Clear aligner therapy practices among orthodontists practicing in Canada.

IF 4.8 2区 医学 Q1 Dentistry
Djessyca Miranda E Paulo, Letícia Fernanda Moreira-Santos, Maisa Costa Tavares, Tony Weir, Maurice J Meade, Carlos Flores-Mir
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Abstract

Background: The acceptability and preference for clear aligner therapy (CAT) has been increasing among orthodontists, but there is still a lack of consensus regarding CAT best practices. Consequently, this study aimed to investigate CAT practices among orthodontists practicing in Canada.

Methods: The survey was conducted among orthodontists practicing in Canada using a modified previously published survey. Sixty orthodontists participated (6.1% response rate). It consisted of 11 sections with open and closed questions related to demographic information and particularities about using or not using CAT. The survey responses were exported from REDCap to a Microsoft Excel (Microsoft, Redmond, Wash) spreadsheet, then statistically analyzed using SPSS software (SPSS for Windows, version 21.0; IBM Inc., Armonk, NY, USA). The comments were categorized under themes and subthemes. Data were organized in descriptive statistics, expressing frequencies and percentages.

Results: Almost 30% of the orthodontist's annual caseload was treated with CAT, most frequently prescribed to adult patients. Case complexity and patient cooperation were the factors that most influenced the decision to prescribe CAT. Almost half of orthodontists reported sometimes combining CAT with adjunctive fixed appliances.

Conclusions: Most orthodontists prescribe CAT, and its use is based on the malocclusion's complexity. Orthodontists who do not prescribe CAT believe that fixed appliance therapy has superior treatment outcomes.

加拿大正畸医师的透明矫治器治疗实践。
背景:正畸医生对透明矫治器疗法(CAT)的接受度和偏好度不断提高,但在CAT最佳实践方面仍缺乏共识。因此,本研究旨在调查在加拿大执业的正畸医生对透明矫治器疗法的实践情况:方法:采用之前发布的一份经过修改的调查问卷,对加拿大的正畸医师进行了调查。共有 60 名正畸医生参与了调查(回复率为 6.1%)。调查包括 11 个部分,其中的开放式和封闭式问题涉及人口统计学信息以及使用或不使用 CAT 的具体情况。调查回复从 REDCap 导出到 Microsoft Excel(Microsoft,Redmond,Wash)电子表格,然后使用 SPSS 软件(SPSS for Windows,21.0 版;IBM 公司,Armonk,NY,USA)进行统计分析。评论按主题和次主题进行分类。数据以描述性统计的方式进行整理,以频率和百分比表示:在正畸医生的年度工作量中,近 30% 的患者接受了 CAT 治疗,最常见的是成人患者。病例的复杂性和患者的合作是影响开具 CAT 处方的最主要因素。近一半的正畸医生表示有时会将CAT与辅助固定矫治器结合使用:结论:大多数正畸医生都会处方 CAT,其使用取决于错颌畸形的复杂程度。不使用 CAT 的正畸医生认为,固定矫治器疗法具有更好的治疗效果。
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来源期刊
Progress in Orthodontics
Progress in Orthodontics Dentistry-Orthodontics
CiteScore
7.30
自引率
4.20%
发文量
45
审稿时长
13 weeks
期刊介绍: Progress in Orthodontics is a fully open access, international journal owned by the Italian Society of Orthodontics and published under the brand SpringerOpen. The Society is currently covering all publication costs so there are no article processing charges for authors. It is a premier journal of international scope that fosters orthodontic research, including both basic research and development of innovative clinical techniques, with an emphasis on the following areas: • Mechanisms to improve orthodontics • Clinical studies and control animal studies • Orthodontics and genetics, genomics • Temporomandibular joint (TMJ) control clinical trials • Efficacy of orthodontic appliances and animal models • Systematic reviews and meta analyses • Mechanisms to speed orthodontic treatment Progress in Orthodontics will consider for publication only meritorious and original contributions. These may be: • Original articles reporting the findings of clinical trials, clinically relevant basic scientific investigations, or novel therapeutic or diagnostic systems • Review articles on current topics • Articles on novel techniques and clinical tools • Articles of contemporary interest
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