Quality assessment of orthodontic care for adolescents by developing individual dento-somatic profiles

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Abstract

Aim. To study the effectiveness of the use of individual dento-somatic profiles at the stages of orthodontic treatment to improve the quality assessment of orthodontic intervention and compliance achievement between doctor and patient/parents.

Methods. The study involved 196 adolescents with dentoalveolar anomalies needing treatment with fixed appliances. The first group (main group) consisted of 108 patients aged 12-15 years with dentoalveolar anomalies amid the pathology of the upper gastrointestinal tract. The second group (comparison group) consisted of 86 adolescents with dentoalveolar anomalies without somatic pathology. Dento-somatic profiles with determining the factors influencing the effectiveness of orthodontic treatment were developed. Modeling of individual dento-somatic profiles was performed by means of integral coefficients.

Results. In the first group, individual dento-somatic profiles were visually demonstrated to the patients, where a sharp decrease in the level of hygiene was clearly presented. A professional cleaning, the constant use of individual oral care preparations, the use of medications to improve the local immunity in the oral cavity were recommended to them. After 3, 6 and 12 months, the level of hygiene in almost all of the first group adolescents (82.6%) improved to satisfactory values, statistically significantly increased «physician-parents» and «physician-patient» compliance. Indicators of the second group patients were by 2-2.3 times worse. With irregular medical follow-up pathological symptoms fixation, lack of understanding between parents, doctor and patient were revealed. Incompleteness of orthodontic treatment was equally dependent on both the financial difficulties and a lack of understanding of the problem importance on the part of parents and adolescents.

Conclusion. Using individual dento-somatic profiles proved to be effective in improving quality assessment of orthodontic intervention and compliance achievement between physician and patient/parents; misunderstanding of features of treatment with fixed appliances by parents and patients, orthodontist inability to provide quality medical management has a negative impact on the effectiveness and significantly increases the duration of orthodontic treatment.

About the authors

Yu A Kalinichenko

Lugansk State Medical University

Author for correspondence.
Email: sirotchenko61@mail.ru

D E Lugansky

Lugansk State Medical University

Email: sirotchenko61@mail.ru

A A Sirotchenko

Lugansk State Medical University

Email: sirotchenko61@mail.ru

References

  1. Гордеева Н.О., Егорова А.В., Магомедов Т.Б., Венатовская Н.В. Методология снижения риска патологии твёрдых тканей зубов при ортодонтическом лечении несьёмной аппаратурой. Саратов. науч.-мед. ж. 2011; 7 (1): 230-233.
  2. Данилова М.А. Структурно-морфологическая характеристика ротовой жидкости на этапах ортодонтического лечения с помощью несьёмной техники. Ортодонтия. 2009; 1 (45): 61.
  3. Децык О.Р., Долгих Е.А. Изменения уровня гигиены полости рта пациентов, находящихся на ортодонтическом лечении. Уфа: Мединфо. 2008; 47 с.
  4. Профит У.Р. Современная ортодонтия. М.: МЕДпресс-информ. 2006; 560 с.
  5. Рамм Н.Л., Кисельникова Л.П., Юркова М.А. Несьёмная ортодонтическая техника - риск развития осложнений. Институт стоматол. 2001; 4 (13): 22-25.
  6. Саулин М.П., Суетенков Д.Е., Гребенников А.А. Мотивация пациентов как один из эффективных способов профилактики осложнений при лечении несьёмной ортодонтической аппаратурой. Саратов. науч.-мед. ж. 2011; 7 (1): 329-331.

© 2016 Kalinichenko Y.A., Lugansky D.E., Sirotchenko A.A.

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