Abid Mushriq F, Al-Attar Ali M, Alhuwaizi Akram F
Orthodontic Department, College of Dentistry-Baghdad University-Iraq, Baghdad, Iraq.
Int J Dent. 2020 Oct 23;2020:8810641. doi: 10.1155/2020/8810641. eCollection 2020.
To identify the most common retention protocols practiced by Iraqi orthodontists using a specially designed e-survey. Furthermore, this study aimed to assess the effect of sociodemographic factors on the participant's choice.
Two hundred and twenty-five questionnaires with 23 multiple choice questions were sent to members of the Iraqi Orthodontic Society. The questionnaire was organized into four sections representing information about sociodemographic status of the orthodontists, factors affecting the selection of the retention system, commonly used retainers in the upper arch and lower arch, and duration of the retention system. The chi-square test was used to test the significant association between different variable and sociodemographic factors.
The response rate was 87.5%. The majority of the respondents considered the original malocclusion (80.2%) and clinical experience (49.7%) as the main factors for choosing the retention protocol. In the maxillary arch, a combination of vacuum-formed retainer and fixed retainer (35%) was mostly applied; in the mandibular arch, a fixed retainer was mainly used (46.7%). Most of the respondents recommended initial full-time wearing of a removable appliance (78.2%), especially in the first 3-6 months (47.2%). According to the respondents, bonding a fixed retainer to all anterior teeth was most common (79.7%), fabricated, and adapted directly inside the patient's mouth (75.1%). More than half used flowable composite (54.8%) and recommend leaving the retainer forever (53.8%). Most of the variables showed a statistically significant association between the sociodemographic factors and type, duration, and fabrication of the retainer used.
A combination of removable and fixed retainers was commonly used in orthodontics retention, and sociodemographic factors significantly affected retainer choice.
通过一项专门设计的电子调查，确定伊拉克正畸医生最常用的保持方案。此外，本研究旨在评估社会人口统计学因素对参与者选择的影响。
向伊拉克正畸协会成员发送了225份包含23个多项选择题的问卷。问卷分为四个部分，分别代表正畸医生的社会人口统计学状况信息、影响保持系统选择的因素、上颌和下颌常用的保持器以及保持系统的持续时间。采用卡方检验来检验不同变量与社会人口统计学因素之间的显著关联。
回复率为87.5%。大多数受访者认为原始错牙合畸形（80.2%）和临床经验（49.7%）是选择保持方案的主要因素。在上颌弓，真空成型保持器和固定保持器联合使用（35%）最为常见；在下颌弓，主要使用固定保持器（46.7%）。大多数受访者建议最初全职佩戴可摘矫治器（78.2%），尤其是在最初的3 - 6个月（47.2%）。根据受访者的说法，将固定保持器粘结到所有前牙最为常见（79.7%），在患者口腔内直接制作和适配（75.1%）。超过一半的人使用流动树脂（54.8%），并建议永久佩戴保持器（53.8%）。大多数变量显示社会人口统计学因素与所使用保持器的类型、持续时间和制作之间存在统计学上的显著关联。
正畸保持中常用可摘和固定保持器联合使用，社会人口统计学因素对保持器的选择有显著影响。
