Orthodontic Treatment Completion and Discontinuation in a Rural Sample from North Central Appalachia in the USA

Frontiers in Public Health

Breana M. Dieringer¹  Daniel W. McNeil²  Chris A. Martin³ 

[1] Dental Hygiene Program, West Virginia University School of Dentistry, Morgantown, WV, United States;Department of Dental Practice and Rural Health, West Virginia University School of Dentistry, Morgantown, WV, United States;Department of Orthodontics, West Virginia University School of Dentistry, Morgantown, WV, United States;Department of Psychology, Eberly College of Arts and Sciences, West Virginia University, Morgantown, WV, United States;

关键词: orthodontics;    dentistry;    Appalachian region;    rural;    health disparities;    treatment completion;   

DOI  :  10.3389/fpubh.2017.00171

来源: DOAJ

【 摘 要 】

BackgroundOrthodontics has inherent demands, requiring regular appointments and active patient engagement, but relatively little is established in regard to rates of completion of treatment and possible factors affecting successful completion. These factors may be particularly important for cultural minority groups, such as those in rural Appalachia, given the environmental, social, and economic complexities affecting access to and utilization of treatment.Design and methodsA naturalistic study design was employed, using retrospective data from a rural outpatient general dental office in July 2012. Chart abstraction yielded 219 (55.3% female) orthodontic patients (M age = 11.0 [3.7]). Chi-square tests for independence were conducted for categorical dependent variables. For continuous variables, t-tests were conducted. A logistic multivariate regression analysis was conducted to predict completion/non-completion of treatment, with age, gender, distance traveled, type of malocclusion, and payment type as predictors.ResultsOverall, 49.8% of this sample successfully completed orthodontic treatment. Greater successful conclusion of treatment was found in self-pay patients (i.e., 74%) versus those whose care was funded through Medicaid/Children’s Health Insurance Program (i.e., 34%) or through private insurance (i.e., 36%). Age, gender, and distance to the office from home had no association relative to successful completion of treatment, although average one-way distance to travel for care was considerable (i.e., 38.8 miles).ConclusionRate of successful orthodontic treatment completion was low in this rural sample. Treatment outcome was related to the form of payment for services, with self-pay associated with the highest rate of successful completion.

【 授权许可】

Unknown