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Quality control in orthodontics: risk/benefit considerations
W C Shaw1, K D O'Brien, S Richmond
1Department of Oral Health and Development, University of Manchester Dental School.
British Dental Journal
|January 5, 1991
Summary
Orthodontic treatment offers minimal benefits for dental health and psychological well-being, despite small risks of harm. Long-term stability and treatment failure effects require careful consideration in risk/benefit appraisals.
Area of Science:
- Dental Science
- Orthodontics
- Psychology
Background:
- The risk/benefit appraisal of orthodontic treatment is crucial for informed decision-making.
- Factors influencing dental health and psychosocial well-being are key considerations.
Purpose of the Study:
- To review the existing literature on the risk/benefit appraisal of orthodontic treatment.
- To evaluate the impact of malocclusion on dental health and psychosocial well-being.
- To assess the potential harms and limitations of orthodontic interventions.
Main Methods:
- Systematic literature review.
- Analysis of factors influencing dental health.
- Evaluation of psychosocial impacts.
- Assessment of iatrogenic risks and treatment outcomes.
Main Results:
- Limited evidence suggests malocclusion absence does not significantly improve self-esteem or life fulfillment.
- Major dental health advantages are minimal, except for specific traits.
- Orthodontic treatment carries small risks of iatrogenic harm.
- Partial/total treatment failure and long-term stability issues are significant concerns.
Conclusions:
- The benefits of orthodontic treatment for general well-being and dental health are often overestimated.
- Potential risks, including treatment failure and instability, must be carefully weighed against modest gains.
- Further research is needed to refine risk/benefit assessments in orthodontics.
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