Download The orthodontic diagnosis and treatment planning depends upon the

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA
ANNEXURE II
PROFORMA FOR REGISTRATION OF SUBJECTS FOR
DISSERTATION
1.
Name of the candidate and
DR.MANJUNATH MADHAV
address
POST GRADUATE STUDENT,
DEPARTMENT OF ORTHODONTICS AND
DENTOFACIAL ORTHOPEDICS,
RAJA RAJESWARI DENTAL COLLEGE AND
HOSPITAL, BANGALORE
2.
RAJA RAJESWARI DENTAL COLLEGE AND
Name of the Institution
HOSPITAL,
BANGALORE ( KARNATAKA)
3.
MASTER OF DENTAL SURGERY IN
Course of the study and subject
ORTHODONTICS AND DENTOFACIAL
ORTHOPEDICS
4.
Date of Admission to course
5.
Title of the Topic:
31. 05. 2007
REASONS FOR SEEKING ORTHODONTIC TREATMENT AMONG PATIENTS
AGED
BETWEEN
14
TO
21
YEARS
VISITING
DEPARTMENT
OF
ORTHODONTICS- AN EPIDAMOLOGICAL STUDY.
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6.
BRIEF RESUME OF INTENDED WORK
6.1. Need for the study:
The orthodontic diagnosis and treatment planning depends upon the
patients reasons for seeking the treatment .It is important to understand the main
concern or the complaint which is driving the patients to seek the orthodontist
treatment.
The treatment plan is always aimed at addressing the main concern of the
patient s hence it is of great significance for the orthodontist to understand the patient
concern and about the awareness and understanding about his /her problem.
The outcome of the treatment also depends on the treatment plan which is
centered around the patients main concern hence this study was aimed at assessing at
reasons and understanding of the concern of the patients to undergo orthodontic
treatment.
This study is also aimed at evaluating the motivating factors for the patients to
undergo orthodontic treatment .This will help the orthodontistin understanding the
current social esthetic trends and social norms about looks so that the effective
treatment can be advocated in delivering the patient satisfying
results.
This study is also aimed at assessing the patients understanding and treatment
procedures .this helps the orthodontist to understand the currently preferred appliances
and procedures, which can be readily accepted by society.
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6.2. Review of Literature:
1.ELECTIVE ORTHOGNATHIC TREATMENT DECISION MAKING:
A SURVEY OF PATIENT REASONS AND EXPERIANCES.
This study describes the factors associated with the patient’s decision to have or not
orthognathic treatment .participants were patients aged over 16 years ,either making
decision or had made their treatment choice 18-42 months prior to the study start date
in 2003 .Of 138 approached ,61 participated .The thematic content analysis of interview
transcripts found : reasons given for having orthognathic treatment were to improve the
bite as well a gaining a more normal facial appearance ;most patients reported the
service information was satisfactory ,but about half made negative comments ,with
some reporting staff Communications made them feel worse; knowledge of orthodontic
treatment they received ,which did not seem to be addressed by current practice .
2.DEVELOPMENT OF ORTHODONTIC TREATMENT: PART 1-DEVELOPMENT
OF A QUESTIONNAIR
This study is about the development of a questionnaire to measure patient’s and
parent’s expectations before orthodontic ,and to test the reliability and validity
of measure .The sample consisted of 140 participants, 70 patients aged 12-14 years,
who had been referred to orthodontic department .A questionnaire was devised using
the key themes and concepts identified in open ended interviews .As a result ,10
questions, some with sub questions, were constructed using a visual analogue scale as
the response format .this study provides a psychometrically validated measure of
orthodontic expectations in 12-14-year –old patients and their parent in UK.
3.PATIENT’S EXPECTATION FOR ORTHODONTIC TREATMENT :PART-2
FINDING FROM A QUESTIONNAIRE SURVEY.
This study is a questionnaire survey of 100 patients and their primary care –givers
Attending a new patient orthodontic consultant clinic, at a teaching hospital .
Participants completed a valid questionnaire measure of orthodontic expectations
that was tested for reliability and validity .Descriptive analysis of the response was
Undertaken, and comparisons of children’s and parent’s expectations ,in addition to
ethnicity ,were made. Information was collected from 12- 14 –year old patients and
their parents with regard to orthodontic expectations reveals that patients and
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parents share similar expectations of orthodontic treatment for most aspects of care
although parents are more realistic in their estimation of duration of treatment and the
initial visit. The expectations of patients differ from those of their parents with regard
to dietary and drink restriction in relation to orthodontic treatment .Ethnicity
significantly influences expectations of orthodontic treatment, and this may relate to
differences in patients and their parents assessed outcome of care.
4. A QUALITATIVE STUDY OF TEENAGERS DECISIONS TO UNDERGO
ORTHODONTIC TREATMENT WITH FIXED APPLIANCES.
The aim of the study was to describe thoughts and values influencing young people
choices to undergo orthodontic treatment .Twenty eight patients(11 boys),aged 13-19
years ,at an orthodontic clinic in the western part of Sweden participated .Open ,taped
interviews ,lasting about 1 hour ,were conducted with each subject and analyzed by the
grounded theory method .five descriptive categories .each related to several sub
categories ,were generated n the analysis and labeled : being like every one ;being
diagnosed; focusing on the mouth; obeying social norms and forced decision making .
