A qualitative evaluation of attitudes toward extractions among primary care orthodontists in Great Britain.
Am J Orthod Dentofacial Orthop
; 163(4): 483-490, 2023 Apr.
Article
in En
| MEDLINE
| ID: mdl-36496273
ABSTRACT
INTRODUCTION:
The need to extract permanent teeth as part of orthodontic treatment has been keenly debated over many decades. Changes in the frequency of extraction have been well documented; however, we continue to lack an understanding of what influences clinicians' decisions regarding extracting permanent teeth.METHODS:
Purposive sampling was undertaken to obtain representative views from primary care practitioners across Great Britain with a range of experience representing genders and wide geographic distribution. Twenty participants (9 female, 11 male) took part in in-depth, qualitative, 1-to-1 interviews based on a piloted topic guide. Interviews were conducted via video conferencing software with audio recording and verbatim transcription. Thematic analysis was performed with discussion and agreement to identify the main themes.RESULTS:
Five main themes were identified (1) patient-related factors, such as age and features of the malocclusion, (2) operator factors, including the level of experience, (3) setting, with regard to geographic location and method of remuneration, (4) mechanical approaches, including variations in appliance systems; and (5) self-directed ongoing education, including both formal continuing professional development and informal learning from peers. These factors acted as barriers, enablers, or both in relation to nonextraction treatment.CONCLUSIONS:
Five key influences on extraction decisions among orthodontists in Great Britain were identified. Extraction choices appear to be influenced by various interrelated factors, evolving over time and with increased experience.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Orthodontists
/
Malocclusion
Type of study:
Prognostic_studies
/
Qualitative_research
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Am J Orthod Dentofacial Orthop
Journal subject:
ODONTOLOGIA
/
ORTODONTIA
Year:
2023
Document type:
Article
Affiliation country:
United kingdom