Level of Knowledge, Understanding, and Impact of the COVID-19 Pandemic on Continuing Fixed Orthodontic Treatment in Adults: A Questionnaire Study

Objectives: To evaluate the level of knowledge, understanding, and impact of the coronavirus disease 2019 (COVID-19) pandemic on adult patients regarding their ongoing fixed orthodontic treatment. Subjects and Methods: A cross-sectional and descriptive survey was conducted on 108 adult patients undergoing fixed orthodontic treatment at GSL Dental College (GSLDC), India. All the candidates were aged 18 years and above, who were in lockdown due to the COVID-19 pandemic and devoid of treatment. Results: Among the patients 43.5% were male and 56.5% were female; 22.3% were not at all aware that the COVID-19 virus spreads quickly in a dental setup; 64.8% were definitely willing for their status disclosure and to undergo pretreatment screening; 71.3% were definitely willing to adhere to strict appointment timings for adequate sanitization of the clinical area; 60.2% thought that missed appointments during the COVID-19 pandemic would prolong their overall orthodontic treatment and affect their treatment outcome; and 51.9% were financially affected due to the pandemic. Conclusions: Not all adult orthodontic patients were in knowledge of COVID-19 cross infection. The majority were in a state of understanding and willing to follow infection-eradicating protocols. Patients’ view on overall orthodontic treatment was altered due to the psychological and financial impact of COVID-19.

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Factors related to orthodontic treatment time in adult patients

Dental Press Journal of Orthodontics ◽

10.1590/s2176-94512013000500011 ◽

2013 ◽

Vol 18 (5) ◽

pp. 59-63 ◽

Cited By ~ 15

Author(s):

Ana Camila Esteves de Oliveira Melo ◽

Lilianne Oliveira Thiers Carneiro ◽

Luana Farias Pontes ◽

Rodolpho Lobão Cecim ◽

José Nazareno Rufino de Mattos ◽

...

Keyword(s):

Orthodontic Treatment ◽

Treatment Time ◽

Case Reports ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Adult Patients ◽

Missed Appointments ◽

Facial Pattern ◽

Orthodontic Treatment In Adults ◽

Tooth Extractions

INTRODUCTION: The length of time that it takes an orthodontist to treat adult patients varies widely. OBJECTIVE: The aim of this study was to investigate how different variables influence treatment time. METHODS: Seventy clinical case reports of successfully treated adult patients were examined. The patients were selected from 4,723 records held by three experienced orthodontists. The influence exerted by the following variables on treatment time was assessed: age, sex, facial pattern, severity of malocclusion (measured by the PAR index), sagittal relationship of canines, type of brackets (ceramic or metal), tooth extractions, missed appointments and orthodontic appliance issues/breakages, the latter being the dependent variable. Assessment was performed by multiple linear regression analysis, followed by the stepwise method with P < 0.05. RESULTS: The number of times a patient missed their appointment (no-show) (R² = 14.4%, p < 0.0001) and the number of appliance issues/breakages (R² = 29.71%, p = 0.0037) significantly affected variability in treatment time, and these two variables together can predict 43.75% (R² total) of the overall variability in treatment time. Other factors, such as canine relationship at the beginning of treatment, bracket type (metal or ceramic), tooth extractions, age at start of treatment, severity of the initial malocclusion, sex and facial pattern had no significant bearing on treatment time. CONCLUSIONS: The duration of orthodontic treatment in adults, when performed by experienced orthodontists, is mainly influenced by factors related to patient compliance. However, several factors which were not included in this study may contribute to variability in orthodontic treatment time.

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Dental Psychological Stress or Phobia among Orthodontic Patients of Mardan

10.53350/pjmhs2115123442 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3442-3443

Author(s):

Nazish Falak ◽

Sadia Nisar Ahmed ◽

Syed Shah Faisal Jan ◽

Haris . ◽

Alina Iqbal ◽

...

Keyword(s):

Key Words ◽

Psychological Stress ◽

Orthodontic Treatment ◽

Cross Sectional Study ◽

Sectional Study ◽

Dental Procedure ◽

Cross Sectional ◽

Orthodontic Patients ◽

The Mean ◽

High Level

Objective: To assess the psychological stress or phobia due to dental procedure among patients. Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Orthodontic, Bacha Khan College of Dentistry/Medical Teaching Institute, Mardan from 1st January 2020 to 31st August 2021. Methodology: One hundred and twenty patients coming for orthodontal treatment with age between 12-31 years were enrolled. The demographic and psychological stress information was recorded. Results: There were more females (65%) than males (35%). The mean age was 15.5±3.2 years. About 82.5% patients reported high level of psychological stress or phobias towards dental treatments while 19.1% were those who had moderate psychological stress or phobias. Majority of the patient’s fear of pain was between 12-17 years. Patients having highest anxiety also belonged to the same group Conclusion: Dental phobias and fears are widespread among patients seeking dental treatments. Orthodontists should recognize the dental phobias and fears so they efficiently interconnect with the patients. Key words: Orthodontic treatment, Pain, Dental phobia

