April Extra Blog: Final Project Presentations

The end of the school year is quickly approaching. Both independent components are completed, research is coming to a close, and there is one presentation left.

The upcoming weeks will consist of preparation of content based on my independent components, research, interviews, and mentorship. All of these sources will help me put together my hour-long presentation. Even more pressing is my activity, which is supposed to reflect and teach about the answers to my essential question.

I find that it's difficult to come up with an activity for orthodontics. Putting braces on a model would be expensive, and it isn't like my audience can simply make retainers. So far the best I have come up with is an activity with clay. One blob of clay would be fresh, having been kept in a plastic bag. The other blob of clay would be dried and hardened after being left out and exposed to air. The clay would represent dental age, and the students participating would learn about it by trying to change the form of both blobs. My activity would represent my third answer (treatment timing).

Independent Component 2

LITERAL
(a) I, Marisa Ruiz, affirm that I completed my independent component which represents 33 hours of work.
(b) My mentor, Dr. Banh, and his assistants all helped me complete my second independent component.
(c) Here is a log of the 33 hours of work I completed for this component.
(d) My independent component consisted of shadowing and observing my mentor, along with his assistants.
INTERPRETIVE
Defend your work and explain how the significant parts of your component and how it demonstrates 30 hours of work. Provide evidence (photos, transcript, art work, videos, etc) of the 30 hours of work. 

This component helped me confirm that the answers to my essential question make sense and provided more evidence to show they are true.

My observations have shown me doctor-patient interaction, the variety of orthodontic appliances used in many cases, and the regular dynamic of an orthodontic office. All of these things and more helped give me more evidence to back up my answers to my EQ.

[Unfortunately, I was unable to take pictures of the patients and the observations I made because of privacy reasons, especially since most of the patients under my mentor's care are under eighteen years of age. I do, however, have plenty of pictures of the loads of files I have had to organize before I observe.]

APPLIED
How did the component help you answer your EQ? Please include specific examples to illustrate how it helped.
This component helped me answer my essential question because I was able to see an orthodontist in action, treating a patient.
This component gave me extra perspective on the key components in satisfactory treatment by observing a professional in the field of orthodontics.

March Post: Finding the Sources I Need From the Internet

So far, researching my topic has been surprisingly difficult. The only books I could find on my topic only really covered basics and contributed little to answering my essential question. Even with all of the information available to me about orthodontics online, it is always a challenge to narrow the results to fit my answers. At some point my searches became more fruitful once I got more creative with the keywords for the databases I use. Better keywords meant finding fewer advertisements and newspaper articles. Finding a new angle is definitely helpful for getting out of a research rut.

Fourth Interview Questions

EQ: What is the most important factor an orthodontist must consider when treating a patient?

1. What is the most common issue your patients come in to fix?
2. Roughly how many patients do you believe have been in your care since you first opened your practice?
3. How many of them would you say do what you tell them to, treatment wise?
4. Which ages tend to be the most negligent and why do you think so?
5. If a patient does not follow what you have told them to do, what effects does that have on their treatment?
6. Do you use any particular methods to help ensure patient compliance? If so, please explain.
7. What complications, if any, have occurred mid-treatment?
8. Truthfully speaking, are there any errors you have made in your treatment plans in the past?
9. What aspect of planning treatments for patients do you feel is the easiest for a novice to mess up?
10. How do/did you select the (brand of/specific) appliances you use on patients?
11. Where is it that you learn most of the things you apply to creating a treatment plan for various cases? (experience, school...)
12. Have there ever been cases where the patient absolutely needed to have braces/surgery/treatment, or was close to a situation like that? Please elaborate.
13. What age is the most ideal for beginning treatment?
14. What makes the previously stated age range ideal?
15. What is the likelihood that a child would be told to undergo orthognathic or any similar type of surgery?
16. Have you encountered elderly or middle-aged patients with malocclusion? About how long did they wear their braces and/or appliances?
17. Are there cases in which you advise patients against getting braces?
18. Do you feel that braces are the most effective form of correction for crooked teeth? Why/why not?
19. How much better are adults than children at following your instruction (for treatment)?
20. Between understanding a case/patient's state of occlusion, patient compliance, and timing of treatment, what do you feel is the most valuable to a patient's treatment and why?

