Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Orthodontic Diagnosis, Treatment and Consultation Approaches of General Dental Practitioners: A Cross-Sectional Study
Genel Diş Hekimlerinin Ortodontik Tanı, Tedavi ve Yönlendirme Yaklaşımları: Kesitsel Araştırma
Emre KAYALARa,b, Pelin ERDOĞANa, Rafet GÜNEŞc
aDepartment of Orthodontics, İstanbul Aydın University Faculty of Dentistry, İstanbul, Türkiye
bDiscipline of Orthodontics and Paediatric Dentistry, School of Dentistry, The University of Sydney; Sydney Dental Hospital, Surry Hills, Australia
cPrivate Practice, Bursa, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):101-11
doi: 10.5336/dentalsci.2022-89254
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study is to evaluate the perceptions and behaviours of general dental practitioners towards orthodontic diagnosis and treatment, and to determine when dentists refer patients to orthodontists. Material and Methods: The data in this research consists of 22 survey questions created using the Google Forms program. The questionnaire was sent to the members registered in the Turkish Dental Association via e-mail. 326 general dental practitioners participated in the study on a voluntary basis. The questionnaire consists of questions including demographic information of the participants, criteria for performing orthodontic examination, diagnostic recording, rates and distribution of orthodontic treatment, referral of patients to an orthodontist, and expectations after orthodontic treatment. Number Cruncher Statistical System 2007 (Kaysville, Utah, USA) program was used for statistical analysis. Significance was evaluated at p<0.01 and p<0.05 levels. Results: Of the 326 dentists (176 men, 150 women), it was found that 21.8% did not perform orthodontic examination at the first examination, 75.7% did not receive registration for orthodontic diagnosis and 51% worked with an orthodontist, 32.7% performed orthodontic treatment and applied clear aligner treatment at most (77.3%), 95.06% referred patients to an orthodontist for orthodontic treatment. Referral is most often performed in patients with skeletal anomalies and anterior open bite or crossbite. Fixed orthodontic treatment, removable appliances and clear aligner procedures are most frequently applied to the referred patients. Conclusion: Half of the dentists examined in our study worked with orthodontists, but most of them did not use orthodontic diagnosis methods, but it was common to refer patients to an orthodontist; it was concluded that some dentists applied orthodontic treatment and preferred clear aligner treatment the most.

Keywords: Orthodontic diagnosis; orthodontic treatment; general dental practitioners
ÖZET
 Amaç: Bu çalışmanın amacı, genel diş hekimlerinin ortodontik tanı, tedaviye karşı algı ve davranışlarının değerlendirilmesi ve diş hekimlerinin hastaları hangi durumlarda ortodonti uzmanına yönlendirdiklerinin belirlenmesidir. Gereç ve Yöntemler: Bu araştırmadaki veriler Google Formlar programı kullanılarak oluşturulan 22 anket sorusundan oluşmaktadır. Anket, Türk Dişhekimliği Birliğine kayıtlı olan üyelere e-posta yoluyla gönderilmiştir. Çalışmaya gönüllülük esasına dayalı olarak 326 adet serbest diş hekimi katılmıştır. Anket katılımcıların demografik bilgileri, ortodontik muayene yapma ve diagnostik kayıt alma kriterleri, ortodontik tedavi uygulama oranları ve uygulanan ortodontik tedavilerin dağılımları, ortodontik tedavi için hastaları ortodonti uzmanına yönlendirmesi ve ortodontik tedavi sonrası beklentilerini içeren sorulardan oluşmaktadır. İstatistiksel analiz için Number Cruncher Statistical System 2007 (Kaysville, Utah, ABD) programı kullanılmıştır. Anlamlılık p<0,01 ve p<0,05 seviyelerinde değerlendirildi. Bulgular: Üç yüz yirmi altı diş hekiminden (176 erkek, 150 kadın) %21,8'inin ilk muayenede ortodontik muayene yapmadığı, %75,7'sinin ortodontik tanı için kayıt almadığı ve %51'inin ortodonti uzmanı ile beraber çalıştığı, ortodontik teşhis yöntemlerini kullanan hekimlerin sıklıkla (%72,9) sefalometrik analizleri tercih ettikleri, diş hekimlerinin %32,7'sinin ortodontik tedavi uyguladıkları ve en fazla uygulanan tedavi yöntemlerinin (%77,3) şeffaf plak tedavisi olduğu, %95,06'sının ortodontik tedavi için hastaları ortodonti uzmanına yönlendirdikleri bulunmuştur. Yönlendirme en sık iskeletsel anomalisi ve ön açık kapanış veya çapraz kapanış bulunan hastalarda yapılmaktadır. Yönlendirilen hastalara en sık sabit ortodontik tedavi, hareketli aparey ve şeffaf plak işlemleri uygulanmaktadır. Sonuç: Çalışmamızda incelenen diş hekimlerinin yarısının ortodontistle beraber çalıştığı, fakat çoğunun ortodontik tanı yöntemlerinden yararlanmadığı, ancak hastaları ortodonti uzmanına yönlendirmenin yaygın olduğu; bazı hekimlerin ortodontik tedavi uyguladıkları ve en çok şeffaf plak tedavisi tercih ettikleri sonucuna ulaşılmıştır.

