Judging orthodontic treatment complexity

Admin Dental Press

Edition V21N01 | Year 2016 | Editorial Original Article | Pages 60 to 66

Maïté Clijmans , Aly Medhat , An De Geest , Johannes Van Gastel , Annelies Kellens , Steffen Fieuws , Guy Willems

Objective: The aim of the present study was to investigate possible relations between anticipated overall treatment complexity (AOTC) of an orthodontic case and malocclusion characteristics. Methods: Two groups of orthodontists (groups A and B) were asked to define perceived treatment complexity (PTC) of orthodontic cases based on 16 characteristics of malocclusion by means of a questionnaire. Each question was answered on a six-point ordinal scale, with one “not applicable” option (score 0). Group A was also asked to give the AOTC of the specific case on a five-point ordinal scale. The index of orthodontic treatment need (IOTN) score of the specific cases as well as the malocclusion characteristics were assessed by one author. Results: There is a significant relationship between IOTN and AOTC (p < 0.0001), 22% of variability is explained by differences in IOTN. Adding objective characteristics of malocclusion to explain AOTC does not significantly increase the explained variability (p = 0.086). In judging interobserver agreement, a weighted Kappa of 0.60 for group A and 0.56 for group B was found. The weighted Kappa for agreement in AOTC equals 0.06. Conclusion: The relation between IOTN and AOTC was found to be significant. Moderate agreement on PTC among observers and a low level agreement regarding AOTC were found in the present study. Orthodontic treatment complexity, Orthodontic indices,

Clijmans M, Medhat A, De Geest A, Van Gastel J, Kellens A, Fieuws S, Willems G. Judging orthodontic treatment complexity. Dental Press J Orthod. 2016 Jan-Feb;21(1):60-6. DOI: http://dx.doi.org/10.1590/2177-6709.21.1.060-066.oar

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