Evidence map›Paper›PMID 38980241›Full record

Observational studyAmerican journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics2024

Treatment acceptance in adult patients with anterior open bite: A National Dental Practice-Based Research Network study.

Geoffrey Michael Greenlee, Lauren Lewandowski, Ellen Funkhouser, Calogero Dolce, Cameron Jolley, Chung How Kau, Kyungsup Shin, Veerasathpurush Allareddy, Michael Vermette, Greg J Huang and 1 more

Abstract readObservational Study
In one paragraph

Observational study in American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Geoffrey Michael GreenleeDepartment of Orthodontics, University of Washington, Seattle, Wash. Electronic address: geoffg@uw.edu.
Lauren LewandowskiPrivate practice, Seattle, Wash.
Ellen FunkhouserDivision of Preventive Medicine, School of Medicine, University of Alabama, Birmingham, Ala.
Calogero DolceDepartment of Orthodontics, College of Dentistry, University of Florida, Gainesville Fla.
Cameron JolleyPrivate practice, Trophy Club, Tex.
Chung How KauDepartment of Orthodontics, University of Alabama, Birmingham, Ala.
Kyungsup ShinDeptartment of Orthodontics, University of Iowa, Iowa City, Iowa.
Veerasathpurush AllareddyDepartment of Orthodontics, University of Illinois at Chicago, Chicago, Ill.
Michael VermettePrivate practice, Concord, NH.
Greg J HuangDepartment of Orthodontics, University of Washington, Seattle, Wash.
National Dental Practice-Based Research Network Collaborative Group

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NDPBRN Opioid SurveyU01DE028727 · NIDCR · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARMIT Kurn MCMULLEN · 2019 to 2026
$16.0M
NIDCR NIH HHS U01 DE028727NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

introductionOrthodontists have many techniques to treat anterior open bites and must involve patients in making treatment decisions. This study aimed to investigate orthodontic treatment plan acceptance by United States adults with anterior open bites and to identify associations between treatment acceptance and patient demographics and dentofacial characteristics.

methodsA prospective, observational cohort study enrolled the patients of 91 orthodontic providers. A total of 345 adults were included in the sample. Provider personal and practice demographics were captured. Patient demographics, treatment goals, dentofacial characteristics, and reasons for not accepting the recommended plans were recorded. Adjusted regression models were used to identify associations between patient characteristics and the likelihood of accepting the most highly recommended plan.

resultsApproximately 78% of patients accepted the most highly recommended treatment plan. 60% of the patients who were recommended surgical plans accepted them. Patients with a history of orthodontics and a concave profile were more likely to accept the most highly recommended plan. Insurance coverage for orthognathic surgery was associated with a higher acceptance rate for surgery. Severe crowding was associated with a lower acceptance of surgery. The most common reasons for declining the recommended plan were not wanting jaw surgery and considering the treatment to be too invasive, risky, and/or costly.

conclusionsPatient acceptance is less common at higher levels of invasiveness of treatment. Prior orthodontic treatment, concave profile, and insurance coverage for surgery were associated with accepting treatment. Most patients accepted a surgical plan when it was the most recommended option.

Indexed as

Open BitePatient Acceptance of Health CareAdultFemaleHumansMaleMiddle AgedOrthodontics, CorrectiveOrthognathic Surgical ProceduresPatient Care PlanningProspective StudiesUnited StatesYoung Adult

Identifiers

PMID38980241
PMCPMC11456393

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.