Orthodontic Consultation Research Articles

Parental Knowledge and Awareness Regarding Early Orthodontic Consultation in Children: A Cross-Sectional Study.

The present study aimed to assess parental knowledge and awareness of early orthodontic consultation in children. This cross-sectional study was conducted among parents of schoolchildren who were randomly selected from public schools in the Al Ahsa region of Saudi Arabia, using a convenience sampling technique. Data were collected using a prevalidated, pretested study questionnaire distributed to parents through the schoolchildren. The questionnaire focused on the demographic data, knowledge, and awareness of parents regarding their children's need for orthodontic consultation. Descriptive statistics and the Chi-square test were used to analyze the quantitative data collected. More than 50% of the study participants exhibited a good perception of most of the aspects of early orthodontic consultation in children. However, only 42.8% of study subjects exhibited awareness of space maintainers and their use in a growing child, while only 37.5% knew that the first orthodontic visit should be at seven years of age. The age of the participants as well as their educational level were found to be important demographic factors influencing knowledge and awareness of the need for early orthodontic consultation (p<0.05). The present study found that there were knowledge and awareness gaps among Saudi parents regarding early orthodontic consultation, including those on the need for space maintainers and the age of initial orthodontic consultation. There exists a need for a targeted focus on creating awareness amongst younger and lesser-educated parents, which can largely improve the awareness pertaining to early orthodontic treatment initiation in children.

Evaluation of prevalence of body dysmorphic disorder among patients seeking orthodontic treatment in marathwada population

Body Dysmorphic disorder (BDD) is a psychological complaint that has visions concerning faults in overall well-being of an individual for which cases explore different treatment modalities. Cases with BDD commonly consult for cosmetological procedures amongst which orthodontic treatment considered commonly. The study was adopted to assess the occurrence of Body Dysmorphic Disorder in Marathwada population. A sample size of 183 patients with different degree of malocclusive traits answered the given the BDD-YBOCS questionnaire form, while the acuteness of malocclusion was assessed with a rating scale. From total of 183 patients No BDD was seen among 58 (31.7%) patients while 116 (63.4%) had mild BDD, 9 (4.9%) reported with moderate BDD and none of the patients had severe Body Dysmorphic Disorder. Significantly higher number of BDD positive patients [98 (78.4%)] as opposed to 15 (29.3%) BDD negative patients were concerned with teeth as compared to face, hair or other body parts with statistically highly significant difference between the groups (χ2=49.219, p&amp;#60;0.001**). This study concluded that Body Dysmorphic Disorder can be diagnosed with its prevalence being 4.9% in the total sample of 183 patients. Face and Dentition are majorly affected. BDD affected samples in study population were majorly males (63%) and even reported previous history of orthodontic consultations. While treating patients with Body Dysmorphic Disorder Orthodontists should be accustomed to the clinical variations encountered in BDD and should always include certain questions regarding BDD during history taking.

Adult orthodontic consultations in private dental practice: How much information do patients remember when they leave the surgery?

OBJECTIVE: With good communication and information retention being key aspects of valid consent, this study aimed to assess adult patient information recall immediately after an orthodontic consultation. MATERIALS AND METHODS: Adults interested in bracket-based or clear aligners were invited to take part at a single private dental practice. A 45-minute consultation with one of three general dental practitioners (GDPs) primarily providing orthodontics took place. A participant self-completed questionnaire tested recall of 20 items from the consultation. Demographics such as gender, age, level of English, education level, previous orthodontic experience and having a close family member or friend who had orthodontic treatment were also recorded. RESULTS: Forty-two participants completed the questionnaire, and the information recall rate was 75% (mean score = 15). Three of the 42 participants recalled all 20 items. No statistically significant differences (P &lt; 0.05) were found between information recall and any demographic variable, however, older participants (36 years and over) scored less (mean = 13.83) than participants 18-25 years (mean = 15.6). CONCLUSIONS: A quarter of information provided during an orthodontic consultation with a GDP in a private dental practice cannot be recalled immediately afterwards by patients and so it is recommended that any verbal or visual information is always supplemented with written information.

Automatic 3D Teeth Reconstruction From Five Intra-Oral Photos Using Parametric Teeth Model.

