PMID: 9547975Apr 21, 1998Paper

A critical assessment of high-earning orthodontists in the General Dental Services of England and Wales (1990-1991)

British Journal of Orthodontics
E A TurbillJ L Wright

Abstract

Cases from the Dental Practice Board's 2 per cent random sample of completed cases which had been treated by orthodontic practitioners with high gross earnings, were compared to all the cases within the sample from other practitioners. They were assessed using the PAR index and IOTN. High earning orthodontists treated slightly more cases with lower objective need for treatment, but treated no more cases 'Unnecessarily' than other practitioners. They used more fixed appliances, and had marginally better levels of residual need for treatment at finish, although this was at least partially explained by lower levels at start. Generally, their standards were not substantially different to other practitioners. Appliance type had a marked effect on outcome, as did levels of malocclusion and need for treatment at start. Both groups of practitioners performed similarly (better) with dual arch fixed appliances: however, overall standards could only be described as mediocre. There is no justification to single out high earning orthodontists for special scrutiny. However, it may be beneficial if the system of remuneration in the General Dental Services could be modified to give more positive incentive to quality, rather than simply quantit...Continue Reading

References

Apr 1, 1992·European Journal of Orthodontics·S RichmondM Andrews
Jun 23, 1990·British Dental Journal·K D O'Brien, C M Corkill
Aug 1, 1989·European Journal of Orthodontics·P H Brook, W C Shaw
Aug 20, 1983·British Dental Journal·W C Shaw
Nov 19, 1994·British Dental Journal·D Osborne, R Croucher
Mar 23, 1996·British Dental Journal·B M Kelly, S D Springate

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Citations

Dec 26, 2001·Journal of Clinical Epidemiology·A G BabikerJ H Darbyshire
Feb 11, 2012·British Dental Journal·S Richmond, A Karki
Dec 1, 2006·Expert Review of Pharmacoeconomics & Outcomes Research·M Lakhanpaul, Tj Stephenson
Apr 11, 2015·British Dental Journal·A PuriN J McGuinness

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