Poulton Donald, Vlaskalic Vicki, Baumrind Sheldon
University of the Pacific School of Dentistry, 2155 Webster Street, San Francisco, CA 94115, USA.
Am J Orthod Dentofacial Orthop. 2005 Mar;127(3):351-4. doi: 10.1016/j.ajodo.2004.04.022.
This study is a continuation of a previously published report on the outcome of orthodontic treatment provided in offices representing different modes of practice.
The sample consisted of duplicate pretreatment (T1) and posttreatment (T2) dental casts of 348 patients from traditional private orthodontic practices (5 offices, 134 patients), company-owned practices (5 offices, 107 patients), offices associated with practice-management organizations (2 offices, 60 patients), and general dental practices (2 offices, 47 patients). Methods were used to obtain random, representative samples from each office, starting with lists of patients who were treated consecutively with full fixed orthodontic appliances. The dental casts were measured by 2 independent judges who used the unweighted PAR score.
Good interjudge agreement was shown on the initial casts, but the agreement was not as strong on the final casts.
The measurements showed that treatment outcomes were generally satisfactory, although some significant differences between offices and management modes were shown.
本研究是先前发表的关于不同执业模式诊所正畸治疗结果报告的延续。
样本包括来自传统私人正畸诊所(5家诊所,134例患者)、公司所有诊所(5家诊所,107例患者)、与执业管理组织相关的诊所(2家诊所,60例患者)和普通牙科诊所(2家诊所,47例患者)的348例患者的重复治疗前(T1)和治疗后(T2)牙模。从每个诊所开始,先从连续接受全固定正畸矫治器治疗的患者名单中获取随机、有代表性的样本。牙模由2名独立评判员使用未加权PAR评分进行测量。
初始牙模显示出良好的评判员间一致性,但最终牙模的一致性没那么强。
测量结果表明,治疗结果总体上令人满意,尽管不同诊所和管理模式之间存在一些显著差异。