Establishing a case complexity index.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to N M Stratford.
Explore the source record for details and available documents.
OBJECTIVE: To investigate the quantity and the quality of orthodontic treatment carried out by dentists who have completed a 2-year orthodontic clinical assistant training programme. DESIGN: Retrospective analysis. SUBJECTS AND METHODS: During a 12-month period the volume of orthodontic treatments completed by 18 dentists who had participated in a clinical assistant training scheme was analysed. Using study models the initial need for treatment and the outcome of treatment of a consecutive sample of each dentist's completed cases were assessed. MAIN OUTCOME MEASURES: IOTN and PAR indices used by expert examiners. RESULTS: The median number of cases treated by the dentists was 37 with a range of 2 to 488. No significant predictive variables were associated with the higher volume operators. Of the 166 orthodontic cases evaluated 72.9% had a definite dental health need for orthodontic treatment. Following treatment the mean post-treatment PAR score for the whole sample was 9.2 (median = 8.0). Thirteen (72%) of the dentists had an average post-treatment PAR score of 10 or less. CONCLUSIONS: The outcomes achieved by the Northern Irish clinical assistants were similar to those reported for other clinical assistant schemes. A significant proportion of the dentists treated a relatively low volume of patients and two of the dentists treated a very high volume of cases.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A training scheme for general dental practitioners (GDPs), based on that recommended by the British Orthodontic Standards Working Party, has been set up within Northern Ireland. It has been developed to encourage and support interested GDPs to diagnose and treat suitable patients orthodontically within their own practice, to widen the scope of their orthodontic expertise and to increase experience through clinical attachments to consultant units, backed up by theoretical and practical sessions. The aim of the scheme was to heighten interest, identify suitable patients and to increase the accuracy of referral for advice and treatment elsewhere. It is hoped that this framework may be of interest and value to those in other centres, who may be considering ways and means of making orthodontic treatment more available. By following this pattern, it is hoped that in due course, this integrated approach of clinical attachment and theoretical module may progress towards the setting up of a national network, adequately funded by the Department of Health.
A personal interpretation of how Medical Audit will apply to Orthodontics within the hospital environment is presented. The relationships to maintaining statistics, cost effectiveness, resource management, and quality control are discussed. The advantages and disadvantages to the speciality are also considered, particularly in relation to educational and clinical audit.
A review of the literature on cephalometrics was undertaken with the aim of clarifying the multiplicity of definitions of planes in common use and establishing a simple analysis for clinical purposes which uses the minimum number of planes and angles and yet utilises points of maximum accuracy of identification and good reproducibility. It is hoped that the outcome of this review may be of practical value to orthodontic clinicians.
Explore the source record for details and available documents.
An orthodontic module for the vocational training scheme has been designed specifically with the needs of trainees in mind. It has the two-fold aim of streaming patients in relation to orthodontic requirement and providing a proper understanding of the very specific nature of interceptive measures so often advocated in relation to orthodontics. Due to its relative geographic isolation, the small area of Northern Ireland is an ideal region for a pilot scheme such as this. It may well be of interest to vocational advisers and those planning orthodontic input.
The Waveney Goal Post Appliance was designed to stabilize the second supportive phase of Clark's Twin Block therapy (1982). It is to be worn full time and is simple to construct, and well tolerated. It can be used to stabilize the dentition following most forms of functional treatment.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.