Anahtar Kelimeler: Ortodontik tanı; ortodontik tedavi; genel diş hekimliği
REFERENCES:
  1. Ngan P, Fields H. Orthodontic diagnosis and treatment planning in the primary dentition. ASDC J Dent Child. 1995;62(1):25-33. [PubMed] 
  2. de Bondt B, Aartman IH, Zentner A. Referral patterns of Dutch general dental practitioners to orthodontic specialists. Eur J Orthod. 2010;32(5):548-54. [Crossref]  [PubMed] 
  3. O'Brien K, McComb JL, Fox N, Bearn D, Wright J. Do dentists refer orthodontic patients inappropriately? Br Dent J. 1996;181(4):132-6. [Crossref]  [PubMed] 
  4. Parfitt AA, Rock WP. Orthodontic treatment planning by general dental practitioners. Br J Orthod. 1996;23(4):359-65. [Crossref]  [PubMed] 
  5. Jacobs RM, Bishara SE, Jakobsen JR. Profiling providers of orthodontic services in general dental practice. Am J Orthod Dentofacial Orthop. 1991;99(3):269-75. [Crossref]  [PubMed] 
  6. Berk NW, Bush HD, Cavalier J, Kapur R, Studen-Pavlovich D, Sciote J, et al. Perception of orthodontic treatment need: opinion comparisons of orthodontists, pediatric dentists, and general practitioners. J Orthod. 2002;29(4):287-91; discussion 277. [Crossref]  [PubMed] 
  7. Aldrees AM, Tashkandi NE, AlWanis AA, AlSanouni MS, Al-Hamlan NH. Orthodontic treatment and referral patterns: a survey of pediatric dentists, general practitioners, and orthodontists. Saudi Dent J. 2015;27(1):30-9. [Crossref]  [PubMed]  [PMC] 
  8. Batarse AP, English JD, Frey GN, Piazza JM, Akyalcin S. Referral patterns of pediatric dentists and general practitioners to orthodontists based on case complexity. Am J Orthod Dentofacial Orthop. 2019;156(1):61-6. [Crossref]  [PubMed] 
  9. Wolsky SL, McNamara JA Jr. Orthodontic services provided by general dentists. Am J Orthod Dentofacial Orthop. 1996;110(2):211-7. [Crossref]  [PubMed] 
  10. Vicéns J, Russo A. Comparative use of Invisalign by orthodontists and general practitioners. Angle Orthod. 2010;80(3):425-34. [Crossref]  [PubMed]  [PMC] 
  11. McGann BD. Orthodontics in general practice: 1988. OP Ortho News. 1989;1:1-4. [Link] 
  12. Pickering EA, Vig P. The occlusal index used to assess orthodontic treatment. Br J Orthod. 1975;2(1):47-51. [Crossref]  [PubMed] 
  13. King GJ, McGorray SP, Wheeler TT, Dolce C, Taylor M. Comparison of peer assessment ratings (PAR) from 1-phase and 2-phase treatment protocols for Class II malocclusions. Am J Orthod Dentofacial Orthop. 2003;123(5):489-96. [Crossref]  [PubMed] 
  14. Abei Y, Nelson S, Amberman BD, Hans MG. Comparing orthodontic treatment outcome between orthodontists and general dentists with the ABO index. Am J Orthod Dentofacial Orthop. 2004;126(5):544-8. [Crossref]  [PubMed] 
  15. Özçelebi IC, Ünsal E. Özel muayenehanelerde çalışan genel diş hekimlerinin periodontal tanı, tedavi ve yönlendirme yaklaşımları: pilot çalışma [Periodontal diagnosis, treatment and referral approaches of general dentists working in private practices: a pilot study]. Türkiye Klinikleri J Dental Sci. 2020;26(3):417-25. [Link] 
  16. Kılıçoğlu H, Gümrü AD, İnal I. İstanbul ilinde serbest çalışan dişhekimlerinin koruyucu ve önleyici tedavi uygulamalarının incelenmesi [Investigation of preventive and preventive treatment practices of self-employed dentists in Istanbul]. Turk Ortodonti Dergisi. 2004;17(3):313-22. [Link] 
