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Alinhadores transparentes versus aparelhos ortodônticos fixos: estudo transversal em ortodontia sobre o futuro dos tratamentos
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| Projeto de pós-graduação_40899 | 1.93 MB | Adobe PDF |
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Introdução: Na atualidade, a Ortodontia tem experienciado uma evolução significativa, impulsionada pelo avanço tecnológico e pela crescente procura por tratamentos mais estéticos e minimamente invasivos. O desenvolvimento dos alinhadores transparentes tem desafiado o predomínio dos tratamentos ortodônticos com os tradicionais aparelhos fixos com brackets.
Objetivo: Este estudo pretende identificar diferenças entre gerações de Médicos Dentistas ou de Estomatologistas com prática clínica em Ortodontia sobre o futuro dos alinhadores ortodônticos. Como objetivo secundário pretende-se avaliar se a perspetiva se altera com a nacionalidade do profissional e com o país em que este trabalha. A hipótese de investigação é que existe diferença significativa na percentagem de profissionais de diversas gerações que utilizam alinhadores transparentes. Ainda, como hipóteses secundárias, se existe diferença significativa nesta percentagem de acordo com a nacionalidade e ainda com o país em que trabalha.
Métodos: A recolha de dados foi realizada através de um questionário (de autopreenchimento online) aplicado num único momento de tempo, numa amostra de conveniência de Médicos Dentistas ou a Estomatologistas com prática clínica em Ortodontia (total de 93), a exercer em Portugal e noutros países (Espanha, França, Itália, entre outros). O link do questionário foi disponibilizado aos profissionais por contacto direto ou através de fóruns profissionais da área. Resultados: Não são detetadas associação/diferença significativas (p>0,05) por género e situação profissional, nem diferenças significativas nas atitudes, na escolha de alinhadores, e nas avaliações com a geração dos profissionais. Os profissionais portugueses demonstram maior expectativa quanto ao papel das empresas na inovação sustentável dos alinhadores (p=0,006) enquanto os italianos e franceses revelaram maior ceticismo ou distanciamento face a essa responsabilidade.
Conclusões: Embora os alinhadores transparentes tenham conquistado espaço como alternativa estética e funcional, sobretudo em casos menos complexos, os aparelhos fixos continuam a ser indispensáveis em situações clínicas mais desafiadoras. O futuro da Ortodontia poderá passar por abordagens híbridas e pelo desenvolvimento de alinhadores com menor impacto ambiental. A nacionalidade demonstrou ser uma variável mais impactante, mostrando diferentes dimensões culturais, formativas e económicas no contexto estudado. Profissionais de diferentes nacionalidades mostraram padrões diferentes no reconhecimento da adesão à sustentabilidade, na preferência por marcas e na prática clínica. Este estudo aponta para a necessidade urgente de integrar a sustentabilidade nos currículos de formação ortodôntica, bem como de incentivar o desenvolvimento de soluções inovadoras por parte dos fabricantes. A promoção de uma Ortodontia mais consciente, ética e ambientalmente responsável exige uma colaboração ativa entre profissionais, instituições de ensino e indústria.
Introduction: Currently, Orthodontics has been experiencing significant advancements, driven by technological progress and the growing demand for more aesthetic and minimally invasive treatments. The development of transparent aligners has challenged the predominance of orthodontic treatments using traditional fixed braces. Objective: This study aims to identify differences between generations of dentists and stomatologists practicing orthodontics on the future of orthodontic aligners. A secondary objective is to assess whether the perspective changes with the nationality of the professional and the country in which they work. The research hypothesis is that there is a significant difference in the percentage of professionals from different generations who use clear aligners and, as a secondary hypothesis, that there is a significant difference in this percentage according to nationality and the country in which they work. Methods: Data was collected using an online self-completion questionnaire administered to a convenience sample of dentists or stomatologists (a total of 93) practicing orthodontics in Portugal and other countries (Spain, France, Italy, among others). The questionnaire link was made available to professionals by direct contact or via professional forums in the field. Results: There was no significant association/difference (p>0.05) by gender and professional situation, nor were there any significant differences in attitudes, choice of aligners and evaluations by professional generation. Portuguese professionals showed greater expectations regarding the role of companies in the sustainable innovation of aligners (p=0.006), while Italians and French professionals showed greater skepticism or distancing from this responsibility. Conclusions: Although transparent aligners have gained ground as an aesthetic and functional alternative, especially in less complex cases, fixed appliances are still indispensable in more challenging clinical situations. The future of orthodontics could involve hybrid approaches and the development of aligners with less environmental impact. Nationality proved to be a more impactful variable, showing different cultural, educational and economic dimensions in the context studied. Professionals of different nationalities showed different patterns in recognising adherence to sustainability, in brand preference and in clinical practice. This study points to the urgent need to integrate sustainability into orthodontic training curricula, as well as to encourage the development of innovative solutions by manufacturers. Promoting more conscious, ethical and environmentally responsible orthodontics requires active collaboration between professionals, educational institutions and industry.
Introduction: Currently, Orthodontics has been experiencing significant advancements, driven by technological progress and the growing demand for more aesthetic and minimally invasive treatments. The development of transparent aligners has challenged the predominance of orthodontic treatments using traditional fixed braces. Objective: This study aims to identify differences between generations of dentists and stomatologists practicing orthodontics on the future of orthodontic aligners. A secondary objective is to assess whether the perspective changes with the nationality of the professional and the country in which they work. The research hypothesis is that there is a significant difference in the percentage of professionals from different generations who use clear aligners and, as a secondary hypothesis, that there is a significant difference in this percentage according to nationality and the country in which they work. Methods: Data was collected using an online self-completion questionnaire administered to a convenience sample of dentists or stomatologists (a total of 93) practicing orthodontics in Portugal and other countries (Spain, France, Italy, among others). The questionnaire link was made available to professionals by direct contact or via professional forums in the field. Results: There was no significant association/difference (p>0.05) by gender and professional situation, nor were there any significant differences in attitudes, choice of aligners and evaluations by professional generation. Portuguese professionals showed greater expectations regarding the role of companies in the sustainable innovation of aligners (p=0.006), while Italians and French professionals showed greater skepticism or distancing from this responsibility. Conclusions: Although transparent aligners have gained ground as an aesthetic and functional alternative, especially in less complex cases, fixed appliances are still indispensable in more challenging clinical situations. The future of orthodontics could involve hybrid approaches and the development of aligners with less environmental impact. Nationality proved to be a more impactful variable, showing different cultural, educational and economic dimensions in the context studied. Professionals of different nationalities showed different patterns in recognising adherence to sustainability, in brand preference and in clinical practice. This study points to the urgent need to integrate sustainability into orthodontic training curricula, as well as to encourage the development of innovative solutions by manufacturers. Promoting more conscious, ethical and environmentally responsible orthodontics requires active collaboration between professionals, educational institutions and industry.
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Clear aligner Clear aligner therapy Invisalign Orthodonticappliance Removable