A qualitative analysis of perceptions of orthodontists in Concepción about removable orthodontic appliances.

Francisca Matthews


Objective: To determine the utilization, attitudes and perceptions about removable orthodontic appliances (ROA) among a sample of Chilean orthodontists. Materials and methods: Data collection was performed using semi-structured interviews with 10 orthodontists from diverse professional backgrounds. The analysis was performed using the “Grounded Theory” methodology, using Atlas.ti v.6.0.15. Results: We interviewed four men and six women (31 to 75 years old), with 7 to 53 years of experience as dentists, and 1 to 10 years of experience as orthodontists. All orthodontists have experience in private practice, five in public service, and one in a military institution. One-hundred and thirty-three codes were grouped into seven categories identified as follows: perception of orthodontists, control over treatment, ROA characteristics, ROA indications and contraindications, patients’ attitude to ROA, selection of treatment, and ROA utilization. Conclusion: In the selection of ROA, different factors are involved, including the characteristics of the dentist, of the patient, and the social context. The key factor in the utilization of ROA is the perceptionof control over treatment.


Removable orthodontic appliances; perceptions; attitude; qualitative analysis; ground theory; control over treatment.


Philippe J, Guédon P. [Evolution of orthodontic appliances from 1728 to 2007. Inaugural Conference of the 79th Scientific Meeting of the SFODF at Versailles, 31 May 2007]. Orthod Fr. 2007;78(4):295–302.

Henry W, Fields Jr, David M, Proffit WR. Contemporary orthodontics. 4th Ed. Philadelphia, PA, USA: Mosby, Elsevier Health Sciences; 2007.

Roberts-Harry D, Sandy J. Orthodontics. Part 5: Appliance choices. Br Dent J. 2004;196(1):9–18.

McGregor CA, Paton C, Thomson C, Chandratilake M, Scott H. Preparing medical students for clinical decision making: a pilot study exploring how students make decisions and the perceived impact of a clinical decision making teaching intervention. Med Teach. 2012;34(7):e508–17.

Matthews F, Cartes-Velázquez R. Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Odontoestomatología. 2017;[In Press].

Su H, Liao HF, Fiorellini JP, Kim S, Korostoff J. Factors affecting treatment planning decisions for compromised anterior teeth. Int J Periodontics Restorative Dent. 2014;34(3):389–98.

Small BW. Decision-making in full-arch restorative dentistry: part 2. Gen Dent. 2010;58(1):10–3.

Alani A, Bishop K, Djemal S. The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning. Br Dent J. 2011;210(4):E4.

Tuvblad C, Gao Y, Wang P, Raine A, Botwick T, Baker LA. The genetic and environmental etiology of decision-making: a longitudinal twin study. J Adolesc. 2013;36(2):245–55.

Sánchez-Medina AJ, Romero-Quintero L, Sosa-Cabrera S. Environmental management in small and medium-sized companies: an analysis from the perspective of the theory of planned behavior. PLoS One. 2014;9(2):e88504.

Laegreid T, Gjerdet NR, Johansson A, Johansson AK. Clinical decision making on extensive molar restorations. Oper Dent. 2014;39(6):E231–40.

Sergl HG. Fixed appliances in orthodontics with special consideration of the Edgewise technique; Foundations, materials, technology, clinical aspects. München: Hanser; 1990.

Simón-Lorda P. La capacidad de los pacientes para tomar decisiones: una tarea todavía pendiente. Rev Asoc Esp Neuropsiq. 2008;28(2):325–48.

Hernández-Torres F, Aguirre-Gas H, Santacruz-Varela J, Gómez-Bernal E, García-Saisó S, Durán-Fontes LR. Calidad efectiva de los servicios de salud. Rev Conamed. 2013;18(3):129–38.

Eisenberg JM. Sociologic influences on decision-making by clinicians. Ann Intern Med. 1979;90(6):957–64.

Hamid Zafarmand A, Mahdi Zafarmand M. Removable orthodontic appliances: new perspectives on capabilities and efficiency. Eur J Paediatr Dent. 2013;14(2):160–5.

Sbaraini A, Carter SM, Evans RW, Blinkhorn A. How to do a grounded theory study: a worked example of a study of dental practices. BMC Med Res Methodol. 2011;11:128.

Martín MJ, Martínez JM, Rojas D. [Theory of planned behavior and risky sexual behavior in homosexual men]. Rev Panam Salud Publica. 2011;29(6):433–43.

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Corresponding: Facultad de Odontología, Universidad de Concepción, Chile. Roosevelt 1550, Concepción, Chile. Phone +56-41-2204232 - Fax +56-41-2243311- Mailbox 160-C, Concepción, Chile. E-mail journal@joralres.com.