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Iowa Section of AADR - The University of Iowa College of Dentistry

Iowa Section of AADR - The University of Iowa College of Dentistry

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20. Growth Relationships between the Mandible and Standing Height by Occlusion<br />

D.G. Meier 1 , R.N. Staley 1 , C.M. Kummet 1<br />

1 <strong>University</strong> <strong>of</strong> <strong>Iowa</strong><br />

Objectives: To measure longitudinal growth <strong>of</strong> the mandible and standing height from 6-13 years in Class I normal<br />

occlusions (CINO) and Class II malocclusions (CIIM), and correlate the variables to describe the strength <strong>of</strong> the<br />

associations in the occlusion groups.<br />

Methods: Cephalograms <strong>of</strong> 30 male and 28 female participants in the <strong>Iowa</strong> Growth Study were used [IRB approval].<br />

Dial calipers were used to measure mandibular length between articulare-pogonion (Ar-Pg). Standing height<br />

measurements were obtained from the <strong>Iowa</strong> Growth Study. Spearman correlations were used to correlate growth <strong>of</strong><br />

standing height and articulare-pogonion in subjects with CINO (15 males and 15 females) and CIIM (15 males and<br />

Results:<br />

two occlusion groups occurred at age 9 in females (r=0.7235 [CINO]; r= -0.0070 [CIIM], p=0.0448). Growth curves<br />

for mandibular length and for standing height were similar but key differences occurred in growth acceleration in<br />

both genders in both occlusion groups.<br />

Conclusions: Correlations between growth in standing height and length <strong>of</strong> mandible in CINO and CIIM subjects<br />

were low to moderate positive. <strong>The</strong> correlations have minimal clinical application.<br />

Supported by: <strong>University</strong> <strong>of</strong> <strong>Iowa</strong>, <strong>College</strong> <strong>of</strong> <strong>Dentistry</strong>, Dows Research Award<br />

21. Changes in Fourth-Year Dental Students’ Presentation <strong>of</strong> Treatment Plans<br />

M. Popowski1 , M.R. McQuistan 1 , C.L. Straub-Morarend 1 , F. Qian1 1 <strong>University</strong> <strong>of</strong> <strong>Iowa</strong><br />

Objective: To assess whether dental students change their methods <strong>of</strong> presenting treatment plans to patients as<br />

they progress through the fourth year.<br />

Methods: A survey was developed and administered to all <strong>University</strong> <strong>of</strong> <strong>Iowa</strong> <strong>College</strong> <strong>of</strong> <strong>Dentistry</strong> fourth-year dental<br />

students at two points in time (N=77; July and October 2010). <strong>The</strong> survey assessed the duration and content <strong>of</strong><br />

students’ treatment plan presentations. Univariate analyses were performed. <strong>The</strong> nonparametric Wilcoxon signed<br />

the two time points. IRB approval was obtained prior to beginning the study.<br />

Results: 46 students completed the survey at two points in time for a matched response rate <strong>of</strong> 59.7%. On average,<br />

students spent 11-20 minutes presenting a treatment plan to a new patient, with 37% spending more time as<br />

the semester progressed. Students spent 1-10 minutes reviewing an accepted treatment plan with a returning<br />

patient, with 24% spending more time as the semester progressed. 47% <strong>of</strong> students frequently presented multiple<br />

treatment plans to a patient, but this decreased over time. During the initial presentation <strong>of</strong> the treatment plan,<br />

students were most likely to discuss cost <strong>of</strong> treatment (98%), number <strong>of</strong> visits to complete treatment (91%),<br />

etiology <strong>of</strong> treatment needs (80%), and maintenance (78%). Students were least likely to discuss evidence relevant<br />

to the planned treatment (13%), case prognosis (67%), and material selection (67%). With the exception <strong>of</strong> cost,<br />

the number <strong>of</strong> students who discussed the aforementioned aspects <strong>of</strong> the treatment decreased over time.<br />

Conclusion: As the semester progressed, students changed the amount <strong>of</strong> time they spent presenting treatment<br />

plans to patients and the content they presented to their patients.<br />

Supported by: <strong>University</strong> <strong>of</strong> <strong>Iowa</strong>, <strong>College</strong> <strong>of</strong> <strong>Dentistry</strong>, <strong>Iowa</strong> Dental Research Grant<br />

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