Impact of the COVID-19 Pandemic on Orthodontic Patients at a University Clinic: Self-Report

Main Article Content

Liliana Ojeda-Rodríguez
Ana Wintergerst

Abstract

Introduction: Academic activities and patient care at university clinics at UNAM were suspended on March 17th, 2020 due to the SARS-CoV-2 (covid-19) pandemic. As a result, regular appointments for patients undergoing orthodontic treatment were disrupted. Objective: To assess the impact of a one-year interruption in orthodontic treatment due to the covid-19 pandemic from the perspective of patients at a university clinic. Material and methods: A survey was designed and applied via Google Forms, with informed consent, to 65 patients from a university orthodontic specialty clinic. The instrument consisted of 31 questions (closed and open, focused on orthodontic emergencies, the perspective, feelings, and actions taken by patients) with a response time of approximately 5-7 minutes. Results were saved in a Microsoft® Excel spreadsheet. Open-ended responses were grouped by category and results are expressed as frequencies. Results: The survey was answered by 71% (n=46). The most frequently reported orthodontic emergency was due to injuries caused by wires protruding from the tube (66.7%). Most patients had not continued their treatment elsewhere (67.4%), 61% reported frustration and 72% dissatisfaction due to the lack of treatment follow-up. The majority were considering continuing their treatment after the pandemic was over. Comments were received regarding time, the impact on treatment as a result of the global situation, as well as the need for care to be resumed. Conclusions: The disruption of orthodontic care due to the pandemic had a significant impact on patients in multiple ways. It is necessary to evaluate possible strategies to address potential interruptions in orthodontic care in the future.

Article Details

How to Cite
Ojeda-Rodríguez, L., & Wintergerst Lavín, A. M. (2025). Impact of the COVID-19 Pandemic on Orthodontic Patients at a University Clinic: Self-Report. Revista Odontológica Mexicana, 28(4). https://doi.org/10.22201/fo.1870199xp.2024.28.4.87043

Citas en Dimensions Service

Author Biographies

Liliana Ojeda-Rodríguez, Universidad Nacional Autónoma de México

Facultad de Estudios Superiores Zaragoza

Ana Wintergerst, Universidad Nacional Autónoma de México

División de Estudios de Posgrado e Investigación, Facultad de Odontología

References

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020; 382(8): 727-733. DOI: 10.1056/NEJMoa2001017

World Health Organization. Novel Coronavirus(2019-nCoV) Situation Report-10. [Internet]. [Accessed March 10th, 2019.]. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200130-sitrep-10-ncov.pdf?sfvrsn=d0b2e480_2

World Health Organization. Coronavirus disease 2019 (COVID-19. Situation Report –51. [Internet]. [Accessed March 10th, 2021]. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-COVID-19.pdf?sfvrsn=1ba62e57_10

World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causesit. [Internet]. [Accessed March 10th, 2021]. Available at: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/technical guidance/naming-the-coronavirus-disease-(covid-2019)-andthe-virus-that-causes-it

Chan JFW, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020; 395(10223): 514-523. DOI: 10.1016/S0140-6736(20)30154-9

Universidad Nacional Autónoma de México. La UNAM informa. Boletín UNAM-DGCS-236bis; Ciudad Universitaria. 11:45 hs. 16 de marzo de 2020. Dirección General de Comunicación Social. [Accessed March 10th, 2021]. Available at: https://www.dgcs.unam.mx/boletin/bdboletin/2020_236bis.html

Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anesth. 2020; 67(5): 568-576. DOI: 10.1007/s12630-020-01591-x Ojeda-Rodríguez L, et al. Impact of the covid-19 Pandemic on Orthodontic Patients.

