McMorrow Siobhán Mary, Millett Declan T
a Orthodontic Unit , Cork University Dental School and Hospital, University College Cork , Ireland.
J Orthod. 2017 Dec;44(4):277-286. doi: 10.1080/14653125.2017.1403144. Epub 2017 Nov 24.
To report the opinions of specialist orthodontists regarding the profile, characteristics and treatment of adults currently undergoing orthodontic treatment in the Republic of Ireland (ROI) Design/setting: A national cross-sectional questionnaire study in the ROI.
A pilot-tested questionnaire was distributed to 122 specialist orthodontists in the ROI. Questions addressed general and treatment information for current adult orthodontic patients. Those whose treatment involved orthognathic surgery were not excluded.
A response of 83% was obtained. Ninety-five per cent of specialists reported treating adults, most of whom were self-referred and were typically professional, female and aged 25-35 years. The overall ratio quoted of professionals to non-professionals was almost 3:2. For 50% of specialists, males were estimated to account for 20-40% of their adult cases and for 23%, this increased to an estimated 40-60%. Class II division 1 malocclusion and skeletal II were considered the most common dentofacial characteristics. Occlusal features encountered in decreasing frequency were generalised crowding, increased overjet, deep overbite, late lower incisor crowding, spacing and impacted teeth. Fifteen per cent reported that at least 10% of their adult cases required orthodontics with maxillofacial surgery but 8% reported that this was at least 50%. Treatment challenges commonly acknowledged were overbite reduction, anchorage management, 'black triangles' and overjet reduction. Tooth whitening was reckoned to be used by 19% of specialists. Aesthetic upper and stainless steel lower brackets were indicated to be used most often whereas only 19% used clear aligners and 10% used lingual appliances often.
The profile and characteristics of adults currently undergoing orthodontic treatment in the ROI were diverse. Higher estimates were quoted for self- than for general dental practitioner-referral. A high percentage of treatment was reported to be undertaken for non-professionals and males. A wide range of treatment and varying use of appliance types were cited.
报告爱尔兰共和国（ROI）正畸专科医生对目前正在接受正畸治疗的成年人的面部轮廓、特征及治疗情况的看法。设计/背景：ROI的一项全国性横断面问卷调查研究。
向ROI的122名正畸专科医生发放经过预测试的问卷。问题涉及当前成年正畸患者的一般信息和治疗信息。治疗涉及正颌手术的患者未被排除。
问卷回复率为83%。95%的专科医生报告治疗过成年人，其中大多数是自我转诊的，通常为专业人士，女性，年龄在25至35岁之间。专业人士与非专业人士的总体比例约为3:2。对于50%的专科医生来说，男性估计占其成年病例的20%至40%，而对于23%的专科医生，这一比例增至40%至60%。II类1分类错牙合和骨骼II类被认为是最常见的牙颌面特征。按出现频率递减的咬合特征依次为广泛性牙列拥挤、覆盖加大、深覆牙合、下切牙迟发性拥挤、牙间隙和阻生牙。15%的医生报告称，他们至少10%的成年病例需要正畸联合颌面外科手术，但8%的医生报告这一比例至少为50%。普遍认可的治疗挑战包括覆牙合降低、支抗管理、“黑三角”和覆盖减小。19%的专科医生认为会使用牙齿美白。美学型上颌托槽和不锈钢下颌托槽被指出是最常使用的，而只有19%的医生经常使用透明矫治器，10%的医生经常使用舌侧矫治器。
ROI目前正在接受正畸治疗的成年人的面部轮廓和特征各不相同。自我转诊的比例高于普通牙科医生转诊的比例。据报告，非专业人士和男性接受治疗的比例较高。治疗类型广泛，矫治器类型的使用情况各不相同。
