Direct to consumer orthodontics: Exploring patient demographic trends and preferences

Okuda, Brady C.; Tabbaa, Sawsan; Edmonds, Michelle L.; Toubouti, Youssef; Saltaji, Humam

doi:10.1016/j.ajodo.2019.12.024

Cited by 14 publications

(10 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent study of 1141 questionnaire participants found that convenience and cost were the main reasons why people chose DIY orthodontics, with 26.6% participants more likely to pursue DIY-orthodontics due to the COVID-19 pandemic (Bous et al, 2021). Cost and convenience being the main reasons for choosing DIY orthodontics was supported by another research survey by Okuda et al (2021). This questionnaire also found that as household income, age and education increased, people were more likely to choose DIY aligners, which is different from common dentist perceptions and should help societies target public education (Okuda et al, 2021).…”

Section: Discussionmentioning

confidence: 83%

“…Cost and convenience being the main reasons for choosing DIY orthodontics was supported by another research survey by Okuda et al (2021). This questionnaire also found that as household income, age and education increased, people were more likely to choose DIY aligners, which is different from common dentist perceptions and should help societies target public education (Okuda et al, 2021). A British Orthodontic Society (BOS) survey found 65% of orthodontists were concerned increasing numbers of patients would seek DIY braces both during and after lockdown (BOS, 2020b).…”

Section: Discussionmentioning

confidence: 83%

“…Other appeals of DIY treatment include that it is a fraction of the cost of conventional practice-based orthodontics, frequently quoted to be 60%–70% cheaper, as well as the convenience of not having to attend and travel for appointments (Bous et al, 2021, Kravitz et al, 2016; O’Dowd, 2020; Okuda et al, 2021, Wexler et al, 2020). However, concerns have been raised by multiple international specialist dental societies about issues surrounding assessment of suitability, consent, safety, regulation and scope of practice (American Association of Orthodontists, 2019; American Dental Association, 2020; British Orthodontic Society, 2020a, 2020b; O’Dowd, 2020).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Availability of ‘Do-It-Yourself’ orthodontics in the United Kingdom

Carter

Stokes

2021

J Orthod

View full text Add to dashboard Cite

Objective: To identify the number of companies providing Do-It-Yourself (DIY) orthodontics and explore information available on websites for DIY brace providers operating in the UK. Design: Web search and review of websites providing DIY braces. Setting: Leeds, UK. Methods: A Web search was completed in November 2020 and April 2021 of all companies providing DIY braces for UK consumers. Each website was evaluated, and the following data collected: name; year started operating; costs; process; involvement of a dental professional; average ‘treatment’ length; retention; consent process; information on risks and benefits; aligner material; social media presence; age suitability; and consumer ratings on Trustpilot. Quality of website information was assessed via the DISCERN tool. Results: Seven DIY orthodontic companies were operating in the UK. Websites reviewed revealed the following: product costs were in the range of £799–£1599, ‘treatment’ length quotes were in the range of 4–12 months; Trustpilot reviews were in the range of 1.6–4.8 stars; and websites claimed their aligners were suitable for individuals with an age range of 12–18 years. Quality of content regarding risks described on websites varied, and there was limited information regarding involvement of a dental professional. Quality of websites information scored ‘poor’ or ‘very poor’ on the DISCERN scoring. Conclusions: There has been an increase in the number of DIY orthodontic companies operating in the UK over the last three years. There is a need to determine whether these products constitute dental treatment in their own right. If so, it is crucial to ensure these are regulated appropriately with adequate information available to satisfy informed consent and have greater transparency over dental professional involvement to safeguard the public.

show abstract

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Availability of ‘Do-It-Yourself’ orthodontics in the United Kingdom

Carter

Stokes

2021

J Orthod

View full text Add to dashboard Cite

show abstract

“…This was likely attributed to the origin of most DTC providers being in the United States and delayed growth in Canada. 13 Most orthodontists indicated that they perceived a reduction in GP referrals, an increase in referral case difficulty, and a need to improve practice competitiveness in the past 10 years. More experienced orthodontists were more likely to have noted a reduction in GP referrals and less likely to have felt a need to improve competitiveness.…”

