The Challenges of Orthodontic Treatment in Times of Pandemic Os Desafios do Tratamento Ortodôntico em Tempos de Pandemia
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Published:
May 12, 2021
Keywords:
Pandemics, Orthodontics, Coronavirus infections
Main Article Content
Abstract
Social distancing imposed by COVID-19 (coronavirus disease) severely restricted the access to some services, including follow-up of patients undergoing orthodontic treatment. Since then, going to the doctor’s office has been mandatory and strictly necessary only in urgent or emergency situations. The objective of this work is to present, through a literature review, the main occurrences of the kind in the specific context of orthodontics and the COVID-19 pandemic, also discussing their clinical implications and the future perspectives of professionals and patients who are undergoing treatment. Its conclusion is that the reinforcement of biosafety practices and the development of alternative tools were of great importance in reducing the spread of the novel coronavirus.
Article Details
How to Cite
The Challenges of Orthodontic Treatment in Times of Pandemic: Os Desafios do Tratamento Ortodôntico em Tempos de Pandemia. (2021). Naval Dental Jounal, 48(I), 50-55. https://doi.org/10.29327/25149.48.1-6
Section
Literature Reviews
How to Cite
The Challenges of Orthodontic Treatment in Times of Pandemic: Os Desafios do Tratamento Ortodôntico em Tempos de Pandemia. (2021). Naval Dental Jounal, 48(I), 50-55. https://doi.org/10.29327/25149.48.1-6
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care.
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and orthodontists’ perceptions of the need for and costs of
additional procedures to reduce treatment time. Am J Orthod
Dentofacial Orthop. 2014 Abr; 145(4):S65–S73.
18. Aljehani D, Baeshen HA. Effectiveness of the American Board
of Orthodontics Discrepancy Index in predicting Treatment
Time. J Contemp Dent Pract. 2018; 19(6):647-50.
19. Melo ACEO, Carneiro LOT, Pontes LF, Cecim RL, Mattos
JNR, Normando D. Factors related to orthodontic treatment
time in adult patients. Dental Press J Orthod. 2013; 18(5):59–
63.
20. Popat H, Rogers S, Knox J, Eckhardt C. Management of the
casual orthodontic patient. Orth Update. 2010; 3:9–13.
21. Proffit WR, Fields HW, Sarver DM. Ortodontia contemporânea.
5ª ed. Rio de Janeiro: Elsevier; 2012. p. 289
22. Saltaji H, Sharaf KA. COVID-19 and orthodontics—A call for
action. Am J Orthod Dentofacial Orthop. 2020; 158(1):12-13.
23. Kusy RP. Comparison of nickel-titanium and beta titanium
wire sizes to conventional orthodontic arch wire materials.
Am J Orthod. 1981; 79(6):625-9.
24. Vellini-Ferreira F, Cotrim-Ferreira FA, Cotrim-Ferreira A.
Ortodontia Clínica: Tratamento com aparelhos fixos. 2a ed.
São Paulo: Quintessence Editora; 2019.
25. Loriato LB, Machado AW, Pacheco W. Considerações clínicas
e biomecânicas de elásticos em ortodontia. Dental Press
J Orthod. 2006; 5(1): 42-55.
26. Ferreira Neto JJ, Caetano MTO. A degradação da força de
segmentos de elásticos em cadeia de diferentes tamanhos: estudo
comparativo in vitro. J Bras Ortodon Ortop Facial. 2004;
9(51): 225-33.
27. Cotrin P, Peloso RM, Oliveira RC, Oliveira RCG, Pini NIP,
Valarelli FP, et al. Impact of coronavirus pandemic in appointments
and anxiety/concerns of patients regarding orthodontic
treatment. Orthod Craniofac Res. 2020; 23(4):455–61.
28. Penoni DC. O novo coronavirus e a viralização da prevenção.
Rev Nav Odontol. 2020; 47(1): 5-6.
29. Saccomanno S, Quinzi V, Sarhan S, Laganà D, Marzo G. Perspectives
of tele-orthodontics in the COVID-19 emergency
and as a future tool in daily practice. Eur J Paediatr Dent. 2020;
21(2):157–62.
30. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi
CL. Efficacy of clear aligners in controlling orthodontic tooth
movement: A systematic review. Angle Orthod. 2015; 85(5):
881-9.
31. Vieira GM, Franco EJ, Guimarães Junior CH. Alinhadores
invisíveis: indicações, limitações biomecânicas e a problemática
da mensuração das forças aplicadas. Dental Press J Orthod.
2013; 12(1): 94-104.
32. Abbate GM, Caria MP, Montanari P, Mannu C, Orrù G, Caprioglio
A, et al. Periodontal health in teenagers treated with
removable aligners and fixed orthodontic appliances. J Orofac
Orthop. 2015; 76(3): 240-50.
