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Related Concept Videos

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
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Interceptive orthodontics in practice: a 5-year population-based study.

Anna Westerlund1, Sara Waldenstrom1, Emilia Karttunen1

  • 1Department of Orthodontics, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, 405 30 Gothenburg, Sweden.

European Journal of Orthodontics
|February 18, 2026
PubMed
Summary
This summary is machine-generated.

This study evaluated interceptive orthodontic treatment outcomes in a public healthcare system. While success rates were lower than in trials, findings emphasize compliance and appliance choice for routine care.

Keywords:
activator applianceearly orthodontic treatmentinterceptiveorthodonticsquad helixremovable orthodontic appliances

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Area of Science:

  • Orthodontics
  • Public Health
  • Pediatric Dentistry

Background:

  • Interceptive orthodontic treatment is crucial for managing developing dentition in children.
  • General dental practitioners (GDPs) deliver a significant portion of this care within publicly funded systems.
  • Evaluating the effectiveness of this care model is essential for optimizing pediatric dental health outcomes.

Purpose of the Study:

  • To assess the scope and short-term outcomes of interceptive orthodontic treatments provided by GDPs.
  • To analyze treatment data within a large, publicly funded healthcare system.
  • To identify factors influencing treatment success in routine clinical practice.

Main Methods:

  • Retrospective cohort study of patients aged ≤18 years receiving publicly funded interceptive orthodontics (2020-2024).
  • Analysis of 21,946 treatment records, focusing on four common appliances: Activator, Extraoral Traction, Quad Helix, and Removable Plate.
  • Data included patient demographics, treatment indications, duration, visits, and appliance-specific outcomes.

Main Results:

  • Over 21,946 treatments were delivered, with Removable Plates and Activators being most common.
  • Treatments initiated in late mixed dentition (mean age 10.2-11.2 years) with a mean duration of 11-20 months.
  • Success rates varied by appliance: Quad Helix (82%), Removable Plates (65%), Extraoral Traction (57%), and Activators (56%), with compliance being a key factor in failures.

Conclusions:

  • Real-world evidence indicates that interceptive orthodontic treatment outcomes in routine public care reflect clinical conditions, with success rates lower than in randomized trials.
  • Appliance selection, treatment timing, and patient compliance are critical determinants of successful outcomes.
  • This dataset provides a basis for future research on long-term effectiveness and cost-efficiency.