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Objectives The aim was to investigate the type, incidence, and degree of the orthodontic-related emergency in orthodontic patients during the 2020 COVID-19 pandemic and compare the different effects of clear aligner and fixed self-ligating appliances on the orthodontic emergency. Materials and Methods The questionnaire was based on the emergencies in orthodontics. The responses of 428 patients between the ages of 12 and 38 years (20.4±7.03) who were in orthodontic treatment during 2020 were examined. Results The gender, age, and the type of orthodontic appliance affect the incidence of orthodontic related emergencies. Female or adolescent patients treated by self-ligating appliances showed higher incidence of emergencies. The patients treated by clear aligners exhibited much lower incidence of emergency. The appliance detachment and mucosa injury were very common in respondents, while accidental ingestion and other emergencies were rare. The most common reason leading to appliance detachment was chewing hard food. Interestingly, the fixed self-ligating appliances group were also affected by accidental detachment of appliances to a large extent. The clear aligner group and self-ligating group showed almost equal incidence of accidental ingestion. The most common foreign body was elastics in both group. However, the self-ligating group could accidentally ingest dangerous foreign bodies, such as arch wire, mini-screw and welded attachment. Conclusion Orthodontic-related emergencies were very common in patients. The clear aligner could effectively reduce orthodontic-related emergencies. Dentists should raise patients’ awareness in proper appliance care. Proper and standard protocol should be developed. |
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