Araştırma Makalesi
BibTex RIS Kaynak Göster

An investigation of the opinions and preferences of orthodontists in Turkey regarding the use of clear aligners in orthodontic treatment: Original article

Yıl 2023, Cilt: 28 Sayı: 1, 72 - 80, 20.01.2023
https://doi.org/10.21673/anadoluklin.1207700

Öz

Aim: To evaluate orthodontists’ perspectives on clear aligner treatment in Turkey.

Methods: A novel web-based survey consisting of 14 questions was developed and sent to 2027 members of the Turkish Orthodontic Society via e-mail to evaluate the reasons for why or why not they prefer clear aligners, their opinions about different brands in the market and their perspective on the future of this treatment modality. The association between demographic data and multiple choice questions was examined using Kruskal Wallis and Mann-Whitney U tests. The association between Likert-type questions and practice characteristics was analyzed using a one-way analysis of variance (ANOVA) and Turkey’s post hoc tests.

Results: 62.7% of the 218 respondents currently treat their patients using clear aligners and 76.7% of them prefer Invisalign (Align Technology, California, USA), a clear aligner brand. The main reasons given by orthodontists to use clear aligners were ‘not to lag behind in technology’ and ‘to have prestige in the community’. The majority of participants (83.8%) treat fewer patients with clear aligners than with fixed appliances. 70% of the surveyed orthodontists do not believe that treatment with clear aligners will completely replace treatments with fixed appliances in the near future. 28.6% of the participants stated that they do not intend to use clear aligner treatment in at least the next 1-2 years due to ‘low financial income’ and ‘complexity of clear aligner treatments.

Conclusion: The majority of the surveyed orthodontists currently use clear aligners in their practice, not because they believe clear aligners are more effective or more comfortable than braces or because they are more profitable, but rather to have prestige in the community and not to lag behind in technology. Therefore, it seems that fixed appliance treatment will maintain its place in orthodontic practice as an option for the near future.

