334 - Survey of Minor Orthodontics Education and Implementation Amongst Pediatric Dentists

Purpose: This study aims to evaluate the frequency with which pediatric dentists engage in minor orthodontics interventions, such as minor tooth movement (MTM), early interceptive treatments, and Phase one orthodontics. It further examines how confidence levels in performing these procedures correlates with  postdoctoral educational experiences. 

Methods: An anonymous survey was distributed to practicing members of the American Academy of Pediatric Dentistry (AAPD) with the hope of gathering at least 500 responses. The survey assessed demographics(location, training background, years in practice), orthodontic exposure during residency, current clinical practice patterns, self-reported confidence levels before and after training.  The survey lastly assessed Influences on practice behaviors, including proximity to orthodontists and insurance status.  Statistical analyses include chi-square tests, t-tests, ANOVA, and Fisher’s exact tests to assess relationships between variables. 

Results: There was a significant association between case difficulty and frequency of orthodontics performed in practice (p = 0.0053), with more complex cases being less likely to be treated. Residency exposure (p = 0.0222) was also significantly associated with clinical implementation. However, number of clinical sessions and perceived confidence did not significantly predict current orthodontic practice.

Conclusion: Perceived residency exposure and clinical case complexity influence whether pediatric dentists integrate phase one orthodontics into practice.. However, the frequency  of clinical exposure or types of appliances used in residency do not seem to play a role in determining whether diplomates engage in phase one orthodontics. Future studies should explore which components of postdoctoral education best promote readiness to deliver orthodontic care.