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Orthodontic treatment provided by pediatric dentists
Kelly K Hilgers1, Deborah Redford-Badwal, Susan Reisine
1Department of Orthodontic, Pediatric, and Geriatric Dentistry, University of Louisville School of Dentistry, 501 S. Preston, Louisville, KY 40292, USA. hilgersk@yahoo.com
Summary
Pediatric dentists dedicate minimal practice time to orthodontic treatment, a trend expected to continue. Those with dual training in pediatric dentistry and orthodontics provide more, focusing on early dentition issues.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Dental Public Health
Background:
- Orthodontic treatment is a key component of comprehensive pediatric dental care.
- Understanding current trends in orthodontic treatment by pediatric dentists is crucial for future planning and education.
Purpose of the Study:
- To document the current provision of orthodontic treatment by pediatric dentists.
- To compare current practices with historical data and predict future trends.
- To identify factors influencing pediatric dentists' orthodontic treatment patterns.
Main Methods:
- A 25-item survey was distributed to 492 diplomates of the American Board of Pediatric Dentistry.
- Surveys returned within 16 weeks were statistically analyzed.
- A 73% response rate was achieved.
Main Results:
- Most pediatric dentists spend less than 10% of their practice time on orthodontic treatment.
- Dual-trained practitioners (pediatric dentistry and orthodontics) dedicate more time to orthodontics.
- Commonly treated conditions include anterior/posterior crossbite, ectopic eruption, habits, and space maintenance.
- Orthodontic treatment provision by pediatric dentists has declined since 1983 and is not projected to increase.
Conclusions:
- Orthodontic treatment by pediatric dentists has decreased and is expected to remain low.
- Specialized training influences the extent of orthodontic treatment provided.
- Current practices focus on early mixed dentition stages and specific common malocclusions.