Kaynakça

  • Hennessy J, Al-Awadhi EA. Clear aligners generations and orthodontic tooth movement. J Orthod. 2016;43(1):68-76.
  • Kesling HD. The philosophy of tooth positioning appliance. Am J Orthod. 1945;31:297–304.
  • Zheng M, Liu R, Ni Z, Yu Z. Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta-analysis. Orthod Craniofac Res. 2017;20(3):127-133.
  • Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T. Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod. 2014;15(1):64.
  • Bowman SJ. Improving the predictability of clear aligners. Semin Orthod. 2017;23:65-75.
  • Johal A, Bondemark L. Clear aligner orthodontic treatment: Angle Society of Europe consensus viewpoint. J Orthod. 2021;48(3):300-4.
  • Papadimitriou A, Mousoulea S, Gkantidis N, Kloukos D. Clinical effectiveness of Invisalign® orthodontic treatment: a systematic review. Prog Orthod. 2018;19(1):37.
  • Reicheneder CA, Baumert U, Gedrange T, Proff P, Faltermeier A, Muessig D. Frictional properties of aesthetic brackets. Eur J Orthod. 2007;29(4):359-65.
  • White DW, Julien KC, Jacob H, Campbell PM, Buschang PH. Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. Angle Orthod. 2017;87(6):801-8.
  • Ata-Ali F, Ata-Ali J, Ferrer-Molina M, Cobo T, De Carlos F, Cobo J. Adverse effects of lingual and buccal orthodontic techniques: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2016;149(6):820-9.
  • Marañón-Vásquez GA, Barreto LSDC, Pithon MM, et al. Reasons influencing the preferences of prospective patients and orthodontists for different orthodontic appliances. Korean J Orthod. 2021;51(2):115-25.
  • Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881-9.
  • Barcoma E, Shroff B, Best AM, Shoff MC, Lindauer SJ. Interproximal reduction of teeth: differences in perspective between orthodontists and dentists. Angle Orthod. 2015;85(5):820-5.
  • Lagravère MO, Flores-Mir C. The treatment effects of Invisalign orthodontic aligners: a systematic review. J Am Dent Assoc. 2005;136(12):1724-9.
  • Javidi H, Graham E. Clear aligners for orthodontic treatment?. Evid Based Dent. 2015;16(4):111.
  • Ponitz RJ. Invisible retainers. Am J Orthod. 1971;59(3):266-72.
  • Charalampakis O, Iliadi A, Ueno H, Oliver DR, Kim KB. Accuracy of clear aligners: A retrospective study of patients who needed refinement. Am J Orthod Dentofacial Orthop. 2018;154(1):47-54.
  • Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2009;135(1):27-35.
  • Jindal P, Juneja M, Siena FL, Bajaj D, Breedon P. Mechanical and geometric properties of thermoformed and 3D printed clear dental aligners. Am J Orthod Dentofacial Orthop. 2019;156(5):694-701.
  • Hussain SR, Jiang SS, Bosio JA. Generational perspectives of orthodontists in the U.S. and Canada: A survey study. Am J Orthod Dentofacial Orthop. 2022;162(6):824-8.
  • d’Apuzzo F, Perillo L, Carrico CK, et al. Clear aligner treatment: different perspectives between orthodontists and general dentists. Prog Orthod. 2019;20(1):10.
  • Tepedino M, Paoloni V, Cozza P, Chimenti C. Movement of anterior teeth using clear aligners: a three-dimensional, retrospective evaluation. Prog Orthod. 2018;19(1):9.
  • SmartTrack Aligner Material. Available from: http://provider. invisalign.com/smarttrack. Accessed on 10 May 2016.
  • Grünheid T, Loh C, Larson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved?. Angle Orthod. 2017;87(6):809-15.
  • Boyd RL. Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions. J Dent Educ. 2008;72(8):948-67.
  • Mehta S, Mehta F. Aligners: The rapidly growing trend in orthodontics around the world. Indian J Basic Appl Med Res. 2014;402-9.
  • Best AD, Shroff B, Carrico CK, Lindauer SJ. Treatment management between orthodontists and general practitioners performing clear aligner therapy. Angle Orthod. 2017;87(3):432-9.
  • Izhar A, Singh G, Goyal V, Singh R, Gupta N, Pahuja P. Comparative Assessment of Clinical and Predicted Treatment Outcomes of Clear Aligner Treatment: An in Vivo Study. Turk J Orthod. 2019;32(4):229-35.
  • Mueller CD, Schur CL, Paramore LC. Access to dental care in the United States. J Am Dent Assoc. 1998;129(4):229-35.
  • Rosvall MD, Fields HW, Ziuchkovski J, Rosenstiel SF, Johnston WM. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofacial Orthop. 2009;135(3):276.e1-277.
  • Miller KB, McGorray SP, Womack R, et al. A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofacial Orthop. 2007;131(3):302.e1-302.e3029.
  • Robertson L, Kaur H, Fagundes NCF, Romanyk D, Major P, Flores Mir C. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review. Orthod Craniofac Res. 2020;23(2):133-42.
  • Pavoni C, Lione R, Laganà G, Cozza P. Self-ligating versus Invisalign: analysis of dento-alveolar effects. Ann Stomatol (Roma). 2011;2(1-2):23-7.
  • Hansen V, Liu SS, Schrader SM, Dean JA, Stewart KT. Personality traits as a potential predictor of willingness to undergo various orthodontic treatments. Angle Orthod. 2013;83(5):899-905.

Ortodontik tedavide şeffaf plak kullanımına ilişkin Türkiye’deki ortodontistlerin görüş ve tercihlerinin incelenmesi: Orijinal araştırma

Yıl 2023, Cilt: 28 Sayı: 1, 72 - 80, 20.01.2023
https://doi.org/10.21673/anadoluklin.1207700

Öz

Amaç: Türkiye’deki ortodontistlerin şeffaf plak tedavisine bakış açılarını değerlendirmek.

