PERCEPTION OF ORTHODONTIST ON DISTALIZATION AND EXTRACTION IN BORDERLINE CASE -QUESTIONNAIRE STUDY

Background : Extraction vs Non-extraction orthodontic treatment for borderline cases is subject of debate since more than 100 years.1)   The tendency towards choosing non-extraction approaches has been increasing because of the availability of effective and minimally invasive treatment methods.2)Recent developments in mechanotherapy & changes in concepts have reduced the need for extraction in several types of discrepancies.3) Management of borderline cases has always surmounted controversies. The article is based on Perception of Orthodontists to choose one of the treatment modalities. Material and method : The present study was conducted on perception of 100 Orthodontists doing clinical practice .The questionnaire of 10 questions was formulated on the Google forms for the ease to send and with an intention to reduce bias. Results:  The results showed that, every question showed highly significant difference with p <0.001. Orthodontists are aware of distalization procedure, mostly used distalization appliance are pendulum and with Implant. It is found that patients usually not ready to extract the tooth but treatment result of Extraction and convenience of Extraction treatment is high. Conclusion: It was concluded that Orthodontists are aware of Distalization and using Distalization as treatment modality .However Distalization is one of the common treatment modality in Borderline cases, Extraction is found more convenient and gives better results . Also patients or Parents are generally not ready to Extract the teeth still Orthodontists Perception on Extraction as a treatment modality in Borderline cases have higher weightage.