Profile of the orthodontist practicing in the State of São Paulo--part 2.

INTRODUCTION: The choice of brackets, bands and wires is a very important aspect of orthodontic treatment. Stainless steel prevailed for a long time, but new alloys and resources have emerged to diversify the orthodontic wire mechanics. OBJECTIVE: This study aimed to investigate the profile and materials used by orthodontists practicing in the State of São Paulo, Brazil. METHODS: A questionnaire was sent to 2,414 specialists in Orthodontics and Dentofacial Orthopedics registered with the Regional Board of Dentistry of São Paulo State (CRO-SP). To assess the association between qualitative variables, the Chi-square association test was employed at 5% significance level. RESULTS: Five hundred and ninety-three (24.65%) questionnaires were completed and sent back. Efficiency was the key reason given by the professionals for choosing a particular material. The majority showed a preference for metal brackets (98%), followed by ceramics (32%) and polycarbonate (7.8%). The most widely used brackets had 0.022 x 0.028-in slots (73.2%). Regarding orthodontic wires, 88.2% employed round steel wires and conventional round NiTi wires, while 52.6% used round heat-activated NiTi and 46.5% rectangular TMA wires. Elastics (92.9%) were the most widely used method to tie the orthodontic archwire to the bracket. CONCLUSIONS: In this survey, the orthodontists claimed that efficiency was the major motivator for choosing orthodontic materials. Conventional brackets tied with conventional elastic ligatures are still the most used by the professionals. Among steel and conventional Nitinol wires, round wires ranked first. The use of resources recently available to Brazilian orthodontists, such as self-ligating brackets and mini-implants, was not significant.

Profile of the orthodontist practicing in the State of São Paulo - Part 2

INTRODUCTION: The choice of brackets, bands and wires is a very important aspect of orthodontic treatment. Stainless steel prevailed for a long time, but new alloys and resources have emerged to diversify the orthodontic wire mechanics. OBJECTIVE: This study aimed to investigate the profile and materials used by orthodontists practicing in the State of São Paulo, Brazil. METHODS: A questionnaire was sent to 2,414 specialists in Orthodontics and Dentofacial Orthopedics registered with the Regional Board of Dentistry of São Paulo State (CRO-SP). To assess the association between qualitative variables, the Chi-square association test was employed at 5% significance level. RESULTS: Five hundred and ninety-three (24.65%) questionnaires were completed and sent back. Efficiency was the key reason given by the professionals for choosing a particular material. The majority showed a preference for metal brackets (98%), followed by ceramics (32%) and polycarbonate (7.8%). The most widely used brackets had 0.022 x 0.028-in slots (73.2%). Regarding orthodontic wires, 88.2% employed round steel wires and conventional round NiTi wires, while 52.6% used round heat-activated NiTi and 46.5% rectangular TMA wires. Elastics (92.9%) were the most widely used method to tie the orthodontic archwire to the bracket. CONCLUSIONS: In this survey, the orthodontists claimed that efficiency was the major motivator for choosing orthodontic materials. Conventional brackets tied with conventional elastic ligatures are still the most used by the professionals. Among steel and conventional Nitinol wires, round wires ranked first. The use of resources recently available to Brazilian orthodontists, such as self-ligating brackets and mini-implants, was not significant.

INTRODUÇÃO: a escolha do tipo de braquetes, ligaduras e fios são fatores importantes no tratamento ortodôntico. O aço inoxidável predominou por muito tempo, mas novas ligas metálicas diversificaram o universo de fios disponíveis, assim como surgiram outros recursos. OBJETIVO: analisar o perfil do ortodontista do estado de São Paulo em relação aos materiais que utiliza. MÉTODOS: foi enviado um questionário a 2414 especialistas em Ortodontia e Ortopedia Facial inscritos no Conselho Regional de Odontologia do estado de São Paulo. Para avaliar a associação entre as variáveis qualitativas, foi utilizado o teste qui-quadrado, ao nível de significância de 5%. RESULTADOS: houve o retorno de 593 (24,65%) questionários preenchidos. A eficácia do material ortodôntico foi o principal motivo alegado para sua escolha. A maioria demonstrou preferência por braquetes metálicos (98%), cerâmicos (32%) e de policarbonato (7,8%). O slot mais citado foi o de 0,022" x 0,028" (73,2%). Sobre os fios ortodônticos, 88,2% empregam fio de aço redondo e o NiTi convencional redondo; 52,6% o NiTi termoativado redondo e 46,5% o TMA retangular. A ligadura elástica foi a forma mais empregada (92,9%) para fixar o arco ortodôntico ao braquete. CONCLUSÕES: os ortodontistas analisados alegaram ser a eficácia o principal motivo de escolha do material; os braquetes convencionais unidos com ligaduras elásticas ainda são os mais utilizados. Entre os fios ortodônticos, os de secção redonda apareceram em primeiro lugar, tanto os de aço como os de nitinol convencional. Recursos recentes na Ortodontia brasileira, como os braquetes autoligáveis e os mini-implantes, não apresentaram uso significativo.

