DefinePK

Abstract

Objective: This study aimed to assess current trends in orthodontic practice in Pakistan by evaluating the usage patterns of fixed appliances and their components among practicing orthodontists.
Methods: A cross-sectional, nationwide survey was conducted from September 2024 to February 2025, targeting orthodontic consultants, residents, and general dentists registered with PMDC. A total of 110 responses were collected via a structured digital questionnaire. Descriptive statistics, chi-square tests, and association analyses were used to evaluate the data.
Results: Conventional metal brackets (75.5%) with MBT prescription (81.8%) and metal material (97.3%) were the most commonly used. The 0.022-inch slot size (82.7%), light-cure composite resin (96.4%), and direct bonding technique (96.4%) were preferred. Bands were favored for molar attachments (70.9%), and continuous mechanics (80%) with elastomeric power chains (70%) were the preferred space closure strategies. Aligners (0.9%) and ceramic brackets (1.8%) had minimal adoption. Significant associations were found between demographic factors and preferences for bracket slot size and molar attachments.
Conclusion: Orthodontic practices in Pakistan align with global standards in many respects but lag in adopting advanced technologies like aligners and self-ligating brackets. Economic limitations, training gaps, and accessibility are major barriers. Future research should explore longitudinal trends, regional comparisons, and strategies to enhance the adoption of modern orthodontic tools and techniques.