Impact of COVID-19 pandemic on orthodontic patient's inflow in daily orthodontic practice: A cross-sectional study

Aim: To evaluate the effects of the COVID-19 pandemic and lockdown on orthodontic patients' apprehension and inflow and to investigate the treatment-related problems encountered during the pandemic. Materials and Methods: A cross-sectional study was carried out in Saudi Arabia, and patients with active orthodontic treatment were reached via an online questionnaire. A total of 260 orthodontic patients agreed to participate in the study. The sample size calculation was performed using the Raosoft sample size calculator based on the estimation of 75% of the population need orthodontic treatment. The questionnaire included three sections: demographic data, patient fear, and troubles encountered during the lockdown. A link was sent to the participants via different social media platforms and applications. The chi-square goodness-of-fit test was used to assess differences between the variables. Pearson correlation, binomial logistic regression, and multiple logistic regression tests were used to assess the extent of the relationship between patient apprehension and safety measures of COVID-19, as well as between patient orthodontic-related problems. Results: About half of the participants (52.3%) were not afraid of COVID-19 or panicked; however, 54% of them felt depressed during the lockdown. More than 80% were not afraid of visiting the orthodontists or thinking of changing their orthodontists for safety measures and did not want to postpone their treatment. The participants felt that excellent disinfection was the most important measure of infection control followed by wearing masks, face shields, and protective clothing. Conclusion: COVID-19 and the lockdown have a noticeable impact on the patients' apprehension and dejection. A very high percentage of patients in this study showed no hesitation to visit their orthodontists, and they did not want to stop their treatment during the pandemic. The most common treatment-related problem reported was cheek injury, followed by bracket breakage.