5. THE DEVELOPMENT OF PATIENT –CENTERED MEASURE OF THE PROCESS
AND OUTCOME OF COMBINED ORTHOGNATHIC TREATMENT.
The aim of the study was to development of a patient centered measure of the process
and outcome of combined orthodontic and orthognathic care .Identification of relevant
dimensions through qualitative methods ,designs of form ,specific reliability ,reliability
and validity the sample comprised patients who had received combined orthodontic and
orthognathic treatment . Twenty six participants took part in four focus group meetings.
Thirty subjects took part in a pilot study to test the properties of the questionnaire. A
patient based measure of the process and outcome of combined orthodontic and
orthognathic treatment has been developed.
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6.3. Objectives of the study:
1. To evaluate the patients expectations for seeking orthodontic treatment.
2. To develop a questionnaire to assess the reasons of the patients for seeking
orthodontic treatment.
3. Assessing the most common reasons for seeking orthodontic treatment by
survey method.
7.
MATERIAL & METHODS:
7.1. Source of data:
1.The data is collected by questionnaire method from 500 patients coming to the
department of orthodontics, Rajarajeswari Dental
college & hospital ,Bangalore. .
2. QUESTIONNAIRE FORMAT
RAJARAJESWARI DENTAL COLLEGE & HOSPITAL
DEPARTMENT OF ORTHODONTICS
QUESTIONNAIRE
Name:
Op.No:
Age:
Date:
Sex:
Address:
Telephone:
PLEASE TICK THE APPROAPRIATE REASON
1. what brings you to the orthodontist?
Are you not happy with……
A. Alignment of teeth
B. Face
C. Looks
D. Smile
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2. Do you think orthodontic treatment will solve your present problem…..
A. To some extent
B. To great extent
C. Not sure
3. What influenced your decision to take orthodontic treatment……
A. Self
B. Family members
C. Friends
D. General dentist.
4. Which part of your face you think is not pleasing…….
A. Upper
B. Middle
C. Lower
5. Do you think your upper and lower jaws are normal…..
A. Yes
B. No
C. Not sure
6. Do you think your smile needs correction….
A. Yes
B. No
C. Not sure
7. What type of treatment do u prefer to undergo.....
A. Fixed appliance therapy only
B. Removable appliance
C. Invisible appliance
8. Are you prepared to wear removable type of appliance if advised by
orthodontist…….
A. Yes
B. No
C. Not sure.
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9. Are you prepared to wear extra-oral(straps to head &neck and chin
cap)appliances if advised by the orthodontist…..
A. Yes
B. No
C. Not sure.
10. How does wearing appliances affect your self esteem……
A. Improves
B. Reduces
C. Not sure.
11. Are you prepared to undergo jaw surgery if advised by orthodontist …
A. Yes
B. No
C. Not sure
12. Are you prepared to undergo extraction of teeth if advised by
orthodontist….
A. Yes
B. No
C. Not sure
13. Do you feel your lips are…
A. Prominent
B. Not prominent
C. Not sure
14. Are you aware of the retention phase of the treatment….
A. Yes
B. No
15. Do you expect orthodontic treatment to be over with in ….
A. Less than 6 months
B. Less than 1 year
C. Less than 2 years
D. Less than 3 years
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16. What do you think the orthodontic treatment fee to be…..
A. Affordable
B. Affordable in installments
C. Costly
Signature of the patient
This study will be conducted with the involvement of patients who report to
department of Orthodontics , Rajarajeswari dental college and hospital
,Bangalore.
7.2
Method of Collection of Data:
DISTRIBUTION OF QUESTIONNAIRE TO THE PATIENTS COMONG TO
DEPARTMENT OF ORTHODONTICS.RAJARAJESWARI DENTAL COLLEGE
AND HOSPITAL .
7.3. Does the study require any investigation or interventions to be conducted on
patients or other humans or other animals?
YES
7.4. Has ethical clearance been obtained from your institution in case of 7.3?
YES
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8.
LIST OF REFERENCES:
1.J.Stirling,G.latchford,D.O.Morris,R.J.spencer,H.L.beckker.
Elective orthognathic treatment decision making: survey of patient reasons and
experiences. (Journal of orthodontics , vol34, 2007 ,113-127).
2.M.S.Sayers. Patients expectations of orthodontic treatment part-1 –findings from a
questionnaire survey. ( Journal of orthodontics vol33,2006,258-269.)
3.M.S.Sayers; J.T.Newton. Patient’s expectations of orthodontic treatment: part-2
findings from a questionnaire survey. (Journal of orthodontics vol34, 2007,25-35.)
4.U.Truisson, M.Strandmark. A qualitative study of teenagers decision t undergo
orthodontic treatment with fixed appliances. (British journal of orthodontics ,vol29,
no.3,197-204, September 2002).
5.H.C.Travess,J.T.Newton. The development of patient –centered measure of the
process and outcome of combined orthognathic treatment. (Journal of orthodontics,
vol 31,2004 ,220-234.)
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9.
Signature of the Candidate
10.
Remarks of the Guide
11.
Name and Designation of
11.1. Guide
11.2. Signature
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11.3 Co –Guide
11.4 Signature
11.5 Head of the Department
11.6 Signature
12.
12.1.Remarks of the Chairman and Principal
12.2 Signature
11
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