Validity of an orthodontic treatment priority index to measure need for treatment

1980 ◽  
Vol 78 (4) ◽  
pp. 421-425 ◽  
Author(s):  
Malcolm J. Slakter ◽  
Judith E. Albino ◽  
Larry J. Green ◽  
Eugene A. Lewis
Keyword(s):  
Orthodontic Treatment ◽  
Priority Index ◽  
Need For Treatment ◽  
Treatment Priority

The Feasibility and Validity of Orthodontic Screening of Children in Their Tenth Year

1983 ◽  
Vol 10 (3) ◽  
pp. 142-146 ◽  
Author(s):  
Sarah A. M. Turner
Keyword(s):  
Orthodontic Treatment ◽  
Main Study ◽  
Priority Index ◽  
Special Training ◽  
School Inspections ◽  
Treatment Priority ◽  
Orthodontic Models

The study set out to investigate the problems of the implementation of the Court Report's suggestion that every child in its tenth year should be screened for orthodontic treatment by ‘a dentist with special training in orthodontics’ using Grainger's Treatment Priority Index (TPI). The study was divided into two parts. The standardization exercises used 31 orthodontic models of children in their tenth year. The problem of examiner variability, using a Community Dental Officer instead of an orthodontist and of bias that the TPI might have were examined. The main study involved the examination of 362 children in ten separate schools in Oxfordshire and investigated the problem of orthodontic screening at annual school inspections. The findings showed that the TPI may be able to provide a method for screening children in their tenth year if the weights of the clinical entities which are reducing the level of validity of the TPI are identified. The problem of scoring tooth displacements consistently would have to be taken into consideration when training personnel to use the TPI.

scholarly journals Effects of fixed labial orthodontic appliances on speech sound production

2015 ◽  
Vol 86 (3) ◽  
pp. 462-467 ◽  
Author(s):  
Jonathan S. Paley ◽  
George J. Cisneros ◽  
Olivier F. Nicolay ◽  
Etoile M. LeBlanc
Keyword(s):  
Sound Production ◽  
Speech Sound ◽  
Orthodontic Appliances ◽  
Priority Index ◽  
Treatment Priority ◽  
Fixed Appliances ◽  
The Impact

ABSTRACT Objective:  To explore the impact of fixed labial orthodontic appliances on speech sound production. Materials and Methods:  Speech evaluations were performed on 23 patients with fixed labial appliances. Evaluations were performed immediately prior to appliance insertion, immediately following insertion, and 1 and 2 months post insertion. Baseline dental/skeletal variables were correlated with the ability to accommodate the presence of the appliances. Results:  Appliance effects were variable: 44% of the subjects were unaffected, 39% were temporarily affected but adapted within 2 months, and 17% of patients showed persistent sound errors at 2 months. Resolution of acquired sound errors was noted by 8 months post–appliance removal. Maladaptation to appliances was correlated to severity of malocclusion as determined by the Grainger’s Treatment Priority Index. Sibilant sounds, most notably /s/, were affected most often. Conclusions:  (1) Insertion of fixed labial appliances has an effect on speech sound production. (2) Sibilant and stopped sounds are affected, with /s/ being affected most often. (3) Accommodation to fixed appliances depends on the severity of malocclusion.

Normative and perceived orthodontic treatment need of senior year dental students

2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Kolawole Kikelomo Adebanke ◽  
Agbaje Hakeem Olatunde ◽  
Otuyemi Olayinka Donald
Keyword(s):  
Orthodontic Treatment ◽  
Dental Health ◽  
Dental Students ◽  
Moderate Correlation ◽  
Senior Year ◽  
Treatment Need ◽  
Need For Treatment ◽  
Perceived Need ◽  
Elective Treatment ◽  
The Aesthetic

Objective: The purpose of this study was to determine perceived and normative orthodontic treatment need of senior year dental students using the Index of Orthodontic Treatment Need (IOTN) and Dental Aesthetic Index (DAI). Materials and Methods: Ninety-nine senior year students of the Faculty of Dentistry, Obafemi Awolowo University Ile-Ife, Nigeria, participated. Normative assessment of occlusal characteristics was car¬ried out using IOTN and DAI while the Aesthetic Component (AC) scale of IOTN was used by the students to assess perceived need. Results: With the AC scale of IOTN, 6.1% of the students expressed “borderline need” and 2% “great need” for treatment, while normative need was 41.4% for “borderline need” and 11.1% for “great need”. The Dental Health Component found 37.4% and 24.2% in these categories, respectively. The DAI gave 26.3%, 13.1% and 15.1% in the elective treatment, highly desirable treatment and mandatory treatment categories respectively. No gender-dependent differences were found. Moderate correlation was observed between perceived and normative need (r=0.643), which was significant (p<0.001). Conclusions: Over half of the dental students had orthodontic treatment need with both indices. Normative and perceived treatment need differed significantly. The perception of treatment need is not only influenced by knowledge and severity of malocclusion, as psychosocial factors acting on individuals may be involved.

