Paşaoğlu Aylin, Aras Işıl, Mert Ali, Aras Aynur
Private practice, İstanbul, Turkey.
Department of Orthodontics, Ege University School of Dentistry, İzmir, Turkey.
Turk J Orthod. 2016 Sep;29(3):51-58. doi: 10.5152/TurkJOrthod.2016.06. Epub 2016 Sep 1.
The purpose of this study was to identify general retention protocols practiced by Turkish orthodontist and to compare the results obtained with those of similar studies in Western countries.
The Web-based survey consisted of 29 questions: 3 to identify the demographic characteristics of the participants and 26 to examine how orthodontists manage the retention phase. Data was interpreted by descriptive statistical methods such as the median test, the Mann-Whitney U-test and logistic regression analysis.
The survey return rate was 73.8%. Pretreatment malocclusion status (87%), oral hygiene status (78%), and presence of third molars (63%) were reported to be the most important factors in determining the type of retainer. Bonded retainers, either alone (29% in maxilla and 34% in mandible) or supplemented with vacuum-formed retainers (27% in maxilla and 32% in mandible) were the most commonly used type of retainer. The preference for lifelong retention varied from 7% to 19%. Female orthodontists scheduled the first appointment after debonding sooner than male orthodontists (p<0.05). Orthodontists working in universities scheduled first appointments later than orthodontists working in private practices (p<0.05).
Turkish orthodontists still give importance to the third molars in their retention protocols, contrary to what is suggested in the current literature, and lifetime retention is rarely preferred as compared to other countries.
本研究旨在确定土耳其正畸医生采用的一般保持方案，并将所得结果与西方国家类似研究的结果进行比较。
基于网络的调查问卷包含29个问题：3个用于确定参与者的人口统计学特征，26个用于考察正畸医生如何管理保持阶段。数据采用中位数检验、曼-惠特尼U检验和逻辑回归分析等描述性统计方法进行解读。
调查回复率为73.8%。据报告，治疗前错牙合状况（87%）、口腔卫生状况（78%）和第三磨牙的存在情况（63%）是决定保持器类型的最重要因素。粘结保持器单独使用（上颌为29%，下颌为34%）或辅以真空成型保持器（上颌为27%，下颌为32%）是最常用的保持器类型。终身保持的偏好率从7%到19%不等。女性正畸医生安排在拆除矫治器后的首次复诊时间比男性正畸医生更早（p<0.05）。在大学工作的正畸医生安排首次复诊的时间比在私人诊所工作的正畸医生更晚（p<0.05）。
与当前文献中的建议相反，土耳其正畸医生在其保持方案中仍然重视第三磨牙，并且与其他国家相比，很少有人倾向于终身保持。
