Clinical preferences and practice patterns of orthodontists in Turkiye regarding maxillary molar distalization

Samet Özden; Fırat Oğuz

Makale detayları

Clinical preferences and practice patterns of orthodontists in Turkiye regarding maxillary molar distalization

Yazarlar:

Samet Özden | Fırat Oğuz

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortodonti ve Dentofasiyal Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.775-786

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358385

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: The aim of this study was to evaluate the clinical approaches of orthodontists practicing in Turkiye regarding the distalization of maxillary first molars, as well as the factors influencing their treatment preferences. Methods: This descriptive and cross-sectional survey study included responses from 132 orthodontists who are members of the Turkish Orthodontic Society. The questionnaire, delivered via Google Forms, comprised 37 items covering demographic data, distalization techniques, the use of clear aligners, and retention protocols. Data were analyzed using SPSS version 22.0. Relationships between variables were assessed using the Chi-square test, supported by Monte Carlo simulation where appropriate. A significance level of p0.05 was considered. Ethical approval for this survey-based study was obtained from the İnönü University Scientific Researches and Publication Ethics Committee Date: 24.09.2024, Decision No: 20246452. Results: All participants reported utilizing maxillary molar distalization in their clinical practice. A total of 84.8 preferred skeletal anchorage-supported intraoral systems, and 62.9 reported placing miniscrews in the infrazygomatic crest region. According to the respondents, distalization was most frequently performed in adolescent patients 78.0. In class II camouflage cases, 63.6 of orthodontists indicated a preference for premolar extraction. Clear aligner-based distalization was reported by 67.4 of participants, with Invisalign Align Technology Inc., San Jose, CA, USA being the most commonly used brand 56.8 in this subgroup. The average duration of distalization was reported to be between 6 and 9 months by 43.9 of respondents. The most frequently encountered complication was miniscrew loosening 71.2. In the post-treatment retention phase, 72.0 of clinicians reported using a combination of Essix and lingual retainers. Conclusion: Maxillary molar distalization is widely employed among orthodontists in Turkiye, with notable variability in techniques and materials used based on clinician preference. These findings highlight the importance of individualized treatment planning and reflect the diversity in contemporary clinical practice.

 Aims: The aim of this study was to evaluate the clinical approaches of orthodontists practicing in Turkiye regarding the distalization of maxillary first molars, as well as the factors influencing their treatment preferences. Methods: This descriptive and cross-sectional survey study included responses from 132 orthodontists who are members of the Turkish Orthodontic Society. The questionnaire, delivered via Google Forms, comprised 37 items covering demographic data, distalization techniques, the use of clear aligners, and retention protocols. Data were analyzed using SPSS version 22.0. Relationships between variables were assessed using the Chi-square test, supported by Monte Carlo simulation where appropriate. A significance level of p0.05 was considered. Ethical approval for this survey-based study was obtained from the İnönü University Scientific Researches and Publication Ethics Committee Date: 24.09.2024, Decision No: 20246452. Results: All participants reported utilizing maxillary molar distalization in their clinical practice. A total of 84.8 preferred skeletal anchorage-supported intraoral systems, and 62.9 reported placing miniscrews in the infrazygomatic crest region. According to the respondents, distalization was most frequently performed in adolescent patients 78.0. In class II camouflage cases, 63.6 of orthodontists indicated a preference for premolar extraction. Clear aligner-based distalization was reported by 67.4 of participants, with Invisalign Align Technology Inc., San Jose, CA, USA being the most commonly used brand 56.8 in this subgroup. The average duration of distalization was reported to be between 6 and 9 months by 43.9 of respondents. The most frequently encountered complication was miniscrew loosening 71.2. In the post-treatment retention phase, 72.0 of clinicians reported using a combination of Essix and lingual retainers. Conclusion: Maxillary molar distalization is widely employed among orthodontists in Turkiye, with notable variability in techniques and materials used based on clinician preference. These findings highlight the importance of individualized treatment planning and reflect the diversity in contemporary clinical practice.

