Research Article

Orthodontic Patients’ Perception of Orthodontic Office Changes during COVID-19 Pandemic in Brazil: A National Cross-Sectional Survey

Marcelo Valerio*, José Augusto Mendes Miguel, Matheus Melo Pithon, Gilherme Thiesen, Luiz Filiphe Canuto and Guilherme Janson

Published: 07 September, 2023 | Volume 7 - Issue 1 | Pages: 018-025

There is still limited information regarding patients’ perception of the dental approach changes in the pandemic circumstance. Therefore, the aims of this study were, firstly, to evaluate patient perception regarding the COVID-19 infection risk in the orthodontic office in Brazil, and to assess the influence of age in infection risk perception. Orthodontic patients from five states answered an online questionnaire, anonymously, about quarantine behavior, perception of the infection risk in the orthodontic office, as well as the apparent need for the new biosafety approach. Descriptive analyses were performed for each question. Correlations between age and concern of getting infected were calculated with Spearman correlation tests. There were 406 responses. Most patients respected the quarantine, and 93.10% of those who were scheduled for appointments realized that their appointment would be safe enough. From the total, 83.99%, 84.98%, 89.90%, and 95.81% of patients judged, respectively, health status checks by phone, temperature checking, disposable coat, and face shield, as necessary. Only 6.40% reported an increase in the concern of returning to appointments. The younger the patient, the greater the concern of getting infected in future appointments (p = 0.042). Most patients were confident in the professional care before the appointment. The new biosafety approach was well accepted by the majority, with less agreement with temperature checking and the use of disposable coats. The younger the patient, the greater the concern of getting infected in future appointments. The rate of patients with risk factors for COVID-19 was 14.77%.

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COVID-19; Dental care; Patient care; Perception


  1. Health Mo. In: System ES, editor. Brasília. 2020.
  2. Güner R, Hasanoğlu I, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020 Apr 21;50(SI-1):571-577. doi: 10.3906/sag-2004-146. PMID: 32293835; PMCID: PMC7195988.
  3. Agency NHS. Technical note nº 173/2020 SEI/GRECS/GGTES/DIRE1.
  4. In: Health Mo, editor. Brasília. 2020.
  5. Paulo RCoDoS. Biosafety orientation - Technical fitness in COVID-19 times. São Paulo: CROSP. 2020.
  6. Martina S, Amato A, Rongo R, Caggiano M, Amato M. The Perception of COVID-19 among Italian Dentists: An Orthodontic Point of View. Int J Environ Res Public Health. 2020 Jun 18;17(12):4384. doi: 10.3390/ijerph17124384. PMID: 32570842; PMCID: PMC7344716.
  7. Suri S, Vandersluis YR, Kochhar AS, Bhasin R, Abdallah MN. Clinical orthodontic management during the COVID-19 pandemic. Angle Orthod. 2020 Jul 1;90(4):473-484. doi: 10.2319/033120-236.1. PMID: 32396601; PMCID: PMC8028467.
  8. Meng L, Hua F, Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. J Dent Res. 2020 May;99(5):481-487. doi: 10.1177/0022034520914246. Epub 2020 Mar 12. PMID: 32162995; PMCID: PMC7140973.
  9. Baghizadeh Fini M. What dentists need to know about COVID-19. Oral Oncol. 2020 Jun;105:104741. doi: 10.1016/j.oraloncology.2020.104741. Epub 2020 Apr 28. PMID: 32380453; PMCID: PMC7186204.
  10. Odeh ND, Babkair H, Abu-Hammad S, Borzangy S, Abu-Hammad A, Abu-Hammad O. COVID-19: Present and Future Challenges for Dental Practice. Int J Environ Res Public Health. 2020 Apr 30;17(9):3151. doi: 10.3390/ijerph17093151. PMID: 32366034; PMCID: PMC7246705.
  11. Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, Khurshid Z. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health. 2020 Apr 19;17(8):2821. doi: 10.3390/ijerph17082821. PMID: 32325888; PMCID: PMC7216192.
  12. Peloso RM, Pini NIP, Sundfeld Neto D, Mori AA, Oliveira RCG, Valarelli FP, Freitas KMS. How does the quarantine resulting from COVID-19 impact dental appointments and patient anxiety levels? Braz Oral Res. 2020 Jun 29;34:e84. doi: 10.1590/1807-3107bor-2020.vol34.0084. PMID: 32609145.
  13. Cotrin P, Peloso RM, Oliveira RC, de Oliveira RCG, Pini NIP, Valarelli FP, Freitas KMS. Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthod Craniofac Res. 2020 Nov;23(4):455-461. doi: 10.1111/ocr.12395. Epub 2020 Jun 23. PMID: 32449999; PMCID: PMC7283847.
  14. Ren S, Oakley JE. Assurance calculations for planning clinical trials with time-to-event outcomes. Stat Med. 2014 Jan 15;33(1):31-45. doi: 10.1002/sim.5916. Epub 2013 Jul 16. PMID: 23861270; PMCID: PMC4280895.
  15. Wiechmann D, Vu J, Schwestka-Polly R, Helms HJ, Knösel M. Clinical complications during treatment with a modified Herbst appliance in combination with a lingual appliance. Head Face Med. 2015 Sep 9;11:31. doi: 10.1186/s13005-015-0088-3. PMID: 26353793; PMCID: PMC4564960.
  16. Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, Al-Azzam S, AlShurman BA. Dentists' Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020 Apr 9;6(2):e18798. doi: 10.2196/18798. PMID: 32250959; PMCID: PMC7147327.
  17. Likert R. A technique for the measurement of attitudes. Arch Psycol. 1932;22.
  18. The jamovi project. 2019.
  19. Team RC. A language and environment for statistical computing. In: software] C, editor. 2018.
  20. Freitas KMS, Cotrin P. COVID-19 and orthodontics in Brazil: What should we do? Am J Orthod Dentofacial Orthop. 2020 Sep;158(3):311. doi: 10.1016/j.ajodo.2020.06.014. Epub 2020 Jun 28. PMID: 32862921; PMCID: PMC7321025.
  21. Cotrin P, Peloso RM, Pini NIP, Oliveira RC, de Oliveira RCG, Valarelli FP, Freitas KMS. Urgencies and emergencies in orthodontics during the coronavirus disease 2019 pandemic: Brazilian orthodontists' experience. Am J Orthod Dentofacial Orthop. 2020 Nov;158(5):661-667. doi: 10.1016/j.ajodo.2020.06.028. Epub 2020 Aug 20. PMID: 32828609; PMCID: PMC7439000.
  22. 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 May;159(5):e399-e409. doi: 10.1016/j.ajodo.2020.11.030. Epub 2021 Feb 7. PMID: 33563503; PMCID: PMC7867471.
  23. 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. doi: 10.1016/j.psychres.2020.112954. Epub 2020 Apr 12. Erratum in: Psychiatry Res. 2021 May;299:113803. PMID: 32325383; PMCID: PMC7152913.


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