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Curative effect evaluation by using Andrews' six elements for completed orthodontic treatment cases.

Chao-Feng Liu1, Yan-Hua Xu1, Yan Liu1

  • 1The Second Department, Kunming Medical University Affiliated Stomatological Hospital, Kunming 650000, China.

Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi Kouqiang Yixue Zazhi = West China Journal of Stomatology
|March 16, 2021
PubMed
Summary

Andrews' six elements and the American Board of Orthodontics (ABO) objective grading system (OGS) show comparable outcomes for assessing orthodontic treatment results. Andrews' six elements offer a convenient, effective new system for evaluating completed orthodontic cases.

Keywords:
American Board Orthodontic Objective Grading SystemAndrews six elementsfinished orthodontic treatmenttreatment efficiency

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Area of Science:

  • Orthodontics
  • Dental Assessment
  • Treatment Outcomes

Background:

  • Assessing orthodontic treatment outcomes is crucial for ensuring patient satisfaction and clinical success.
  • Existing systems like the American Board of Orthodontics (ABO) objective grading system (OGS) provide objective measures.
  • The utility of alternative assessment frameworks, such as Andrews' six elements, warrants investigation.

Purpose of the Study:

  • To evaluate the treatment outcomes of patients who completed orthodontic treatment using Andrews' six elements.
  • To compare the efficacy of Andrews' six elements with the ABO objective grading system (OGS).
  • To determine if Andrews' six elements can serve as a novel assessment system for completed orthodontic treatments.

Main Methods:

  • A retrospective study of 160 patients who completed orthodontic treatment between 2015 and 2019.
  • Evaluation of completed cases using both Andrews' six elements and ABO OGS criteria.
  • Statistical comparison of passing rates and scores between the two assessment systems using the Chi-square test.

Main Results:

  • Passing rates were similar: 83.8% for Andrews' six elements and 86.3% for ABO OGS, with no statistically significant difference (P>0.05).
  • Andrews' six elements showed anteroposterior incisor position as the most significant factor, while core discrepancy was least significant.
  • In ABO OGS, alignment and marginal ridges were most significant, while interproximal contacts were least significant.

Conclusions:

  • Andrews' six elements demonstrate comparable performance to ABO OGS in assessing orthodontic treatment outcomes.
  • Andrews' six elements can be adopted as a new system for evaluating completed orthodontic treatments.
  • This system offers advantages in assessing facial profile control and is convenient for widespread use.