Treatment FAQ

how patient and care expectations of orthodontic treatment vary with ethnicity

by Lucienne Lemke IV Published 2 years ago Updated 2 years ago

Significant statistical differences were found between the two ethnic groups. The greatest statistical differences occurred between Black British patients and their primary carer and Black British primary carers and White British primary carers. Patients tended to have similar orthodontic expectations.

Full Answer

What do patients expect from orthodontic treatment?

The greatest statistical differences occurred between Black British patients and their primary carer and Black British primary carers and White British primary carers. Patients tended to have similar orthodontic expectations. There were no statistical significant differences in expectations between White British children and their primary carers.

How important is expectation for aesthetic treatment outcome?

The expectations of patients differ from those of their parents with regard to dietary and drink restrictions in relation to orthodontic treatment. Ethnicity significantly influences expectations of orthodontic treatment, and this may relate to differences in the patients' and their parents' assessed outcome of care.

Why measure patient expectations of health care?

Patients tended to have similar orthodontic expectations. There were no statistical significant differences in expectations between White British children and their primary carers. Conclusion: Differences in expectations of orthodontic treatment were more common between Black British and White British primary carers, than their children.

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Objective

To describe patients’ and their parents’ expectations of orthodontic treatment.

Design

A questionnaire survey of 100 patients and their primary care-givers attending a new patient orthodontic consultant clinic, at a teaching hospital.

Setting

GKT Orthodontic Department, King's College Dental Hospital, London, UK.

Subjects

The sample consisted of 100 participants who completed the questionnaire, including 50 patients aged 12–14 years who had been referred to the orthodontic department for treatment. One parent of each patient was also invited to participate.

Materials and methods

Participants completed a valid questionnaire measure of orthodontic expectations that was tested for reliability and validity. Descriptive analysis of the responses was undertaken, and comparisons of children's and parents’ expectations, in addition to ethnicity, were made.

Results

Patients and parents have similar expectations of treatment, with the exception of expectations of duration of orthodontic treatment ( P <0.01), having a brace fitted at the initial visit ( P <0.05), and restrictions with regard to what one can eat and drink as a result of orthodontic treatment ( P <0.05).

What do patients expect to happen during treatment?

What patients expect to happen during treatment or benefit from the treatment might influence the subsequent factors such as treatment outcome, patient satisfaction, patient’s cooperation as well as compliance. The aim of this systematic review is to assess the role of patients’ expectations from orthodontic treatment.

Why do we conduct systematic search of the literature?

A systematic search of the literature was conducted in order to identify research within the role of patients’ expectations from orthodontic treatments. Two independent researchers conducted the search according to the PRISMA guideline [ 16 ]. Studies were initially included if they met the following criteria:

Do Orthodontics use questionnaires?

Orthodontics appears to have adopted various standardized questionnaires. However, most of them are poor in the quality of methodology and results analyses, which prohibit synthesizing sufficient evidence to help identify which factors influence patient expectations. The evidence of “expectations” affecting treatment outcomes is not found in current research. Future studies are needed to better understand the impact of “expectation” on the treatment both theoretically and experimentally.

Is selection bias unlikely?

Due to the ambiguity in the definitions of expectations and related concepts, selection bias is not unlikely, although effort has been taken to minimize it through the methodology and the utilization of two reviewers. With the heterogeneity in study designs, the results were extracted with an inevitable degree of subjectivity.

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