Orthodontic treatment is a lengthy process that requires regular in-person dental monitoring, making remote dental monitoring a viable alternative when face-to-face consultation is not possible. In this study, we propose an improved 3D teeth reconstruction framework that automatically restores the shape, arrangement, and dental occlusion of upper and lower teeth from five intra-oral photographs to aid orthodontists in visualizing the condition of patients in virtual consultations. The framework comprises a parametric model that leverages statistical shape modeling to describe the shape and arrangement of teeth, a modified U-net that extracts teeth contours from intra-oral images, and an iterative process that alternates between finding point correspondences and optimizing a compound loss function to fit the parametric teeth model to predicted teeth contours. We perform a five-fold cross-validation on a dataset of 95 orthodontic cases and report an average Chamfer distance of 1.0121 mm2 and an average Dice similarity coefficient of 0.7672 on all the test samples in the cross-validation, demonstrating a significant improvement compared with the previous work. Our teeth reconstruction framework provides a feasible solution for visualizing 3D teeth models in remote orthodontic consultations.

Perceived Orthodontic Needs and Attitudes towards Early Evaluation and Interventions: A Survey-Based Study among Parents of Italian School-Aged Children.

(1) Background: Parents' awareness of malocclusion and their attitude towards early evaluation and interventions influence children's orthodontic management. This cross-sectional study investigates factors that affect the perceived orthodontic needs and the attitude towards interceptive orthodontics among a sample of one-thousand eight-hundred and six (1806) parents of children aged between 6 and 11 years. (2) Methods: The investigation was carried out thought a 18-items online questionnaire divided as follows: characteristics of respondents; perceived child's orthodontic needs; attitude toward early orthodontic evaluation and interventions. The associations between responses were assessed with a Chi-square test. (3) Results: Two-thirds of the respondents referred to having consulted an orthodontist for their child, and more than half of them initiated the required orthodontic treatment. In 44% of cases, the orthodontic consultation occurred after the age of 7 years. Parents' higher education and history of orthodontic treatment were associated with a greater awareness of orthodontic needs. Parents' perception of the impact of teeth on their child's personality was significantly associated with the decision to start the orthodontic treatment (p < 0.001). (4) Conclusions: Although the parents' level of awareness of their child's orthodontic needs was generally satisfactory, the results of the present study pointed out the need for a better education regarding the importance of an early orthodontic assessment.

Factors influencing young patient arrival date at the orthodontic office: a study of 456 cases

The arrival date young patient's first orthodontic consultation is unrestricted but may influence the choice of treatment plan as well as its modalities. The objective of this study was to determine the factors that influence the date of the first consultation at the orthodontic office: advice from a third party or a health professional, the patient's gender, the socioeconomic level, the actual need for orthodontic treatment, and the vertical and anteroposterior skeletal dysmorphia. Young patient's file younger than 16 years were systematically included. A Wilcoxon and Kruskal-Wallis test was performed in univariate and multivariate analysis. The threshold was 5%. 456 young patients were included. Anteroposterior skeletal discrepancy, referral by an acquaintance, and socioeconomic level appeared to be factors influencing patient arrival date. Gender, actual need for orthodontic treatment, referral from a health professional, and vertical skeletal discrepancy did not influence the arrival date at the office. The date of consultation is not related to the actual orthodontic treatment need. Word-of-mouth seems to play an important role. Patients seem to relate an anteroposterior discrepancy to the need to consult an orthodontist, but do not relate it to vertical discrepancy, although ventilation may be related to severe dysmorphia. This study encourages more communication about orthodontic treatment indications with patients and caregivers.

Evaluation of Awareness and Perception of Clear Aligner Orthodontic Treatment Among Students of Hawler Medical University.

Background and Objectives: The growing emphasis on appearance has led to an increased interest in orthodontic treatment among adults, particularly those who are highly self-conscious about their looks. Clear Aligner Therapy, a nearly invisible and effective method for aligning teeth, represents the latest generation of aesthetic orthodontic treatments. This study aims to assess the awareness and perception of Clear Aligner Therapy among students at Hawler Medical University. Materials and Method: A cross-sectional study was conducted using an online questionnaire comprising four sections: demographics, general dental and orthodontic awareness, knowledge of Clear Aligner Therapy and Fixed Orthodontic Therapy, and optional comments and questions. Results: A total of 383 participants, with an average age of 20.54 years, completed the questionnaire. The majority (89.6%) were Kurds and 63.2% females. Among the participants, 68.2% had visited a dentist as needed, 72.3% had family members with malocclusions, 41% had sought orthodontic consultation. Additionally, 86.2% were familiar with Fixed Orthodontic Therapy, 63.2% had heard of Clear Aligners, 30.5% had undergone orthodontic treatment, and 8.5% individuals had received Clear Aligner Therapy. Conclusion: The knowledge level of Hawler Medical University students regarding Clear Aligner Therapy was determined to be moderate. Despite the fact that they possessed a general understanding of its characteristics and application, their involvement in the treatment and its procedures was limited. Previous orthodontic treatments recipients', satisfaction with their smile, overall concern about teeth, previous orthodontic consultation, and knowledge of Fixed Orthodontic Therapy all notably demonstrated significant associations with the awareness of Clear Aligner Therapy. Keywords: Clear Aligner, Orthodontic treatment, Esthetic treatment, Awareness, Perception, Hawler Medical University.

Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 2: job satisfaction perceptions of the workforce 2021-2022.

To ascertain the perceptions of the Welsh NHS orthodontic workforce regarding their job satisfaction and work life balance. Descriptive cross-sectional survey. Clinicians providing NHS orthodontic treatment in Wales. An anonymised, email-distributed, electronic, two-part survey (onlinesurveys.ac.uk) of the Welsh NHS orthodontic workforce working within Wales was undertaken. The survey consisted of three sections: (1) demographic information (part 1); (2) respondents' working pattern (part 1); and (3) perceptions of professional job satisfaction and work/life balance (part 2). The responses received were exported into an Excel spreadsheet for descriptive analysis. The free-text comments were collated for each question and subsequently underwent a content analysis to identify any common themes. Part 2 of the survey yielded an overall response rate of 69.6% (n = 78). Over 96% (n = 75) of respondents felt that they had 'made the right career choice, including 100% of orthodontic trainees, orthodontic specialists and orthodontic consultants. Of the respondents, 88.5% (n = 69) said they 'enjoyed going to work', with the remaining being mostly neutral in their opinion. Of the respondents, 79.5% (n = 62) felt they were able to 'provide their patients the optimum care' and 64.1% (n = 50) felt that more demands were being placed upon them by patients and parents. Overall, 52.6% (n = 41) of survey respondents believed it was becoming increasingly difficult to achieve an effective work/life balance, and this was more prevalent among male respondents (61.5%, n = 16) than female respondents (48.1%, n = 25), although this difference was not statistically significant (P >0.05). Over 96% of respondents felt they have chosen the right career and that flexibility and a good working environment are important to job satisfaction. Respondents felt that there are increasing demands being placed upon them by patients/parents, employers, the Regulators, the Government and Health Boards. This is leading to increased difficulty in achieving a satisfactory work/life balance, especially among male respondents.

Does malocclusion affect ingestion: a systematic review.

The multifactorial aspect of malocclusions and their consequences on ingestion function is rarely described in the literature. The aims of this review are (i) to investigate the relationship between oral ingestion and malocclusion and (ii) to gather malocclusion tools that could help screen subjects at risk of malocclusion-related ingestion disorders. A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P 2015) guidelines. The analysis methods and inclusion criteria have been documented in a protocol published in the Prospective International Register of Systematic Reviews (PROSPERO) under the registration number CRD42023395840. The bibliographic search involved the PubMed®, Cochrane and PROSPERO databases. A total of 29 articles published between 2007 and 2023 were retained by the search criteria for the qualitative synthesis. Twenty of the studies found that the severity of malocclusion has a negative impact on oral ingestion. This review highlights that malocclusion and ingestion impairments are associated but it is not possible to determine causality due to the observational approach of many of the studies. Malocclusion has a negative impact on ingestion function. During orthodontic consultations, particular interest should be directed towards chewing, biting, and swallowing disorders, which can affect patients' nutritional status. This review offers arguments for designing further studies assessing the extent to which malocclusions may affect nutritional status. Orthodontic treatment should focus on improving patients' ingestion.

Upper Airway Dimensions among Different Skeletal Malocclusions: A Retrospective Observational Study by Cephalometric Analysis.

