Article: Volume 47 Number 11 Page 924 - December 2020

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  Dent Update 2020; 47: 924-926

Dental Emergencies:  Challenges in Remote versus Clinical Pain Diagnoses for an Orthodontic Patient during the 2020 COVID-19 Crisis

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Abstract: Challenges arose in ascertaining accurate diagnoses for patients via remote phone triage during the COVID-19 crisis in 2020. We report on a case that highlights possible pitfalls in remote consultation versus chairside contact in making clinical diagnoses and illustrates a complication that may arise in orthodontic patients who have not been seen for an extended period of time.

Clinical relevance: This case illustrates an extreme example of a complication of fixed appliance orthodontic treatment and the difficulties and challenges of remote telephone consultations.

Author notes: Sandeep Pai, BDS, MFDS RCPSG, Dental Core Trainee Year 3, Birmingham Dental Hospital. PJ Turner, MSc, BDS, FDS RCS(Ed), M Orth RCS (Eng) Consultant in Orthodontics, Birmingham Dental Hospital. David Green, BDS (Hons) BSc (Hons) MSc (Res) MFDS RCS (Ed) MRD (Prostho) RCS (Eng) FDS (Rest), Consultant in Restorative Dentistry, Specialist in Prosthodontics, Birmingham Dental Hospital email:

Objective: To illustrate difficulties with remote patient assessments, particularly when unexpected or rare treatment complications occur.

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