Survey of Temporary Anchorage Device Utilization in Graduate Orthodontic Programs and Orthodontic Practices in the United States PDF
By:Jeffrey Michael Shirck
Published on 2009 by
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Abstract: Introduction: There is limited data about current utilization of Temporary Anchorage Devices (TADs) in orthodontic practices and residency programs. This survey aimed to obtain information on clinical protocol as well as trends in TAD placement. The survey was mailed to academic institutions and private practitioners to determine if differences existed between the two groups. Methods: A survey was prepared and administered to all 61 accredited orthodontic residencies in the United States, excluding The Ohio State University, and an equal number of private orthodontic practitioners. Results: The response rate was 63.9% for private practitioners and 70.4% for orthodontic residency programs. The survey showed that 69.2% of private practitioners and 82.9% of residency programs report placing the majority of TADs in their practice. TADs were placed in 6.0% of the private practitioner patients and in 5.3% of patients treated in residency programs. Topical combined with local anesthesia was the anesthetic of choice for 59% of private practitioners and 65% of orthodontic residency programs. Loading TADs immediately was preferred by 79% of private practitioners and 61.9% of orthodontic residency programs. TADs were most frequently used for anterior en-masse retraction. Conclusions: There was little difference in clinical usage of TADs between private practitioners and orthodontic residency programs.
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