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Barriers and challenges faced by orthodontists in providing orthodontic care and implementing new innovative technologies in the field of orthodontics among children and adults: a qualitative study.

  • Fazal, Ayesha1
  • Khattak, Osama2
  • Chaudhary, Farooq Ahmad1
  • Hyder, Mawra1
  • Javaid, Muhammad Mohsin1
  • Iqbal, Azhar2
  • Albhiran, Heyam Mobark3
  • Migdadi, Fayeq Hasan4
  • Ghawanmeh, Anas M5
  • Bader, Alzarea K6
  • Issrani, Rakhi7
  • Rashed, Asma Abubakr8
  • Sultan, Sherif Elsayed6, 9
  • 1 School of Dentistry (SOD), Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), 44000 Islamabad, Pakistan. , (Pakistan)
  • 2 Department of Restorative Dentistry, College of Dentistry, Jouf University, 72388 Sakaka, Saudi Arabia. , (Saudi Arabia)
  • 3 Ministry of Health, 13442 Sakaka, Saudi Arabia. , (Saudi Arabia)
  • 4 Endodontist, Al Dhafra Hospitals, 50018 Abu Dhabi, United Arab Emirates. , (United Arab Emirates)
  • 5 Resident (Orthodontics), Ministry of Health, 21166 Irbid, Jordan. , (Jordan)
  • 6 Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, 72388 Sakaka, Saudi Arabia. , (Saudi Arabia)
  • 7 Department of Preventive Dentistry, College of Dentistry, Jouf University, 72388 Sakaka, Saudi Arabia. , (Saudi Arabia)
  • 8 Department of Restorative Dentistry, Tanta University, 31527 Tanta, Egypt. , (Egypt)
  • 9 Department of fixed Prosthodontics, Tanta University, 31527 Tanta, Egypt. , (Egypt)
Published Article
The Journal of clinical pediatric dentistry
Publication Date
Jul 01, 2023
DOI: 10.22514/jocpd.2023.038
PMID: 37408350


Orthodontic treatment requires the cooperation of patients as well as orthodontists. Therefore, the aim of the study was to investigate and address the challenges and barriers orthodontists have in achieving the desired orthodontic results, as well as make recommendations for ways to address the stated problems and introduce new innovative technologies to the area of orthodontics. This qualitative study wasbased on the grounded theory. Twelve orthodontists participated in face-to-face interviews, which were primarily comprised of open-ended questions. Data analysis was carried out manually using the "by hand" method. Orthodontists between the age group of 29-42 were interviewed. The answers varied depending on the years of experience of the interviewees. Teenagers and boys were found to be most non-compliant with the treatment. The average treatment span ranged between 6 months for mild cases up to 3 years for severe orthodontic cases occurring most commonly in government hospitals. Patient compliance plays a major role in orthodontics. Poor oral hygiene maintenance, brackets breakage by patients, and missed appointments were the major concerns mentioned by participants and hindered getting the desired results. Patients' main worries were related to the cost of therapy, premolar extractions, the length of treatment, and the possibility of relapse. Patient counseling and reinforcement at the start of the treatment can help to overcome the challenges and barriers in orthodontics since patient motivation is a very important factor in obtaining the desired results. It is recommended to conduct more training sessions for the orthodontists in order to introduce them to new technological paradigms. ©2023 The Author(s). Published by MRE Press.

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