Profile of the orthodontist practicing in the state of São Paulo - Part 1

INTRODUCTION: Orthodontics is no different from other sciences to the extent that it is a field in constant evolution and development. Nowadays, given the availability of a wide range of materials and biomechanical resources, as well as the development of new diagnostic capabilities, new methods to manage orthodontic treatment have emerged. Furthermore, due to the proliferation of postgraduate programs, it is increasingly important to gain insight into the profile of these specialists and the resources they use. OBJECTIVE: Examine the profile of orthodontists practicing in the State of São Paulo. The questions were prepared to evaluate different aspects of orthodontic practice. METHODS: A questionnaire was sent to 2.414 specialists in Orthodontics and Dentofacial Orthopedics registered with the Regional Board of Dentistry of São Paulo State (CRO-SP). To assess the association between qualitative variables, the Chi-square association test was employed at 5% significance level. RESULTS: Five hundred ninety-three (24.65%) questionnaires were completed and returned. The sample profile consisted of males (54.3%), aged between 41 and 50 (40.5%), who had been registered with the São Paulo Regional Board of Dentistry (CRO-SP) for 6 to 10 years (29.3%). The three most widely mentioned cephalometric analyses were standard USP (71.5%), McNamara (59.2%) and Ricketts (52.8%). CONCLUSIONS: Based on a statistical analysis of the data one can conclude that the Straight-Wire technique was used most often (74.5%), and this technique is associated with orthodontists who have been specialists for less than 10 years. Most people surveyed (52.4%) routinely make use of functional orthopedic resources in their daily practice.

INTRODUÇÃO: a Ortodontia, como toda ciência, é um campo em permanente evolução e desenvolvimento. No panorama atual, devido à oferta de diversos tipos de materiais e das opções biomecânicas existentes, além do desenvolvimento de novos recursos de diagnóstico, surgiram novas possibilidades de se abordar o tratamento ortodôntico. Em adição, com o aumento dos cursos de pós-graduação, torna-se importante conhecer o perfil do especialista e os recursos de sua preferência. OBJETIVO: analisar o perfil do ortodontista que atua no estado de São Paulo, por meio de questões elaboradas com o objetivo de avaliar aspectos relacionados à prática ortodôntica. MÉTODOS: foi enviado um questionário a 2.414 especialistas em Ortodontia e Ortopedia Facial inscritos no Conselho Regional de Odontologia do estado de São Paulo. Para avaliar a associação entre as variáveis qualitativas, foi utilizado o teste de associação Qui-quadrado, ao nível de significância de 5%. RESULTADOS: foram devolvidos 593 (24,65%) questionários preenchidos. O perfil da amostra foi sexo masculino (54,3%), faixa etária entre 41 e 50 anos (40,5%) e com tempo de inscrição no CRO-SP de 6 a 10 anos (29,3%). As três análises cefalométricas mais citadas foram o padrão USP (71,5%), McNamara (59,2%) e Ricketts (52,8%). CONCLUSÕES: com base na análise estatística dos dados, pode-se concluir que a técnica Straight-Wire foi a mais empregada (74,5%), a qual está associada a ortodontistas com menos de 10 anos de especialidade. A maioria da população pesquisada (52,4%) utiliza, de forma rotineira, recursos ortopédicos funcionais no seu dia a dia.

Perfil do ortodontista que atua no estado de São Paulo / Profile of the orthodontist who works in São Paulo

Este estudo teve o objetivo de investigar o perfil do profissional especialista em Ortodontia do estado de São Paulo. Foram postados 2414 formulários a todos os especialistas registrados no Conselho Regional de Odontologia de São Paulo, com um retorno de 593 correspondências (24,56%). As perguntas foram direcionadas com o objetivo de averiguar aspectos relacionados à prática ortodôntica. Para avaliar associação entre as variáveis qualitativas, foi utilizado o teste de associação Qui-quadrado, ao nível de significância de 5%. O perfil amostral foi: gênero masculino (54,3%), faixa etária de 41 a 50 anos (40,5%) e tempo de inscrição no CRO-SP de 6 a 10 anos (29,3%). A análise cefalométrica mais utilizada foi a do padrão USP. A técnica straight wire foi a mais empregada, e a mesma está associada a ortodontistas com menos de 10 anos de especialidade. A maioria dos profissionais prefere os braquetes metálicos, slot 0.022” X 0.028”, fios de aço, ligadura elástica para fixar o fio ao braquete e utiliza recursos ortopédicos funcionais rotineira ou ocasionalmente. Profilaxia prévia ao aparelho e orientação de higiene são realizados de forma rotineira e pelo próprio profissional. A aplicação tópica de flúor após a montagem do aparelho ainda é pouco utilizada de forma rotineira no consultório. O método mais aceito para remoção da resina residual foi a broca multilaminada. Os procedimentos cosméticos finais e as contenções móvel e fixa, associadas, costumam ser rotina dos profissionais da amostra selecionada. Os braquetes autoligantes e os mini-implantes são recursos ainda muito pouco usados pelos ortodontistas paulistas, e a eficácia do material ortodôntico aparece como a principal razão para a escolha do material ortodôntico.

This study aimed to investigate the profile of the Orthodontic professional in São Paulo State. 2414 forms were sent to all specialists registered with the Regional Council of Dentistry of São Paulo State, only 593 filled forms were sent back (24.65%). The questions were prepared with the objective to assess the aspects related to the orthodontic practice. In order to evaluate association among the qualitative variables, Chi-Square association test was used, to the significance level of 5%. The sample profile was: male individuals (54,3%), from 41 to 50 years old (40.5%), registered with CRO-SP from 6 to 10 years (29,3%). Cephalometric analysis most used was USP standard. Straight wire technique was the most used, and it is associated to orthodontists working in the area for less than 10 years. The great majority of the professionals prefers metallic brackets, slot 0.022”X0.028”, steel wire, elastic ligatures to bond the wire to the bracket and uses functional orthopedic resources routinely or occasionally. Prophylaxis and hygiene guidelines are presented before the placement of the appliances and are routinely performed by the dentist. Topic application of fluoride is still little used at the office. The most accepted method for removing the residual resin was the multilaminated drill. Final cosmetics procedures and associated fixed and non-fixed contentions are used to being routinely used by the professionals from the selected sample. Self-ligating brackets and mini-implants are resources still not widely used by orthodontists from São Paulo State; and the efficacy of the orthodontic material is shown as the main reason for the choice of the orthodontic material.