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From awareness to action: a cross-sectional survey on orthodontic treatment knowledge, attitudes, practices, and satisfaction in Xi an, China #MMPMID40611131
Zhang M; Liu X; Wang Z; Zhang R; Zhang T; Ma Y; Jin Z
BMC Oral Health 2025[Jul]; 25 (1): 1074 PMID40611131show ga
OBJECTIVE: This study aims to evaluate the impact of sociodemographic factors on knowledge, attitudes, practices, and satisfaction regarding orthodontic treatment in China, and to explore how these factors influence treatment decisions and clinical satisfaction. METHODS: This is a cross-sectional observational study. Using a random sampling method, data were collected from patients at the Fourth Military Medical University Dental Hospital in Xi'an, China. Structured paper questionnaires were distributed on-site. Descriptive and inferential statistical analyses, including chi-square tests, logistic regression, and ANOVA, were conducted to examine the influence of sociodemographic factors such as age, gender, education level, and occupation on orthodontic treatment decisions, practices, and satisfaction. RESULTS: 1,580 valid questionnaires were collected, including 640 from orthodontic patients and 940 from non-orthodontic individuals. Sociodemographic factors significantly influenced knowledge, attitudes, practices, and satisfaction. Younger respondents (43.4% of those aged 10-18) were more likely to seek orthodontic treatment than older individuals (18.0% of those over 30). Those with prior dental experience were 2.4 times more likely to seek treatment. Compliance was high, with 87.2% attending follow-up appointments regularly and 71.4% using orthodontic toothbrushes daily. Overall satisfaction with treatment was 96.4%, while dissatisfaction was mainly due to long waiting times (22.4%) and discomfort from appliances (21.2%). CONCLUSION: This study highlights key factors influencing orthodontic treatment in Xi'an, China, including increased awareness and the diminishing gender gap in treatment decisions. While higher education improves knowledge, it is also linked to lower satisfaction due to higher expectations. Patients' attitudes toward treatment duration and risks significantly affect their willingness to pursue care, suggesting the need for targeted interventions to address their concerns and expectations.