  17. Gottlieb EL. Preserving the referral source practice of orthodontics. J Clin Orthod. 1984;18:870-6. [Link] 
  18. Moorrees CFA. Orthodontic specialty education. Am J Orthod. 1984;86(5):435-6. [Crossref]  [PubMed] 
  19. Hilgers KK, Redford-Badwal D, Reisine S, Mathieu GP, Silveira AM. Do pediatric dentists practice the orthodontics they are taught? Pediatr Dent. 2004;26(3):221-4. [PubMed] 
  20. Galbreath RN, Hilgers KK, Silveira AM, Scheetz JP. Orthodontic treatment provided by general dentists who have achieved master's level in the Academy of General Dentistry. Am J Orthod Dentofacial Orthop. 2006;129(5):678-86. [Crossref]  [PubMed] 
  21. Koroluk LD, Jones JE, Avery DR. Analysis of orthodontic treatment by pediatric dentists and general practitioners in Indiana. ASDC J Dent Child. 1988;55(2):97-101. [PubMed] 
  22. d'Apuzzo F, Perillo L, Carrico CK, Castroflorio T, Grassia V, Lindauer SJ, et al. Clear aligner treatment: different perspectives between orthodontists and general dentists. Prog Orthod. 2019;20(1):10. [Crossref]  [PubMed]  [PMC] 
  23. 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. [Crossref]  [PubMed]  [PMC] 
  24. Silva RG, Kang DS. Prevalence of malocclusion among Latino adolescents. Am J Orthod Dentofacial Orthop. 2001;119(3):313-5. [Crossref]  [PubMed] 
  25. Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001;23(2):153-67. [Crossref]  [PubMed] 
  26. Ülgen M, Yolalan C. ANGLE KL.II, 1 anomalilerin Coben Sefalometrik Analizi ile incelenmesi [Angle Class II, 1 investigation of anomalies by Coben Cephalometric Analysis]. Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi. 1987;4:23-34. [Link] 
  27. Sayın MÖ, Türkkahraman H, Atilla AO. Ortodontik tedavi amacıyla başvuran bir hasta populasyonunun incelenmesi [Evaluation of a population referred for orthodontic treatment]. S.D.Ü. Tıp Fak. Derg. 2005;12(3):23-6. [Link] 
  28. Harradine N. The history and development of self-ligating brackets. Semin Orthod. 2008;14(1):5-18. [Crossref] 
  29. Gelgör IE, Karaman AI, Ercan E. Prevalence of malocclusion among adolescents in central anatolia. Eur J Dent. 2007;1(3):125-31. [Crossref]  [PubMed]  [PMC] 
  30. Lee DS, Sulkowski T, Bocklage C, Frazier-Bowers SA, Wiesen C, Mihas P, et al. Identifying factors that impact general dentists' referrals to orthodontists. Am J Orthod Dentofacial Orthop. 2022;161(2):e147-e71. [Crossref]  [PubMed] 
  31. Arnett GW, Milam SB, Gottesman L. Progressive mandibular retrusion--idiopathic condylar resorption. Part I. Am J Orthod Dentofacial Orthop. 1996;110(1):8-15. [Crossref]  [PubMed] 
  32. Odabaş B, Arslan SG. Temporomandibular eklem anatomisi ve rahatsızlıkları [Temporomandibular joint anatomy and disorders]. Dicle Tıp Dergisi. 2008;35(1):77-85. [Link] 
  33. Lee WY, Choi JW, Lee JW. A study of dentists' knowledge and beliefs regarding temporomandibular disorders in Korea. Cranio. 2000;18(2):142-6. [Crossref]  [PubMed] 
  34. Ulusoy AT. Pedodontide güncel koruyucu yaklaşımlar [Current preventive approaches in pedodontics]. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2010;(3):28-37. [Link] 
  35. Park JH, Kim JH, Bay RC, Darendeliler MA, Wishney M, Nagel NJ. Trends in the choice of a clinician for orthodontic treatment in the United States. Am J Orthod Dentofacial Orthop. 2021;159(6):766-73. [Crossref]  [PubMed] 

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