At-Home Management Strategies Adopted by Orthodontic Patients During COVID-19 Related Closure of Orthodontic Clinics

Abstract

OBJECTIVE: The vast spread of COVID-19 not only affected the major businesses of the world but also the health care facilities like dentistry. Due to the unprecedented closure of dental services, on-going orthodontic patients also suffered the brunt. The aim of this study was to assess the at-home management approaches used by the patients to tackle the complications associated with orthodontic treatment. METHODOLOGY: It was a cross-sectional questionnaire-based study carried out from June 15 to September 15, 2020 in orthodontic OPD of Jinnah Medical and Dental College, Karachi. A total of 300 orthodontic patients, 208 females and 92 males between ages from 15 to 35 years completed a questionnaire on the complications faced by them and management techniques adopted by them during COVID-19 related office closures. Convenient sampling method was used for data collection. RESULTS: The majority of patients reported in this study were females. Approximately 69.33% (n = 300) of the responders were females and 31% were males. The highest numbers of complications reported during the lockdown period were loose brackets, loose bands and poking of archwire. The most common at-home hack used was removing the loose bracket/ bands and cutting of free end of arch wire with nail cutter like instrument. CONCLUSION: It is the responsibility of the clinician to keep in touch with their patients during pandemic like situation through telemedicine portal. In case of emergencies, patients should be provided with an adequate amount of information to tackle any complications with ease and without hurting themselves. KEYWORDS: COVID-19, Pandemic, Orthodontic Emergencies

The impact of COVID-19 on individual oral health: a scoping review

“…The use of teledentistry throughout the lockdown periods was reported within this review. Teledentistry may be useful to improve the ability to reach oral healthcare providers in times of crisis or to address service access issues [94], however further work is needed to explore the best models of provision (for example, prevention, consultations). In the absence of a face-to-face session with a dental professional, tele-dentistry may be a good option for oral health support and/or monitoring [45,104].…”

“…Self-medication or using home remedies for oral health issues were reported [93] with one study finding that parents medicated children with previously prescribed analgesics. Home remedies for orthodontic concerns like loose brackets, bands and loose archwires were also common [94]. Some studies reported that the frequency of oral hygiene maintenance at home increased [77], whilst others reported a decrease [90] or no change.…”