{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:20:30Z","timestamp":1790184030893,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009235","name":"Australian Society of Orthodontists Foundation for Research and Education","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009235","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The primary aim of the investigation was to survey clear aligner therapy (CAT) use among general dentists in Australia. A secondary aim was to evaluate the factors that influenced general dentists in Australia not to provide CAT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>General dentists registered with the Australian Health Practitioner Regulation Agency were invited to participate in a structured cross\u2010sectional electronic survey. The survey covered demographics, preferred CAT systems and practices, relevant treatment planning and retention protocols, patient\u2010reported CAT issues, pertinent respondent opinions, and reasons for not providing CAT. Descriptive statistics were computed via GraphPad Prism v10 (GraphPad Software Inc., La Jolla, CA, USA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most of the 264 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009172; 65.2%) respondents indicated that they provided CAT. The majority (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200982; 58.6%) reported that they treated between 1 and 20 patients with CAT annually. Invisalign was the most used system (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200983; 61.2%), with 55 (41.7%), indicating that they used more than one system. Most (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009124; 98.4%) were comfortable using CAT for mild crowding, whereas 73.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200994) were not comfortable in treating severe crowding with CAT. The median (IQR) number of patients per respondent treated with extraction of a permanent incisor or premolar was 0 (0). Issues regarding tooth positions were reportedly always or mostly in need of change in the initial treatment plan by 68.7%. Problems regarding patient compliance with CAT wear protocols (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200967; 45.6%) and the predictability of treatment outcomes (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931; 21.1%) were the most identified themes of the free\u2010text comments. Over 80% of those who did not provide CAT indicated that they preferred to refer to an orthodontist for management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Almost two\u2010thirds of the respondents provided CAT. Invisalign was the most used system. The majority use CAT combined with nonextraction treatment. Most of those who did not provide CAT preferred to refer to an orthodontist for patient management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.919","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T02:22:24Z","timestamp":1720405344000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["A Cross\u2010Sectional Survey of the Use of Clear Aligners by General Dentists in Australia"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5688-1079","authenticated-orcid":false,"given":"Maurice J.","family":"Meade","sequence":"first","affiliation":[{"name":"Orthodontic Unit, Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Weir","sequence":"additional","affiliation":[{"name":"Orthodontic Unit, Adelaide Dental School The 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