Does the Perception of Self-Ligating Brackets Differ from Conventional Brackets Among Orthodontists?

The purpose of this study was to determine orthodontists' perception of the reported advantages of self-ligating brackets (SLB) during their daily practice and if there is a relationship between their bracket preference and the advantages of that bracket system. An online survey was distributed to 173 orthodontists and orthodontic residents to compare their perceptions of SLB and CB (conventional brackets). The questionnaire consisted of 2 sections: Section A was composed of questions of the individual practitioner's characteristics and experience with SLB; Section B assessed a variety of treatment factors, allowing orthodontists to indicate a preference for either SLB or CB based on their experience and perceived clinical results. Orthodontists preferred SLB in initial treatment and shorter adjustment appointments (P<0.0001). CB were preferred for cost, space closure, finishing, and detailing (P<0.0001). Participating orthodontists perceived a clinical difference between SLB and CB. Orthodontists preferred SLB in 7 out of the 12 treatment factors that were evaluated. SLB were preferred mostly for initial treatment progress, shorter adjustment appointments, oral hygiene, and less required extraction. CB were preferred mostly for space closure, finishing, and cost-effectiveness according to the respondents.