Cai J, Sun W, Huang J, Gamber M, Wu J, He G. Indirect virus transmission in cluster of covid-19 cases, Wenzhou, China, 2020. Emerg Infect Dis. 2020; 26(6): 1343-1345. DOI: 10.3201/eid2606.200412

Huang N, Pérez P, Kato T, Mikami Y, Okuda K, Gilmore RC, et al. SARS-CoV-2 infection of the oral cavity and saliva. Nat Med. 2021; 27(5): 892-903. DOI: 10.1038/s41591-021-01296-8

Lu CW, Liu XF, Jia ZF. 2019-nCoV transmission through the ocular surface must not be ignored. Lancet. 2020; 395(10224): E39. DOI: 10.1016/S0140-6736(20)30313-5

Mojica-Crespo R, Morales-Crespo MM. Pandemia covid-19, la nueva emergencia sanitaria de preocupación internacional: una revisión. [Pandemic covid-19, the new health emergency of international concern: A review]. Med Familia. Semergen. 2020; 46(1): 65-77. DOI: 10.1016/j.semerg.2020.05.010

Peng X, Xu X, Li Y, Chen L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020; 12(1): 9. DOI: 10.1038/s41368-020-0075-9

Meng L, Hua F, Bian Z. Coronavirus disease 2019 (covid19): Emerging and future challenges for dental and oral medicine. J Dent Res. 2020; 99(5): 481-487. DOI: 10.1177/0022034520914246

World Health Organization. Considerations for the provision of essential oral health services in the context of COVID-19: interim guidance, 3 August 2020. [Internet]. [Accessed September, 2021]. Available at: https://apps.who.int/iris/bitstream/handle/10665/333740/WHO-2019-nCoV-Oral_health-2020.1-spa.pdf?sequence=1&isAllowed=y

Proffit WR, Fields HW, Larson BE, Sarver DM. Ortodoncia Contemporánea. 6 ed. Barcelona: Elsevier España; 2019.

Sodipo I, Birdsall J. Orthodontic first aid for general dental practitioners. Dent Update. 2016; 43(5): 461- 465. DOI: 10.12968/denu.2016.43.5.461

Turkistani KA. Impact of delayed orthodontic care during covid-19 pandemic: Emergency, disability, and pain. J World Fed Orthod. 2020; 9(3): 106-111. DOI: 10.1016/j.ejwf.2020.07.004

Bustati N, Rajeh N. The impact of covid-19 pandemic on patients receiving orthodontic treatment: An online questionnaire cross-sectional study. J World Fed Orthod. 2020; 9(4): 159-163. DOI: 10.1016/j.ejwf.2020.10.003

Xiong X, Wu Y, Fang X, Sun W, Ding Q, Yi Y, et al. Mental distress in orthodontic patients during the coronavirus disease 2019 pandemic. Am J Orthod Dentofacial Orthop. 2020; 158(6): 824-833.E1. DOI: 10.1016/j.ajodo.2020.07.005

World Medical Association. Declaration of Helsinki- Ethical principles for medical research involving human subjects. 2013; 1-5. [Internet]. [Accessed September 10th, 2022]. Available at: https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/

Popat H, Thomas K, Farnell DJJ. Management of orthodontic emergencies in primary care – self-reported confidence of general dental practitioners. Br Dent J. 2016; 221(1): 21-24. DOI: 10.1038/sj.bdj.2016.495

Quan S, Guo Y, Zhou J, Zhang G, Xing K, Mei H, et al. Orthodontic emergencies and mental state of Chinese orthodontic patients during the covid-19 pandemic. BMC Oral Health. 2021; 21(1): 477. DOI: 10.1186/s12903-021-01834-3

Turocy JM, Robles A, Hercz D, D’Alton M, Forman EJ, Williams Z. The emotional impact of the ASRM guidelines on fertility patients during the covid-19 pandemic. Fertil Steril. 2020; 114(3 Suppl): E63. DOI: 10.1016/j.fertnstert.2020.08.194

Boivin J, Harrison C, Mathur R, Burns G, Pericleous-Smith A, Gameiro S. Patient experiences of fertility clinic closure during the covid-19 pandemic: Appraisals, coping and emotions. Hum Reprod. 2020; 35(11): 2556-2566. DOI: 10.1093/humrep/deaa218

Sloan M, Harwood R, Gordon C, Bosley M, Lever E, Modi R, et al. Will ‘the feeling of abandonment’ remain? Persisting impacts of the covid-19 pandemic on rheumatology patients and clinicians. Rheumatology (Oxford). 2022; 61(9): 3723-3736. DOI: 10.1093/rheumatology/keab937

