EVALUATION OF TREATMENT
OUTCOMES AND THEIR
CORELATION TO VARIOUS
PRESCRIPTION
…….a
clinical audit

www.indiandentalacademy...
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
Orthodontists define quality by cephalometric
measures , the patient by shortness of treatment
time , and the parent by th...
Quality assurance is a necessary component of
contemporary health care . In recent years
the need for all health care orga...
Practice audit is a wheel spinning
exercise
Audit is useless
unless
Followed by planning

Implementation is useless
unless...
The evaluation of final models is
essential for orthodontists who are
interested in improving their clinical
results
Every...
S

I
M

A

O
B
J

AND

www.indiandentalacademy.com

E
C
T
I

V
E
S
To evaluate and analyze the final treatment
outcomes
To correlate the results obtained with various
prescriptions

www.ind...
M
A
AN
T
D
E
R
I
A
L
S

M
E
T
H
O
D
S

www.indiandentalacademy.com
OBJECTIVE GRADING SYSTEM

The American board of orthodontics is constantly striving to
make the phase III clinical examina...
ABO MEASURING GAUGE

www.indiandentalacademy.com
Alignment
Marginal ridge
Buccolingual
inclination
Occlusal contacts
Occlusal
relationships
Overjet
Interproximal
contacts
...
A
L
I
G
N
M
E
N
T

www.indiandentalacademy.com
M
A
R
G
I
N
A
L

R
I
D
G
E

www.indiandentalacademy.com
BUCCO-LINGUAL INCLINATION

O
C
C CONTACTS
L
U
S
A
www.indiandentalacademy.com
L
T

E

J

R

E

V

O

OCCLUSAL RELATIONSHIP

www.indiandentalacademy.com
C
O
N
T
A
C
T
S

www.indiandentalacademy.com
20 finished cases treated for class I bimaxillary protrusion were
selected for the study. The sample was divided into two ...
The whole sample of 20 cases was evaluated using
the ABO grading system to determine the degree
of improvement and the qua...
R
E
S
U
L
T
S
www.indiandentalacademy.com
Full Sample Size
30
25
20
15
10
5
0

patients

Deductions
AVERAGE DEDUCTION (All parameters)
www.indiandentalacademy.com
:...
MARGINAL RIDGE

D
E
D
U
T
I
O
N
S

20
18
16
14
12
10
8
6
4
2
0
PATIENTS

Most of the deductions were limited to the 1st an...
BUCCO – LINGUAL INCLINATION

D
E
D
U
T
I
O
N
S

20
18
16
14
12
10
8
6
4
2
0
PATIENTS

Average deductions : 6.8
www.indiand...
OCCLUSAL CONTACTS

D
E
D
U
T
I
O
N
S

20
18
16
14
12
10
8
6
4
2
0
PATIENTS

Average deductions : 5.1
www.indiandentalacade...
The average deduction for the whole sample was 19.5
points
Statistically significant deductions were found for
bucco-lingu...
PART 2 : Correlation to various prescriptions
30

Deductions

25
20
15
10
5
0

MBT

PATIENT
S

ROTH
www.indiandentalacadem...
RESULT COMPARED TO THE MASTER CHART :-

Average deduction for ROTH prescription brackets
was 21.5 points
Average deduction...
D
I
S
C
U
S
S
I
O
N
www.indiandentalacademy.com
To improve the quality of orthodontic care , attention should focus
on internal audit
This being a procedure where individ...
Bucco - lingual inclination / occlusal contacts

Operator efficiency

Prescription

In cases treated with ROTH prescriptio...
C
O
N
L
U
S
I
O
N
www.indiandentalacademy.com


The importance of clinical audit in upgrading the standard
of treatment outcome



The treatment outcome of cases trea...
CLINICAL AUDIT
…….a partnership with quality

www.indiandentalacademy.com
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Evaluation of treatment outcomes /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

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  • Evaluation of treatment outcomes /certified fixed orthodontic courses by Indian dental academy

