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Donald J Rinchuse

Publications and source records attributed to Donald J Rinchuse.

14 recordsLinked to original sources
PubMed2006

ABO certification in the age of evidence and enhancement.

The American Board of Orthodontics (ABO) phase III certification examination was originally constructed and recently modified to "help the Board determine the candidate's knowledge of clinical orthodontics and provide a basis to assess the quality of the candidate's clinical treatment results." For the most part, the ABO phase III examination measures the orthodontic treatment-induced changes in occlusion in a limited and biased patient sample. The process and outcome measures used in the current model-the discrepancy index and the objective grading system-are so narrowly focused that an orthodontist might lack up-to-date clinical knowledge, psychomotor and critical thinking skills, diagnostic acumen, patient management ability, and patient-centered ethics, and still pass the examination largely because of mechanically morphing the patient's teeth into the board's construct of ideal occlusion. The goal of this article is to provide provocative insight into the core concepts that drive the ABO phase III certification process and to recommend an alternative paradigm predicated on a patient-centered, evidence-based clinical practice model.

Certification↗
PubMed2006

Developmental occlusion, orthodontic interventions, and orthognathic surgery for adolescents.

This article addresses issues in orthodontics such as timing of treatment, expansion in the absence of a posterior crossbite, serial ex-tractions, treatment of Class II and III malocclusions, treatment of open bites, extraction versus nonextraction, preservation of E-space to resolve crowding, orthodontics and temporomandibular disorders, orthognathic surgery, and current trends in orthodontics. Although much information is presented on these topics, many controversies still exist. When more data from evidence-based systematic reviews become available, more predictable and standardized orthodontic treatments may develop.

Adolescent↗
PubMed2006

Centric relation: A historical and contemporary orthodontic perspective.

BACKGROUND: Centric relation (CR) has been a controversial subject in dentistry for more than a century. For at least the past four decades, issues involving CR have been of interest to orthodontists. The definition of CR has changed over the past half-century from a retruded, posterior and, for the most part, superior condyle position to an anterior-superior condyle position. TYPE OF STUDIES REVIEWED: The authors addressed the historical and contemporary orthodontic perspective of CR. The source material for this review came mainly from literature and searches the lead author accumulated over the last 30 years. As there is no evidence-based (EB) model level 3 (systemic) review on the topic of CR, the best evidence on this subject was gleaned only from a thorough examination and evaluation at EB model level 2 (experience plus best available sample studies). There was, however, enough high-quality EB model level 2 information on the topic of CR for the authors to draw conclusions on the basis of a scientific appraisal of relevant research. RESULTS: Although the reliability of CR records has been substantiated, the records' validity has little to no evidentiary support. In addition, population-based sample studies and consensus statements from national conferences support the view that the positions of the temporomandibular joint (TMJ) condyles in relation to the glenoid fossa or CR position are not diagnostic of temporomandiblar disorders. There appears to be little to no benefit of using gnathologic records and articulator-mounted dental casts to discern discrepancies in maximum intercuspation of the teeth coincident with TMJ condyles in an anterior-superior CR position in orthodontic patients. CLINICAL IMPLICATIONS: The benefit of using gnathologic CR records and articulators in orthodontics has not been substantiated by scientific evidence.

Dental Occlusion, Centric↗