 alternative plans. After treatment planning each case, digital setups of each treatment plan indicated by the practitioner were shown. The practitioners were then asked if they still recommended their original plan, or if they would now recommend a different plan. Their confidence levels in the success of their plans were recorded before and after viewing the setups. Results: After viewing the digital setups, there was a significant change in the treatment plan for 9.2% of the cases. These included modifications like changing the extraction pattern or proposing space closure rather than opening space for an implant. In an additional 14.4% of the cases, treatment plans underwent partial changes, like adding interproximal reduction or temporary anchorage devices. Practitioner confidence levels increased after viewing the setups. In cases where the treatment plan changed, the practitioner's confidence level in the plan increased the most, and the final confidence level was uniformly high among all practitioners. Practitioners reported the most helpful features of digital setups were the ability to superimpose the setup with the original model, determine the amount of tooth movement needed, check the final incisal relationship (overjet and overbite), and establish the amount of interproximal reduction required. Conclusions: Viewing digital setups resulted in changes to the treatment plans in about 24% of the cases. The use of digital setups was associated with higher levels of confidence in the selected plans. (Copyright © 2019 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.) |
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| معلومات مُعتمدة: | KL2 TR000421 United States TR NCATS NIH HHS; KL2 TR002317 United States TR NCATS NIH HHS |
| تواريخ الأحداث: | Date Created: 20200404 Date Completed: 20200826 Latest Revision: 20210402 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7822303 |
| DOI: | 10.1016/j.ajodo.2019.09.008 |
| PMID: | 32241361 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1097-6752 |
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| DOI: | 10.1016/j.ajodo.2019.09.008 |