In this retrospective cross-sectional study, lateral cephalometric radiographs of adult patients referred for orthodontic consultation were collected. Cephalometric tracing was performed with dedicated software. For each measure, descriptive statistics were calculated. Cephalometric measurements between the different skeletal classes were compared. Linear regressions were performed between upper airway diameters and cephalometric measurements, sex and age. Significance was predetermined for p < 0.05. Lateral cephalometric radiographs of 120 patients were reviewed. Nasopharynx length (NL) and depth (PD) measurements were significantly shorter in skeletal class III patients (p < 0.05). The superior pharyngeal airway space (SPAS) was found to be significantly shorter in class III patients as compared to class II patients (p < 0.05), and the mean airway space (MAS) of class I patients was found to be significantly shorter compared to class II patients (p < 0.05). Palate length (PL) values were found to be significantly longer in class I (p < 0.05). Linear regressions showed that the sella-nasion-A point angle (SNA) and Riedel's angle between point A, the nasion and point B (ANB) significantly influenced NL and PD (p < 0.05). Class III patients show significantly shorter nasopharynx measurements; clinicians should consider that this sagittal discrepancy could be related to an altered anatomy of the upper respiratory tract.

Evaluation of horizontal lip position using different soft tissue analysis in Shimla population - A cephalometric study

: 1. To study the horizontal lip position in Dentally and Dentoskeletally normal subjects of Shimla adult population using different soft tissue analysis. 2. To study the sexual dimorphism in horizontal lip position of Shimla adult population. 3. To study the differences of horizontal lip position among Dentally and Dentoskeletally normal subjects of Shimla adult population. 4. To compare the horizontal lip position of Dentoskeletally normal subjects of Shimla adult population with established norms. 5. To assess the most consistent esthetic reference line. Pre-treatment lateral cephalograms of 100 subjects aged between 18-25 years were taken, who visited the Department of Orthodontics and Dentofacial Orthopaedics Shimla, Himachal Pradesh for their orthodontic consultation for the study. In Shimla adult population retrusive upper lip in relation to Steiner’s S1 line, Ricketts’ E line and retrusive lower lip in relation to Steiner’s S1 line, Ricketts’ E line, Sushner’s S2 line was found. The norms for upper and lower lip position in relation to Burstone’s B line in Shimla adult population coincide with the established Burstone’s norms. Holdaway’s established norms for lower lip can also be applied to Shimla adult population. Shimla adult population has different cephalometric norms for horizontal lip position in relation to Steiner’s and Ricketts’ line whereas same established norms of Burstone and Holdaway can be applied to Shimla adult population.

The Impact of COVID-19 on Orthodontic Practitioners and their Practice in Pakistan

Background: The Coronavirus pandemic is an ongoing coronavirus disease epidemic that had a profound effect on the healthcare system. When the epidemic first spread widely in Pakistan in March 2020, many dental offices went on an emergency-only closure schedule. Changes were evident even after they reopened. Objective: Primary objectives were to ascertain the consequences of COVID-19 pandemic on Orthodontic practitioners and their practice in Pakistan; how their psychological and financial well-being was affected, and to bring light to the perception of Orthodontists regarding the impact of the COVID-19 pandemic on future of Orthodontists. Secondary objectives were to see if there was any difference in impact between male and female participants and Orthodontic Consultants and Orthodontic Residents. Materials and Methods: This cross-sectional study was conducted among the Orthodontic community of Pakistan. It included 183 participants which comprised 41 Orthodontists and 142 Orthodontic Residents. A self-administered online questionnaire (Google forms) was circulated. Chi-square test was used to compare qualitative variables. P value less than or equal to 0.05 was considered significant. Results: This study showed that 80% of the participants stopped their Orthodontic practice during the lockdown period. The majority of the practitioners had a negative impact on their psychological well-being. A significant difference was noted between male and female professionals’ responses(p=0.021). Most of the residents reported having a negative impact on their training as well. Conclusion: The need for more training programs for infection control cannot be emphasized enough to prevent all the adverse effects caused by such outbreaks. Keywords: COVID-19, Orthodontists, Impact, Well-being, Practice, Infection.

