Effect of COVID-19 on orthodontic treatment/practice- A systematic review and meta-analysis

Alam, MohammadKhursheed; Abutayyem, Huda; Kanwal, Bushra; Alswairki, HaythamJamil

doi:10.4103/jos.jos_118_22

Cited by 3 publications

(3 citation statements)

References 41 publications

(29 reference statements)

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“…These specific risks should be addressed during the informed consent process, ideally being emphasized through verbal communication by the orthodontist, as revealed by our data. Discrepancies between our study's results and existing data suggest potential influences of socio-demographic parameters and the COVID-19 pandemic, particularly with issues related to the transmission of infectious diseases in the dental clinic [41,42]. These differences underline the dynamic nature of risk communication in orthodontics, whereas external factors and evolving contexts contribute to variations in practitioners' perspectives and practices such as the ones addressed in our study.…”

Section: Discussioncontrasting

confidence: 71%

Orthodontic Risk Perspectives among Orthodontists during Treatment: A Descriptive Pilot Study in Greece and Slovakia

Karkazi,

Antoniadou,

Demeterová

et al. 2024

Healthcare

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This study explores orthodontists’ perspectives on risks associated with orthodontic treatment, as described by Greek and Slovak orthodontists. Informed by the foundational importance of effective communication of risk perspectives in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. This study identifies 15 potential critical risks during orthodontic treatment. These risks include root resorption; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. A questionnaire, distributed electronically to orthodontists in Greece (N1 = 570) and Slovakia (N2 = 210) from September 2022 to December 2022, aimed to assess risk communication practices, taking into consideration socio-demographic factors, such as country, gender, age, and academic-degree-related variations. A total of 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained, indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved, such as relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tended to be more interested in sleeping difficulties, temporal occlusal changes, and not achieving an ideal result. They also obtained written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies that recognize individual, contextual, and cultural factors, and the need for an orthodontic informed consent protocol for a tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

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Section: Discussioncontrasting

confidence: 71%

Orthodontic Risk Perspectives among Orthodontists during Treatment: A Descriptive Pilot Study in Greece and Slovakia

Karkazi,

Antoniadou,

Demeterová

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…These specific risks should be addressed during the informed consent process, ideally, being emphasized through verbal communication by the orthodontist. Discrepancies between our study's results and existing data suggest potential influences from socio-demographic parameters and the COVID-19 pandemic, particularly with issues related to the transmission of infectious diseases in the dental clinic [62][63][64]. These differences underline the dynamic nature of risk communication in orthodontics, whereas external factors and evolving contexts contribute to variations in practitioners' perspectives and practices such as the ones addressed in our study.…”

Section: Discussioncontrasting

confidence: 70%

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

Karkazi,

Antoniadou,

Demeterová

et al. 2023

Preprint

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This study explores the complexities of risk communication practices in orthodontics, specifically examining the perspectives of orthodontists in Greece and Slovakia. Informed by the foundational importance of effective communication in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. The study identifies 15 potential critical risks with orthodontic treatment. These risks include root necrosis; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. The questionnaire, distributed electronically to orthodontists in Greece (n=570) and Slovakia (n=210) from Sept. 2022 to Dec. 2022, aimed to assess risk communication practices, with consideration to country, gender, and degree-related variations. 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved such as on relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tend to be interested more about sleeping difficulties, temporal occlusal changes and not achieving an ideal result. They also tend to obtain written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies, that recognize individual, contextual, and cultural factors and the need of an orthodontic informed consent protocol for tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

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“…Another two studies 9 , 10 investigated the impact caused by the coronavirus pandemic on patient care, psychological state, and financial income, but the findings were solely from the perspectives of orthodontists. A systematic review by Alam et al 11 further gathered the results of the impact of COVID-19 on orthodontic treatment. This review concluded that there was a significant impact on every sphere of the patients’ lives like previously mentioned, but the level differed between orthodontic patients during the first wave, early stage, and later stage of the pandemic.…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Orthodontic Adult Patients’ Characteristics and Decision on Orthodontic Appliance

Kuo,

Fang,

Wang

et al. 2024

JMDH

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Purpose There is an overall paucity of data examining the specific details of orthodontic patients’ patterns or orthodontic service disruptions possibly influenced by COVID-19 pandemic. Therefore, this study aimed to explore the impact of the COVID-19 pandemic on orthodontic clinic disruption regarding the change in adult patients’ characteristics and decisions of orthodontic treatment devices. Patients and Methods A retrospective sample of 311 patients receiving orthodontic treatment from 2018 to 2022 were collected and divided into two groups: before (n = 167) and during (n = 144) the COVID-19 pandemic. Demographics, dental indices, the index of complexity outcome and need (ICON), and the degree of treatment difficulty were analyzed. Results There were fewer students among patients during the COVID-19 pandemic than before (24.5% versus 35.9%, P = 0.036). Compared with patients before the pandemic, more patients selected ceramic brackets or Invisalign during the pandemic (P = 0.022). There were higher percentage of class I dental malocclusions among patients during than before the COVID-19 pandemic (P = 0.044). Moreover, the ICON score and the score of the degree of treatment difficulty were both significantly lower for patients during than before the COVID-19 pandemic (63.9±14.0 versus 58.3±15.3, P=0.001 and 7.4±2.6 versus 6.8±2.6, P=0.049, respectively). Conclusion The COVID-19 pandemic influenced the characteristics and decisions of orthodontic patients. Those who still came to the orthodontic clinic despite the COVID-19 outbreak may have been those with less malocclusion severity and treatment difficulty. Besides, during the time of covid-19 pandemic, more patients chose ceramic bracket and Invisalign as their orthodontic treatment device rather than conventional or self-ligating metal brackets.

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Effect of COVID-19 on orthodontic treatment/practice- A systematic review and meta-analysis

Cited by 3 publications

References 41 publications

Orthodontic Risk Perspectives among Orthodontists during Treatment: A Descriptive Pilot Study in Greece and Slovakia

Orthodontic Risk Perspectives among Orthodontists during Treatment: A Descriptive Pilot Study in Greece and Slovakia

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

The Impact of the COVID-19 Pandemic on Orthodontic Adult Patients’ Characteristics and Decision on Orthodontic Appliance

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