33. Jiang Q, Li J, Mei L, Du J, Levrini L, Abbate GM, et al. Periodontal
health during orthodontic treatment with clear aligners
and fixed appliances: A meta-analysis. J Am Dent Assoc. 2018;
149(8): 712-20.
34. Levrini L, Mangano A, Montanari P, Margherini S, Caprioglio
A, Abbate GM. Periodontal health status in patients treated
with the Invisalign® system and fixed orthodontic appliances:
A 3 months clinical and microbiological evaluation. Eur J Dent.
2015; 9(3): 404-10.
35. Weir T. Clear aligners in orthodontic treatment. Aust Dent
J. 2017; 62(1): 58-6
36. García-Camba P, Marcianes M, Varela Morales M. Changes
in orthodontics during the COVID-19 pandemic that have
come to stay. Am J Orthod Dentofacial Orthop. 2020; 158(4):
e1-3.
(COVID-19) pandemic. (acesso em 16 fev 2021). Disponível
em: https://www.who.int/emergencies/diseases/novel-coronavirus-
2019.
2. Franco JB, Camargo AR, Perres MPSM. Cuidados Odontológicos
na era do COVID-19: recomendações para procedimentos
odontológicos e profissionais. Rev Assoc Paul Cir
Dent. 2020; 74(1):18–21.
3. Meng L, Hua F, Bian Z. Coronavirus Disease 2019 (COVID-
19): Emerging and Future Challenges for Dental and Oral
Medicine. J Dent Res. 2020; 99(5):481–87.
4. Artese F. Covid-19: The aftermath for orthodontics. Dental
Press J Orthod. 2020 Mar-Apr;25(2):7-8.
5. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission
routes of 2019- nCoV and controls in dental practice. Int J
Oral Sci. 2020 Mar; 3;12(1):9.
6. 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 Jul;
158(6):824-833.
7. Franco AG, Amorim JCF, Carvalho GAP, Dias SC, Franco
ABG. Visão da importância da conduta do dentista em relação
à contenção e prevenção de Covid-19. InterAm J Med Health.
2020 Abr:1–3.
8. World Health Organization[Internet]. Coronavirus disease
2019 (COVID-19) (acesso em 16 fev 2021). Disponível em:
https://www.who.int/publications/m/item/weekly-epidemiological-
update---9-february-2021.
9. Bonifácio LP, Pereira APS, Araújo DCA, Balbão VMP, Fonseca
BAL, Passos ADC, et al. Are sars-cov-2 reinfection and covid-
19 recurrence possible? A case report from brazil. Rev SocBras Med Trop. 2020 Set; 53:1–4.
10. Conselho Federal de Odontologia (CFO)[Internet]. Ofício
n. 477/2020. Atendimento Odontológico – COVID-19. (acesso
em 05 fev 2021). Disponível em: https://website.cfo.org.br/
wp-content/uploads/2020/03/oficio-ministro-da-saude-coronavirus-
1.pdf.
11. AMIB, Conselho Federal de Odontologia (CFO)[Internet].
Recomendações AMIB/CFO para enfrentamento da COVID-
19 na Odontologia. Associação de Medicina Intensiva Brasileira.
2020 (acesso em 15 fev 2021). Disponível em: https://
website.cfo.org.br/wp-content/uploads/2020/07/Recomendac%
cc%a7o%cc%83es-AMIB-CFO-Covid-19-atualizada-.pdf.
12. Conselho Federal de Odontologia (CFO)[Internet]. O que
são emergências e urgências odontológicas? (acesso em 16
fev 2021). Disponível em: https://website.cfo.org.br/wp-content/
uploads/2020/03/CFO-URGENCIAS-E-EMERGENCIAS.
pdf.
13. Cotrin, P, Peloso RM, Pini NIP, Oliveira RC, Oliveira RCG,
Valarelli FP, et al. Urgencies and emergencies in orthodontics
during the coronavirus disease 2019 pandemic: Brazilian orthodontists’
experience. Am J Orthod Dentofacial Orthop.
2020; 158(5):661–67.
14. Dowsing P, Murray A, Sandler J. Emergencies in orthodontics
part 1: Management of General orthodontic problems as
well as common problems with fixed appliances. Dent Update.
2015; 42(2):131–40.
15. Conselho Federal de Odontologia (CFO)[Internet]. Resolução
CFO-226. Dispõe sobre o exercício da Odontologia a
distância, mediado por tecnologias, e dá outras providências.
2020 (acesso em 16 fev 2021). Disponível em: http://sistemas.
cfo.org.br/visualizar/atos/RESOLU%C3%87%C3%83O/
SEC/2020/226.
