American Journal of Orthodontics and Dentofacial Orthopedics
Techno bytesUsing teledentistry to provide interceptive orthodontic services to disadvantaged children
Section snippets
Material and methods
This was designed as a case-control series study: 1 group of subjects was treated at the Yakima Valley Farm Workers Clinic (YVFWC) in Toppenish, Washington, and the other was treated at the Odessa Brown Children's Clinic (OBCC) in Seattle, Washington. Both groups had similar selection criteria, treatment protocols, and outcome measures. The OBCC sample represented all consecutively completed interceptive orthodontic patients from 1998 to 2003 who had pretreatment and posttreatment models. The
Results
Demographically, the patient populations from the 2 sites were similar with respect to sex and overjet but had differences in ethnicity, Angle classification, age at the start of treatment, and overbite (Table I). The split by sex represented the usual orthodontic patient population, with slightly more girls than boys. The ethnicities in the OBCC group reflected the urban clientele at this clinic: mainly black but also Asian, white, and Hispanic patients. In contrast, the YVFWC group was almost
Discussion
The prevalence of malocclusion is high in socially disadvantaged children between the ages of 8 and 12.1, 17 Interceptive orthodontics have been shown to be an effective means to reduce the severity of malocclusions in that age range by using simple and inexpensive approaches.5, 6, 7 In rural areas, the need for orthodontic care is high3; often specialized orthodontic services are rare, inconvenient, or totally unavailable,18 and uptake is low.19 Providing specialized dental expertise to
Conclusions
In spite of some unavoidable limitations in comparability between the groups, interceptive orthodontic treatment supervised remotely through teledentistry was shown to be a promising approach to reducing the severity of malocclusions in disadvantaged children when referral to an orthodontist was not feasible. Although, in most cases, patients who receive interceptive orthodontic treatment would benefit from further treatment in the permanent dentition, these interventions lessen the severity of
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Funded by the Northwest/Alaska Center to Reduce Oral Health Disparities and the National Institute of Dental and Craniofacial Research (Grant U54 DE14254).