Abstract

MATTHEWS, Francisca  and  CARTES-VELASQUEZ, Ricardo. Factors that influence therapeutic decisions in Orthodontics: a literature review Therapeutic decisions in Orthodontics. Odontoestomatología [online]. 2017, vol.19, n.29, pp.33-45. ISSN 0797-0374.  https://doi.org/10.22592/ode2017n29p33.

There is an immense variety of orthodontic techniques. Each of them has specific uses and indications from which to select the most appropriate options for each clinical situation. The aim of this article is to review the recent literature on the factors that influence or explain the therapeutic decisions made in dentistry with a focus on orthodontics. It has been found that the education received, individual preferences and the mastery of different techniques, features and personal values, as well as the clinical and economic situation of the patient, the health system and the dentist-patient relationship take on a major role in the treatment selected. Ethical and social principles, such as behavioral theories, are applicable to these professional aspects. It is important to understand the decision-making process and the selection of treatments because of the impact they have on patient care and satisfaction, on reaching the therapeutic objectives, on how public health services work, and on the quality of services. There are currently few studies that focus on the process of clinical decision-making. Therefore, it is necessary to expand the scope of research, including qualitative research, in order to better understand decision-making.

Keywords : therapeutics; decision-making; orthodontics; clinical decision-making; treatment planning.

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