Incidence of orthodontic appliance failures during the COVID-19 lockdown period

Yavan, Mehmet Ali; Cingoz, Merve; Ceylan, Tunahan Mustafa; Çalışır, Metin

doi:10.1016/j.ajodo.2021.01.022

Cited by 8 publications

(7 citation statements)

References 29 publications

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“…The present study did not show significance in this association, probably because the median number of debonds/breakages of orthodontic accessories committed by these patients was minor. Previous data [ 25 ] demonstrated that orthodontic appliances may have failed more frequently during lockdown than normal times, demonstrating the greater variability of this variable according to the sample studied. It is also known that some orthodontists opt for passive reattachment of brackets after their debonding, thus avoiding the return to more flexible arches and possible delays in treatment.…”

Section: Discussionmentioning

confidence: 94%

The impact of COVID-19 pandemic on total treatment time of fixed appliances

2022

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Background Several aspects of the orthodontic routine seem to have been affected since the emergence of SARS-CoV-2. We aimed to evaluate the impact of the COVID-19 pandemic on the duration of fixed orthodontic treatment. Methods This retrospective study evaluated consecutive cases of patients undergoing fixed orthodontic treatment that completed treatment before (n = 37) or during (n = 26) the COVID-19 pandemic. The impact of the pandemic on treatment time was adjusted for the patient’s initial age, sex, number of debonds/breakages, number of missing teeth, initial PAR (Peer Assessment Rating) index (T0) and operator (n = 2), through multiple linear regression. The impact generated by months of treatment conducted during the pandemic period was also examined. Seven poorly finished cases were previously excluded, including five finished during the pandemic. Results Although the number of absences/missed appointments of patients treated during the pandemic was four months more than those treated in the previous period (p < 0.001), there was no significant effect of the pandemic on total orthodontic treatment time for both operators. There was also an effect of operator (β = 10.42, p < 0.001) and gender, which was lower in females (β = 4.77, p = 0.03), on treatment time (R2 = 0.27). The other variables showed no significant association (p > 0.05). Conclusion The COVID-19 pandemic did not have a significant effect on total orthodontic treatment time, although a greater number of absences/missed appointments were observed.

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Section: Discussionmentioning

confidence: 94%

The impact of COVID-19 pandemic on total treatment time of fixed appliances

2022

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“…Studies have reported that orthodontic emergencies are encountered more frequently during COVID-19 lockdowns than during normal times. 14 The most common emergencies include bracket breakages, archwire breakages, and molar tube and band breaks. 15 Although these emergencies are not life-threatening, they require prompt treatment because they cause prolonged treatment periods, decrease patients’ motivation, and reduce patients’ trust in orthodontists.…”

Section: Discussionmentioning

confidence: 99%

“…When miniscrews become loose, they can cause pain, discomfort, infection, facial swelling, and periodontal abscesses; therefore, they may need to be removed during an emergency follow-up visit. 16 Yavan et al 14 evaluated patients who underwent orthodontic treatment during the COVID-19 lockdown period and reported that 8.16% of their patients experienced miniscrew failure. 27 In our study, the interest in miniscrews did not change among 83% of the respondents, whereas it increased among 15.2%.…”

Section: Discussionmentioning

confidence: 99%

Has the COVID-19 Pandemic Affected Orthodontists’ Interest in Various Orthodontic Appliances?

Eğlenen,

Yavan

2023

TurkJOrthod

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Objective: To determine the changes in orthodontists’ interest in various orthodontic appliances during the coronavirus disease-2019 (COVID-19) pandemic. Methods: A questionnaire probing respondents’ interest in orthodontic appliances and techniques, including standard buccal metal brackets, self-ligating brackets, standard ceramic brackets, lingual brackets, clear aligners, orthodontic facemasks, removable functional appliances, fixed functional appliances, orthognathic surgery, orthodontic miniscrews, and lingual retainers, was prepared using Google Forms and then sent to the Turkish Orthodontic Society to invite all members of the society to participate in the survey. Of the 1903 members invited, 230 (response rate, 12.08%) orthodontists completed the questionnaire. Results: The respondents’ interest in brackets did not change among 70% of the respondents (standard buccal metal bracket 80%, self-ligating bracket 72.2%, standard ceramic bracket 77%, and lingual bracket 76.5%). A significant difference was observed between the genders only about the interest in standard metal brackets and fixed functional appliances (p<0.05 for both). Interest in standard metal brackets decreased as respondents’ work experience increased (p<0.05). The interest in self-ligating brackets was higher among respondents with 1-5 years of experience than among other respondents (p<0.05). Interest in self-ligating brackets increased more among lecturers and residents than among clinicians (p<0.05). Conclusion: The interest of orthodontists in clear aligners showed the highest increase during the COVID-19 pandemic among all orthodontic appliances, whereas their interest in other appliances, particularly standard buccal metal brackets, did not change.

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“…Regretfully, despite the clear and precise instruction demonstrating by the orthodontists to patients and their career, the orthodontic appliance breakage (represented by bracket failure) still representing the most frequently recorded orthodontic problem as can be seen in figure 4 (23,(27)(28)(29) . In another study, retightening or replacement of the archwires were also reported as an orthodontic emergency in with a percentage of 13% of the archwire problems (30,31) .…”

Section: Figurementioning

confidence: 99%

Validity of digital interceptive orthodontic/therapeutic protocols post global pandemics: A review

Al-Hasani,

Abdul-Jabbar,

Ibrahim

2024

J Bagh Coll Dent

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Background: Aggressive global pandemics such as COVID-19 can disrupt societies tragically, imposing a suspension to almost every field throughout the world; the orthodontic treatment and follow-up is no exemption. Objectives: To provide practical recommendations about resuming treatment for orthodontic patients during the “Return-to-Practice” phase and emphasize the validity of certain digital interceptive measures post global pandemics to minify the risk of infection spread. Materials and Methods: Sources of information pertaining to orthodontic/therapeutic implications during the COVID-19 pandemic were searched using electronic databases including COVID-19 Open Research Dataset (CORD-19 2020), Google Scholar, Scopus, PubMed, MEDLINE, reports from Centers for Disease Control (CDC), World Health Organization, in addition to recommendations by the American Association of Orthodontists (AAO) and British Orthodontic Society (BOS). Results: Many viruses are transmitted predominantly via droplets and secretions (cough, sneeze), providing the virus a path through the mucous membrane of the mouth, nose, and eyes. The virus can survive for days on plastic and stainless-steel objects. Tele-orthodontics has proven successful in performing many tasks that can be valid and helpful even post the pandemic. Conclusions: With the high expectations of a pandemic recurrence, attempts to reinforce tele-orthodontics, digital prescription and patient follow-up, and adherence to strict infection control measures are mandatory steps towards reducing contamination within dental/orthodontic practices.

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Incidence of orthodontic appliance failures during the COVID-19 lockdown period

Cited by 8 publications

References 29 publications

The impact of COVID-19 pandemic on total treatment time of fixed appliances

The impact of COVID-19 pandemic on total treatment time of fixed appliances

Has the COVID-19 Pandemic Affected Orthodontists’ Interest in Various Orthodontic Appliances?

Validity of digital interceptive orthodontic/therapeutic protocols post global pandemics: A review

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