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Orthodontic Treatment of a Mandibular Incisor Extraction Case with Invisalign

Case Reports in Dentistry ◽

10.1155/2014/657657 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Khalid H. Zawawi

Keyword(s):

Treatment Option ◽

Orthodontic Treatment ◽

Adult Patients ◽

Class I ◽

Effective Treatment Option ◽

Mandibular Incisor ◽

Anterior Crowding ◽

Number Of Patients ◽

Orthodontic Patients ◽

Fixed Appliances

Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.

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Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation

The Angle Orthodontist ◽

10.2319/072215-496.1 ◽

2016 ◽

Vol 86 (5) ◽

pp. 839-845 ◽

Cited By ~ 13

Author(s):

Vanessa de Couto Nascimento ◽

Ana Cláudia de Castro Ferreira Conti ◽

Maurício de Almeida Cardoso ◽

Danilo Pinelli Valarelli ◽

Renata Rodrigues de Almeida-Pedrin

Keyword(s):

Quality Of Life ◽

Orthodontic Treatment ◽

Health Impact ◽

Self Esteem ◽

Adult Patients ◽

Life Questionnaire ◽

Psychological Benefits ◽

Oral Rehabilitation ◽

Orthodontic Treatment In Adults

ABSTRACT Objective: To evaluate whether orthodontic treatment in adults requiring oral rehabilitation is effective for increasing patients’ self-esteem and quality of life (QoL). Materials and Methods: The sample consisted of 102 adult patients (77 women and 25 men) aged between 18 and 66 years (mean, 35.1 years) requiring oral rehabilitation and orthodontic treatment simultaneously. Rosenberg’s Self-Esteem (RSE) Scale and a questionnaire about QoL based on the Oral Health Impact Profile (OHIP-14) were used to determine self-esteem and QoL scores retrospectively. Questionnaires were carried out in two stages, T1 (start of treatment) and T2 (6 months after). To compare score changes between T1 and T2, the data obtained from the RSE Scale were evaluated with paired t tests, and data from the quality-of-life questionnaire were assessed by applying descriptive statistics. Results: The results showed a statistically significant increase in self-esteem (P < .001) and a great improvement on patients’ QoL. Conclusions: Orthodontic treatment causes a significant increase in self-esteem and QoL, providing psychological benefits for adult patients in need of oral rehabilitation.

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Level of Job Satisfaction among Registered Nurses Working in Clinical Area at DHQ Teaching Hospital, Dera Ghazi Khan

Basic and Applied Nursing Research Journal ◽

10.11594/banrj.02.01.01 ◽

2021 ◽

Vol 2 (1) ◽

pp. 1-5

Author(s):

Rabia Noureen Malik Gorah ◽

Madiha Mukhtar

Keyword(s):

Social Sciences ◽

Job Satisfaction ◽

Registered Nurses ◽

Sample Size ◽

Teaching Hospital ◽

Sampling Technique ◽

Descriptive Statistics ◽

Clinical Area ◽

Cross Sectional ◽

Descriptive Survey

To assess the level of job satisfaction among registered nurses working in clinical area at Teaching Hospital Dera Ghazi Khan. Method: A cross sectional descriptive survey was used to assess the level of job satisfaction among registered nurses. Random sampling technique was used to collect the data. Sample size consists of 102 registered nurses, out of 121, working in clinical area at DHQ Teaching Hospital Dera Ghazi Khan. I developed one Likert scale with consisted 30 questions to measure the Level of Job satisfaction among registered Nurses. Computer analysis was done with statistical package for social sciences (SPSS) version 18. Descriptive statistics were taken out depending on the type of variable under study. Result: Study included 102 registered nurses to assess the level of job satisfaction. Results showed that from 102 respondents, 18 (17,65% answers in strongly satisfied category,45 (44.12% answers in satisfied category, 25 (24.51%) answers in neutral category, 08 (7.83%) answers in dissatisfied category and 06 (5.89%) answers in strongly dissatisfied category. It is evident that the corresponding falls in the category of strongly satisfied and satisfied 61.77%, which is comparatively greater than remaining categories. Furthermore, it is also submitted that the frequency of such outcome decreases vertically indicating that the scale is adjusted for convince, otherwise it can be integrated to 70% to 80%, it means that overall sample size is ranging strongly valid the result. Discussion: Nurses are not fully satisfied with their work. When the workload of Nurses increase then the level of Job satisfaction decreases because both are against each other.

