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1.
Am J Orthod Dentofacial Orthop ; 161(4): e400-e406, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1641071

ABSTRACT

INTRODUCTION: The aim was to investigate the type, incidence, and degree of orthodontic-related emergencies in orthodontic patients during the 2020 coronavirus disease 2019 pandemic and compare the different effects of clear aligner (CA) and fixed self-ligating appliances on the orthodontic emergency. METHODS: The questionnaire was based on emergencies in orthodontics. The responses of 428 patients between the ages of 12 and 38 years (20.4 ± 7.03) in orthodontic treatment during 2020 were examined. RESULTS: The gender, age, and the type of orthodontic appliance affect the incidence of orthodontic-related emergencies. Female or adolescent patients treated by self-ligating appliances showed a higher incidence of emergencies. The patients treated by CA exhibited a much lower incidence of emergency. Appliance detachment and mucosa injury were very common in respondents, whereas accidental ingestion and other rare emergencies were less common. The most common reason leading to appliance detachment was chewing hard food. Interestingly, the fixed self-ligating appliances group was also affected by the accidental detachment of appliances to a large extent. The CA and self-ligating groups showed an almost equal incidence of accidental ingestion. The most common foreign body was elastics in both groups. However, the self-ligating group could accidentally ingest dangerous foreign bodies, such as archwires, miniscrews, and welded attachments. CONCLUSIONS: Orthodontic-related emergencies were very common in patients. The CA could effectively reduce orthodontic-related emergencies. Dentists should raise patients' awareness of proper appliance care. A proper and standard protocol should be developed.


Subject(s)
COVID-19 , Orthodontic Appliances, Removable , Orthodontic Brackets , Adolescent , Adult , COVID-19/epidemiology , Child , Female , Humans , Orthodontic Appliance Design , Orthodontic Appliances/adverse effects , Orthodontic Appliances, Fixed , Orthodontic Brackets/adverse effects , Pandemics , Young Adult
2.
Int J Environ Res Public Health ; 18(11)2021 05 25.
Article in English | MEDLINE | ID: covidwho-1244015

ABSTRACT

BACKGROUND: The COVID-19 pandemic outbreak may have a large impact on orthodontic treatment. Regular orthodontic visits were strongly and widely interrupted by the unprecedented epidemiological threat. METHODS: The data regarding orthodontic queries were investigated in a real-time surveillance using Google Trends. Search terms "braces", "invisalign", "get braces", "get braces off", "braces pain" and the phrase "social distancing" were analyzed regarding the year preceding the pandemic outbreak and the time of the pandemic. Moreover, the five-year trend for queries "braces" vs. "invisalign", as an example of different types of orthodontic appliances, was compared. RESULTS: There was a significant decrease in orthodontics phrase queries in the spring of 2020, connected with the worldwide restrictions and lockdowns announced all over the world. There was a lower interest in the "braces pain" query during the first lockdown in 2020. The number of searches for "invisalign" increased steadily over time, while the number of searches for "braces" was relatively stable across the investigated time period. CONCLUSIONS: The course of the COVID-19 pandemic has had a large impact on the orthodontic-related search queries. Orthodontists must be better-prepared for any sudden changes in the possible future in the epidemiological situation that may change accessibility to dental offices.


Subject(s)
COVID-19 , Orthodontic Appliances, Removable , Communicable Disease Control , Humans , Pandemics , SARS-CoV-2
3.
Pain Res Manag ; 2020: 6677929, 2020.
Article in English | MEDLINE | ID: covidwho-1005566

ABSTRACT

Fixed orthodontic treatment has been compromised at many levels during the pandemic period, as clinics underwent a prolonged lockdown and patients could not be treated regularly. With the end of the pandemic nowhere in sight, may be it is time to put newer tools, such as clear aligner therapy, for better use. Fixed orthodontic appliances by nature are not always self-limiting, which, if left unmonitored over a long period may cause undesirable side effects, pain, and discomfort. The undesired tooth movements that may occur with arch wire-guided mechanics in addition to problems with cut wires or removed brackets may be minimized with the use of aligners. While the benefits of using aligners are for all to see, they do require extensive planning and careful evaluation of the progress. This article reviews the advantages of using aligners during the pandemic period and how it can be beneficial in helping orthodontists resume their practice.


Subject(s)
COVID-19 , Malocclusion/therapy , Orthodontic Appliances, Removable , Tooth Movement Techniques/instrumentation , Dental Care , Humans , Hygiene , Pain/etiology , SARS-CoV-2
4.
Pesqui. bras. odontopediatria clín. integr ; 21: e0181, 2021. tab
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-992898

ABSTRACT

ABSTRACT Objective: To investigate the types of dental emergencies that occurred during the lockdown period in Italy (12th March-4th May) and to investigate future therapeutic preferences related to the use of different types of appliances. Material and Methods: A questionnaire dedicated to assessing dental emergencies during the lockdown period and surveying the resumption of orthodontic practice was submitted to clinicians in digital form. The first part of the questionnaire, focused on the orthodontic emergencies that were encountered in relation to the different types of orthodontic appliances and how these were resolved. The second part of the questionnaire was devoted to the resumption of clinical practice; in particular, it was designed to assess whether and what percentage of clinicians are willing to change the duration of appointments in relation to the different types of appliance used, asking them whether their approach to orthodontic treatment would change in the coming months as compared to the pre-COVID-19 era. Results: Results show that in most cases (82%), the percentage of patients who experienced a dental emergency was less than 5% and that far fewer emergencies were attributable to removable (5.7%) than to fixed appliances (94.3%). Looking ahead, clinicians expressed a greater preference for using removable (60.8%) rather than fixed appliances (39.2%). Conclusion: During the lockdown, there relatively few orthodontic emergencies, many of which were handled by telephone consultation. However, a far lower percentage of emergencies were generated by removable (e.g., clear aligners) as opposed to fixed appliances (e.g., multibracket equipment), likely influencing the decision of the majority of clinicians to opt for removable appliances in the wake of the COVID-19 pandemic.


Subject(s)
Orthodontic Appliances , Orthodontic Appliances, Removable/microbiology , Orthodontic Appliances, Fixed , COVID-19/virology , Italy/epidemiology , Surveys and Questionnaires , Emergencies/epidemiology
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