Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey
Background. With advancements in orthodontic technology, treatment durations have shortened, often concluding at earlier ages. This shift prompts scrutiny of contemporary retention and post-treatment protocols. The study aimed to assess current professional preferences, compare them against patient...
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| Format: | Article |
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Tabriz University of Medical Sciences
2024-09-01
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| Series: | Journal of Dental Research, Dental Clinics, Dental Prospects |
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| Online Access: | https://joddd.tbzmed.ac.ir/PDF/joddd-18-225.pdf |
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| author | Liliana Ávila Maltagliati Sandra Maria Mesquita Alves Uchôa Rogéria Cristina Calastro Mayara Paim Patel Ana Carla Raphaelli Nahás Hélio Doyle Pereira da Silva Murilo Matias |
| author_facet | Liliana Ávila Maltagliati Sandra Maria Mesquita Alves Uchôa Rogéria Cristina Calastro Mayara Paim Patel Ana Carla Raphaelli Nahás Hélio Doyle Pereira da Silva Murilo Matias |
| author_sort | Liliana Ávila Maltagliati |
| collection | DOAJ |
| description | Background. With advancements in orthodontic technology, treatment durations have shortened, often concluding at earlier ages. This shift prompts scrutiny of contemporary retention and post-treatment protocols. The study aimed to assess current professional preferences, compare them against patient age and treatment duration, and investigate the potential impacts of reduced treatment times on professional protocols, particularly when treatment concludes before pubertal growth. Methods. A questionnaire comprising 12 multiple-choice questions focused on active treatment and retention phases was developed using an online survey platform. It was distributed to licensed orthodontists engaged in patient treatment. Bivariate analysis was conducted using ANOVA and the Kruskal-Wallis test, with pairwise comparisons facilitated by the Dwass-Steel-Critchlow-Fligner method. Results. Of 743 respondents, representing a 32% response rate, approximately 70% reported initiating treatment with fixed appliances in pre-pubertal patients. The most prevalent treatment combination involved commencing treatment during early permanent dentition and lasting between 12 to 24 months, resulting in treatment completion before full growth maturation. No discernible individualization was observed in retention protocols or post-retention follow-ups. Traditional retainer prescription post-orthodontic therapy was unanimous among respondents. Notably, experienced orthodontists tended to prefer regular patient visits for follow-up, while less experienced counterparts discharged patients after 12 months. Conclusion. Contemporary orthodontic treatments are characterized by shorter durations, yet orthodontists have not adopted retention and post-treatment follow-up practices accordingly. There is a pressing need for evidence-based guidelines to develop protocols tailored to the shorter treatment durations and the increasing prevalence of younger patients completing treatment. |
| format | Article |
| id | doaj-art-4c84b98a59304d55828cff32317efe4e |
| institution | OA Journals |
| issn | 2008-210X 2008-2118 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dental Research, Dental Clinics, Dental Prospects |
| spelling | doaj-art-4c84b98a59304d55828cff32317efe4e2025-08-20T02:28:02ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182024-09-0118322523110.34172/joddd.41030joddd-41030Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online surveyLiliana Ávila Maltagliati0Sandra Maria Mesquita Alves Uchôa1Rogéria Cristina Calastro2Mayara Paim Patel3Ana Carla Raphaelli Nahás4Hélio Doyle Pereira da Silva5Murilo Matias6Department of Orthodontics, Faculty of Dentistry, Guarulhos University, São Paulo, BrazilDepartment of TMJ disorder, Faculty of Dentistry, Uninassau University, Pernambuco, BrazilPrivate Office, Brasília, BrazilDepartment of Orthodontics, Faculty of Dentistry, Guarulhos University, São Paulo, BrazilDepartment of Orthodontics, Faculty of Dentistry, Guarulhos University, São Paulo, BrazilDepartment of Orthodontics, Faculty of Dentistry, Guarulhos University, São Paulo, BrazilDepartment of Orthodontics, Faculty of Dentistry, Guarulhos University, São Paulo, BrazilBackground. With advancements in orthodontic technology, treatment durations have shortened, often concluding at earlier ages. This shift prompts scrutiny of contemporary retention and post-treatment protocols. The study aimed to assess current professional preferences, compare them against patient age and treatment duration, and investigate the potential impacts of reduced treatment times on professional protocols, particularly when treatment concludes before pubertal growth. Methods. A questionnaire comprising 12 multiple-choice questions focused on active treatment and retention phases was developed using an online survey platform. It was distributed to licensed orthodontists engaged in patient treatment. Bivariate analysis was conducted using ANOVA and the Kruskal-Wallis test, with pairwise comparisons facilitated by the Dwass-Steel-Critchlow-Fligner method. Results. Of 743 respondents, representing a 32% response rate, approximately 70% reported initiating treatment with fixed appliances in pre-pubertal patients. The most prevalent treatment combination involved commencing treatment during early permanent dentition and lasting between 12 to 24 months, resulting in treatment completion before full growth maturation. No discernible individualization was observed in retention protocols or post-retention follow-ups. Traditional retainer prescription post-orthodontic therapy was unanimous among respondents. Notably, experienced orthodontists tended to prefer regular patient visits for follow-up, while less experienced counterparts discharged patients after 12 months. Conclusion. Contemporary orthodontic treatments are characterized by shorter durations, yet orthodontists have not adopted retention and post-treatment follow-up practices accordingly. There is a pressing need for evidence-based guidelines to develop protocols tailored to the shorter treatment durations and the increasing prevalence of younger patients completing treatment.https://joddd.tbzmed.ac.ir/PDF/joddd-18-225.pdfage factorsclinical protocolscorrective orthodonticsorthodontic retainers |
| spellingShingle | Liliana Ávila Maltagliati Sandra Maria Mesquita Alves Uchôa Rogéria Cristina Calastro Mayara Paim Patel Ana Carla Raphaelli Nahás Hélio Doyle Pereira da Silva Murilo Matias Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey Journal of Dental Research, Dental Clinics, Dental Prospects age factors clinical protocols corrective orthodontics orthodontic retainers |
| title | Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey |
| title_full | Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey |
| title_fullStr | Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey |
| title_full_unstemmed | Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey |
| title_short | Have orthodontists changed their retention and follow-up protocols due to contemporary orthodontics? An online survey |
| title_sort | have orthodontists changed their retention and follow up protocols due to contemporary orthodontics an online survey |
| topic | age factors clinical protocols corrective orthodontics orthodontic retainers |
| url | https://joddd.tbzmed.ac.ir/PDF/joddd-18-225.pdf |
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