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Assessment of the anxiety levels of orthodontic patients during the COVID-19 pandemic

International Dental Research ◽

10.5577/intdentres.2021.vol11.suppl1.12 ◽

2021 ◽

Vol 11 (Suppl. 1) ◽

pp. 74-80

Author(s):

Ersin Yıldırım ◽

Artemisa Adıgüzel ◽

Şeniz Karaçay

Keyword(s):

Orthodontic Treatment ◽

Online Survey ◽

Pearson Correlation ◽

Dental Anxiety ◽

Main Concern ◽

Primary Concern ◽

Cross Sectional ◽

Study Results ◽

Orthodontic Patients ◽

Anxiety Levels

Aim: This study aims to determine the anxiety levels of orthodontic patients related to the coronavirus pandemic and to evaluate the effects of quarantine on orthodontic appointments and orthodontic treatment. Methodology: This cross-sectional study was conducted as an online survey with the participation of patients who were actively receiving orthodontic treatment. A total of 281 orthodontic patients (191 [67.97%] females and 90 [32.03%] males) participated in the survey. The questionnaire consisted of five sections that included questions about demographics, the COVID-19 pandemic, and the patients’ orthodontic status. Anxiety levels were measured using Turkish versions of the Beck Anxiety Inventory and the Corah’s Dental Anxiety Scale. Descriptive statistics, the Kolmogorov-Smirnov and Shapiro-Wilk normality tests, the Pearson correlation test, and the Mann Whitney U test were used for statistical analysis. Results: Regarding patients’ perceptions of the pandemic, 251 patients (89.32%) reported that they were sufficiently informed about COVID-19. The main concern about the effects of quarantine on orthodontic treatment was the delay of orthodontic treatment at a rate of 58.36% (164/281). This study found that 36% (103/281) of the participants exhibited anxiety symptoms. The prevalence of dental anxiety specifically was 33% (95/281). Our study results reveal a significant relationship between dental anxiety and general anxiety, which indicates that dentally anxious people tend to also be generally anxious. Females had significantly higher anxiety levels than males (p <0.001). Conclusion: The coronavirus pandemic and quarantine seem to impact orthodontic patients’ anxiety. Delay of treatment was the primary concern of patients during the COVID-19 pandemic. Female patients were more anxious than males. How to cite this article: Yıldırım E, Adıgüzel A, Karaçay Ş. Assessment of the anxiety levels of orthodontic patients during the COVID-19 pandemic. Int Dent Res 2021;11(Suppl.1):73-9. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.12 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Oral piercings and orthodontic treatment: A questionnaire-based national survey

Journal of Orthodontics ◽

10.1177/14653125211070010 ◽

2022 ◽

pp. 146531252110700

Author(s):

Sangeeta Misra ◽

David Morris ◽

Harmeet Dhaliwal ◽

Amr Taha ◽

Georgia Townend

Keyword(s):

Patient Information ◽

Orthodontic Treatment ◽

Patient Information Leaflet ◽

Surrounding Tissue ◽

Free Text ◽

Information Leaflet ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Orthodontic Patients

Objective: To obtain opinions from orthodontic colleagues nationally on how they currently manage orthodontic patients with oral piercings. The secondary objectives were to assimilate the national opinions from the survey and attempt to generate educational material as an advice sheet and a patient information leaflet for the professionals and the patients respectively for the British Orthodontic Society (BOS). Design: Cross-sectional survey. Setting: Primary and secondary care orthodontic providers. Participants: Members of the BOS. Methods: An electronic questionnaire was developed and circulated to members of the BOS to obtain their opinions on the effects of oral piercings on their patients’ orthodontic treatment ‘journey’. In addition, the need for the development of informative material around the management of orthodontic treatment and appliances in patients with oral piercings was explored. Results: A total of 110 responses were received. However, only 88 respondents out of 110 attempted all the questions within the survey. There were 22 respondents who attempted it partially. We did include these partial responses well while analysing the results, since many of these offered personalised comments in the free-text boxes within the survey. Conclusion: The most common general complications associated with oral piercings were inflammation of the surrounding tissue and enamel/dentine wear. Moreover, orthodontic complications, reported commonly, were inadequate oral hygiene maintenance, entanglement with the orthodontic appliance causing damage and interference with retainers. Most respondents expressed the need for the development of a web-based patient information leaflet and an advice sheet as educational tool, both of which have been proposed to and agreed by the BOS before submission of this publication.

