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[The vocation of orthodontics]
1Vieux-Rapporteurs, Chartres, France. julien.philippe28@wanadoo.fr
L' Orthodontie Francaise
|December 4, 2009
Summary
Orthodontic treatment should focus on correcting functional disturbances, not just average measurements. Most variations are normal and do not require intervention, shifting the focus to clinical application over excessive data.
Area of Science:
- Orthodontics
- Dento-facial Orthopedics
Context:
- Historically, orthodontic treatment aimed to correct malocclusions by restoring 'normal' facial dimensions based on average values.
- A significant majority (95.5%) of natural variations fall within normal ranges and do not necessitate corrective orthodontic intervention.
- Conforming to population averages is not a primary patient motivation for seeking orthodontic care.
Purpose:
- To re-evaluate the fundamental goals of orthodontic treatment and dento-facial orthopedics.
- To shift the focus from achieving statistical norms to addressing clinically significant disturbances caused by variations.
- To advocate for a more clinically relevant approach in orthodontic practice.
Summary:
- The traditional goal of orthodontics, centered on correcting malocclusions towards an average facial profile, is questioned.
- The study highlights that most variations are normal, and treatment should target functional disturbances rather than deviations from the mean.
- Future orthodontic practice should prioritize clinical application and patient-centered outcomes over numerous measurements.
Impact:
- This perspective encourages a paradigm shift in orthodontic diagnosis and treatment planning.
- It promotes a more efficient and patient-focused approach to orthodontic care, reducing unnecessary interventions.
- Aligns with modern definitions emphasizing functional outcomes in orthodontics and dento-facial orthopedics.
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