RESUMO
Background Modern clinical orthodontics' functional appliances, a well-established modality of treatment, exhibit an amazing diversity of design. Clinical findings show that people have difficulty adjusting to these devices due to their size and unfixed positioning inside the mouth and that patient adaptation may vary based on the type of orthodontic functional appliance employed. Despite the fact that they appear to inflict more pain and soreness than, for example, removable plates, the effects of various orthodontic functional appliances on patients' acclimation have not yet been researched. Aim The current study's goal was to assess how different functional appliances' shapes and designs affected patients' willingness to accept them. Materials and methods About 20 adult volunteers (10 males and 10 females, age 18-32 years) with marked Class II division 1 malocclusion and not familiar with orthodontic appliances were selected as test subjects. Impressions for working casts were taken, and construction bites were prepared for the fabrication of eight functional appliances of various designs for each individual test subject. These appliances had eight design variations. There were three tests: one for speech effects, one for initial acceptance, and one for final acceptance after wearing different scales. Results Overall, the correlation between the quality of speech and pronunciation after wearing the appliance and the type of functional appliance was statistically significant. The quality of speech and pronunciation after wearing the appliance was maximum in frequency range 1 (FR1), while it was minimum in the medium-size activator. The difference was statistically significant (p=0.001). Overall, the correlation between the comfort and acceptability of functional appliances after wearing them and the type of functional appliance was statistically significant. The acceptance of functional appliances after wearing was maximum in FR1, while it was minimum in the medium-size activator. The difference was statistically significant (p=0.001). Overall, the correlation between the type of functional appliance and initial acceptance was significant statistically, with the maximum initial acceptance in medium-sized activators and the minimum initial acceptance in small bionators (p=0.001). Conclusion The study's findings show that patient acceptance of various kinds of functional appliances varies significantly.
RESUMO
BACKGROUND: Non-orthodontics specialist should have the responsibility of taking care of the smiles of the patients. This also has the implications on the oral health of the patient. The present study was done to determine awareness, perception, and practice regarding orthodontic practice and principles among non-orthodontic specialists. MATERIALS AND METHODS: The present study is a cross-sectional descriptive questionnaire study conducted among non-orthodontic specialists working in private clinics. The survey was conducted in among 212 non-orthodontic specialists. In the present study a close ended interview schedule was prepared to perception and practice of Dental specialists. After entry of data in Microsoft excel 2007. SPSS version 19.0 is used to analyze the data. RESULTS: Dental specialists have moderate awareness, positive perception and poor practice regarding Orthodontic practice and principles. Awareness regarding, Orthodontic was significantly (P = 0.02*) associated with practice while Perception was significantly associated (P = 0.00*) with Awareness. Age group was significantly (P = 0.01**) associated with awareness of study participants. Specialty and year of practice of dental professional was significantly (P = 0.05*), (P = 0.00***) associated with perception regarding Orthodontic practice and principles. Number of Orthodontic patients treating per months was significantly associated (P = 0.00***) with Practice of study participants of Orthodontic practice and principles. CONCLUSION: From above it has been concluded that dental specialists has moderate awareness, positive perception and poor practice regarding Orthodontic practice and principles. Age group, type of Specialty, Year of practice and number of Orthodontic cases treated per month significantly associated with awareness, perception, and practice of dental professionals regarding Orthodontic practice and principles.
