Keywords
Fixed orthodontics
Impact
How to Cite
Abstract
Background: Lockdown due to second wave of COVID-19 was implemented, in Kathmandu from April 29, 2021. In most of the dental hospitals, patients’ regular appointments were temporarily suspended and only emergency treatments were considered.
Objectives: To assess the impact of the COVID-19 related lockdown on the treatment among patients undergoing fixed orthodontic treatment.
Methods: A descriptive cross-sectional study was conducted among 170 individuals undergoing fixed orthodontic treatment at Kathmandu Medical College Teaching Hospital from 1st July to 30th September 2021 after obtaining ethical approval. A standard pretested self-administered online questionnaire having questions regarding impact of COVID-19 on orthodontic treatment was sent to all the study participants. Data were entered in Microsoft Excel Sheet and analysed in Statistical Package for Social Sciences version 20. Descriptive statistics like mean, standard deviation, frequency, and percentage were calculated depending upon the nature of data.
Results: Majority of the study participants (113, 66.5%) did not visit orthodontist for more than one month due to second wave of COVID-19 and were very worried (84, 49.4%) for not getting to go for regular follow-ups for their treatment. Most of them were worried thinking that their treatment time will be extended (134, 78.8%), and some (97, 57.1%) participants faced problems like broken brackets and elastics.
Conclusion: This study concluded that second wave of COVID-19 had some impact on orthodontic patients. This study highlighted the importance of teledentistry for orthodontic consultation and also the need for preparing the patients to deal with orthodontic appliances if required to prevent trauma.
References
Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. Br Med J. 2020 Jan 31;368:m408. [PubMed | Full Text | DOI]
Kafle D, Mishra RK. Incidence and pattern of dental emergencies and their management during Covid-19 pandemic: An experience of Nepali dentists working during lock down. Orthod J Nepal. 2020 Sep 11;10(2):14-9. [Full Text | DOI]
Grembowski D, Milgrom P, Fiset L. Factors influencing variation in dentist service rates. J Public Health Dent. 1990;50(4):244-50. [PubMed | Full Text | DOI]
Beauquis J, Petit AE, Michaux V, Sagué V, Henrard S, Leprince JG. Dental emergencies management in COVID-19 pandemic peak: A cohort study. J Dent Res. 2021 Apr;100(4):352-60. [PubMed | Full Text | DOI]
Shenoi SB, Deshpande S, Jatti R. Impact of COVID-19 Lockdown on patients undergoing orthodontic treatment: A questionnaire study. J Indian Orthod Soc. 2020 Jul;54(3):195-202. [PubMed | Full Text | DOI]
Guo F, Tang B, Qin D, Zhao T, Su YX, McGrath C, et al. The impact of the COVID-19 epidemic on orthodontic patients in China: An analysis of posts on Weibo. Front Med. 2020 Dec;7:577468. [PubMed | Full Text | DOI]
Bukhari OM, Sohrabi K, Tavares M. Factors affecting patients’ adherence to orthodontic appointments. Am J Orthod Dentofacial Orthop. 2016 Mar 1;149(3):319-24. [PubMed | Full Text | DOI]
Bichara LM, Aragón ML, Brandão GA, Normando D. Factors influencing orthodontic treatment time for non-surgical Class III malocclusion. J Appl Oral Sci. 2016 Sep;24(5):431-6. [PubMed | Full Text | DOI]
Faruqui S, Fida M, Shaikh A. Factors affecting treatment duration-a dilemma in orthodontics. J Ayub Med Coll, Abbottabad. 2018 JanMar;30(1):16-21. [PubMed | Full Text]
Trenouth MJ. Do failed appointments lead to discontinuation of orthodontic treatment? Angle Orthod. 2003 Feb;73(1):51-5. [PubMed | Full Text | DOI]
Mainali A. Occurrence of oral ulcerations in patients undergoing orthodontic treatment: A comparative study. Orthod J Nepal. 2013 Dec 31;3(2):32-5. [Full Text | DOI]
Baricevic M, Mravak?Stipetic M, Majstorovic M, Baranovic M, Baricevic D, Loncar B. Oral mucosal lesions during orthodontic treatment. Int J Paediatr Dent. 2011 Mar;21(2):96-102. [PubMed | Full Text | DOI]
AlDahash F, AlShamali D, AlBander W, Bakhsh R, AlMadhi W, AlSenani S. Oral mucosal ulceration during orthodontic treatment: The perception of patients and knowledge and attitude of the orthodontic practitioners. J Family Med Prim Care. 2020 Nov;9(11):5537-41. [PubMed | Full Text | DOI]
Ellis PE, Benson PE. Potential hazards of orthodontic treatment – What your patient should know. Dent Update. 2002 Dec 2;29(10):492-6. [PubMed | Full Text | DOI]
Moresca R. Orthodontic treatment time: Can it be shortened? Dental Press J Orthod. 2018 Nov;23:90- 105. [PubMed | Full Text | DOI]