Perceptions and Practices of Pediatric Dentists on Clear Aligner Therapy in Mixed Dentition: A Cross-Sectional Survey

Introduction Clear aligners have gained traction in pediatric orthodontics due to their aesthetic and hygienic advantages. However, their applicability and effectiveness in mixed dentition remain underexplored. This study aims to assess the pediatric dentists' perceptions, practices, and challenges associated with clear aligner therapy in mixed dentition. Methods A cross-sectional survey was conducted among 300 pediatric dentists in India using a validated 17-item online questionnaire. The questionnaire assessed demographic data, clinical experiences, perceived benefits, challenges, and future intent regarding clear aligner use. Data were analyzed using descriptive statistics and chi-square tests to evaluate associations between clinical experience and aligner-related practices. Results Among the 300 respondents, 63.9% had never used clear aligners in mixed dentition, and 61.1% expressed probable future use. Better aesthetics (69.4%) and improved hygiene (55.6%) were the most cited benefits. Major challenges included high cost (19.4%) and difficulty in managing erupting teeth (13.9%). No significant association was found between the dentist's years of experience and previous (p=0.0917) or future use of aligners (p=0.434). Conclusion Pediatric dentists perceive clear aligners as a moderately effective tool during mixed dentition, with parental demand and aesthetic benefits driving interest. However, limitations related to cost, compliance, and control of tooth movement warrant further longitudinal and outcome-based studies before routine adoption.