5 research outputs found

    Review of Current Practice for Temporomandibular Joint Meniscopexy Surgery

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    Disc repositioning for temporomandibular joint dysfunction (TMD) is a known and established procedure. Indications for the surgery and outcomes vary. A review of the available literature on the indications, surgical technique, and outcomes of TMJ Meniscopexy as a means of management of temporomandibular joint disease was performed. This was carried out using PubMed, MEDLINE, Scopus, and Google Scholar and was limited to the past 11 years using key medical search terms relevant to the subject area while being consistent with our exclusion criteria. The search yielded a total of 23 articles containing 3 reviews, 6 technical notes, 11 retrospective studies, and 3 prospective studies. Multiple techniques were described in the literature including arthroscopic techniques (n = 4), open suturing techniques (n = 4), mini-anchor techniques (n = 9), and splint-assisted surgery (n = 1). Several variables were used to determine success including both qualitative and quantitative measures determined clinically, through MRI or via patient questionnaire. When considering various combinations of these functional outcomes, all studies showed a significant improvement post-operatively. This demonstrates the success of disc repositioning procedures as an option in certain cases of TMD. Although there is evidence to show improvement in functional outcomes associated with Meniscopexy as a means of TMD management, there remains to be a lack of high-level evidence to further support this

    The quality and content of websites in the UK advertising aligner therapy: are standards being met?

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    Aims To evaluate the quality of information and compliance with General Dental Council (GDC) ethical advertising guidelines for English-language orthodontic websites providing orthodontic treatment with aligners in the United Kingdom (UK).Materials and methods The term 'orthodontic aligners or braces' was entered into the Google online search engine. The first 100 English language orthodontic websites (practice or company) were pooled. Both the quality (DISCERN instrument) and compliance with GDC ethical advertising guidelines were assessed. Frequency distributions and the overall summative DISCERN score for each website were calculated.Results The overall mean DISCERN score was 42.9 (SD = 9.4). The quality of information was only rated as good-excellent for 16% of websites and only 11% of websites showed full compliance with GDC guidelines on ethical advertising. A link to the GDC/authority website (75%), the date when the website was last updated (72%), and the practice complaints policy (66%) were not commonly provided. The country of qualification, a statement of whether practices provide NHS or private treatment or a combination of both, and the date when the website was last updated, were significant predictors for the overall quality based on DISCERN score.Conclusions The quality of information provided on websites providing aligner therapy and their compliance with GDC guidelines on ethical advertising was suboptimal. An improvement in both areas is required

    Improving the reporting of orthodontic clinical audits:an evaluation

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    Aims The aim of this study was to evaluate the reporting of orthodontic audits published between 2013-2019 following the introduction of a submission template in 2015.Methods An audit reporting checklist was developed, with each audit independently assessed by two assessors. Based on the previous quality checklist, an overall score of 4 or less represented poor reporting, 5-8 fair reporting and 9 or greater good reporting. All data variables were collected in a pre-piloted Excel data collection sheet.Results One hundred and fifty-nine audits were identified. A range of reporting scores were evident. The overall mean score was 10.1 (SD 1.5). Reporting scores showed improvement during the study timeframe, with a general increase in scores evident from 2015. Higher scores were achieved by multi-cycle audits (coefficient [coef]: 2.0, 95% CI: 1.38, 2.62, p <0.001). Lower scores were achieved by partial audits (coef: -1.8, 95% CI: -2.23, -1.36, p <0.001), but scores increased every year (coef: 0.2, 95% CI: 0.12, 0.27, p <0.001).Conclusions The reporting of orthodontic audits is rated as good, with yearly improvement in scores evident. The introduction of a submission template had a positive effect on the reporting of audits. Recommendations to further improve the quality of audits are outlined