Section: Discussionmentioning

confidence: 99%

Orthodontists' perceptions of and adaptations to nonspecialist and direct-to-consumer orthodontic service providers

Brown¹,

Wiltshire²,

Pinheiro³

et al. 2022

The Angle Orthodontist

View full text Add to dashboard Cite

Objectives To evaluate orthodontists' perceived impacts on their practices as a result of general practitioners (GPs) and direct-to-consumer (DTC) orthodontic care providers and the adaptational changes implemented in the past 10 years. Materials and Methods An electronic survey was administered to 270 orthodontists in Canada and the United States to determine demographic background, perception of perceived impact, and specific changes implemented to improve practice competitiveness. Results More experienced orthodontists (P = .0001) and males (P = .027) were more likely to indicate a perceived impact from GP orthodontics. American orthodontists were significantly more likely than Canadian orthodontists to perceive an impact from DTC providers (P = .017). There was a positive association with orthodontists' years of experience and having implemented adaptational changes to their practice for a period greater than 10 years across multiple categories. Female orthodontists were more likely to have implemented adaptational changes for a period of less than 10 years across multiple categories. Conclusions The perceived impact of GPs providing orthodontic care was greater than that of DTC providers. American orthodontists were significantly more likely to perceive an impact from DTC providers. Orthodontists have experienced a reduction in referrals from GPs and an increase in referred case difficulty. Less experienced and female orthodontists have made the most adaptive changes to their practices in the past 10 years.

show abstract

“…All 75.6% of the participants were concerned about companies delivering aligners directly to patient, hence eliminating their role in the orthodontic treatment process. Do-It-Yourself Aligners or Direct-to-Consumer Orthodontics provide an easy, convenient and economical means to align teeth without visiting an orthodontist [15][16][17]. However, all of these also suggest the patients to consult an orthodontist as these at-home aligners can cause deleterious effects like root resorption, poor occlusal contacts, etc.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge, Attitude and Practice of Digital Orthodontics Among Orthodontists and Orthodontic Residents in Gujarat: A Questionnaire Study

Kulakrni¹,

Goyal²

2022

DOBCR

View full text Add to dashboard Cite

Introduction: Introduction of digital technology in orthodontics has improved the overall experience for the patient as well as the clinician. This study aimed to assess knowledge, attitude and practice of digital orthodontics among orthodontists and orthodontic residents in Gujarat through a questionnaire. Materials and Methods: The questionnaire comprised of two parts, the first part which consisted of sociodemographic details (5 questions) and the second part consisted of questions to assess the knowledge (2 questions), attitude (9 questions) and practice (3 questions) of digital orthodontics. The final developed questionnaire after content validity was sent to Orthodontists and Orthodontic residents as Google Form link to Gujrat Orthodontic Study Group over WhatsApp and the received responses were recorded. Results: Kolmogorov- Smirnov test was employed to test the normality of data. Chi Square test was performed for the quantitative variables. Results showed that majority of the participants knew about availability of digital orthodontics. Revealed a positive incline in incorporating digital orthodontics in their routine practice. However, a lack was observed in practicing digital orthodontics among Orthodontists and Orthodontic Residents of Gujarat Statistically significant difference was present regarding the awareness about digital orthodontics between males and females (p value = 0.042). Conclusion: Orthodontists and orthodontic residents of Gujarat displayed adequate knowledge, positive attitude and lack of practice about digital orthodontics. Male population is more aware about digital technologies as compared to female population.

show abstract

Direct to consumer orthodontics: Exploring patient demographic trends and preferences

Cited by 14 publications

References 14 publications

Availability of ‘Do-It-Yourself’ orthodontics in the United Kingdom

Availability of ‘Do-It-Yourself’ orthodontics in the United Kingdom

Orthodontists' perceptions of and adaptations to nonspecialist and direct-to-consumer orthodontic service providers

Assessment of Knowledge, Attitude and Practice of Digital Orthodontics Among Orthodontists and Orthodontic Residents in Gujarat: A Questionnaire Study

Contact Info

Product

Resources

About