Direct-to-consumer orthodontics: surveying the user experience

Wexler, Anna; Nagappan, Ashwini; Beswerchij, Andrew; Choi, Rebekah

doi:10.1016/j.adaj.2020.02.025

Cited by 24 publications

(32 citation statements)

References 13 publications

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“…Mild pain, irritation from poorly fitting aligners, and imbalanced occlusion were the most common adverse outcomes reported by patients undergoing DTC orthodontics. 20 In this study, 20 nearly 50% of the respondents elected to consult a dentist prior to seeking aligner therapy; however, most of the respondents preferred DTC orthodontics due to its cost-effectiveness and convenience of usage. 20 From the authors' perspective, this is concerning from a bioethical and biomechanics point of view.…”

Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 77%

“…20 In this study, 20 nearly 50% of the respondents elected to consult a dentist prior to seeking aligner therapy; however, most of the respondents preferred DTC orthodontics due to its cost-effectiveness and convenience of usage. 20 From the authors' perspective, this is concerning from a bioethical and biomechanics point of view. From a medical perspective, DTC advertising has been criticized in indexed literature.…”

Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 77%

“…[42][43][44][45] In the absence of direct supervision by a trained dentist, it is challenging to perform the abovementioned procedures especially among patients receiving DTC orthodontics from commercial companies. 13 Wexler et al 20 documented the adverse effects reported by patients using "at-home" aligners. Mild pain, irritation from poorly fitting aligners, and imbalanced occlusion were the most common adverse outcomes reported by patients undergoing DTC orthodontics.…”

Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 99%

“…Furthermore, misconceptions in the relevance of teleorthodontics in clinical practice, such as direct to consumer (DTC) orthodontics 13 and "do-it-yourself" orthodontic treatment, 18,19 which lack well-defined professional guidance and supervision, spark treatment-related complications, and ethical concerns. 18 In a recent surveybased study, Wexler et al 20 investigated the experiences of patients undergoing DTC orthodontics using at-home aligners. According to the results of this survey, the majority of respondents (87.5%) were satisfied with DTC aligners due to their convenience and cost-effectiveness.…”

Section: Introductionmentioning

confidence: 99%

“…However, it is noteworthy that at least 50% of the respondents consulted a dentist before purchasing DTC aligners during which, they were recommended to pursue inoffice supervised aligner therapy. 20 Since the exchange of healthcare-related information using digital technology is escalating 21 ; teledentistry seems to have a scope in clinical orthodontics. However, to the authors' knowledge, there is a dearth of studies that have highlighted the potential misconceptions and ethical issues related to the use of this technology in clinical Orthodontics.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

An evidence‐based review of the scope and potential ethical concerns of teleorthodontics

Squires

Michelogiannakis

Rossouw

et al. 2020

Journal of Dental Education

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PurposeThe aim was to evaluate the scope and potential ethical concerns related to the use of teledentistry in clinical orthodontics.MethodsIndexed databases were searched up to and including October 2020. The eligibility criteria were as follows: (a) original clinical studies, and (b) case reports/series. Historic reviews, commentaries, experimental studies, and letters to the editor, were excluded. The pattern of the present review was customized to summarize the relevant information.ResultsA total of 4 clinical studies (out of 1016) were included in the present evidence‐based review. Three studies reported that teledentistry is useful in clinical orthodontics. In 1 study, a clear conclusion could not be derived regarding the benefits of teledentistry in clinical orthodontics. Two out of 4 studies did not obtain prior approval from an Institutional Review Board or Ethical Committee. Three studies did not report any measures that were undertaken to safeguard the electronic transfer of patient‐related health information.ConclusionsTeleorthodontics facilitates treatment planning/monitoring by sharing orthodontics‐based patient records among oral healthcare providers; however, the importance of direct patient supervision and routine follow‐ups during orthodontic therapy cannot be overlooked. Further studies are needed to establish ethical guidelines and a standard of care in this emerging field.

