Original Article

Concerns and Problems of Orthodontic Patients During the COVID-19 Pandemic

Abstract

Objectives: We aimed to find the main concerns of patients undergoing active orthodontic treatments and their orthodontic treatment-related (OTR) problems during the coronavirus disease-2019 (COVID-19) pandemic.

Materials and Methods: A researcher-made questionnaire addressing several aspects of the effects of COVID-19 pandemic on treatment was distributed among 181 orthodontic patients receiving active treatment. Anxiety, concern, problems, and willingness to attend orthodontic appointments and to undergo other dental procedures was questioned. The correlation of gender, age, COVID-19-related anxiety and OTR anxiety was statistically analyzed. Patient satisfaction level with different aspects of dental-clinic performance was also evaluated.

Results: The participants included 117 females and 64 males, of which 94% adhered to the pandemic restrictions. The mean COVID-19-related- and OTR-anxiety were 51.7% and 52.7%, respectively. Higher COVID-19-related anxiety was significantly correlated with higher OTR anxiety (P<0.001). There was an inverse correlation between general COVID-19-related anxiety and OTR anxiety and willingness to attend orthodontic appointments (P<0.05). A positive insignificant (P=0.07) correlation existed between age and willingness to attend appointments. The main concern was prolongation of treatment and the most common problem was irritation of oral soft tissues by appliances. The majority (65.3%) were willing to attend their orthodontic appointments. Orthognathic surgery (62%) had the highest while, dental restorations and radiography had the lowest refusal rates (9.9%).

Conclusion: COVID-19 pandemic significantly affected orthodontic treatment. The level of COVID-19-related anxiety was moderately high and patients were concerned about the impact of lockdown on their orthodontic treatment outcome. Young adults demonstrated higher levels of stress than other age-groups.

1. Organization WH, Organization WH. Naming the coronavirus disease (COVID-19) and the virus that causes it. 2020.
2. Lucaciu O, Tarczali D, Petrescu N. Oral healthcare during the COVID-19 pandemic. Journal of Dental Sciences. J Dent Sci. 2020 Dec; 15(4): 399–402.
3. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. lancet. 2020;395(10223):507-13.
4. Kamate SK, Sharma S, Thakar S, Srivastava D, Sengupta K, Hadi AJ, et al. Assessing Knowledge, Attitudes and Practices of dental practitioners regarding the COVID-19 pandemic: A multinational study. Dent Med Probl. 2020;57(1):11-7.
5. Maugeri G, Castrogiovanni P, Battaglia G, Pippi R, D'Agata V, Palma A, et al. The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon. 2020;6(6):e04315.
6. To KK-W, Tsang OT-Y, Yip CC-Y, Chan K-H, Wu T-C, Chan JM-C, et al. Consistent detection of 2019 novel coronavirus in saliva. Clin Infect Dis. 2020 Jul 28;71(15):841-43.
7. Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020 May;99(5):481-87.
8 Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod. 2020 May;46(5):584-95.
9. Guo F, Tang B, Qin D, Zhao T, Su Y-x, McGrath C, et al. The Impact of the COVID-19 Epidemic on Orthodontic Patients in China: An Analysis of Posts on Weibo. Front Med (Lausanne). 2020 Dec 8;7:577468.
10. Perillo L, Nucci L, Yitschaky O, Carrino G, Carrino R, Chaushu S. Returning to the orthodontic practice amid COVID-19 crisis. Stoma Edu J. 2020;7(3):169-75.
11. Xiong X, Wu Y, Fang X, Sun W, Ding Q, Yi Y, et al. Mental distress in orthodontic patients during the coronavirus disease 2019 pandemic. Am J Orthod Dentofacial Orthop. 2020;158(6):824-33. e1.
12. Bustati N, Rajeh N. The impact of COVID-19 pandemic on patients receiving orthodontic treatment: An online questionnaire cross-sectional study. J World Fed Orthod. 2020 Dec;9(4):159-63.
13. Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency
dental services. J Dent Sci. 2020 Dec;15(4):564-567.
14. Isiekwe IG, Adeyemi TE, Aikins EA, Umeh OD. Perceived impact of the COVID-19 pandemic on orthodontic practice by orthodontists and orthodontic residents in Nigeria. J World Fed Orthod. 2020 Sep; 9(3): 123–8.
15. Cotrin P, Peloso R, Oliveira R, Oliveira R, Pini N, Valarelli F, et al. Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthod Craniofac Res. 2020 May 25 : 10.1111/ocr.12395.
16. https://www.worldometers.info/coronavirus/country/iran/
17. https://www.worldometers.info/coronavirus/country/brazil
18. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020 Jun; 288: 112954.
19. Taylor MR, Agho KE, Stevens GJ, Raphael B. Factors influencing psychological distress during a disease epidemic: data from Australia's first outbreak of equine influenza. BMC Public Health. 2008 Oct 3;8:347.
20. Beckwith FR, Ackerman Jr RJ, Cobb CM, Tira DE. An evaluation of factors affecting duration of orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999 Apr;115(4):439-47.
21. Keles F, Bos A. Satisfaction with orthodontic treatment. Angle Orthod. 2013 May;83(3):507-11.
22. Wu KY, Wu DT, Nguyen TT, Tran SD. COVID‐19’s impact on private practice and academic dentistry in North America. Oral Dis. 2020 Jun 16 : 10.1111/odi.13444.
23. Bokas J, Woods M. A clinical comparison between nickel titanium springs and elastomeric chains. Aust Orthod J. 2006 May;22(1):39-46.
24. Ghai S. Teledentistry during COVID-19 pandemic. Diabetes Metab Syndr. Sep-Oct 2020;14(5):933-35.
IssueVol 19 (Continuously Published Article-Based) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/fid.v19i18.9964
Keywords
COVID-19 Orthodontics Surveys and Questionnaires Anxiety
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How to Cite
1.
Shahroudi A, Sodagar A, Shamshiri A, Rahimpour S, Samimi SM. Concerns and Problems of Orthodontic Patients During the COVID-19 Pandemic. Front Dent. 2022;19.