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Survey Templates Surveys Eileen Lo: Masters Research project

Eileen Lo: Masters Research project

Eileen Lo: Masters Research project


At the University of Manitoba, we are conducting a survey to examine the provision of early orthodontic care by certified orthodontists and paediatric dentists in Canada. This research project is in partial fulfillment of the requirements of my graduate orthodontic training.

Our objectives are to gain an insight on current patterns of treatment and the time when interceptive treatment is initiated. To the best of our knowledge, this type of information has never been sought in more than anecdotal knowledge. Data obtained from this survey will be essential in framing graduate education program and continuing education courses.

The survey will take approximately 15 minutes to complete. As all answers are anonymous, the data will only be analyzed as group analysis and no participants will be identified. The questionnaire has an identification number for administrative purposes only. Once returned, all identifying information will be discarded.

We sincerely hope that you will find a few minutes to complete the survey as our project depends on your participation.

We greatly appreciate your help.
Please enter the study number located on the letter you received. This is for participant statistics only and that your responses will remain anonymous.
Section 1: Demographic information
1. What is your gender?
2. What is your age?
3. Which of the following best describes your current practice? (Please check all that apply.)
4. Where is your area of practice?
5. Which specialty are you trained in?
6. How long was your specialty graduate training?
7. In which province/territory are you practicing?
Section 2: Practice information
8. a) What was the approximate number of orthodontic cases started in 2007?
8. b) What was the number of cases of space maintainers provided?
8. c) What was the number of removable appliances provided?
8. d) What was the number of cases of fixed appliances provided?
9. How many hours per year do you spend in orthodontic continuing education courses?
10. How many years have you been a certified orthodontist/pediatric dentist?
11. What type of orthodontic services do you regularly offer? (Check all that apply)
12. When do you most regularly see a patient for the FIRST orthodontic consultation?
13. At what dental stage do you most regularly initiate orthodontic/orthopedic treatments?
14. How do you determine an appropriate time to initiate growth modification, when needed?
Section 3:
For the following questions, indicate the time in which you would initiate the necessary orthodontic treatments for each of the conditions described below.

Please assume that the dental anomalies were noted, either clinically or radiographically, during the early mixed dentition, unless otherwise noted.

1 = Deciduous dentition
2 = Early mixed dentition (only permanent molar and incisors present)
3 = Mid mixed dentition ( after the first premolars have erupted)
4 = Late mixed dentition (between mid-mixed dentition and permanent dentition)
5 = Permanent dentition

15. I) Skeletal dysplasia:
1
2
3
4
5
a. Moderate mandibular retrognathia (ANB< 5°)
b. Severe mandibular retrognathia (ANB>5°)
c. Moderate mandibular prognathia ANB<-5° (without a family history)
d. Severe mandibular prognathia ANB>-5° (without a family history)
e. Moderate/severe mandibular prognatiha (with a family history)
f. Maxillary deficiency ANB<-5° (i.e. malar deficiency)
g. Skeletal open bite>5mm
Section 3:
For the following questions, indicate the time in which you would initiate the necessary orthodontic treatments for each of the conditions described below.

Please assume that the dental anomalies were noted, either clinically or radiographically, during the early mixed dentition, unless otherwise noted.

1 = Deciduous dentition
2 = Early mixed dentition (only permanent molar and incisors present)
3 = Mid mixed dentition ( after the first premolars have erupted)
4 = Late mixed dentition (between mid-mixed dentition and permanent dentition)
5 = Permanent dentition

15. II) Dental anomalies:
1
2
3
4
5
a. Dental manifestations of a digit habit
b. Dental manifestations of a retained infantile tongue thrust
c. Dental open bite without an apparent habit
d. 1-3mm crowding
e. 3-6mm crowding
f. >6mm crowding
g. Anterior overjet between 3-6mm
h. Anterior overjet >6mm
i. Anterior overbite >50%
j. Anterior crossbite...
1
2
3
4
5
      v、Periodontal defects noted on the tooth/teeth in crossbite
      vi、Primary tooth/teeth in crossbite
      iv、Multiple teeth in crossbite without a CR-CO shift
      iii、Multiple teeth in crossbite with a CR-CO shift
      ii、Single tooth in crossbite without a CR-CO shift
      i、Single tooth in crossbite with a CR-CO shift
k. Posterior crossbite...
1
2
3
4
5
      iii、Unilateral crossbite without a CR-CO shift
      iv、Primary tooth/teeth in crossbite
      i、Bilateral crossbite
      ii、Unilateral crossbite with a CR-CO shift
1
2
3
4
5
l. Maxillary midline diastema > 2mm
m. Incisor ectopic development and eruption
n. Canine ectopic development and eruption
o. Molar ectopic development and eruption
p. Periodontal defects (e.g. traumatic recession)
q. Missing permanent teeth
Section 4: For pediatric dentists only
16. Which is your bracket prescription?
17.a) What is your usual first archwire?
b) What is your usual finishing archwire?
18. How long is your average orthodontic treatment, either fixed or removable?
19. What types of space maintainers do you most regularly use? (Check all that apply)
20. What types of functional appliance do you most regularly use? (Check all that apply)
21. What types of molar distalizing appliance do you regularly use? (Check all that apply)
22. What types of expansion appliance do you regularly use? (Check all that apply)
Excellent
Good
Average
Below Average
Poor
23. How would you rate the adequacy of your orthodontic training regarding interceptive treatment?
Excellent
Good
Average
Below Average
Poor
24. How would you rate the adequacy of your orthodontic training regarding fixed appliance treatment?
25. What is the age group of patients you are regularly providing active orthodontic treatment?
26. How many orthodontic appointments do you have in a typical week?
27. How many referrals do you make to an orthodontist in a typical month?
28. What age do you refer a patient with malocclusion to an orthodontist?
29. On average, how much of your clinical time to you spend providing orthodontic treatments?
30. How has the amount of orthodontic treatment provided by you changed in the past 5 years?
31. What do you predict the amount of orthodontic treatment you will provide in the next 5 years?

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