Factors influencing the decision to initiate orthodontic treatment and the choice of appliance type in a Lebanese sample during the COVID-19 pandemic and the economic crisis. A cross-sectional study
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Keywords

COVID-19
economic crises
anxiety
orthodontic treatment
orthodontic appliances

How to Cite

ALAMEH, L., KHOURY, E., & AMM, E. (2022). Factors influencing the decision to initiate orthodontic treatment and the choice of appliance type in a Lebanese sample during the COVID-19 pandemic and the economic crisis. A cross-sectional study. International Arab Journal of Dentistry (IAJD), 13(2), 90-97. Retrieved from https://journals.usj.edu.lb/iajd/article/view/738

Abstract

Background: The spread of Coronavirus Disease 2019 (COVID-19) has led to a major public health issue. This study aimed to assess the factors that influence the Lebanese people in undergoing an orthodontic treatment after the outbreak of COVID-19, as well as the factors that influence their choice of orthodontic appliance type.

Methods: 489 Lebanese participants (199 men and 290 women) were invited to fill a questionnaire developed on Google Forms. Eligible participants were simply Lebanese people including those who immigrated during the crisis. Dentists, dental students and foreigners were excluded from the study. The link for the questionnaire was sent to the patients via WhatsApp. It is a brief, structured 10-item questionnaire that assesses the relationship between the economic recession and the COVID-19 pandemic and the Lebanese participants' decision to initiate orthodontic treatment and their choice of appliance type.

Results: A total of 489 responses were obtained: 199 men (41%), 290 women (59%) with a mean age of 24 years ±8.4 years (age range: 13 to 64 years). Half of the participants feel anxious in consulting for an orthodontic opinion during the pandemic. Almost half of the respondents are thinking of starting orthodontic treatment after the start of COVID-19. The responses showed that most participants (71%) believe that the current economic crisis in Lebanon influences their decision to start an orthodontic treatment. Regarding the choice of the type of orthodontic appliance, a higher number of respondents choose metal braces (traditional) than other appliances. In a normal situation, the aesthetic of the appliance is the most important factor in choosing the appliance.

Conclusion: The COVID-19 pandemic and the current economic crises in Lebanon had a negative impact on the financial and emotional well-being of the Lebanese people, on their decision to initiate an orthodontic treatment as well as on choosing the type of the appliance. However, despite the difficult circumstances facing the country, a big part of the respondents was not discouraged from initiating treatment.

 

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References

1. Proffit WR, Fields HW, Sarver DM. Contemporary Orthodontics. 5th edition. Elsevier/Mosby; 2013. 770 p.
2. Imani MM, Jalali A, Ezzati E, Heirani Z, Dinmohammadi M. A decision-making process to undergo orthodontic treatment: a qualitative study. Patient Prefer Adherence. 2018 Oct 29;12:2243–51.
3. Laothong W, Cheng H-C. Comparison of factors affecting orthodontic treatment motivation of Taiwanese and Thai patients in two hospitals. J Dent Sci. 2017 Dec;12(4):396–404.
4. Wu F, Zhao S, Yu B, Chen Y-M, Wang W, Song Z-G, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020 Mar;579(7798):265–9.
5. Heymann DL, Shindo N. COVID-19: what is next for public health? The Lancet. 2020 Feb;395(10224):542–5.
6. Vannucci A, Flannery KM, Ohannessian CM. Social media use and anxiety in emerging adults. Journal of Affective Disorders. 2017 Jan;207:163–6.
7. Umeh OD, Utomi IL, Isiekwe IG, Aladenika ET. Impact of the coronavirus disease 2019 pandemic on orthodontic patients and their attitude to orthodontic treatment. Am J Orthod Dentofacial Orthop. 2021 Feb 7: S0889-5406(21)00032-9.
8. Cotrin P, Peloso RM, Oliveira RC, Oliveira RCG de, Pini NIP, Valarelli FP, et al. Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthodontics & Craniofacial Research. 2020;23(4):455–61.
9. Peloso RM, Pini NIP, Sundfeld Neto D, Mori AA, Oliveira RCG de, Valarelli FP, et al. How does the quarantine resulting from COVID-19 impact dental appointments and patient anxiety levels? Braz oral res. 2020;34:e84.
10. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res.2020 Jun;288:112954.
11. Davis LG, Ashworth PD, Spriggs LS. Psychological effects of aesthetic dental treatment. Journal of Dentistry. 1998 Sep;26(7):547–54.
12. Henson ST, Lindauer SJ, Gardner WG, Shroff B, Tufekci E, Best AM. Influence of dental esthetics on social perceptions of adolescents judged by peers. American Journal of Orthodontics and Dentofacial Orthopedics. 2011 Sep;140(3):389–95.
13. Skidmore KJ, Brook KJ, Thomson WM, Harding WJ. Factors influencing treatment time in orthodontic patients. Am J Orthod Dentofacial Orthop. 2006 Feb;129(2):230–8.
14. Pithon MM, Bastos GW, Miranda NS, Sampaio T, Ribeiro TP, Nascimento LEAG do, et al.Esthetic perception of black spaces between maxillary central incisors by different age 75 groups. American Journal of Orthodontics and Dentofacial Orthopedics. 2013 Mar;143(3):371–5.
15. Thai JK, Araujo E, McCray J, Schneider PP, Kim KB. Esthetic perception of clear aligner therapy attachments using eye-tracking technology. American Journal of Orthodontics and Dentofacial Orthopedics. 2020 Sep;158(3):400–9.
16. Cooper-Kazaz R, Ivgi I, Canetti L, Bachar E, Tsur B, Chaushu S, et al. The impact of personality on adult patients’ adjustability to orthodontic appliances. Angle Orthodontist. 2013;83(1):7.
17. Kuhlman DC, Lima TA de, Duplat CB, Capelli Junior J. Esthetic perception of orthodontic appliances by Brazilian children and adolescents. Dental Press J Orthod. 2016 Sept-Oct;21(5):58–66.