Journal of Multidisciplinary Healthcare (Apr 2024)
The Impact of the COVID-19 Pandemic on Orthodontic Adult Patients’ Characteristics and Decision on Orthodontic Appliance
Abstract
Yun-Yu Kuo,1 Jason Chen-Chieh Fang,2 I-Kuan Wang,3 Chiung-Shing Huang,4 Hui-Ling Chen,1,* Tzung-Hai Yen5,* 1Department of Dentistry and Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Linkou, 333, Taiwan; 2Chang Gung Memorial Hospital, Keelung, 204, Taiwan; 3Department of Nephrology, China Medical University Hospital, and College of Medicine, China Medical University, Taichung, 406, Taiwan; 4Department of Craniofacial Orthodontics, Craniofacial Research Center, Chang Gung Memorial Hospital, Taipei, 105, Taiwan; 5Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, and College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan*These authors contributed equally to this workCorrespondence: Hui-Ling Chen; Tzung-Hai Yen, 5 Fu-Hsing Street, Taoyuan, Kweishan, 333, Taiwan, Tel +886 3 3281200 ext 7840, Fax +886 3 3282173, Email [email protected]; [email protected]: 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.Keywords: COVID-19, pandemic, orthodontic, Invisalign, bracket, dental malocclusion, sagittal skeletal relationship, index of complexity outcome and need, degree of treatment difficulty