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Assessment of Periodontal Health in Nepalese Orthodontic Patients

Orthodontic Journal of Nepal ◽

10.3126/ojn.v3i1.9278 ◽

2013 ◽

Vol 3 (1) ◽

pp. 26-30

Author(s):

Bhageshwar Dhami ◽

Priti Shreshta ◽

Rabindra M Shrestha ◽

Jyoti Dhakal

Keyword(s):

Orthodontic Treatment ◽

Cross Sectional Study ◽

Periodontal Health ◽

Chi Square ◽

Cross Sectional ◽

Probing Depth ◽

Periodontal Index ◽

Community Periodontal Index ◽

Chi Square Test ◽

Orthodontic Patients

Objective: To assess periodontal status of the patients undergoing orthodontic treatment and to compare periodontal health of patients with and without orthodontic treatment. Materials & Method: A cross sectional study was done on 100 patients (50 orthodontic and 50 non-orthodontic). CPITN (Community Periodontal Index for Treatment Need) was used to assess the periodontal health of indexed teeth. SPSS version 17 and Chi Square test were used to analyze and compare the data. Result: There was a statistically significant association in CPITN score between orthodontic and non-orthodontic patients (p<0.01). Conclusion: Patients undergoing orthodontic treatment have increased plaque accumulation and probing depth that may be associated with periodontal destruction. Patient motivation to maintain oral hygiene and regular scaling will minimize hazardous effects in orthodontic patients. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9278 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 26-30

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Perception and Practice of Nepalese Adult and Adolescent Patients towards Orthodontic Treatment

Orthodontic Journal of Nepal ◽

10.3126/ojn.v5i1.14492 ◽

2015 ◽

Vol 5 (1) ◽

pp. 7-11

Author(s):

Rabindra Man Shrestha ◽

Sujita Shrestha

Keyword(s):

Orthodontic Treatment ◽

Good Practice ◽

Adult Patients ◽

Duration Of Treatment ◽

Significant Difference ◽

Adolescent Patients ◽

Orthodontic Patients ◽

The Difference ◽

Patient’S Perception ◽

Structured Questionnaire

Introduction: Patient’s perception and practice on ongoing treatment is very important to evaluate the practice management.Objective: To assess the perception and practice of Nepalese orthodontic patients towards orthodontic treatment and to find the difference between adolescent and adult.Materials & Method: A structured questionnaire with 3-point Likert scale was used among 536 orthodontic patients at eight orthodontic centers. The data were rescored based on their views and depicted on good, moderate and poor levels. The difference in perception and practice between adolescent and adult patients was analyzed using Mann-Whitney U test.Result: More than 80% patients feel that, orthodontist’s dealing and skill is good, while more than two-third feel that orthodontic treatment is expensive. More than half adolescent and two-third adult patients restrict certain food due to braces; about one third adolescent and one-fourth adult patients are careless on appliance breakage. More number of adult patients consume analgesics compared to adolescents. There was significant difference in perception about ‘duration of treatment’ and ‘chance of relapse’, and practice on ‘food restriction’ and ‘carelessness of appliance’ between adolescent and adult patients.Conclusion: Nepalese orthodontic patients possess good perception about orthodontist’s dealing and skill, and good practice on regular brushing habits. Adolescent patients lack positive perception about duration of treatment and majority of patients feel that orthodontic treatment is expensive. Adult patients have better perception and practice about the orthodontic treatment than adolescent in all parameters studied except for ‘cost of treatment’ and ‘use of analgesics’.

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Oral hygiene awareness in orthodontic patients; A cross sectional survey

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.06.3574 ◽

2019 ◽

Vol 26 (06) ◽

Author(s):

Muhammad Ilyas ◽

Muhammad Usman Khalid ◽

Syeda Qurat-Ul-Ain Arif ◽

Sobia Ashraf

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Orthodontic Treatment ◽

Current Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Plaque Deposition ◽

Hygiene Measures ◽

Dental Hospital ◽

Orthodontic Patients

Aim and Objectives: To evaluate the current status of oral hygiene awareness in patients undergoing active orthodontic treatment and to educate them how they can improve and maintain their oral health throughout orthodontic treatment to minimize the risk of dental caries, plaque deposition, gingivitis and localized enamel decalcification. Study Design: Prospective survey. Setting: Orthodontic Department, Punjab Dental Hospital Lahore, Pakistan. Period: 06 months 1st August 2018 to 31st January 2019. Methods and Materials: A structured questionnaire was distributed to 100 patients undergoing active orthodontic treatment at orthodontic department of Punjab Dental Hospital Lahore, Pakistan in an effort to assess the level of awareness and practical measures taken by patients to maintain and improve their oral health during orthodontic treatment. Conclusion: This survey revealed that most of the patients are aware and practising oral hygiene measures during their orthodontic treatment and dentist should repeat all these instruction on every visit.

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