Intraoral Scanners in Orthodontics: Utilization, Awareness, and Educational Implications Among Specialists in the Kurdistan Region, Iraq - A Cross-Sectional Study.

Intraoral scanners (IOS) are revolutionizing orthodontics by providing advanced digital tools for diagnosis and treatment. However, limited information exists on their utilization, awareness, and educational impact among orthodontists in the Kurdistan region of Iraq. This study evaluates IOS adoption, technical proficiency, and challenges to address educational gaps and enhance clinical integration. A cross-sectional online survey was distributed to 385 orthodontists in Erbil, Duhok, Sulaymaniyah, and Zakho. The 31-item questionnaire assessed demographics, experience, awareness, technical knowledge, clinical applications, and perceived challenges. Data collected from April to August 2024 were analyzed using SPSS v26.0, incorporating descriptive statistics, correlation analysis (Pearson's/Spearman's), and gap analysis. Among 290 respondents (75.32% response rate), 61.03% used IOS, though 58.89% lacked technical expertise. Most participants lacked formal academic training, with a majority self-rating as moderately skilled. Younger practitioners adopted IOS more frequently (Pearson's =-0.42, =0.002), while older specialists faced greater challenges (Spearman's =0.38, =0.021). Private-sector adoption surpassed public-sector use (=0.65, < 0.001). Primary applications included aligners (46.20%) and digital archiving (22.76%), with underutilized diagnostic potential (5.52%). Key barriers were training shortages (60.34%) and high costs (35.17%). Critical gaps in IOS adoption persist, including disparities in technical knowledge, generational proficiency, sectoral access, and clinical application. Addressing these requires integrating IOS training into academic programs, hands-on workshops, subsidized access for public practitioners, and industry-backed certifications. Collaboration between universities and manufacturers is key to standardizing expertise and improving patient outcomes.