Yöntemler: Türk Ortodonti Derneği üyelerinin şeffaf plaklar hakkındaki tercihlerini araştırmak, sektördeki farklı markalar hakkındaki görüşlerini ve bu tedavi yönteminin geleceğine bakış açılarını değerlendirmek amacıyla 14 sorudan oluşan bir web tabanlı anket geliştirilmiş ve kendilerine e-posta yoluyla gönderilmiştir.

Bulgular: Ankete katılanların %62,7’si şu anda hastalarını plak kullanarak tedavi ediyor ve %76.7’si ‘Invisalign’ (Align Technology, California, USA) plak markasını kullanmayı tercih ediyor. Ortodontistlerin plakları kullanmalarının temel nedeni, ‘teknolojide geri kalmamak’ ve ‘toplumda prestij sahibi olmak’ idi. Ankete katılan ortodontistlerin çoğu (%83,8) sabit apareylere kıyasla daha az şeffaf plak hastası tedavi ediyor. Ankete katılan ortodontistlerin büyük çoğunluğu (%70), plaklarla tedavinin yakın gelecekte sabit apareylerin yerini tamamen alacağına inanmıyor. Katılımcıların %28,6’sı ‘finansal getirisinin düşük olması’ ve ‘plak tedavilerinin karmaşıklığı’ nedeniyle önümüzdeki 1-2 yıl içinde şeffaf plak tedavisini kullanmayı düşünmediklerini belirtmiştir.

Sonuç: Ankete katılan ortodontistlerin çoğu, şeffaf plakları sabit apareylerden daha etkili/rahat olduğuna inandıkları veya daha karlı oldukları için değil, toplum içinde prestij sahibi olmak ve teknolojide geri kalmamak için kullandığını belirtmiştir. Bu nedenle sabit aparey tedavisinin yakın gelecekte bir seçenek olarak ortodonti pratiğindeki yerini koruyacağı düşünülmektedir.

