Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Omran, Rahaf; Dowie, Al

doi:10.1038/s41415-023-5451-3

Cited by 7 publications

(10 citation statements)

References 29 publications

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“…The increasing demand for orthodontic treatment highlights the need to address pain management effectively. Given that pain is a major barrier to treatment seeking, finding ways to reduce discomfort during orthodontic procedures is crucial for both patients and practitioners [ 3 , 4 ]. Addressing pain in orthodontic treatment is crucial for several reasons.…”

Section: Discussionmentioning

confidence: 99%

“…The rising prevalence of jaw and teeth irregularities combined with people’s interest in enhancing their facial features through orthodontics has led to growing patient demand for corrective dental care [ 3 ]. More individuals are now seeking orthodontic treatment to address dental issues and improve their smiles [ 3 ]. During the course of orthodontic treatment, patients wearing orthodontic appliances feel pain and discomfort to varying degrees.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the Arabic patient-centered online information about orthodontic pain: A quality and readability assessment

Alassaf,

Hamadallah,

Almuzaini

et al. 2024

PLoS ONE

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Background This study assesses the quality and readability of Arabic online information about orthodontic pain. With the increasing reliance on the internet for health information, especially among Arabic speakers, it’s critical to ensure the accuracy and comprehensiveness of available content. Our methodology involved a systematic search using the Arabic term for (Orthodontic Pain) in Google, Bing, and Yahoo. This search yielded 193,856 results, from which 74 websites were selected based on predefined criteria, excluding duplicates, scientific papers, and non-Arabic content. Materials and methods For quality assessment, we used the DISCERN instrument, the Journal of the American Medical Association (JAMA) benchmarks, and the Health on the Net (HON) code. Readability was evaluated using the Simplified Measure of Gobbledygook (SMOG), Flesch Reading Ease Score (FRES), and Flesch-Kincaid Grade Level (FKGL) scores. Results Results indicated that none of the websites received the HONcode seal. The DISCERN assessment showed median total scores of 14.96 (± 5.65), with low overall quality ratings. In JAMA benchmarks, currency was the most achieved aspect, observed in 45 websites (60.81%), but none met all four criteria simultaneously. Readability scores suggested that the content was generally understandable, with a median FKGL score of 6.98 and a median SMOG score of 3.98, indicating middle school-level readability. Conclusion This study reveals a significant gap in the quality of Arabic online resources on orthodontic pain, highlighting the need for improved standards and reliability. Most websites failed to meet established quality criteria, underscoring the necessity for more accurate and trustworthy health information for Arabic-speaking patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of the Arabic patient-centered online information about orthodontic pain: A quality and readability assessment

Alassaf,

Hamadallah,

Almuzaini

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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“…With the benefit of superior esthetics in patients with a strong visibility of premolars and first molars, these PCRs may serve as an esthetic indirect restoration while preserving as much tooth substance as possible 23,24 . Moreover, social‐network content and video‐calls (“zoom‐boom”), especially during the COVID‐19 pandemic, have increased critical self‐perception of one's own smile and outward appearance as well as the wish for esthetic self‐improvement of patients 25,26 . A recent survey by the British Orthodontic Society underlies this: 62% of orthodontists recorded an increase in demand for esthetic treatments during COVID‐19 26 …”

Section: Introductionmentioning

confidence: 99%

“…23,24 Moreover, social-network content and video-calls ("zoomboom"), especially during the COVID-19 pandemic, have increased critical self-perception of one's own smile and outward appearance as well as the wish for esthetic self-improvement of patients. 25,26 A recent survey by the British Orthodontic Society underlies this: 62% of orthodontists recorded an increase in demand for esthetic treatments during COVID-19. 26 Lithium disilicate glass-ceramics (LDS) offer superior esthetics 27,28 and a reliable clinical long-term survival.…”

mentioning

confidence: 99%

“…25,26 A recent survey by the British Orthodontic Society underlies this: 62% of orthodontists recorded an increase in demand for esthetic treatments during COVID-19. 26 Lithium disilicate glass-ceramics (LDS) offer superior esthetics 27,28 and a reliable clinical long-term survival. [29][30][31] The clinical performance of LDS CAD/CAM crowns is high, with survival rates of 93% after 6 years 32 and 80.1% after 15 years.…”

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confidence: 99%

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Minimally invasive CAD/CAM lithium disilicate partial‐coverage restorations show superior in‐vitro fatigue performance than single crowns

