A 15-year follow-up study of 30-year-old Danes with regard to orthodontic treatment experience and perceived need for treatment in a region without organized orthodontic care

1983 ◽  
Vol 11 (4) ◽  
pp. 199-204 ◽  
Author(s):  
Sven Helm ◽  
Sven Kreiborg ◽  
Beni Solow
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Experience ◽  
Need For Treatment ◽  
Perceived Need ◽  
Follow Up Study ◽  
Perceived Need For Treatment

A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

2021 ◽  
pp. 030157422110562
Author(s):  
Uday Kumar Digumarthi ◽  
R. Prakash
Keyword(s):  
Gender Bias ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Remote Access ◽  
The Self ◽  
Treatment Need ◽  
Need For Treatment ◽  
Perceived Need ◽  
Chi Squared ◽  
Perceived Need For Treatment

Background: Self-perceived orthodontic treatment need is strongly influenced by what is perceived to be the esthetic norm amongst a community, and reluctance toward treatment amongst adolescents with clinically ascertained malocclusion may often be due to readily remediable factors. Of particular interest is the prevalence of malocclusion amongst such communities as a probable indicator of the role of diet and genetics in establishing a predominant clinical phenotype that may also play a role in the construct of what is perceived as the esthetic norm amongst the community, thereby influencing the self-perceived need for treatment. Studies aimed at evaluating the association between self-perceived esthetics, and self-perceived treatment need have not been performed amongst a population with no prior exposure to orthodontic treatment Objectives: The purpose of this study was to evaluate the self-perceived orthodontic treatment need amongst the tribal adolescents belonging to regions with remote access to orthodontic treatment by way of a verbally assigned index and to also identify the reasons of reluctance toward treatment to better understand how to make orthodontic treatment readily accessible to such populations. Participants, Materials, and Methods: The agency areas of Paderu located at 18.0833°N 82.667°E and Parvathipuram located at 18°46'N 83°25'E are 2 revenue districts of Visakhapatnam and Vizianagaram, respectively, in the state of Andhra Pradesh, India, that are home to various tribal populations with remote access to orthodontic treatment. A total of 2,016 school-going tribal adolescents of the Paderu revenue division and 819 tribal adolescents of the Parvathipuram revenue division were examined to ascertain the prevalence of malocclusion. Necessary consent and permissions were obtained from the tribal authorities, the school authorities, parents, and the institutional ethical clearance committee. The screening was done utilizing natural daylight in compliance with infection prevention and control protocol. Clinical examination aimed at categorizing the observed occlusion into either ideal occlusion or one of the three classes of Angle’s class I, II, and III malocclusions. The Simplified Malocclusion Index For Layperson Evaluation (SMILE) was verbally assigned in the vernacular language while interacting with each child and the findings made note of for calculation of relevant scores related to their orthodontic awareness, self-esteem as related to self-perceived esthetics, and their self-perceived need for treatment. Reasons for reluctance to undergo treatment were noted down if expressed. An initial group of 31 adolescents categorized as presenting with clinical malocclusion were randomly picked up and assigned the SMILE index a second time to assess the reliability of the index by way of Cohen’s kappa statistic. Results: The initial test group of 31 individuals assigned the SMILE twice showed a Cohen’s kappa of 0.93 validating almost perfect intraoperator agreement. The SMILE index revealed that 80.95% of the adolescents of Paderu revenue division had orthodontic awareness and 79.51% had self-perceived esthetics but only 15.97% felt a need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 1,371] = 19.71, P < .001). The Index assigned to the Parvathipuram division revealed that 77.04% had orthodontic awareness and 78.38 had self-perceived esthetics but only 6.95% felt the need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 764] = 4.95, P = .02). Conclusion: The self-perceived need for orthodontic treatment is often based on the self-perceived esthetics of an individual or the self-esteem as influenced by the perceived esthetic norm of the community. Orthodontic treatment of adolescents with borderline malocclusion derangements requires careful ascertaining of the actual perceived need of the patient to enable the rendering of a justifiable orthodontic treatment with the complete trust of the young patient. This helps build community trust in regions where orthodontic treatment has not yet made in roads and may help ensure higher end of treatment satisfaction levels.

scholarly journals Perceived need for treatment and non-utilization of outpatient psychotherapy in old age: two cohorts of a nationwide survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paul Gellert ◽  
Sonia Lech ◽  
Eva-Marie Kessler ◽  
Wolfram Herrmann ◽  
Susanne Döpfmer ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Problems ◽  
Health Problems ◽  
General Health Status ◽  
Outpatient Psychotherapy ◽  
Need For Treatment ◽  
Perceived Need ◽  
Rural Residency ◽  
Perceived Need For Treatment

