Modifications in Orthodontic Practice Post COVID Lockdown in Pakistan

E. Khan, M. Shah, S. Fatima, Zuhair Ahmed, Sunia Therwani, S. Khan
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Abstract

OBJECTIVE: To assess the frequency of positive changes in orthodontic practice in Pakistani governmental and private workplaces after lifting of COVID-19 lockdown. METHODOLOGY: This cross sectional questionnaire-based study was carried out on 143 Pakistani orthodontic practitioners for the duration of 3 months. A well-constructed, computerized closed ended questionnaire was designed at an online website i.e., google drive and the link was circulated through social media and e-mail. Change in dental practice was assessed by comparing the results with CDC guidelines, keeping positive response cutoff 70%. Data was analyzed by using SPSS 22, Confounders, like educational qualification, gender and workplace were controlled through stratification. Post stratification Chi square Test was applied to assess the association of dentist's response with gender, educational level, age and workplace, keeping P value < 0.05. RESULTS: There were total 143 participants (80 female and 63 male) with age range from 23 to 56 years, with a mean age of 31.24 ± 6.82 years. Majority of the participants (75.52%) belonged to the age range of 23-33 years. Most of the orthodontists were post graduate trainees (66.4%). Out of all these participants, 67 were working at orthodontic OPD, 22 at private practice and 51 worked at both. 68.5% Implementation of positive modifications in dental practice were recorded. The chi square test results were significant (P <.05) for education and workplace of orthodontist. CONCLUSION: Most orthodontists have positively modified their dental practice post COVID-19 lockdown in Pakistan, by following WHO and CDC guidelines for Covid-19 to curtail spread of infection. KEYWORDS: Changes, Orthodontics, COVID
巴基斯坦疫情封锁后正畸治疗的调整
目的:评估解除COVID-19封锁后巴基斯坦政府和私营工作场所正畸实践积极变化的频率。方法:对143名巴基斯坦正畸从业人员进行为期3个月的横断面问卷调查。在一个在线网站(即google drive)上设计了一份结构良好、计算机化的封闭式问卷,并通过社交媒体和电子邮件传播了链接。通过将结果与CDC指南进行比较来评估牙科实践的变化,保持70%的积极响应截止。采用SPSS 22软件对数据进行分析,分层控制学历、性别、工作场所等混杂因素。采用分层后卡方检验评价牙医反应与性别、文化程度、年龄、工作场所的相关性,P值< 0.05。结果:共纳入143例患者,其中女性80例,男性63例,年龄23 ~ 56岁,平均年龄31.24±6.82岁。大多数参与者(75.52%)的年龄在23-33岁之间。正畸医师以研究生实习生居多(66.4%)。在所有这些参与者中,67人在正畸门诊工作,22人在私人诊所工作,51人在两者都工作。68.5%的人在牙科实践中实施了积极的改变。正畸医师的教育程度和工作场所差异有统计学意义(P < 0.05)。结论:在巴基斯坦,大多数正牙医生在COVID-19封锁后,按照世卫组织和美国疾病控制与预防中心的COVID-19指南,积极改变了他们的牙科实践,以遏制感染的传播。关键词:变化,正畸,COVID
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