Townie® Poll

Early Treatment

Poll conducted from 7/22/2011 To 8/19/2011

Have you ever placed brackets on a patient even though primary teeth were still present?
139 total votes
96%
a. Yes
4%
b. No
Which best describes the frequency of early orthodontic treatment in your practice?
131 total votes
15%
a. The majority of patients benefit from two phases in my office.
12%
b. Nearly half of the patients treated in my office undergo multiphase treatment.
69%
c. Less frequent. It is usually limited to issues like crossbites, severe protrusion, or crowding.
5%
d. Less than five percent of my practice is early orthodontic treatment.
0%
e. I do not recommend any early orthodontic treatment.
How do you address posterior crossbites due to a narrow maxilla in the mixed dentition?
131 total votes
88%
a. Rapid palatal expansion.
2%
b. Removable expansion appliances.
8%
c. Fixed palatal wires such as quad helix, W-arch, TPA.
2%
d. Expansion, however only in the permanent dentition.
0%
e. Surgical or surgically-assisted correction is the only predictable procedure in my experience.
How would you describe your overall experience with two-phase treatment?
131 total votes
15%
a. An indispensible tool for the majority of patients. Treatment outcomes are enhanced along with decreasing the complexity of cases and amount of time in appliances.
10%
b. Beneficial to many of my patients. I prefer to perform multiphase treatment if possible.
60%
c. Beneficial only when limited to specific objectives.
14%
d. Beneficial on a limited scale. The majority of patients could be treated to the same result in a single phase.
1%
e. Not beneficial. Early treatment has more detrimental effects than single phase treatment and can greatly increase total treatment times.
In early treatment, with what are you most likely to address Class II malocclusions?
131 total votes
28%
a. Headgear
5%
b. Molar distalization
0%
c. Serial extraction
24%
d. Functional appliances
43%
e. I do not typically address Class II with early treatment.
In the mixed dentition, with what are you most likely to address arch length discrepancies?
130 total votes
48%
a. Maxillary and/or mandibular expansion appliances for arch development (even in the absence of crossbite).
1%
b. Headgear
2%
c. Extraction of primary teeth
31%
d. Extraction of primary teeth and space maintenance
6%
e. Serial extraction
13%
f. I do not routinely address arch length with early treatment.
Which best describes your philosophy relating to Class II correction during early treatment?
131 total votes
15%
a. Facial growth can be altered through skeletal changes with predictable stability.
42%
b. Facial growth can be altered through both dental and skeletal changes with predictable stability.
20%
c. Attempts at alterations of facial growth in early treatment are purely dental and stability is unpredictable at best.
23%
d. I do not feel Class II correction should be addressed prior to comprehensive orthodontic treatment.

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