16. American Dental Association (ADA)[Internet]. ADA develops
guidance on dental emergency, nonemergency care –
Recommendations part of dentists response over COVID-19
concerns. 2020 (acesso em 16 fev 2021). Disponível em: https://
www.ada.org/en/publications/ada-news/2020-archive/
march/ada- develops-guidance-on-dental-emergency-nonemergency-
care.
17. Uribe F, Padala S, Allareddy V, Nanda R. Patients’, parents’,
and orthodontists’ perceptions of the need for and costs of
additional procedures to reduce treatment time. Am J Orthod
Dentofacial Orthop. 2014 Abr; 145(4):S65–S73.
18. Aljehani D, Baeshen HA. Effectiveness of the American Board
of Orthodontics Discrepancy Index in predicting Treatment
Time. J Contemp Dent Pract. 2018; 19(6):647-50.
19. Melo ACEO, Carneiro LOT, Pontes LF, Cecim RL, Mattos
JNR, Normando D. Factors related to orthodontic treatment
time in adult patients. Dental Press J Orthod. 2013; 18(5):59–
63.
20. Popat H, Rogers S, Knox J, Eckhardt C. Management of the
casual orthodontic patient. Orth Update. 2010; 3:9–13.
21. Proffit WR, Fields HW, Sarver DM. Ortodontia contemporânea.
5ª ed. Rio de Janeiro: Elsevier; 2012. p. 289
22. Saltaji H, Sharaf KA. COVID-19 and orthodontics—A call for
action. Am J Orthod Dentofacial Orthop. 2020; 158(1):12-13.
23. Kusy RP. Comparison of nickel-titanium and beta titanium
wire sizes to conventional orthodontic arch wire materials.
Am J Orthod. 1981; 79(6):625-9.
24. Vellini-Ferreira F, Cotrim-Ferreira FA, Cotrim-Ferreira A.
Ortodontia Clínica: Tratamento com aparelhos fixos. 2a ed.
São Paulo: Quintessence Editora; 2019.
25. Loriato LB, Machado AW, Pacheco W. Considerações clínicas
e biomecânicas de elásticos em ortodontia. Dental Press
J Orthod. 2006; 5(1): 42-55.
26. Ferreira Neto JJ, Caetano MTO. A degradação da força de
segmentos de elásticos em cadeia de diferentes tamanhos: estudo
comparativo in vitro. J Bras Ortodon Ortop Facial. 2004;
9(51): 225-33.
27. Cotrin P, Peloso RM, Oliveira RC, Oliveira RCG, Pini NIP,
Valarelli FP, et al. Impact of coronavirus pandemic in appointments
and anxiety/concerns of patients regarding orthodontic
treatment. Orthod Craniofac Res. 2020; 23(4):455–61.
28. Penoni DC. O novo coronavirus e a viralização da prevenção.
Rev Nav Odontol. 2020; 47(1): 5-6.
29. Saccomanno S, Quinzi V, Sarhan S, Laganà D, Marzo G. Perspectives
of tele-orthodontics in the COVID-19 emergency
and as a future tool in daily practice. Eur J Paediatr Dent. 2020;
21(2):157–62.
30. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi
CL. Efficacy of clear aligners in controlling orthodontic tooth
movement: A systematic review. Angle Orthod. 2015; 85(5):
881-9.
31. Vieira GM, Franco EJ, Guimarães Junior CH. Alinhadores
invisíveis: indicações, limitações biomecânicas e a problemática
da mensuração das forças aplicadas. Dental Press J Orthod.
2013; 12(1): 94-104.
32. Abbate GM, Caria MP, Montanari P, Mannu C, Orrù G, Caprioglio
A, et al. Periodontal health in teenagers treated with
removable aligners and fixed orthodontic appliances. J Orofac
Orthop. 2015; 76(3): 240-50.
33. Jiang Q, Li J, Mei L, Du J, Levrini L, Abbate GM, et al. Periodontal
health during orthodontic treatment with clear aligners
and fixed appliances: A meta-analysis. J Am Dent Assoc. 2018;
149(8): 712-20.
34. Levrini L, Mangano A, Montanari P, Margherini S, Caprioglio
A, Abbate GM. Periodontal health status in patients treated
with the Invisalign® system and fixed orthodontic appliances:
A 3 months clinical and microbiological evaluation. Eur J Dent.
2015; 9(3): 404-10.
35. Weir T. Clear aligners in orthodontic treatment. Aust Dent
J. 2017; 62(1): 58-6
36. García-Camba P, Marcianes M, Varela Morales M. Changes
in orthodontics during the COVID-19 pandemic that have
come to stay. Am J Orthod Dentofacial Orthop. 2020; 158(4):
e1-3.