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Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 77%

Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 77%

Section: Treatment Mechanics and Evaluation/monitoring Of Patient Commentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

An evidence‐based review of the scope and potential ethical concerns of teleorthodontics

Squires

Michelogiannakis

Rossouw

et al. 2020

Journal of Dental Education

View full text Add to dashboard Cite

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Assessment of Consumer Attitudes Following Recent Changes in the US Hearing Health Care Market

Singh

Dhar

2023

JAMA Otolaryngol Head Neck Surg

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ImportanceThe addition of over-the-counter hearing aid (HA) options has transformed the way individuals can access hearing health care (HHC). However, although critical to their adoption and use, consumer attitudes and opinions about direct-to-consumer (DTC) models of health care are often understudied.ObjectiveTo assess how recent DTC market changes in HHC delivery may be associated with consumer choice and attitudes towards specific HHC models.Design, Setting, and ParticipantsA mixed-methods survey, distributed online between March 22 and 25, 2022, using Qualtrics Survey Panels. Participants were US residents older than 50 years with no previous hearing aid experience, enrolled using consecutive sampling. A minimum of 1000 completed responses was set; once the 70% threshold was met, any future respondent who identified as White would not be given the survey.Main Outcomes and MeasuresRespondents were asked to report their level of comfort with using different variations of DTC-HHC and asked about their previous experience with other DTC health care models. Respondents then reported which model (in-person vs online) of HHC they would most likely pursue.ResultsOf 1377 respondents, 1037 were included in the survey study (mean [SD] age, 61.4 [7.84] years; 714 [69.0%] were female; 674 [65.0%] were White). Most respondents reported discomfort with pursuing hearing aids via DTC pathways, with 84% (874 of 1037) indicating they would pursue HHC via an in-person model. Individuals who were older (odds ratio [OR], 0.95; 95% CI, 0.92-0.98), reported an income greater than $150 000 (OR, 0.29; 95% CI, 0.08-0.91), and were not interested in HA (OR, 0.42; 95% CI, 0.23-0.79) were less likely to pursue HHC online. Those who had previous experience with DTC health care (OR, 1.97; 95% CI, 1.27-3.02), and did not have (OR, 2.61; 95% CI, 1.59-4.31) or were uncertain (OR, 2.05; 95% CI, 1.13-3.70) about their insurance coverage for HA were more likely to pursue HHC online.Conclusions and RelevanceCurrent consumer attitudes and opinions found in this survey study suggest that DTC-HHC may not find immediate acceptance by most potential HA seekers in the US.

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Attitudes and opinions of telehealth in the dental school environment: A survey study

Bakerywala

Finkelman

Swee

et al. 2023

Journal of Dental Education

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PurposeThe objective of this study was to assess provider attitudes and opinions regarding telehealth in the dental school environment.MethodA survey was developed and validated and was sent to 849 predoctoral students, postdoctoral students (residents), and faculty at a single dental school. It consisted of 13 questions regarding the participants’ professional backgrounds, opinions, and attitudes toward telehealth. The survey opened on November 16, 2021, and remained open for 6 weeks.ResultsOf 849 survey recipients, 163 (19%) responded. Among 161 usable surveys, 90 (56%) were predoctoral students, 42 (26%) were postdoctoral students, and 29 (18%) were faculty. Fifty‐four percent reported having completed at least one telehealth visit. Among this subset, 80% strongly agreed or agreed that telehealth is a good adjunct in providing care; 74% strongly agreed or agreed that telehealth has improved communication with patients.ConclusionMost dental providers reported positive opinions and attitudes regarding telehealth's ability to improve communication and serve as an adjunct to providing care.Practical implicationsIn the right circumstances, telehealth offers an alternative to traditional oral healthcare delivery methods. Based on the perceptions of dental providers, the use of telehealth may also be beneficial in combination with traditional approaches in the dental school environment.

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Direct-to-consumer orthodontics: surveying the user experience

Cited by 24 publications

References 13 publications

An evidence‐based review of the scope and potential ethical concerns of teleorthodontics

An evidence‐based review of the scope and potential ethical concerns of teleorthodontics

Assessment of Consumer Attitudes Following Recent Changes in the US Hearing Health Care Market

Attitudes and opinions of telehealth in the dental school environment: A survey study

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