# Bridging the Knowledge and Training Gap Between Educational Needs and Practices of Orthodontists and General Dental Practitioners Towards Clear Aligner Therapy in India: A Cross-Sectional Survey Study

## TL;DR

This study explores the knowledge and training gaps among Indian dental professionals regarding clear aligner therapy, highlighting the need for targeted education to improve adoption and patient care.

## Contribution

The study identifies specific educational and practical barriers to clear aligner therapy adoption among orthodontists and general dentists in India.

## Key findings

- 41.1% of participants reported no clinical experience with clear aligner therapy despite having access to systems.
- Cost and patient compliance were identified as the major barriers to adopting clear aligner therapy.
- Most practitioners expressed willingness to pursue further training in clear aligner therapy.

## Abstract

Background: Clear aligner therapy (CAT) has rapidly evolved as a preferred orthodontic treatment option due to its aesthetic appeal, comfort, and removability. Despite increasing availability, variability exists in practitioners' knowledge, attitudes, and practical application of CAT.

Objective: This study aimed to determine the knowledge and demand for CAT education amongst practitioners so as to offer insights for future tailored curricula on CAT.

Methods: A cross-sectional survey was conducted among 112 licensed orthodontists and general dentists. Data were collected using a validated, self-administered questionnaire that focused on CAT-related knowledge, attitudes, practices, and training needs. Descriptive and inferential statistics were analyzed using SPSS Version 26 (IBM Corp., Armonk, NY, USA), with significance set at p < 0.05.

Results: Participants had a mean age of 33.97 years, with 73.2% (n = 89) being orthodontists. While 60.7% (n=68) had received CAT training, and 57.1% (n=64) had access to CAT systems within their clinics, 41.1% (n=41) reported no clinical experience with CAT. Major barriers identified included cost (77.7%, n = 87) and patient compliance (46.4%, n = 52). Most respondents recognized CAT as suitable for minor to moderate malocclusions and polyurethane as the standard material used in this context. A majority acknowledged the need for fewer clinical visits with CAT compared to traditional braces. Practitioners expressed a willingness to pursue further CAT training and integrate it into their routine practice. Statistical analyses revealed significant associations between access to CAT systems and confidence in patient education and clinical application.

Conclusion: This study highlights the gaps between theoretical knowledge and the clinical application of CAT, with cost and patient compliance being key challenges that must be addressed. The findings underscore the importance of targeted continuing education in enhancing the adoption of CAT and optimizing patient care in modern orthodontics.