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Professional consensus on orthodontic risks - what orthodontists should tell their patients

Perry, John, Popat, Hashmat, Johnson, Ilona, Farnell, Damian and Morgan, Maria Z. 2020. Professional consensus on orthodontic risks - what orthodontists should tell their patients. American Journal of Orthodontics and Dentofacial Orthopedics 10.1016/j.ajodo.2019.11.017
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Abstract

Introduction Effective communication of risk is a requisite for valid consent, shared decision-making, and the provision of person-centered care. No agreed standard for the content of discussions with patients about the risks of orthodontic treatment exists. This study aimed to produce a professional consensus recommendation about the risks that should be discussed with patients as part of consent for orthodontic treatment. Methods A serial cross-sectional survey design using a modified electronic Delphi technique was used. Two survey rounds were conducted nationally in the United Kingdom using a custom-made online system. The risks used as the prespecified items scored in the Delphi exercise were identified through a structured literature review. Orthodontists scored treatment risks on a 1-9 scale (1 = not important, 9 = critical to discuss with patients). The consensus that a risk should be discussed as part of consent was predefined as ≥70% orthodontists scoring risk as 7-9 and <15% scoring 1-3. Results The electronic Delphi was completed by 237 orthodontists who reached a professional consensus that 10 risks should be discussed as part of consent for orthodontic treatment; demineralization, relapse, resorption, pain, gingivitis, ulceration, appliances breaking, failed tooth movements, treatment duration, and consequences of no treatment. Conclusions A professional orthodontic consensus has been reached that 10 key risks should be discussed with patients as part of consent for orthodontic treatment. The information in this evidence base should be tailored to patients’ individual needs and delivered as part of a continuing risk communication process.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Dentistry
Publisher: Elsevier
ISSN: 0889-5406
Date of First Compliant Deposit: 1 December 2020
Date of Acceptance: 1 November 2019
Last Modified: 07 Dec 2020 18:45
URI: http://orca-mwe.cf.ac.uk/id/eprint/128269

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