Quality of orthodontic treatment performed by orthodontists and general dentists

Abstract

To perform a blind comparative evaluation of the quality of orthodontic treatment provided by orthodontists and general dentists. Sixty cases of orthodontic treatment were evaluated-30 treated by specialists in orthodontics and 30 treated by general dentists with no specialization course. Orthodontists were selected randomly by lots, in a population of 1596 professionals, and recordings were performed based on the guideline established by the Objective Grading System proposed by the American Board of Orthodontics. Each participant was asked to present a case considered representative of the best outcome among the cases treated, regardless of the type or initial severity of the malocclusion. Statistical analysis involved the chi-square, Wilcoxon, and Mann-Whitney tests. The level of significance was set at P = .05 for the statistical tests. The results showed that 29 orthodontists (96.7%) presented cases considered satisfactory and would be approved on the qualification exam, whereas only 15 dentists (50%) had cases considered satisfactory. Moreover, treatment time was significantly shorter among the orthodontists (P = .022), and the posttreatment comparison revealed that orthodontists achieved better outcomes considering all the variables studied. Orthodontists spend less time on treatment and achieve better quality outcomes than cases treated by general dentists who have not undergone a specialization course in orthodontics.