Currell, Scott Derek, Vaughan, Matthew, and Dreyer, Craig W. (2019) Interceptive orthodontic practices in general dentistry: a cross-sectional study. Australasian Orthodontic Journal, 35 (2). pp. 152-157.

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Abstract

Objectives: To evaluate the current practice of interceptive orthodontics undertaken by general dental practitioners and identify influencing factors.

Materials and methods: Printed questionnaires were provided to 200 registered Australian general dental practitioners.Participants were questioned about their current confidence, attitudes, and practice, related to interceptive orthodontics in general dentistry.

Results: The decision to practise interceptive orthodontics (17.4% of respondents) was strongly dependent on the confidence of the dentist (x2 = 48.693; df = 4; p < 0.001). It was also found that the provision of interceptive orthodontics was prevented by its perceived importance (x2 = 23.559; df = 5; p < 0.001) and benefit in a general dental setting (x2 = 9.411; df = 4; p = 0.035). The provision of more education was not shown to likely increase the number of dentists performing interceptive orthodontics. Low clinician confidence in the provision of interceptive orthodontics was also shown to result in orthodontic consultation prior to performing treatment (x2 = 31.782; df = 16; p = 0.004) or referral to an orthodontist (x2 = 42.465; df = 12; p < 0.001).

Conclusions: Interceptive orthodontics was not practised by most dentists. This decision was shown to be influenced by the clinicians' confidence, further education or training, perceived importance of interceptive orthodontics and the impact that early intervention might have on future orthodontic treatment. Consideration should also be given to clarifying the orthodontic scope of practice for general dentists, in order to reduce the confusion influencing the provision of orthodontic care.

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