The use of teleorthodontics during the COVID-19 pandemic and beyond – perspectives of patients and providers

BackgroundThe COVID-19 pandemic significantly impacted dental services, resulting in reduced staff availability, limited appointments, and some dental clinics even being forced to close their doors. Despite these challenges, the need for dental consultants remained present, particularly in emergency situations. One area of orthodontics that had seen a surge in demand during the pandemic is Teleorthodontics. With the help of Teleorthodontics, orthodontic consultations, assessments, and even treatment monitoring could be conducted remotely, making it a safe and convenient option for patients during those challenging times.AimThis survey aimed to evaluate the acceptance of patients and their orthodontists on the use of different modes of communication through Teleorthodontics during the COVID-19 pandemic and their willingness to continue using this in the future.MethodsAn online survey instrument in Qualtrics was distributed to orthodontic patients at the University of Illinois, Chicago. The survey was available on a rolling basis for up to 6 months. A total number of 364 partients voluntarily participated in the survey. The Faculty and Residents were also asked to participate in a survey through recruitment via their UIC email addresses.ResultsAccording to our survey, both patients and providers showed acceptance of Teleorthodontics and have used it in different forms during orthodontic treatment. The application is easy-to-use, convenient, and not at all time-consuming. Overall satisfaction with using this application was recorded at 92%, with 66% of patients stating that it saved them time by eliminating the need to travel to the orthodontic clinic. 30% of providers found that the interaction with patients using Teleorthodontics was a positive experience and would recommend it in future.ConclusionTeleorthodontics has shown great potential, particularly in follow-up cases, and holds promise as a valuable tool for online remote dental consultations in the future.

Characteristics of orthognathic multidisciplinary team clinics in England. Part 1: A questionnaire survey.

Orthognathic clinics across England are currently run in a multidisciplinary team (MDT) format. It is, however, likely that there is a large variation in the style of these clinics and care pathways for orthognathic patients across the country. This was a cross-sectional, online questionnaire with a primary aim to obtain information on the way orthognathic care is currently delivered throughout England. The secondary objectives were to determine the compliance to the minimum dataset for record collection. The questionnaire, disseminated to orthodontic consultants, detailed 27 items split into waiting lists for new patients, mechanics of the clinic, support for patients and record collection. A total of 36 participants responded (one was excluded) to give a total of 35 questionnaire responses. Descriptive statistics were used to analyse the data. Of the participants, 34% followed up their patients as per the commissioning guidelines at 1, 2 and 5 years after treatment. Of the participants, 20% said patients' mental health would be screened before adding them to a waiting list, with 26% of participants stating screening was not undertaken for all patients. Of the participants, 11% had available access to psychological support during the MDT meeting and 20% recorded the minimum dataset at the follow-up intervals. There are inconsistencies in the orthognathic MDT design across England. Acceptance criteria, support services available and records collected for patients showed substantial variation, highlighting the limited guidance offered by the commissioning guidelines and the potential need to revise the minimum dataset.

Everybody gets an expander

Seemingly every preadolescent patient that presents for an orthodontic consultation is prescribed rapid maxillary expansion (RME) treatment. Parents are forewarned of premolar extractions, lateral incisor root resorption from ectopic canines, or obstructive sleep apnea if they delay treatment. Are we exaggerating the need for Phase I RME in pursuit of two-phase treatment and increased revenue? Let's take a closer look at the history, trends, expectations, and proper timing of RME, with an emphasis on Phase I treatment.

Oral health-related quality of life in patients with oligodontia: A FACE-Q assessment

ObjectivesThe present study aimed to investigate the impact of oligodontia on appearance and on the functional and psychosocial aspects of oral health-related quality of life (OHrQoL) in patients aged 8-29 years. Methods62 patients with oligodontia that were registered at Radboud University Medical Center, Nijmegen, The Netherlands were included. A control group included 127 patients that were referred for a first orthodontic consultation. Participants completed the FACE-Q Dental questionnaire. Regression analyses were performed to explore relationships between OHrQoL and patient-identified gender, age, the number of congenitally missing teeth, active orthodontic treatment, and previous orthodontic treatment. ResultsThe only clear significant difference between the oligodontia and control groups was that patients with oligodontia scored lower in the domain, ‘eating and drinking’ (p < 0.001). It was found that, in oligodontia, the greater the number of agenetic teeth, the more difficulties eating and drinking. In fact, the Rasch score was reduced by 1.00 (95% CI: 0.23−1.77; p = 0.012) for each extra agenetic tooth. Older children scored significantly lower than younger ones on five out of nine scales: appearance of the face, smile, and jaws; social function; and psychological function. Females scored significantly lower than males on four scales: appearance of the face, appearance distress, social function, and psychological function. ConclusionThese findings suggested that, when treating patients with oligodontia, the number of agenetic teeth, age, and gender should be taken into account. These factors could have negative effects on their self-assessment of appearance, their facial function, and their quality of life. Clinical significanceThe increased difficulty with eating and drinking associated with more agenetic teeth highlighted the importance of functional (re)habilitation.

