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
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