Beckwith FR, Ackerman RJ, Cobb CM, Tira DE. An evaluation of factors affecting duration of orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999; 115(4): 439-447. DOI: 10.1016/s0889-5406(99)70265-9

Renkema AM, Renkema A, Bronkhorst E, Katsaros C. Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers. Am J Orthod Dentofacial Orthop. 2011; 139(5): 614-621.DOI: 10.1016/j.ajodo.2009.06.041

Hemmings N, Noar JH. Case report: long term lingual arch – preventable iatrogenic damage. Br Dent J. 2017; 222(1): 19-20. DOI: 10.1038/sj.bdj.2017.24

Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J Orthod Dentofacial Orthop. 2011; 139(5): 657-664.DOI: 10.1016/j.ajodo.2009.06.037

Zabokova-Bilbilova E, Popovska L, Kapusevska B, Stefanovska E. White spot lesions: prevention and management during the orthodontic treatment. Prilozi. 2014; 35(2): 161-168. DOI: 10.2478/prilozi-2014-0021

Roscoe MG, Meira JBC, Cattaneo PM. Association of orthodontic force system and root resorption: A systematic review. Am J Orthod Dentofacial Orthop. 2015; 147(5): 610-626. DOI: 10.1016/j.ajodo.2014.12.026

World Health Organization. COVID-19 significantly impacts health services for noncommunicable diseases. [Internet]. [Accessed March, 2023]. Available at: https://www.who.int/news/item/01-06-2020-COVID-19-significantly-impacts-health-services-for-noncommunicable-diseases

Kayikcioglu M, Tuncel OK, Tokgozoglu L. Impact of the covid-19 pandemic in patients with a previous history of premature myocardial infarction. Am J Prev Cardiol. 2020; 4: 100128. DOI: 10.1016/j.ajpc.2020.100128

Huguet N, Danna M, Baron A, Hall J, Hodes T, O’Malley J, et al. Delivery of cervical and colorectal cancer screenings during the pandemic in community health centers: Practice changes and recovery strategies. Med Care. 2023; 61(8): 554-561. DOI: 10.1097/MLR.0000000000001879

World Health Organization. COVID-19 continues to disrupt essential health services in 90% of countries. [Internet]. [Accessed August, 2023]. Available at: https://www.who.int/news/item/23-04-2021-COVID-19-continues-to-disrupt-essential-health-services-in-90-of-countries

Ranganathan P, Sengar M, Chinnaswamy G, Agrawal G, Arumugham R, Bhatt R et. al. Impact of covid-19 on cancer care in India: a cohort study. Lancet Oncol. 2021; 22(7): 970–976. DOI: 10.1016/S1470-2045(21)00240-0

Ryu S. Telemedicine: Opportunities and developments in member states: Report on the second global survey on eHealth 2009 (Global observatory for eHealth series, volume 2). Healthc Inform Res. 2012; 18(2):153–155. DOI: 10.4258/hir.2012.18.2.153

Rocca MA, Kudryk VL, Pajak JC, Morris T. The evolution of a teledentistry system within the Department of Defense. Proc AMIA Symp. 1999; 921-924. PMID: 10566495

Ghai S. Teledentistry during covid-19 pandemic. Diabetes Metab Syndr. Clin Res Rev. 2020; 14(5):933-935. DOI: 10.1016/j.dsx.2020.06.029

Maspero C, Abate A, Cavagnetto D, El Morsi M, Fama A, Farronato M. Available technologies, applications and benefits of teleorthodontics. A literature review and possible applications during the covid-19 pandemic. J Clin Med. 2020; 9(6): 1891. DOI: 10.3390/jcm9061891

Secretaría de Salud, Centro Nacional de Excelencia Tecnológica en Salud. Cédula de instrumentos jurídicos aplicables a la práctica de la telesalud en México. [Accessed August, 2023]. Available at: https://www.gob.mx/salud/cenetec/documentos/cedula-de-instrumentos-juridicos-aplicables-ala-practica-de-la-telesalud-en-mexico