Abstract Beackground Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation to rates of non-utilization of outpatient psychotherapy as well as the predisposing, enabling, and need factors proposed by Andersen’s Model of Health Care Utilization that account for these differences warrant further investigation. Methods We used two separate cohorts (2014 and 2019) of a weighted nationwide telephone survey in Germany of German-speaking adults with N = 12,197 participants. Across the two cohorts, 12.9% (weighted) reported a perceived need for treatment for mental health problems and were selected for further analyses. Logistic Generalized Estimation Equations (GEE) was applied to model the associations between disposing (age, gender, single habiting, rural residency, general health status), enabling (education, general practitioner visit) non-utilization of psychotherapy (outcome) across cohorts in those with a need for treatment (need factor). Results In 2014, 11.8% of 6087 participants reported a perceived need for treatment due to mental health problems. In 2016, the prevalence increased significantly to 14.0% of 6110 participants. Of those who reported a perceived need for treatment, 36.4% in 2014 and 36.9%in 2019 did not see a psychotherapist – where rates of non-utilization of psychotherapy were vastly higher in the oldest age category (59.3/52.5%; 75+) than in the youngest (29.1/10.7%; aged 18–25). Concerning factors associated with non-utilization, multivariate findings indicated participation in the cohort of 2014 (OR 0.94), older age (55–64 OR 1.02, 65–74 OR 1.47, 75+ OR 4.76), male gender (OR 0.83), lower educational status (OR 0.84), rural residency (OR 1.38), single habiting (OR 1.37), and seeing a GP (OR 1.39) to be related with non-utilization of psychotherapy; general health status was not significantly associated with non-utilization when GP contact was included in the model. Conclusion There is a strong age effect in terms of non-utilization of outpatient psychotherapy. Individual characteristics of both healthcare professionals and patients and structural barriers may add to this picture. Effective strategies to increase psychotherapy rates in those older adults with unmet treatment needs are required.

Prognosis of Mental Illness in Old Age: A Four Year Follow-up Study

1979 ◽  
Vol 24 (7) ◽  
pp. 674-682 ◽  
Author(s):  
G.S. Duckworth ◽  
H.B. Kedward ◽  
W.F. Bailey
Keyword(s):  
Senile Dementia ◽  
Discharge Rate ◽  
National Study ◽  
Functional Disorders ◽  
Present Sample ◽  
Need For Treatment ◽  
Follow Up Study ◽  
Treatment Facilities ◽  
The U.S

Summary This paper describes a four year follow-up study of psychogeriatric patients in Toronto, arising from collaboration with the U.S.-U.K. cross-national study of psychogeriatric disorders. The findings of the study are threefold: First, compared to Roth's study two decades ago, the present sample shows a decline in mortality of patients suffering from senile dementia with a corresponding increase in the need for treatment facilities for this group. Paraphrenic patients on the other hand were discharged earlier and in greater numbers, indicating an improvement in the treatment of this condition. There was no change in the discharge rate of patients with mood disorders despite the much touted use of antidepressant medications. The second finding was that patients with functional disorders were more rapidly discharged in Canada and the U.S. compared to the U.K., possibly indicating a greater pressure to discharge patients early in North America compared to Britain. Finally, the diagnostic categories had a very significant validity in predicting outcome, with organically demented patients being dead or in hospital at follow-up. The best prognosis was displayed by patients with affective disorders, two-thirds of whom were discharged to the community by 90 days. An intermediate prognosis was demonstrated by patients suffering from schizophrenia and miscellaneous functional disorders, nearly half of whom were discharged to the community in 90 days. The implications for management are discussed.

Perceived Need for Treatment among Pregnant and Nonpregnant Women Arrestees

1995 ◽  
Vol 27 (4) ◽  
pp. 389-399 ◽  
Author(s):  
Dana M. Baldwin ◽  
Mary-Lynn Brecht ◽  
Genevieve Monahan ◽  
Kiku Annon ◽  
Jean Wellisch ◽  
...  
Keyword(s):  
Need For Treatment ◽  
Perceived Need ◽  
Perceived Need For Treatment

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.

scholarly journals Stability and relapse after orthodontic treatment of deep bite cases--a long-term follow-up study

2012 ◽  
Vol 36 (5) ◽  
pp. 522-530 ◽  
Author(s):  
J. C. Danz ◽  
C. Greuter ◽  
I. Sifakakis ◽  
M. Fayed ◽  
N. Pandis ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Deep Bite ◽  
Follow Up Study ◽  
Long Term Follow Up

Client's perceived need for treatment and its impact on outcome

2000 ◽  
Vol 21 (3) ◽  
pp. 179-192 ◽  
Author(s):  
Quansheng Shen ◽  
A. Thomas McLellan ◽  
Jeffrey C. Merrill
Keyword(s):  
Need For Treatment ◽  
Perceived Need ◽  
Perceived Need For Treatment

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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