A questionnaire-based survey exploring attitudes to human factors within the orthodontic team

Introduction Orthodontic service provision relies on good organisational systems for high standards of patient care and safety. Human factors (HFs) are non-technical skills associated with communication, leadership and teamwork, important for safe patient care. This investigation explored attitudes and understanding of HFs within orthodontic clinical training in the United Kingdom.Materials and methods A questionnaire-based qualitative and quantitative analysis including members of the orthodontic clinical team was undertaken at two teaching centres. A modified Operating Rooms Managements Attitudes questionnaire was used with a 5-point Likert scale. Participants indicated agreement or disagreement with statements around nine themes: leadership structure; confidence assertion; information sharing; stress; fatigue; teamwork; work values; error-procedural compliance; and organisational climate. Internal consistency among themes was assessed with Cronbach's alpha and differences in responses with chi-squared tests at 5%.Results In total, 80 responses were received from 96 invitees. Positive attitudes towards teamwork, error-procedural compliance, and organisational climate were found. Orthodontic consultants, trainees, and nurses recognised that human error is not a sign of incompetence. Stress and fatigue were less acknowledged by consultants and trainee groups. Trainees, nurses and therapists valued information sharing over the consultant group. Orthodontic trainees and nurse responses suggested further training might be required in leadership structure, confidence assertion, and work values.Conclusions Differences in attitudes and understanding of HFs within different professional groups in the orthodontic team exist.

Concept and Scope of Dental Digitization - Teleorthodontics

Teleorthodontics refers to the use of Information Technology and Telecommunications to facilitate Orthodontic Consultation about the care to be rendered, the Practitioner, the Patient and Public Education as well as promoting Public Awareness. Despite skepticism, there are several advantages of including Teleorthodontics in the clinical Orthodontic Practice. In the present review, the new communication healthcare system and its applications in the field of Orthodontics that is destined to change the future of our clinical practice will be discussed. For this purpose, the point to point concept and the scope of Teleorthodontics has been provided. The information discussed in the present article is obtained from the most relevant studies evaluating the performance of Teleorthodontics and remote monitoring systems in clinical practice.

A simple way to manage impacted second molars

Orthodontic UpdateVol. 16, No. 2 Tricks of the TradeA simple way to manage impacted second molarsAndrew DiBiase, Elizabeth O'HigginsAndrew DiBiaseEmail: E-mail Address: [email protected]Consultant Orthodontist, East Kent Hospitals University NHS Foundation TrustSearch for more papers by this author, Elizabeth O'HigginsConsultant Orthodontist, Kings College Dental Institute, LondonSearch for more papers by this authorAndrew DiBiase; Elizabeth O'HigginsPublished Online:12 Apr 2023https://doi.org/10.12968/ortu.2023.16.2.105AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View article

The new routine in orthodontic practice post-COVID-19 pandemic: A questionnaire study

Abstract Introduction: The existing screening process of patients and sterilization protocols followed in routine Orthodontic practice have proven to be incapable of limiting the exposure to the COVID-19 virus. Newer and more sophisticated protocols are established and being followed to provide maximum safety to everyone involved in orthodontic procedure. This survey was done to assess knowledge and overall preparedness of orthodontists towards the changes made in the daily Orthodontic practice due to COVID-19 pandemic. Method: An online questionnaire in English language consisting of 17 close ended questions was circulated amongst the Orthodontists across different regions of India. It contained questions regarding various aspects such as personal safety, psychological and financial burden, and patients’ responses to delay in treatment. Out of 90 questionnaires that were circulated, 70 responses were received that matched the inclusion criteria. Forms were filled directly onto the Google-form platform online. Results: Number and percentage were used to compute results on categorical measurements. SPSS (Statistical Package for Social Sciences) (Version 22.0) software was then used to perform statistical analyses. Chi-square test was used to compare the difference in the distribution of responses for the questionnaire. The level of significance (p-value) was set at p &lt; 0.0001. Conclusion: All the respondents emphasized the need for diligent sterilization protocols; spirit, natural ventilation, gloves, mask and face shield along with patient screening was given utmost importance. Orthodontic emergencies were present and virtual orthodontic consultation emerged as a useful tool. Patients’ response to impact of lockdown in on-going treatment was largely negative to neutral. All the responses were statistically significant except personal hygiene and disinfection protocols.