Spitznagel,

Prott,

Hoppe

et al. 2023

J Esthet Restor Dent

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ObjectiveTo analyze the influence of restoration design (partial‐coverage restoration vs. crown) and ceramic layer thickness on the performance and failure loads of CAD/CAM‐fabricated lithium disilicate (LDS) reconstructions on molars after fatigue.Materials and MethodsSeventy‐two posterior monolithic CAD/CAM‐fabricated LDS restorations (IPS e.max CAD, Ivoclar Vivadent) with different occlusal/buccal ceramic layer thicknesses (1.5/0.8, 1.0/0.6, and 0.5/0.4 mm) and restoration designs (PCR: non‐retentive full‐veneer/partial‐coverage restoration, C: crown,) were investigated and divided into six groups (n = 12, test: PCR‐1.5, PCR‐1.0, PCR‐0.5; control: C‐1.5, C‐1.0, C‐0.5). LDS restorations were adhesively bonded (Variolink Esthetic DC, Ivoclar Vivadent) to dentin‐analogue composite dies (Z100, 3M ESPE). All specimens were subjected to thermomechanical loading (1.2 million cycles, 49 N, 1.6 Hz, 5–55°C) and exposed to single load to failure testing. Failure analysis was performed with light and scanning electron microscopies. Data were statistically analyzed using ANOVA, Tukey‐Test, and t‐test (p < 0.05).ResultsEight crown samples (C‐0.5) and one PCR specimen (PCR‐0.5) revealed cracks after fatigue, resulting in an overall success rate of 87.5% (crowns: 75%, PCRs: 96.88%). Direct comparisons of PCRs versus crowns for thicknesses of 0.5 mm (p < 0.001) and 1.0 mm (p = 0.004) were significant and in favor of PCRs. Minimally invasive PCRs (0.5 and 1.0 mm) outperformed crowns with the identical ceramic thickness. No difference was detected (p = 0.276) between thickness 1.5 mm PCRs and crowns.ConclusionsMinimally invasive monolithic CAD/CAM‐fabricated posterior LDS PCRs (0.5 and 1.0 mm) resulted in superior failure load values compared to minimally invasive crowns. Minimally invasive crowns (0.5 mm) are prone to cracks after fatigue.Clinical SignificanceMinimally invasive CAD/CAM‐fabricated LDS PCR restorations with a non‐retentive preparation design should be considered over single crowns for molar rehabilitation.

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Adult orthodontic patients: What is important to them?

Wall,

Hillyard,

Ryan

et al. 2024

J Orthod

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Objective: To understand patients’ motivations for pursuing treatment, to appreciate what information patients seek and to explore potential factors affecting decision making in adults considering, undergoing or who have had orthodontic treatment in the private sector. Design: Cross-sectional questionnaire study. Setting: Online questionnaire. Participants: A total of 209 (83% women, 16% men, 1% preferred not to say) completed responses were received. Methods: Once piloted, the final survey was made available online to adults in the United Kingdom (UK) and Republic of Ireland (RoI) who were either considering having orthodontic treatment, currently undergoing treatment or had recently completed treatment in the private sector. Results: The most commonly selected motivating factor was to ‘improve the appearance of my teeth’ (82%). The information sought related predominantly to treatment duration (64%), potential end results (56%), types of appliances that were available (55%) and cost (52%). The two most commonly reported social factors that had influenced participants to consider treatment were ‘seeing myself on social media’ (31%) and ‘it is more socially acceptable to have braces’ (31%). Conclusion: While this area remains relatively underexplored in the literature, it is crucial to develop a comprehensive understanding due to the increasing number of adults seeking orthodontic treatment. This study not only reinforces the existing knowledge regarding adults seeking orthodontic treatment, such as the predominant role of aesthetics as a motivating factor, but also introduces some novel insights. Specifically, we highlight the influence of social factors on decision-making processes and the importance of effectively communicating the duration of treatment to patients.

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Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Cited by 7 publications

References 29 publications

Assessment of the Arabic patient-centered online information about orthodontic pain: A quality and readability assessment

Assessment of the Arabic patient-centered online information about orthodontic pain: A quality and readability assessment

Minimally invasive CAD/CAM lithium disilicate partial‐coverage restorations show superior in‐vitro fatigue performance than single crowns

Adult orthodontic patients: What is important to them?

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