title: Comparisons of similar patients treated by general dental clinicians and orthodontic specialists. Outcome and economical considerations.
abstract: The objective of this study was to evaluate and compare orthodontic treatment in two groups of patients in regard to treatment results and costs. One group was treated at a General Dental Clinic (GDC) with removable appliances and the other at a Special Orthodontic Clinic (SOC) using fixed appliances. Both groups had similar malocclusions. All treatment plans were determined bythe same orthodontic specialist. Study models were taken before and after the treatment of the patients. Index of Orthodontic Treatment Need (IOTN-index) was used to determine the extent of treatment needed. Weigthed Peer Assessment Rating (WPAR) was calculated for every model. The percentage of improvement in each group was calculated and results were compared. Chair time and treatment costs extracted from patient records were registered. The group treated at the GDC had initially WPAR 22.2 and the percentage reduction in WPAR 69 was percent.The group from the SOC had initially WPAR 24.0 and was reduced by 81 percent. Treatment costs, with the exception of x-ray analyses, were 56 percent higher for the SOC.The results of the study indicated that it was economically advantageous to treat patients with removable appliances at a GDC, if the patients are sufficiently cooperative.
authors.affiliation: Department of Orthodontics, Tandregleringskliniken, Borås, Sweden. bjorn.laag@vgregion.se
authors.forename: Björn
authors.initials: B
authors.lastname: Laag
authors.forename: Christer
authors.initials: C
authors.lastname: Ström
mesh_terms: D000293:Adolescent; D002648:Child; D002983:Clinical Competence; D003362:Cost-Benefit Analysis; D005260:Female; D005792:General Practice, Dental / Q000191:economics; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000628:therapy*; D009967:Orthodontic Appliances / Q000191:economics; D009968:Orthodontic Appliances, Removable / Q000191:economics; D009971:Orthodontics, Corrective / Q000191:economics / Q000295:instrumentation / Q000592:standards; D017063:Outcome Assessment, Health Care; D013039:Specialties, Dental / Q000191:economics; D016896:Treatment Outcome