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Biomedical subjects

D E Bowden

Publications and source records attributed to D E Bowden.

17 recordsLinked to original sources

The consultant orthodontic service--1996 survey.

OBJECTIVE: To evaluate the working patterns and facilities of the consultant orthodontist service. DESIGN: A cross-sectional survey. SETTING: Consultant orthodontist departments in the UK. SUBJECTS AND METHODS: All consultant orthodontists in the UK were sent a questionnaire that gathered information on the individual consultant, the facilities available, the new patients referred and patients under current treatment. RESULTS: The consultant orthodontist service provided treatment to a high number of patients who were in definite need of orthodontic treatment. A marked reduction in the use of removable appliances suggests improving standards of care and provision of more complex treatment. The caseload was high and a fair proportion of patients were returned to their referring dentists with treatment plans. The consultant service has not completely evolved into a service that provides treatment at a super-specialist level alone. CONCLUSIONS: There has been little change in the consultant orthodontist service over the past ten years. Arguably, this is because of the wishes of the purchasers and the shortage of trained orthodontic manpower as a direct result of poor manpower planning and lack of funds for post-graduate training.

Cross-Sectional Studies↗

Dental training.

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Education, Dental, Continuing↗

Missing anterior teeth: treatment options and their orthodontic implications.

Recent advances in restorative and surgical materials and techniques have increased the treatment options available for patients who are missing an anterior tooth. The factors influencing the management of such patients and the orthodontic implications of these treatment options are discussed in this paper.

Anodontia↗

The orthodontic/restorative interface. Restorative procedures to aid orthodontic treatment.

Restorative procedures which complement orthodontic treatment and which may be carried out by the orthodontist are summarized. The importance of planning, with the restorative requirements in mind and the maintenance of prepared space (individual tooth or abutment positions) in all three planes of space during the period of retention, is described. The importance of liaison regarding the timing of the placement of the definitive restoration, if it is to be carried out by another dental surgeon, is stressed.

Dental Restoration, Permanent↗

Autotransplantation of premolar teeth to replace missing maxillary central incisors.

Orthodontic treatment decisions when maxillary central incisors are absent or are of poor prognosis, are discussed. Autotransplantation of mandibular first premolars to the incisor region is suggested as an approach in selected cases. The literature is reviewed, surgical technique described and case selection summarized. Cases are reported where autotransplantation of premolars to the maxillary incisor region has produced good functional and aesthetic results.

Adolescent↗

The diagnostic value of panoramic radiographs in children aged nine to ten years.

The increased awareness of the possible harmful effects of ionizing radiation has resulted in concern at the number of panoramic radiographs taken in General Dental Practice. A study has been carried out to examine the diagnostic value obtained from panoramic radiographs taken at 9-10 years of age. Nine-hundred-and-eighty-two radiographs were examined and 261 (26.5 per cent) showed findings which would be of significance in orthodontic diagnosis and treatment planning.

Child↗

Inter- and intraexaminer variability in assessment of orthodontic treatment need.

Two examiners assessed subjectively the orthodontic treatment need of a group of 183 10-year-old children. The examiners did not standardize the criteria establishing treatment need. Intraexaminer agreement was reached in 79.8% of the cases. Intraexaminer agreement was 91.7% for Examiner A and 93.4% of Examiner B. The paper highlights the subjective element in deciding orthodontic treatment need.

Child↗