Adaptations in orthodontics for current and future coronavirus disease 2019 best practices.

Autor: Lamb JR; Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va., Shroff B; Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va. Electronic address: bshroff@vcu.edu., Carrico CK; Department of Dental Public Health and Policy, School of Dentistry, Virginia Commonwealth University, Richmond, Va., Sawicki V; Department of General Practice, School of Dentistry, Virginia Commonwealth University, Richmond, Va., Lindauer SJ; Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Va.
Jazyk: angličtina
Zdroj: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2023 Jul; Vol. 164 (1), pp. 45-56. Date of Electronic Publication: 2023 Feb 03.
DOI: 10.1016/j.ajodo.2022.10.027
Abstrakt: Introduction: This study aimed to determine adaptations orthodontists made during the coronavirus disease 2019 pandemic to maintain safety and determine which adaptations will remain after the pandemic.
Methods: An original 34-question survey was sent by mail to a randomized selection of practicing orthodontic specialists (n = 1000). Questions included the changes made during the pandemic in 4 categories (infection control, social distancing, appliance type, and teleorthodontics) and whether those changes will remain postpandemic.
Results: The use of personal protective equipment increased during the pandemic, with a significant decrease anticipated after the pandemic. The most common aerosol modification during the pandemic and predicted after the pandemic was using an assistant with high-volume suction (61% and 49%, respectively; P = 0.0013). Ninety-six percent of orthodontists changed their waiting room protocol during the pandemic, but only 23% plan to continue that practice (P <0.0001). Forty-two percent of orthodontists increased clear aligners during the pandemic in response to patient demand (91%). The use of teleorthodontics increased from 8% to 68% during the pandemic and is expected to decrease significantly postpandemic. Virtual appointments are anticipated to be used for screening and consultations of new patients and monitoring active patients in clear aligners but not fixed appliances.
Conclusions: The specialty recommended patient safety modifications during the coronavirus disease 2019 pandemic. Postpandemic, enhanced personal protective equipment is expected to decrease, and high-volume suction will likely be continued for aerosol-producing procedures. Teleorthodontics will likely remain in limited use.
(Copyright © 2023 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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