title: Current trends in headgear use for the treatment of Class II malocclusions.
abstract: OBJECTIVE
  To investigate American and Canadian orthodontists' opinions and perceptions on the use of headgear in the treatment of Class II malocclusions.
  
  
  METHODS
  An online survey was sent to randomly chosen orthodontists (n  =  1000).
  
  
  RESULTS
  The study was completed by 948 orthodontists; 62% of the orthodontists indicated that they were using headgear in their practice. Those who were not using the appliance (38%) reported that this was mainly due to the availability of better Class II correctors in the market and lack of patient compliance. Of those who use headgear, 24% indicated that the emphasis on headgear use during their residency was an influential aspect of their decision making (P < .05). Nearly a quarter of those who do not use headgear reported that learning about other Class II correctors through continuing education courses was an important factor (P < .05). There was no difference between the headgear users and nonusers in the year and location of practice. Compared with previous studies, this study showed a decline in the use of headgear among orthodontists.
  
  
  CONCLUSIONS
  Despite a decline, more than half of the orthodontists (62%) believe headgear is a viable treatment. Availability of Class II correctors in the market and familiarity with these appliances though continuing education courses are the reasons for the remaining 38% of orthodontists to abandon use of the headgear.
authors.affiliation: a   Associate Professor, Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va.
authors.forename: Eser
authors.initials: E
authors.lastname: Tüfekçi
authors.affiliation: b   Private Practice, Longmont, Colo.
authors.forename: Samuel B
authors.initials: SB
authors.lastname: Allen
authors.affiliation: c   Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va.
authors.forename: Al M
authors.initials: AM
authors.lastname: Best
authors.affiliation: d   Professor and Chair, Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Lindauer
mesh_terms: D002170:Canada; D005115:Extraoral Traction Appliances; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D009970:Orthodontics; D019239:Practice Patterns, Dentists'; D011795:Surveys and Questionnaires
keywords: Class II corrector; Class II malocclusion; Headgear; Patient compliance