What do orthodontists think about the diagnosis and treatment plan of patients with class 2 part 1 skeletal anomalies? A survey study.

The diagnosis and treatment plan of patients with class 2 part 1 skeletal anomalies

Abstract

What do Orthodontists Think About the Diagnosis and Treatment Plan of Patients with Class II Division 1 Skeletal Anomalies? A Survey Study Ortodontistler Sınıf II Bölüm 1 İskelet Anomalisi Olan Hastaların Teşhis ve Tedavi Planı Hakkında Ne Düşünüyor? Bir Anket Çalışması Abstract

Background: This study aims to determine key diagnostic approaches and treatment preferences among orthodontists treating adult patients with Class II Division 1 skeletal anomalies.

Materials and Methods: A total of 50 orthodontists participated in this survey-based study. Ten structured questions were posed regarding diagnostic methods and treatment choices, including bracket systems, torque preferences, imaging techniques, space-creating methods, tooth extraction preferences, malocclusion treatment approaches, and retention strategies. Statistical analyses were performed using chi-square tests for categorical variables, and p-values < 0.05 were considered statistically significant.

Results: Among the participants, 64% preferred traditional braces, while 24% opted for self-ligating braces. Regarding prescription selection, 56% chose MBT, 24% Roth, and 20% other systems. Standard torque brackets were preferred by 84% of respondents. For diagnosis, 64% used cephalometric tomography, while 24% relied solely on computed tomography. The most common space-creating approach was distalization (72%), and the most frequently extracted teeth were the upper third molars (52%). The majority (64%) preferred intermaxillary elastics combined with mini-implants for occlusal correction. For retention, 50% used both fixed and removable retainers.

Conclusions: The study highlights the diversity in orthodontic diagnosis and treatment planning. Most orthodontists favored modern, non-surgical approaches, emphasizing efficiency in treatment duration while balancing aesthetics and functional outcomes.

Keywords: Class II Division 1, orthodontic survey, fixed functional appliances, computed tomography, retention