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Summary

The objective of the present study was to assess the public accessibility of orthodontic care in Lithuania.

Material and methods. In 2008, a request for the information about various aspects of public orthodontic care during 2000-2007 in Lithuania was submitted to the State Patients' Fund at the Ministry of Health. The data on the demographic distribution of orthodontists in Lithuania were received from the Lithuanian Dental Chamber. The authors of the paper also analyzed the national legislation regulating the State Patients' Fund expenditure on orthodontic care and treatment.

Findings. In 2007, there were 73 orthodontists-practitioners in Lithuania, most of them highly concentrated in major cities and towns: most of them were practicing in Vilnius (22) and Kaunas (20), while there were only 5 orthodontists in Klaipeda, 4 in Siauliai, 3 in each of Panevezys and Marijampole. The public orthodontic treatment is rendered only to patients suffering from most severe pathologies. With the constantly increasing expenditure of the State Patients' Fund, the national public orthodontic care system definitely undergoes significant development: the number of patients who received the treatment with removable and with fixed orthodontic appliances was gradually increasing during 2002-2007, with however, a very small number of new facilities for ambulatory treatment facilities of orthodontists (consultations included). The number of patients who received treatment with removable orthodontic appliances was specifically higher in Siauliai and Telsiai, Panevezys and Utena districts, with fixed orthodontic appliances - in Vilnius and Alytus, Kaunas and Marijampole, Panevezys and Utena regions. The analysis of the availability of public orthodontic treatment showed a marked increase in the number highly-specialized ambulatory facilities in Vilnius and Alytus district in 2002-2007.

Conclusions. Specialists providing orthodontic treatment in the country are highly concentrated, while in general public orthodontic treatment undergoes development at the moment. The accessibility of orthodontic treatment in Lithuania, especially in the regions distant from Vilnius and Kaunas, remains inadequate.

Key words: orthodontic care, accessibility.

Received: 07 07 2008

Accepted for publishing: 19 09 2008

¹Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania

²Faculty of Law, Mykolo Romerio University, Vilnius, Lithuania

Vilija Janulyte¹ – DDS

Alina Puriene¹ – DDS, PhD, assoc. professor

Laura Linkeviciene¹ – DDS

Gailute Grigaite¹ – DDS

Jelena Kutkauskiene² – DDS

Address correspondence to Dr. Vilija Janulyte, Zalgiris Clinic Vilnius University Hospital, Zalgirio 117, LT-08217 Vilnius, Lithuania.

E-mail address: janulytevilija@yahoo.com



	Baltic Dental and Maxillofacial Journal

September, 2008, Vol. 10, No. 3 CONTENTS SCIENTIFIC ARTICLES Who is thought to be a "reliable dentist"? – Lithuanian dentists' opinion Alina Puriene, Irena Balciuniene, Povilas Drobnys 83-88 REVIEWS Risk factors of root resorption after orthodontic treatment Kristina Lopatiene, Aiste Dumbravaite 89-95 SCIENTIFIC ARTICLES Influence of laser-welding and electroerosion on passive fit of implant-supported prosthesis Tatiana Bernardon Silva, Mauro Antonio De Arruda Nobilo, Guilherme Elias Pessanha Henriques, Marcelo Ferraz Mesquita, Magali Beck Guimaraes 96-100 Do socio-economic disparities in dental treatment needs exist in Lithuanian adolescents? Jolanta Aleksejuniene, Vilma Brukiene 101-106 The orthodontic treatment in Lithuania: Accessibility survey Vilija Janulyte, Alina Puriene, Laura Linkeviciene, Gailute Grigaite, Jelena Kutkauskiene 107-112 © 2008 Stomatologija		Stomatologija 2008; 10 (3): 107-112 286 KB The orthodontic treatment in Lithuania: accessibility survey Vilija Janulyte, Alina Puriene, Laura Linkeviciene, Gailute Grigaite, Jelena Kutkauskiene Summary The objective of the present study was to assess the public accessibility of orthodontic care in Lithuania. Material and methods. In 2008, a request for the information about various aspects of public orthodontic care during 2000-2007 in Lithuania was submitted to the State Patients' Fund at the Ministry of Health. The data on the demographic distribution of orthodontists in Lithuania were received from the Lithuanian Dental Chamber. The authors of the paper also analyzed the national legislation regulating the State Patients' Fund expenditure on orthodontic care and treatment. Findings. In 2007, there were 73 orthodontists-practitioners in Lithuania, most of them highly concentrated in major cities and towns: most of them were practicing in Vilnius (22) and Kaunas (20), while there were only 5 orthodontists in Klaipeda, 4 in Siauliai, 3 in each of Panevezys and Marijampole. The public orthodontic treatment is rendered only to patients suffering from most severe pathologies. With the constantly increasing expenditure of the State Patients' Fund, the national public orthodontic care system definitely undergoes significant development: the number of patients who received the treatment with removable and with fixed orthodontic appliances was gradually increasing during 2002-2007, with however, a very small number of new facilities for ambulatory treatment facilities of orthodontists (consultations included). The number of patients who received treatment with removable orthodontic appliances was specifically higher in Siauliai and Telsiai, Panevezys and Utena districts, with fixed orthodontic appliances - in Vilnius and Alytus, Kaunas and Marijampole, Panevezys and Utena regions. The analysis of the availability of public orthodontic treatment showed a marked increase in the number highly-specialized ambulatory facilities in Vilnius and Alytus district in 2002-2007. Conclusions. Specialists providing orthodontic treatment in the country are highly concentrated, while in general public orthodontic treatment undergoes development at the moment. The accessibility of orthodontic treatment in Lithuania, especially in the regions distant from Vilnius and Kaunas, remains inadequate. Key words: orthodontic care, accessibility. Received: 07 07 2008 Accepted for publishing: 19 09 2008 ¹Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania ²Faculty of Law, Mykolo Romerio University, Vilnius, Lithuania Vilija Janulyte¹ – DDS Alina Puriene¹ – DDS, PhD, assoc. professor Laura Linkeviciene¹ – DDS Gailute Grigaite¹ – DDS Jelena Kutkauskiene² – DDS Address correspondence to Dr. Vilija Janulyte, Zalgiris Clinic Vilnius University Hospital, Zalgirio 117, LT-08217 Vilnius, Lithuania. E-mail address: janulytevilija@yahoo.com