Adult patient preference for an orthodontic care provider in Canada

Abstract

This study evaluated the factors influencing potential orthodontic patients' choice between an orthodontist, general dentist (GD), and direct-to-consumer (DTC) aligners for their treatment and their choice of orthodontic appliance type and explored their motivating factors for seeking orthodontic treatment and preference for appliance type. An electronic survey was administered to 330 Canadian adults to determine demographic background, choice of the orthodontic treatment provider, the preferred mode of treatment, orthodontic issues they wished to address, and motivation for treatment. When participants were asked their preference in provider type, 49.4% of participants selected an orthodontist, 19.2% would follow the recommendation of their GD, 18.9% selected a GD, and 12.5% selected DTC aligners. Younger adult participants (P= 0.037) and those living in metropolitan areas (P= 0.0005) were significantly more likely to select an orthodontist than GD or DTC aligners. When asked about their preference in the mode of orthodontic treatment, 45.4% selected clear braces, 34.1% selected clear aligners, 14.3% selected metal braces, and 6.1% indicated they currently have no interest in orthodontic treatment. Older participants (P= 0.0005) and those in moderate-sized population centers (P= 0.001) were significantly more likely to select clear braces or aligners. Adults in Canada have a high preference for orthodontic treatment performed by orthodontists, especially among younger participants and those in metropolitan areas. Although all ages preferred clear braces, younger adult participants tended to be more open to metal braces, whereas older participants' preference for clear braces was the strongest. Preference for clear aligners is positively correlated to increased community size.