Key Points
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Explains that there is a sustained demand for orthodontic treatment, from all ages of the population.
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Suggests that a significant proportion of NHS dentistry expenditure is on orthodontic treatment.
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Stresses that it is important in a social healthcare system that this expenditure is justified.
Abstract
Orthodontic treatment is as popular as ever. Orthodontists frequently have long lists of people wanting treatment and the cost to the NHS in England was £258m in 2010–2011 (approximately 10% of the NHS annual spend on dentistry). It is important that clinicians and healthcare commissioners constantly question the contribution of interventions towards improving the health of the population. In this article, the authors outline some of the evidence for and against the claims that people with a malocclusion are at a disadvantage compared with those without a malocclusion and that orthodontic treatment has significant health benefits. The authors would like to point out that this is not a comprehensive and systematic review of the entire scientific literature. Rather the evidence is presented in order to stimulate discussion and debate.
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Acknowledgements
The authors are grateful to Professor Donald Burden, Director of the Centre for Dentistry and Consultant Orthodontist, Queen's University, Belfast for reading an initial draft of this manuscript.
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Benson, P., Javidi, H. & DiBiase, A. What is the value of orthodontic treatment?. Br Dent J 218, 185–190 (2015). https://doi.org/10.1038/sj.bdj.2015.43
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DOI: https://doi.org/10.1038/sj.bdj.2015.43
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