Orthodontic treatment standard in an accredited graduate orthodontic clinic in North America assessed using the Index of Complexity, Outcome and Need (ICON).
Title:
Orthodontic treatment standard in an accredited graduate orthodontic clinic in North America assessed using the Index of Complexity, Outcome and Need (ICON).
Author:
Chukwundi O. Onyeaso Ellen A. BeGole
Appeared in:
Hellenic orthodontic review
Paging:
Volume 9 (2006) nr. 1 pages 23-34
Year:
2006
Contents:
AIM: To evaluate the orthodontic treatment service provided by a graduate orthodontic clinic in North America. DESIGN: Retrospective analysis. SETTING: Department of Orthodontics, University of Illinois at Chicago, Chicago, USA. MATERIALS AND METHODS: Pre-treatment and post-treatment dental casts of 100 patients were randomly selected from the model store of the clinic. The selection of the dental casts was without consideration for age or gender. MAIN OUTCOME MEASURES: The Index of Complexity, Outcome and Need (ICON) was used to assess the need, complexity of the malocclusion, outcome, and degree of improvement and whether the completed case was acceptable or not. The reliability of the examiner using the ICON was assessed using the Root Mean Square. In addition to descriptive statistics, logistic and linear regression analyses as well as spearman rank correlation coefficient were used in the statistical analyses of the sample. RESULTS: According to the ICON, 86 cases were considered as needing orthodontic treatment and 60 cases were classified as difficult or very difficult to treat. Only 5 cases were considered as easy. Substantially and greatly improved cases were 82 while 5 cases were minimally improved. Only one case was in no improvement/worse category. Ninety-four finishes were considered acceptable. CONCLUSIONS: The quality of orthodontic care provided in a graduate orthodontic clinic in North America is appraised objectively. The quality of care could be described as excellent. The study supports the valuable nature of the Index of Complexity, Outcome and Need in assessing the multiple facets of orthodontic provision.
Journal description