Country Report 2018

Name of Member organization

The Swedish Association of Orthodontists

When established + short historic overview

Established 1977 from a section of the Swedish Dental Society (only specialists in Orthodontics)

Number of active members December1st,2018

314
  Updated November 2018


President 2012-

  • Heidrun Kjellberg
  • Rösträttsgatan 6
  • SE-227 60 Lund
  • Phone: +46 708-447615

Secretary 2018-


Treasurer 2018-

  • Anneli Johansson

When was orthodontics recognized as a dental specialty

1965

What is the competent authority for specialists registration

The Swedish Board for Health and Welfare

What is the outline of the national specialists training program (as required by the competent authority)

Orthodontics

1. Definition and general objectives

The speciality of orthodontics deals with the normal and abnormal development and growth of the face, the jaws and the occlusion. The subject includes diagnosis, treatment and prevention of congenital or acquired malocclusions and deformities based on knowledge of the causes of the anomalies and their implications for the oral and general well-being of the individual.

Specialist training in orthodontics should be structured to ensure the competens knowledge and skills needed to take responsibility for and carry out all kinds of orthodontic diagnosis and treatment of children and adults.

The subject includes diagnosis of congenital or acquired anomalies during growth of the face and the jaws and disorders in occlusal development, and also the ability to make decisions on treatment goals and planning and to make prognoses.

In addition specialist training should lead to necessary knowledge of stomatognathic physiology, dentomaxillofacial radiology, oral and maxillofacial surgery, prosthodontics, periodontology, paedodontics, speech pathology, genetics, paediatrics, plastic surgery, psychology, and ear, nose and throat diseases.

2. Diagnostics and treatment in dental care

  • Be able to independently and proficiently carry out:
    • diagnosis, assessment of treatment need, prognostic assessment and treatment of all types of malocclusion occurring in children and adults.
    • diagnosis and orthodontic treatment of children with congenital anomalies of the face and jaws
    • orthodontic treatment necessary for ocklusal reconstruction of adult patiënts
    • planning of orthodontic treatment in combination with orthognathic surgery
    • pre-operative and post-operative orthodontic treatment in connection with orthognathic surgery
  • Have a good knowledge and some experience of:
    • treatment of craniomandibular dysfunction
    • occlusal reconstruction
    • diagnosis in oral pathology and medicine
  • Have a theoretical knowledge of or have at tended as an observer:
    • plastic-surgical treatment of children with congenital lip, jaw and palatal clefts
    • maxillofacial surgery
    • diseases of the ear, nose and throat


3. Preventive work

The specialist must be thoroughly familiar with interceptive measures to anticipate the ccurrence and prevent the development of various malocclusions.

4. Co-operation within and outside the dental health system including other health and medical services etc

The specialist must both be familiar with t e organization and administration of specialist clinics in orthodontics and also have knowledge and experience of acting as a consultant to and collaborating with general dental surgeons, other specialists in dentistry and different medical specialities.

Is continuous education (CE) mandatory; If so, how organized

No

What is the organization of the delivery of orthodontic care

Public Dental Health Service (County Councils) + about 40 GP:s (fulltime)

Any further information regarding the position of orthodontics in the country

  • A new insurance system for adults was introduced from 1st July 2008. The refund system covers approximately IOTN 4 and 5. The refund is based on an official price list but the individual orthodontist can have an own pricelist. The orthodontist assess whether refund should be given for a patient but the refund authority can verify and make it´s assessment if refund should be given. I case they have a different oppinion the orthodontist has to pay back the refund to the insurance system.
    The refund is as follow:
    0-3500 SEK Patient pays 100%
    3500-15000 SEK: Patient pays 50%. 50% refund
    15000 SEK- : Patient pays 15%. 85% refund
  • Virtually no Orthodontists from other EU countries working in Sweden. It is relatively common for Swedish Orthodontists working in other EU countries, especially in England and Germany. Several Swedish orthodontists also working in Norway.