Tüfekçi Eser, Allen Samuel B, Best Al M, Lindauer Steven J
a Associate Professor, Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va.
b Private Practice, Longmont, Colo.
Angle Orthod. 2016 Jul;86(4):584-9. doi: 10.2319/041315-242.1. Epub 2015 Sep 24.
To investigate American and Canadian orthodontists' opinions and perceptions on the use of headgear in the treatment of Class II malocclusions.
An online survey was sent to randomly chosen orthodontists (n = 1000).
The study was completed by 948 orthodontists; 62% of the orthodontists indicated that they were using headgear in their practice. Those who were not using the appliance (38%) reported that this was mainly due to the availability of better Class II correctors in the market and lack of patient compliance. Of those who use headgear, 24% indicated that the emphasis on headgear use during their residency was an influential aspect of their decision making (P < .05). Nearly a quarter of those who do not use headgear reported that learning about other Class II correctors through continuing education courses was an important factor (P < .05). There was no difference between the headgear users and nonusers in the year and location of practice. Compared with previous studies, this study showed a decline in the use of headgear among orthodontists.
Despite a decline, more than half of the orthodontists (62%) believe headgear is a viable treatment. Availability of Class II correctors in the market and familiarity with these appliances though continuing education courses are the reasons for the remaining 38% of orthodontists to abandon use of the headgear.
调查美国和加拿大正畸医生对使用头帽矫治器治疗安氏II类错牙合的看法和认知。
向随机选取的正畸医生（n = 1000）发送在线调查问卷。
948名正畸医生完成了该研究；62%的正畸医生表示他们在临床实践中使用头帽矫治器。未使用该矫治器的正畸医生（38%）报告称，这主要是由于市场上有更好的安氏II类矫治器以及患者依从性差。在使用头帽矫治器的医生中，24%表示在住院医师培训期间对头帽矫治器使用的强调是其决策的一个影响因素（P < 0.05）。近四分之一未使用头帽矫治器的医生报告称，通过继续教育课程了解其他安氏II类矫治器是一个重要因素（P < 0.05）。头帽矫治器使用者和非使用者在执业年份和地点方面没有差异。与以往研究相比，本研究显示正畸医生对头帽矫治器的使用有所下降。
尽管使用量有所下降，但仍有超过一半的正畸医生（62%）认为头帽矫治器是一种可行的治疗方法。市场上安氏II类矫治器的可获得性以及通过继续教育课程对这些矫治器的熟悉程度是其余38%的正畸医生放弃使用头帽矫治器的原因。