 Aims: The aim of this study was to evaluate the clinical approaches of orthodontists practicing in Turkiye regarding the distalization of maxillary first molars, as well as the factors influencing their treatment preferences. Methods: This descriptive and cross-sectional survey study included responses from 132 orthodontists who are members of the Turkish Orthodontic Society. The questionnaire, delivered via Google Forms, comprised 37 items covering demographic data, distalization techniques, the use of clear aligners, and retention protocols. Data were analyzed using SPSS version 22.0. Relationships between variables were assessed using the Chi-square test, supported by Monte Carlo simulation where appropriate. A significance level of p0.05 was considered. Ethical approval for this survey-based study was obtained from the İnönü University Scientific Researches and Publication Ethics Committee Date: 24.09.2024, Decision No: 20246452. Results: All participants reported utilizing maxillary molar distalization in their clinical practice. A total of 84.8 preferred skeletal anchorage-supported intraoral systems, and 62.9 reported placing miniscrews in the infrazygomatic crest region. According to the respondents, distalization was most frequently performed in adolescent patients 78.0. In class II camouflage cases, 63.6 of orthodontists indicated a preference for premolar extraction. Clear aligner-based distalization was reported by 67.4 of participants, with Invisalign Align Technology Inc., San Jose, CA, USA being the most commonly used brand 56.8 in this subgroup. The average duration of distalization was reported to be between 6 and 9 months by 43.9 of respondents. The most frequently encountered complication was miniscrew loosening 71.2. In the post-treatment retention phase, 72.0 of clinicians reported using a combination of Essix and lingual retainers. Conclusion: Maxillary molar distalization is widely employed among orthodontists in Turkiye, with notable variability in techniques and materials used based on clinician preference. These findings highlight the importance of individualized treatment planning and reflect the diversity in contemporary clinical practice.

 Amaç: Bu çalışmanın amacı, Türkiyede görev yapan ortodontistlerin üst birinci molar dişlerin distalizasyonuna yönelik klinik yaklaşımlarını ve bu tercihler üzerinde etkili olan faktörleri değerlendirmektir. Yöntem: Bu tanımlayıcı ve kesitsel anket çalışmasına, Türk Ortodonti Derneğine üye olan toplam 132 ortodontist katılmıştır. Google Forms aracılığıyla iletilen anket formu; demografik veriler, distalizasyon teknikleri, şeffaf plak kullanımı ve retansiyon protokollerini içeren 37 sorudan oluşmaktadır. Veriler SPSS sürüm 22.0 programı ile analiz edilmiştir. Değişkenler arasındaki ilişkiler Ki-kare testi ile değerlendirilmiş, uygun durumlarda Monte Carlo simülasyonu ile desteklenmiştir. Bulgular: Katılımcıların tamamı, klinik uygulamalarında maksiller molar distalizasyonunu kullandıklarını belirtmiştir. Katılımcıların 84,8i iskeletsel ankraj destekli intraoral sistemleri tercih ettiğini, 62,9u ise mini vidaları infrazigomatik krista bölgesine yerleştirdiğini bildirmiştir. Distalizasyonun en sık olarak ergen bireylerde uygulandığı 78,0 belirtilmiştir. Sınıf II kamuflaj vakalarında ortodontistlerin 63,6sı premolar çekimini tercih ettiklerini ifade etmiştir. Katılımcıların 67,4ü şeffaf plaklarla distalizasyon uyguladıklarını bildirmiş olup, bu grupta en sık tercih edilen markanın 56,8 ile Invisalign olduğu görülmüştür. Distalizasyon süresi, 43,9 oranında 6 ila 9 ay arasında olarak bildirilmiştir. En sık karşılaşılan komplikasyonun ise 71,2 oranında mini vida gevşemesi olduğu belirtilmiştir. Tedavi sonrası retansiyon aşamasında, katılımcıların 72,0si Essix ve lingual retainer kombinasyonunu kullandıklarını ifade etmiştir. Sonuç: Türkiyedeki ortodontistler arasında maksiller molar distalizasyon yaygın olarak uygulanmakta olup, kullanılan teknikler ve materyaller klinisyenin tercihlerine göre farklılık göstermektedir. Bu bulgular, bireyselleştirilmiş tedavi planlamasının önemini ve güncel klinik uygulamalardaki çeşitliliği ortaya koymaktadır.

Makale detayları

Clinical preferences and practice patterns of orthodontists in Turkiye regarding maxillary molar distalization

Yazarlar:

Samet Özden | Fırat Oğuz

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortodonti ve Dentofasiyal Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.775-786

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358385

pISSN:

2636-8579

Distalization

survey

skeletal anchorage

orthodontic treatment

clear alignerdistalizasyon

anket

iskeletsel ankraj

ortodontik tedavi

şeffaf plak

Sayı

Makale detayları

Yazarlar: Samet Özden | Fırat Oğuz

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ortodonti ve Dentofasiyal Ortopedi

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.775-786

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358385

pISSN: 2636-8579

Sayı

Yazarlar:

Samet Özden | Fırat Oğuz

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortodonti ve Dentofasiyal Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.775-786

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358385

pISSN:

2636-8579