Kaynakça

  • Hennessy J, Al-Awadhi EA. Clear aligners generations and orthodontic tooth movement. J Orthod. 2016;43(1):68-76.
  • Kesling HD. The philosophy of tooth positioning appliance. Am J Orthod. 1945;31:297–304.
  • Zheng M, Liu R, Ni Z, Yu Z. Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta-analysis. Orthod Craniofac Res. 2017;20(3):127-133.
  • Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T. Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod. 2014;15(1):64.
  • Bowman SJ. Improving the predictability of clear aligners. Semin Orthod. 2017;23:65-75.
  • Johal A, Bondemark L. Clear aligner orthodontic treatment: Angle Society of Europe consensus viewpoint. J Orthod. 2021;48(3):300-4.
  • Papadimitriou A, Mousoulea S, Gkantidis N, Kloukos D. Clinical effectiveness of Invisalign® orthodontic treatment: a systematic review. Prog Orthod. 2018;19(1):37.
  • Reicheneder CA, Baumert U, Gedrange T, Proff P, Faltermeier A, Muessig D. Frictional properties of aesthetic brackets. Eur J Orthod. 2007;29(4):359-65.
  • White DW, Julien KC, Jacob H, Campbell PM, Buschang PH. Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. Angle Orthod. 2017;87(6):801-8.
  • Ata-Ali F, Ata-Ali J, Ferrer-Molina M, Cobo T, De Carlos F, Cobo J. Adverse effects of lingual and buccal orthodontic techniques: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2016;149(6):820-9.
  • Marañón-Vásquez GA, Barreto LSDC, Pithon MM, et al. Reasons influencing the preferences of prospective patients and orthodontists for different orthodontic appliances. Korean J Orthod. 2021;51(2):115-25.
  • Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881-9.
  • Barcoma E, Shroff B, Best AM, Shoff MC, Lindauer SJ. Interproximal reduction of teeth: differences in perspective between orthodontists and dentists. Angle Orthod. 2015;85(5):820-5.
  • Lagravère MO, Flores-Mir C. The treatment effects of Invisalign orthodontic aligners: a systematic review. J Am Dent Assoc. 2005;136(12):1724-9.
  • Javidi H, Graham E. Clear aligners for orthodontic treatment?. Evid Based Dent. 2015;16(4):111.
  • Ponitz RJ. Invisible retainers. Am J Orthod. 1971;59(3):266-72.
  • Charalampakis O, Iliadi A, Ueno H, Oliver DR, Kim KB. Accuracy of clear aligners: A retrospective study of patients who needed refinement. Am J Orthod Dentofacial Orthop. 2018;154(1):47-54.
  • Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2009;135(1):27-35.
  • Jindal P, Juneja M, Siena FL, Bajaj D, Breedon P. Mechanical and geometric properties of thermoformed and 3D printed clear dental aligners. Am J Orthod Dentofacial Orthop. 2019;156(5):694-701.
  • Hussain SR, Jiang SS, Bosio JA. Generational perspectives of orthodontists in the U.S. and Canada: A survey study. Am J Orthod Dentofacial Orthop. 2022;162(6):824-8.
  • d’Apuzzo F, Perillo L, Carrico CK, et al. Clear aligner treatment: different perspectives between orthodontists and general dentists. Prog Orthod. 2019;20(1):10.
  • Tepedino M, Paoloni V, Cozza P, Chimenti C. Movement of anterior teeth using clear aligners: a three-dimensional, retrospective evaluation. Prog Orthod. 2018;19(1):9.
  • SmartTrack Aligner Material. Available from: http://provider. invisalign.com/smarttrack. Accessed on 10 May 2016.
  • Grünheid T, Loh C, Larson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved?. Angle Orthod. 2017;87(6):809-15.
  • Boyd RL. Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions. J Dent Educ. 2008;72(8):948-67.
  • Mehta S, Mehta F. Aligners: The rapidly growing trend in orthodontics around the world. Indian J Basic Appl Med Res. 2014;402-9.
  • Best AD, Shroff B, Carrico CK, Lindauer SJ. Treatment management between orthodontists and general practitioners performing clear aligner therapy. Angle Orthod. 2017;87(3):432-9.
  • Izhar A, Singh G, Goyal V, Singh R, Gupta N, Pahuja P. Comparative Assessment of Clinical and Predicted Treatment Outcomes of Clear Aligner Treatment: An in Vivo Study. Turk J Orthod. 2019;32(4):229-35.
  • Mueller CD, Schur CL, Paramore LC. Access to dental care in the United States. J Am Dent Assoc. 1998;129(4):229-35.
  • Rosvall MD, Fields HW, Ziuchkovski J, Rosenstiel SF, Johnston WM. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofacial Orthop. 2009;135(3):276.e1-277.
  • Miller KB, McGorray SP, Womack R, et al. A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofacial Orthop. 2007;131(3):302.e1-302.e3029.
  • Robertson L, Kaur H, Fagundes NCF, Romanyk D, Major P, Flores Mir C. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review. Orthod Craniofac Res. 2020;23(2):133-42.
  • Pavoni C, Lione R, Laganà G, Cozza P. Self-ligating versus Invisalign: analysis of dento-alveolar effects. Ann Stomatol (Roma). 2011;2(1-2):23-7.
  • Hansen V, Liu SS, Schrader SM, Dean JA, Stewart KT. Personality traits as a potential predictor of willingness to undergo various orthodontic treatments. Angle Orthod. 2013;83(5):899-905.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORJİNAL MAKALE
Yazarlar

Tugba Haliloglu Ozkan 0000-0003-1180-8534

Derya Dursun 0000-0002-6592-9502

Yayımlanma Tarihi 20 Ocak 2023
Kabul Tarihi 20 Aralık 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 28 Sayı: 1

Kaynak Göster

Vancouver Haliloglu Ozkan T, Dursun D. An investigation of the opinions and preferences of orthodontists in Turkey regarding the use of clear aligners in orthodontic treatment: Original article. Anadolu Klin. 2023;28(1):72-80.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.