Blog 17: Third Answer

EQ:

What is the most important factor an orthodontist must consider when treating a patient?

My Answers:

To recap...
Answer 1: Orthodontists must understand their patients' needs in order to treat them.
Answer 2: Patient compliance should be taken into account when treating a patient.

And finally...
Answer 3: Timing is key to treating a patient.

3 details to support the answer:

Timing (age-wise) is the difference between planning a one-year treatment and a five-year treatment.

O'Brien, Kevin, PhD. "Effectiveness of Early Orthodontic Treatment with the Twin-block Appliance: A Multicenter, Randomized, Controlled Trial. Part 1: Dental and Skeletal Effects." American Journal of Orthodontics and Dentofacial Orthopedics 124.3 (2003): 234-43. Web.

Utilizing the timing of skeletal maturation is an effective means of achieving a desirable outcome.

Kopecky, Geoffrey R., and Leonard S. Fishman. "Timing of Cervical Headgear Treatment Based on Skeletal Maturation." American Journal of Orthodontics and Dentofacial Orthopedics 104.2 (1993): 162-69. Web.

"Optimum treatment timing for Twin-block therapy of Class II disharmony appears to be during or slightly after the onset of the pubertal peak in growth velocity."

Baccetti, Tiziano, Lorenzo Franchi, Linda Ratner Toth, and James A. Mcnamara. "Treatment Timing for Twin-block Therapy." American Journal of Orthodontics and Dentofacial Orthopedics 118.2 (2000): 159-70. Web.

Concluding Sentence:

Without understanding the importance of the age or skeletal maturation of a patient, an orthodontist cannot effectively treat a patient. The entire treatment would be thrown off, as well as the payment plan -- meaning the credibility of the orthodontist would also be at risk since he/she is just judging the patient's occlusion by sight alone.

Treating Class II and III Malocclusion and Compliance

Over the course of my project, I have learned about overbites, underbites, crooked teeth, and various forms of malocclusion.

Each one of these are treated differently, and it takes longer to treat some than others. Underbites and overbites (classes II and III respectively) take the longest to treat because they require movement of the jaw. The younger the patient, the easier they are to treat. Past adolescence, treatment for classes II and III requires orthognathic or other types of surgery. Young patients, however, can use headgear or reverse headgear to correct their malocclusion.

While an orthodontist can give her/his patients headgear and send them on their way, it isn't guaranteed that they will wear it. In order to ensure compliance as much as possible, the orthodontist should take steps such as explaining the importance of treatment and getting the patients' parents on board.

Answer 2

1. What is your EQ?

What is the most important factor an orthodontist must consider when treating a patient?

2. What is your first answer?

Orthodontists must understand their patients' needs in order to treat them.

3. What is your second answer?

Patient compliance should be taken into account when treating a patient.

4. List three reasons your answer is true with a real-world application for each.

• Compliance can reduce treatment time in some cases, increasing patient satisfaction.
• Not complying (i.e. not wearing rubber bands or appliances when instructed to) prolongs and reverses treatment.
• Compliance is fostered by factors directly and indirectly relating to the orthodontist, such as office environment and doctor-patient dynamic.

5. What printed source best supports your answer?

Pakravan, Darren Cyrus. "Comparison of Adult Patient- and Orthodontist-Reported Compliance and Satisfaction with Treatment Outcome." Order No. 1452688 University of Illinois at Chicago, 2008. Ann Arbor: ProQuest. Web. 16 Oct. 2014.

6. What other source supports your answer?

Hardy, Daniel Kenneth. "Predictors of Orthodontic Patient Compliance." Order No. 1561908 University of California, San Francisco, 2014. Ann Arbor: ProQuest. Web. 16 Oct. 2014.

7. Tie this together with a concluding thought.

Without compliance, there would be no point to regular orthodontic visits or paying for treatment. Something as small as not wearing retainers can take a patient back to square one and waste both time, money, and effort. If an orthodontist can ensure patient compliance, they are likely to be on a steady path to proper treatment.