Use of orthodontic mini-screws among orthodontists in Saudi Arabia
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Date
2019-04
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Orthodontic anchorage is a technique used to avoid undesired tooth movement. The miniature screw (mini-screw) implant is an orthodontic innovation that was introduced to circumvent the limitations of conventional anchorage systems. Mini-screws, known as temporary anchorage devices (TADs), give clinicians good control over tooth movement in 3 dimensions and can assist orthodontists in anchorage-demanding cases.Methods: A questionnaire was distributed by online survey using SurveyMonkey and on paper during orthodontic meetings in Saudi Arabia. Collected data were analyzed using SPSS statistical software (version 23, IBM). A 2-way cross-tabulation and Fisher’s exact or Pearson chi-square tests were used to evaluate statistically significant differences. A P-value < 0.05 was considered to be statistically significant.Results: Of 133 respondents, 72 (54.1%) of practitioners worked in the governmental sector and 61 (45.9%) worked in the private sector. A total of (87.3%) of practitioners in the governmental sector and (80%) of practitioners in the private sector reported using mini-screws in clinical practice. Practitioners who reported that they did not use mini-screws in clinical practice listed the following reasons: “I don’t have enough information” (33.3%), “It’s a surgeon’s job” (11.1%), “Not available in the hospital” (29.6%), and “Other” (25.9%). A total of 60.2% of practitioners loaded mini-screws immediately, 8.3% loaded them 1 week after implantation, 11.3% loaded them 2-3 weeks after implantation, and 3.8% loaded them >3 weeks after implantation. Regarding the method of placement, 63.2% of practitioners used radiography for placement guidance/confirmation, 9.8% used a self-made guide, and 8.3% did not use a guide.Conclusions: Lack of education and training are major reasons that practitioners do not use orthodontic mini-screws in Saudi Arabia. Increased efforts to organize seminars and workshops may motivate practitioners to incorporate mini-screw usage into routine practice.
Description
Keywords
Mini implants, Mini screws, Orthodontic anchorage procedures, Orthodontics, Orthodontists, Temporary anchorage devices
Citation
Fatani Eman Jamal, Eskandrani Rawabi Mahmoud, Alfadil Lina Omar. Use of orthodontic mini-screws among orthodontists in Saudi Arabia. International Journal of Research in Medical Sciences. 2019 Apr; 7(4): 1150-1155