    1. 1. EVALUATION OF TREATMENT OUTCOMES AND THEIR CORELATION TO VARIOUS PRESCRIPTION …….a clinical audit www.indiandentalacademy.com
    2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
    3. 3. Orthodontists define quality by cephalometric measures , the patient by shortness of treatment time , and the parent by the size of the bill. What is a warranty ? ? ? It’s a synonym for quality assurance. Are warranties and health care related ? www.indiandentalacademy.com
    4. 4. Quality assurance is a necessary component of contemporary health care . In recent years the need for all health care organizations to have clear policies and procedures for maintaining quality through Clinical audit has become pressing … … … … AUDIT- whither or wither ? Audit, by examining whether clinical practice in a given situation is measured up to agreed standards ,seeks to extend the knowledge of practioner about their own practice . www.indiandentalacademy.com
    5. 5. Practice audit is a wheel spinning exercise Audit is useless unless Followed by planning Implementation is useless unless evaluated Planning is useless unless implemented www.indiandentalacademy.com
    6. 6. The evaluation of final models is essential for orthodontists who are interested in improving their clinical results Every orthodontist , either alone or with a practice consultant , should x-ray their practice to determine its strengths and weaknesses , and to plan any changes , as indicated by the practice audit www.indiandentalacademy.com
    7. 7. S I M A O B J AND www.indiandentalacademy.com E C T I V E S
    8. 8. To evaluate and analyze the final treatment outcomes To correlate the results obtained with various prescriptions www.indiandentalacademy.com
    9. 9. M A AN T D E R I A L S M E T H O D S www.indiandentalacademy.com
    10. 10. OBJECTIVE GRADING SYSTEM The American board of orthodontics is constantly striving to make the phase III clinical examination a fair , accurate , meaningful experience for candidates . In an effort to provide the candidates with a tool to assess the adequacy of their finished orthodontic results the board has established an objective grading system www.indiandentalacademy.com
    11. 11. ABO MEASURING GAUGE www.indiandentalacademy.com
    12. 12. Alignment Marginal ridge Buccolingual inclination Occlusal contacts Occlusal relationships Overjet Interproximal contacts www.indiandentalacademy.com
    13. 13. A L I G N M E N T www.indiandentalacademy.com
    14. 14. M A R G I N A L R I D G E www.indiandentalacademy.com
    15. 15. BUCCO-LINGUAL INCLINATION O C C CONTACTS L U S A www.indiandentalacademy.com L
    16. 16. T E J R E V O OCCLUSAL RELATIONSHIP www.indiandentalacademy.com
    17. 17. C O N T A C T S www.indiandentalacademy.com
    18. 18. 20 finished cases treated for class I bimaxillary protrusion were selected for the study. The sample was divided into two sub groups of 10 cases each:Cases treated with brackets having ROTH prescription (Group A) Cases treated with MBT bracket system (Group B) The study was single blinded , where the operator did not know the sample division. www.indiandentalacademy.com
    19. 19. The whole sample of 20 cases was evaluated using the ABO grading system to determine the degree of improvement and the quality of results. The results were compared to the master chart , and the respective groups were co-related to analyze the degree of improvement in each Group. www.indiandentalacademy.com
    20. 20. R E S U L T S www.indiandentalacademy.com
    21. 21. Full Sample Size 30 25 20 15 10 5 0 patients Deductions AVERAGE DEDUCTION (All parameters) www.indiandentalacademy.com : 19.5 POINTS
    22. 22. MARGINAL RIDGE D E D U T I O N S 20 18 16 14 12 10 8 6 4 2 0 PATIENTS Most of the deductions were limited to the 1st and 2nd molars www.indiandentalacademy.com
    23. 23. BUCCO – LINGUAL INCLINATION D E D U T I O N S 20 18 16 14 12 10 8 6 4 2 0 PATIENTS Average deductions : 6.8 www.indiandentalacademy.com
    24. 24. OCCLUSAL CONTACTS D E D U T I O N S 20 18 16 14 12 10 8 6 4 2 0 PATIENTS Average deductions : 5.1 www.indiandentalacademy.com
    25. 25. The average deduction for the whole sample was 19.5 points Statistically significant deductions were found for bucco-lingual inclination and occlusal contacts www.indiandentalacademy.com
    26. 26. PART 2 : Correlation to various prescriptions 30 Deductions 25 20 15 10 5 0 MBT PATIENT S ROTH www.indiandentalacademy.com
    27. 27. RESULT COMPARED TO THE MASTER CHART :- Average deduction for ROTH prescription brackets was 21.5 points Average deductions for MBT bracket system was 16.0 points. Significant differences were found in bucco - lingual inclination and occlusal contacts between the two groups. No significant differences were found for other parameters. www.indiandentalacademy.com
    28. 28. D I S C U S S I O N www.indiandentalacademy.com
    29. 29. To improve the quality of orthodontic care , attention should focus on internal audit This being a procedure where individual health care professionals get a feed back on Performance compared with others or with what should be expected Cases treated with MBT bracket system showed lesser ABO OGS scores i.e., cases were finished better. www.indiandentalacademy.com
    30. 30. Bucco - lingual inclination / occlusal contacts Operator efficiency Prescription In cases treated with ROTH prescription, most of the deductions were limited to bucco - lingual inclination and occlusal contacts . High tip , low torque values Operator efficiency Time and effort required to built in extra bracket features and their expression www.indiandentalacademy.com
    31. 31. C O N L U S I O N www.indiandentalacademy.com
    32. 32.  The importance of clinical audit in upgrading the standard of treatment outcome  The treatment outcome of cases treated with MBT bracket system were better than those treated with brackets having ROTH prescription. www.indiandentalacademy.com
    33. 33. CLINICAL AUDIT …….a partnership with quality www.indiandentalacademy.com
    34. 34. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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