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Updated: Aug 27, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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Are orthodontic decisions consistent?

Anand Marya1

  • 1Head of the Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, 12211, Cambodia.

Evidence-Based Dentistry
|September 23, 2022
PubMed
Summary
This summary is machine-generated.

Orthodontists show low consistency in clinical decisions, with significant variance even when using identical patient records. This variability may stem from established professional frameworks influencing treatment choices.

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Area of Science:

  • Orthodontics
  • Dental Decision Making
  • Systematic Review & Meta-Analysis

Background:

  • Clinical decision-making is fundamental to orthodontic practice.
  • Variability in orthodontic treatment decisions can impact patient outcomes and resource allocation.
  • Understanding the consistency of these decisions is crucial for professional development and standardization.

Purpose of the Study:

  • To systematically review and meta-analyze published literature on clinical decisions made by practicing orthodontists.
  • To quantify the extent of agreement and disagreement among orthodontists regarding treatment needs, extractions, surgery, and specific approaches.

Main Methods:

  • Systematic review and meta-analysis of 20 articles comprising 53 datasets.
  • Utilized a modified approach for reporting systematic reviews and meta-analyses.
  • Employed random effect models and meta-regression to analyze decision distribution, prevalence, and the influence of professional experience.

Main Results:

  • Observed 25% variance between orthodontists and 33% variance among orthodontists using identical records for treatment decisions.
  • Raters demonstrated higher agreement on the presence of conditions compared to their absence.
  • Orthodontic residents exhibited greater decision-making consistency than students or practicing orthodontists.

Conclusions:

  • Significant low consistency exists in clinical decisions made by orthodontists when evaluating common records.
  • Established mental frameworks among orthodontists may contribute to this observed variability in decision-making.
  • Further research into factors influencing orthodontic clinical judgment is warranted.