ResearchArticle
Perception of Iraqi Orthodontists and Patients toward
Accelerated Orthodontics
Ali M. Al-Attar , Samher Al-Shaham , and Mushriq Abid
Department of Orthodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
Correspondence should be addressed to Mushriq Abid; mushriq.abid@codental.uobaghdad.edu.iq
Received 12 February 2021; Revised 15 April 2021; Accepted 22 April 2021; Published 29 April 2021
Academic Editor: Caren Bavaresco
Copyright©2021AliM.Al-Attaretal.isisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background/Purpose. In the literature, no consensus about the duration of orthodontic treatment has been reached out. is study
aimed to identify orthodontist’s and patient’s perception about the time of orthodontic treatment and their willingness to undergo
and pay for various acceleration techniques and procedures. MaterialsandMethods. An electronic survey was conducted from
August to October 2020. e questionnaire consisted of 20 multiple choice questions which was designed and emailed to members
of the Iraqi Orthodontic Society and self-administered to patients in several orthodontic centers in Baghdad. e questionnaire
included questions about the perception toward the duration of orthodontic treatment, approval of different procedures used to
reduce treatment time, and how much fee increment they are able to pay for various techniques and appliances. Descriptive and
chi-square test statistics were used, and the level of significance was set at p ≤ 0.05. Results. e response rate was 78.7%. e
willingness for additional techniques and procedures was rated in the following order: customized appliances: 50.8% orthodontists
and 38.4% patients, followed by intraoral vibrating devices: 49.2% orthodontists and 38.1% patients, piezocision: 10.2% or-
thodontists and 8.2% patients, and corticotomies: 8.1% orthodontists and 5.9% patients. Most orthodontists were willing to pay up
to 40% of treatment income for the acceleration procedure, while the payment of patients was up to 20%. Conclusion. Both
orthodontists and patients were interested in techniques that can decrease the treatment duration. Noninvasive accelerating
procedures were more preferable by orthodontists and patients than invasive surgical procedures.
1.Introduction
A long term of orthodontic treatment is considered as a
primary concern for most orthodontists and patients
looking for treatment [1]. Long-term disadvantages of
conventional orthodontic treatment such as predisposing
the patient to caries, gingival recession, and resorption of
roots had been a major concern to the patients. e essential
objective of modern orthodontic treatment is to diminish
the duration of orthodontic treatment by maximizing the
biological response [2]. ere could be a common agreement
that the rate of tooth movement is controlled by the rate of
bone resorption in the direction of tooth movement, which
in turn is controlled by the rate of osteoclast differentiation
and activation [3].
In an attempt to achieve rapid tooth movement, many
researchers have used different approaches including
chemical agents, such as prostaglandin E
2
[4], calcitriol
(active form of vitamin D
3
) [5–7], and hormones [8].
Moreover, physical agents such as electric currents [9],
electromagnetic fields [10], vibrating devices [11], and low-
level laser therapy [12, 13] or combination of two techniques
have been used to accelerate tooth movement [14]. More-
over, besides these techniques, there have been significant
improvements in the biomechanical behavior of fixed ap-
pliance brackets such as design, prescription, and material.
is contributed to the evolution of several low-friction
systems; however, treatment duration reduction is still de-
batable [15, 16]. Additionally, customized orthodontic
brackets, archwire materials, and anchorage control have
been reported to have clinical significance [17].
Several studies were performed on pain perception ac-
companied with acceleration techniques; most of them
found that pain increased slightly in the first few days and
Hindawi
International Journal of Dentistry
Volume 2021, Article ID 5512455, 7 pages
https://doi.org/10.1155/2021/5512455