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2. INDIAN DENTAL ACADEMY
Leader in continuing dental education
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3. Orthodontists define quality by cephalometric
measures , the patient by shortness of treatment
time , and the parent by the size of the bill.
What is a warranty ? ? ?
It’s a synonym for quality
assurance.
Are warranties and health care
related ?
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4. Quality assurance is a necessary component of
contemporary health care . In recent years
the need for all health care organizations
to have clear policies and procedures for
maintaining quality through Clinical audit has
become pressing … … … …
AUDIT- whither or wither ?
Audit, by examining whether clinical practice in a
given situation is measured up to agreed standards
,seeks to extend the knowledge of practioner about
their own practice . www.indiandentalacademy.com
5. Practice audit is a wheel spinning
exercise
Audit is useless
unless
Followed by planning
Implementation is useless
unless
evaluated
Planning is useless
unless
implemented
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6. The evaluation of final models is
essential for orthodontists who are
interested in improving their clinical
results
Every orthodontist , either alone or with
a practice consultant , should x-ray
their practice to determine its strengths
and weaknesses , and to plan any
changes , as indicated by the practice
audit
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10. OBJECTIVE GRADING SYSTEM
The American board of orthodontics is constantly striving to
make the phase III clinical examination a fair , accurate ,
meaningful experience for candidates .
In an effort to provide the candidates with a tool to assess
the adequacy of their finished orthodontic results the board
has established an objective grading system
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18. 20 finished cases treated for class I bimaxillary protrusion were
selected for the study. The sample was divided into two sub groups
of 10 cases each:Cases treated with brackets having ROTH prescription (Group A)
Cases treated with MBT bracket system (Group B)
The study was single blinded , where the
operator did not know the sample
division.
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19. The whole sample of 20 cases was evaluated using
the ABO grading system to determine the degree
of improvement and the quality of results.
The results were compared to the master chart , and
the respective groups were co-related to analyze the
degree of improvement in each Group.
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25. The average deduction for the whole sample was 19.5
points
Statistically significant deductions were found for
bucco-lingual inclination and occlusal contacts
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26. PART 2 : Correlation to various prescriptions
30
Deductions
25
20
15
10
5
0
MBT
PATIENT
S
ROTH
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27. RESULT COMPARED TO THE MASTER CHART :-
Average deduction for ROTH prescription brackets
was 21.5 points
Average deductions for MBT bracket system was
16.0 points.
Significant differences were found in bucco - lingual inclination
and occlusal contacts between the two groups.
No significant differences were found for other
parameters.
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29. To improve the quality of orthodontic care , attention should focus
on internal audit
This being a procedure where individual health care professionals
get a feed back on Performance compared with others or with
what should be expected
Cases treated with MBT bracket system showed lesser ABO OGS
scores i.e., cases were finished better.
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30. Bucco - lingual inclination / occlusal contacts
Operator efficiency
Prescription
In cases treated with ROTH prescription, most of the deductions were limited
to bucco - lingual inclination and occlusal contacts .
High tip , low torque values
Operator efficiency
Time and effort required to built in extra bracket features and their expression
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32.
The importance of clinical audit in upgrading the standard
of treatment outcome
The treatment outcome of cases treated with MBT bracket
system were better than those treated with brackets having
ROTH prescription.
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