A Comparison of Three Orthodontic Treatment Indices with Regard to Angle Classification

2016 ◽  
Vol 40 (2) ◽  
pp. 169-174
Author(s):  
Emine Kaygisiz ◽  
Fatma Deniz Uzuner ◽  
Lale Taner
Keyword(s):  
Orthodontic Treatment ◽  
Peer Assessment ◽  
Class Ii ◽  
Class I ◽  
Kappa Statistics ◽  
Class Iii ◽  
Treatment Need ◽  
Need For Treatment ◽  
Spearman Correlation Test ◽  
Positive Correlations

Objectives: To calculate the agreement between the Dental Aesthetic Index (DAI) and the Index of Complexity, Outcome and Need (ICON) in assessing orthodontic treatment need and to determine correlations between the Peer Assessment Rating (PAR) and DAI and ICON scores according to Angle classification among patients referred for orthodontic evaluation. Study Design: This study included 457 randomly selected patients between 9 to17 years of age. Patients were divided into four groups according to Angle classification [Class I (n=154), Class II division 1(Class II/1) (n=155), Class II division 2(Class II/2) (n=52) and Class III (n=96)]. Relationships between PAR scores and ICON and DAI scores were evaluated with the Spearman correlation test. Unweighted kappa statistics were used to analyse agreement between the ICON and DAI on the need for treatment, according to Angle classification. Results: Class I malocclusions scored significantly lower than other Angle classifications in all indices. Both the ICON and DAI showed significant positive correlations with the PAR in the general study population. For Class II/2 patients, no correlation was found between PAR and DAI scores. There was significant agreement between the ICON and DAI on treatment need among Class I, Class II/1 and Class II/2 patients however, no agreement was found for Class III malocclusions. Conclusions: The ICON, DAI and PAR produce similar results and can be used interchangeably for the general orthodontic patient population. However, based on Angle classification, prominent differences exist in scoring certain occlusal features.

Assessment of General Dental Services Orthodontic Standards: The Dental Practice Board's Gradings Compared to PAR and IOTN

1996 ◽  
Vol 23 (3) ◽  
pp. 211-220 ◽  
Author(s):  
Elizabeth A. Turbill ◽  
Stephen Richmond ◽  
Jean L. Wright
Keyword(s):  
Orthodontic Treatment ◽  
Peer Assessment ◽  
Dental Practice ◽  
Dental Services ◽  
Good Reliability ◽  
Treatment Need ◽  
Need For Treatment ◽  
Peer Assessment Rating Index ◽  
Overall Performance ◽  
Case Basis

The subjective grading of cases at the Dental Practice Board of England and Wales was compared to the Peer Assessment Rating Index (PAR) and Index of Orthodontic Treatment Need (IOTN) in assessing 1505 cases sampled at the Board between Late 1990 and mid-1991. Whilst some criteria are common to both systems, case by case there is only limited agreement; sources of disagreement are evaluated. The indices are essentially epidemiological tools; whilst they have shortcomings in assessing individual cases, they are related to peer opinion, and show good reliability when used on samples of cases. They can be readily updated, as findings of research or future peer opinion may dictate. Use of PAR and IOTN at the Board, instead of subjective gradings, would require a departure from decisions on withholding payment on a case by case basis. If, however, they were used onsamples of practitioners' caseloads to assess reduction of malocclusion, and residual malocclusion and need for treatment, practitioners fees could be up- or down-graded periodically according to their overall performance, to encourage more to adopt higher standards. Allowances could be made, however, for ‘limited objective treatments’ and cases where poor co-operation had impaired the result.

scholarly journals Female Dental Student’s Perception of Their Dental Aesthetics and Desired Dental Treatment

2017 ◽  
Vol 13 (3) ◽  
pp. 171
Author(s):  
Randa F. Abidia ◽  
Ambreen Azam ◽  
Ahmed. A. El –Hejazi ◽  
Khuloud .K. Al-Mugbel ◽  
Mehdiya. S. Haider ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Dental Treatment ◽  
Dental Students ◽  
Tooth Whitening ◽  
Need For Treatment ◽  
Perceived Need ◽  
Dental Aesthetics ◽  
Tooth Colour

Objectives: This study aims to assess the self-perception of female dental students of their dental aesthetics regarding their satisfaction, its effect on their quality of life and felt need for treatment. Materials and Method: This is a descriptive study for 1st, 2nd and 3rd year dental students (n=110) in the College of Dentistry at Princess Nourah University (PNU). The survey was distributed via link "Google form". A 20 item questionnaire was prepared and tested before on seven students for clarity. Questions were regarding how students feel about their dental aesthetics and what they desire for treatment. Whether they felt their teeth affected their attractiveness, confidence and quality of life. Data was entered in SPSS for statistical analysis. Results: With a response rate of 94.5% majority (89.4%) of students felt their teeth affected the attractiveness of their faces. Almost one third (30.8%) have tried to hide their smile. Around half (51%) were not satisfied with their tooth colour. Almost two thirds of students (61.5%) felt their quality of life is affected by the appearance of their teeth. ‘Tooth whitening’ was selected by almost two thirds of students (64.4%) followed by almost half (46.2%) the students wanting ‘orthodontic treatment’. Conclusion: Dental aesthetics is rated highly among female dental students.The majority of the students felt that their teeth affected the attractiveness of their face and influenced their quality of life. Students desired teeth whiteneing followed by orthodontic treatment as their perceived need for aesthetic dental treatments.

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