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Biomedical subjects

S L Cureton

Publications and source records attributed to S L Cureton.

At least 19 recordsLinked to original sources

Class II, division 1, case with multiple treatment challenges.

This is a case report of a 23-year-old black woman with a skeletal Class II Division 1 malocclusion and an anterior open bite. The maxillary central incisor root was severely dilacerated, a maxillary lateral incisor and canine were transposed, a maxillary canine was impacted near the orbital rim, and a mandibular second premolar was congenitally missing. Selective extractions and attention to detail provided outstanding occlusal function and improved facial esthetics.

Adult

Headgear and pain.

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Extraoral Traction Appliances

The role of the headgear calendar in headgear compliance.

This study was undertaken to determine the role of the headgear calendar and its relationship to headgear compliance. Headgear timers were used covertly to monitor actual headgear wear of 28 patients for three consecutive orthodontic appointments. Fourteen patients were asked to monitor their daily headgear wear by using a headgear calendar. The other 14 did not use a calendar. The results show that patients who monitor their headgear wear with a headgear calendar are more compliant than those patients who do not (7.9 hours compared with 5.3 hours). All age groups in this study wore their headgear more when a headgear calendar was used with the exception of the > 16-year-old group. There is a high degree of correlation (r2 = 0.60) between the number of hours recorded on the calendar compared with the number of hours actually worn. There was a poor correlation (r2 = 0.02) between the number of hours the patient said he wore his headgear compared with the actual number of hours worn.

Adolescent

Clinical versus quantitative assessment of headgear compliance.

This study was undertaken to determine if clinicians could accurately evaluate headgear compliance. Headgear timers were used covertly to quantitatively assess the headgear compliance of 28 patients over 3 consecutive months. Investigators subjectively evaluated the patients to determine how many hours per day they felt the patient had been wearing the headgear. Investigators were divided into three groups: (1) 5 orthodontists (2 board certified, 3 board eligible--total of 50 years of orthodontic experience); (2) 10 residents; and (3) 11 assistants. At least two investigators from each group evaluated the same person for all three appointments. The average error values were 2.86 hours, 3.27 hours, and 3.61 hours, respectively, for the three groups. The standard deviations were also very large, indicating that no group could accurately or consistently assess headgear wear. In this study no difference was found in compliance between sexes. Patients 10 to 12 years of age were more compliant than those 12 to 14 years of age, which were more compliant than the > 16 age group. The least compliant was the 14 to 16 year age group.

Adolescent