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Digital Subscriptions > Orthodontic Practice > Sept Oct 2019 > Orthodontic assessment, diagnosis and treatment planning: part three

Orthodontic assessment, diagnosis and treatment planning: part three

In the third of three papers ROSS HOBSON aims to provide users with the means to select cases appropriate for their skill level and understand why poor case selection can result in problems

The increase in GDP-delivered orthodontics is rapid. Unfortunately, there has been a corresponding increase in complaints, litigation and fitness to practise cases. This is largely due to a failure to correctly assess, diagnose and plan treatment. This lack of assessment, diagnosis and planning results in a failure to gain valid consent, select patients appropriate for the operator’s skills, and failure to identify patients that require referral. This final of three papers aims to aid the practitioner on appropriate case selection, how and why things can go wrong.

FACTFILE

Ross Hobson BDS, MDS, PhD (Ncl); MDOrth, FDS RCPS (Glas); FDS RCS (Ed); FDS RCS (Eng); SFHEA is an orthodontist and partner at the Windmill Orthodontics Group in Newcastle upon Tyne. He is also training director at the IAS Academy and was previously professor of orthodontics at UCLan and senior lecturer and consultant in orthodontics at the Newcastle Dental School.

The GDC words on ‘treating cases within a practitioner’s competence’ are not useful. Without extending knowledge and testing newly-learned skills a practitioner will remain static, welded to the knowledge and skills learned as an undergraduate. In UK orthodontics this means barely capable of correctly assessing whether or not a patient should be referred to a specialist. There is minimal effort made to provide the educational environment to learn appropriate orthodontic skills and integrate them with other dental disciplines. For example, the use of simple, easy-touse appliances to align anterior teeth prior to restorations, significantly reducing the amount of damage undertaken by unnecessary tooth preparation (Kelleher et al, 2012 a,b,c). In addition, there is a lack of undergraduate training in orthodontic retention, it’s use, repair and maintenance.

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Sept / Oct Orthodontic Practice 2019