Evaluation of treatment and post-treatment changes by the PAR Index.

Abstract

To assess the outcome of orthodontic treatment, 224 cases treated in a postgraduate clinic were evaluated. Pre-treatment (T1), post-treatment (T2) and 5-year follow-up (T3) study casts were assessed by the Peer Assessment Rating (PAR) Index. The influence of various factors upon treatment and long-term outcome was analysed. According to the PAR Index, orthodontic treatment reduced the malocclusions on average by 76.7 per cent, and at follow-up the reduction was 63.8 per cent. Follow-up stability was good for 76.3 per cent of the cases. Some cases (4.0 per cent) even improved, while moderate to severe post-treatment relapse occurred in 19.7 per cent of the cases. Orthodontic treatment changed Angle Class I, II and III malocclusions to near ideal occlusion (PAR scores 4.4-6.8). No long-term interaction between the groups was discovered. Sex and extraction/non-extraction treatments did not significantly affect the results. The initial PAR score accounted for 77.8 per cent of the variation in treatment PAR score change (T1-T2), and for 61.8 per cent of the variation of long-term PAR score change (T1-T3). Age at treatment start accounted significantly for the variability of treatment changes (P < 0.001). The PAR score at the end of treatment had some explanatory importance (R2 = 0.099) for the long-term (T1-T3) result. However, PAR score changes in the follow-up period were difficult to predict.