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Running head: DETERMINING FACTORS OF ORTHODONTIC TREATMENT TIMING 1
Determination Factors for Orthodontic Treatment Timing
Manal Shehada
Madonna University
ESL 5230 – Informative paper outline (D2)
March 25, 2015
DETERMINING FACTORS OF ORTHODONTIC TREATMENT TIMING
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Determination Factors for Orthodontic Treatment Timing
I- Thesis statement: The decision to define the beginning of an orthodontic treatment is affected
by several factors such as orthodontist background, treatment objectives, type of malocclusion,
and the cost and the duration of the treatment; that is why this decision should be taken for each
case alone.
II- Definition of timing of orthodontic treatment
A- Definition of early orthodontic treatment: There is a controversy about the definition.
Some consider it early mixed dentition or mid-mixed dentition; others define it as latemixed dentition (Hsieh, Pinskaya, & Roberts, 2005).
B- Definition of late orthodontic treatment: it could be started at the late-mixed
dentition or permanent dentition phase (Hsieh et al., 2005).
III- Factors determining the time to begin orthodontic treatment
A- Orthodontists background
1- The institution of graduation. The European orthodontic schools prefer early
treatment more than American orthodontic schools (Pietilä, Pietilä, Pirttiniemi,
Varrela, & Alanen, 2008).
2- The year of orthodontist's graduation. Older orthodontists prefer early treatment
(Pietila et al., 2008).
B- Treatment objective
1- Growth modification must be done before the end of jaws` growth (Philippe,
2012).
2- Interceptive and preventive orthodontics help to stop pathogenic factors before
they cause malocclusion (Shalish, Gal, Brin, Zini, & Ben-Bassat, 2013).
DETERMINING FACTORS OF ORTHODONTIC TREATMENT TIMING
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C- Type of malocclusion
1 – Crossbite preferred to be treated as early treatment (Pietila et al., 2008; Hsieh et
al., 2005).
2- Sever overjet need early treatment to protect teeth from trauma (Shalish et al,
2013).
3- Class II has a controversy about the perfect time to treat it (Pietila et al., 2008).
D- The cost and the duration of the treatment. Early treatment takes long time which
makes some orthodontists avoid it (Hsieh et al., 2005).
IV- Conclusion
A- Many factors have an influence on the decision of starting orthodontic treatment.
B- There are no specific standards for choosing the time to initiate orthodontic
treatment.
C- The decision of choosing early or late orthodontic treatment must be taken after
studying each case individually.
DETERMINING FACTORS OF ORTHODONTIC TREATMENT TIMING
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References
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Nedeljkovic, N. (2011). Sagittal skeletal and occlusal changes of class II, division 1
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Pietilä, I., Pietilä, T., Pirttiniemi, P., Varrela, J., & Alanen, P. (2008) .Orthodontists ’ views on
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