The Seven-year Outcome of an Early Orthodontic Treatment Strategy

2008 ◽  
Vol 87 (6) ◽  
pp. 584-588 ◽  
Author(s):  
H. Kerosuo ◽  
M. Väkiparta ◽  
M. Nyström ◽  
K. Heikinheimo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Treatment Strategy ◽  
Orthodontic Treatment ◽  
Dental Health ◽  
Peer Assessment ◽  
Treated Group ◽  
Public Health Care ◽  
Treatment Need ◽  
Peer Assessment Rating Index

The benefits of early orthodontic treatment are continuously discussed, but studies are few. We examined whether definite need for orthodontic treatment could be eliminated in public health care by systematically focusing on early intervention. One age cohort living in a rural Finnish municipality (N = 85) was regularly followed from ages 8 to 15 years, and persons with malocclusions were treated according to a pre-planned protocol. Treatment need was assessed according to the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need, and treatment outcome by the Peer Assessment Rating Index (PAR). Fifty-two percent of the cohort received treatment, and definite treatment need decreased from 33% to 9%. In the treated group, the mean PAR score reduction was 63%, and 51% showed more than 70% improvement. The results suggest that an early treatment strategy may considerably reduce the need for orthodontic treatment in public health care with limited specialist resources.

scholarly journals Evaluation of agreement and correlation of three occlusal indices in an assessment of orthodontic treatment need

2011 ◽  
Vol 68 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Jelena Djordjevic ◽  
Ivana Scepan ◽  
Branislav Glisic
Keyword(s):  
Orthodontic Treatment ◽  
Dental Health ◽  
Peer Assessment ◽  
Statistical Significance ◽  
Objective Evaluation ◽  
Kappa Statistics ◽  
Treatment Need ◽  
Peer Assessment Rating Index ◽  
School Of Dentistry ◽  
The Aesthetic

Background/Aim. Occlusal indices are quantitative diagnostic indicators of malocclusion severity, orthodontic treatment need, complexity and outcome. The aim of this study was to determine correlations and agreement among three occlusal indices: the Index of Orthodontic Treatment Need (IOTN), the Peer Assessment Rating Index (PAR) and the Index of Complexity, Outcome and Need (ICON) in evaluating orthodontic treatment need. Methods. A total eighty study models of patients referred to the Department of Orthodontics, School of Dentistry, Belgrade, were assessed in this retrospective study. Malocclusions of various types and severity in the permanent dentition were included. Results. The Aesthetic and the Dental Health Component of IOTN determined orthodontic treatment need in 25% and 51% of the patients, respectively. PAR determined orthodontic treatment need in 59% and ICON in 53% of patients. The Aesthetic Component of IOTN and ICON had the highest correlation (Spearman's correlation coefficient 0.95, p < 0.01). Correlations between indices were 0.44 to 0.61 with statistical significance (p < 0.01). The agreement between indices, calculated using Kappa statistics, was 0.22 to 0.63. Conclusion. The most critical in malocclusion assessment was PAR. The Aesthetic Component of IOTN and ICON correlated highly (p < 0.01). Correlations between other pairs of indices were moderate (p < 0.01). The Aesthetic Component of IOTN and ICON had substantial agreement, whereas agreement between other indices was fair or moderate. ICON could replace PAR and IOTN. Application of occlusal indices enables objective evaluation of orthodontic treatment need and easier determination of the treatment priorities.

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 Orthodontic Treatment Need and the Psychosocial Impact of Malocclusion in 12-Year-Old Hong Kong Children

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Derek Baram ◽  
Yanqi Yang ◽  
Chong Ren ◽  
Ziling Wang ◽  
Ricky Wing Kit Wong ◽  
...  
Keyword(s):  
Hong Kong ◽  
Household Income ◽  
Orthodontic Treatment ◽  
Dental Health ◽  
Peer Assessment ◽  
Participation Rate ◽  
Sociodemographic Factors ◽  
Psychosocial Impact ◽  
Treatment Need ◽  
The Aesthetic

Objectives. To determine the prevalence of orthodontic treatment need in 12-year-old children in Hong Kong and its relationship with the psychosocial impact of malocclusion and to assess their associations with sociodemographic factors.Materials and Methods. A random sample of 687 12-year-old children was recruited from 45 secondary schools in Hong Kong. Orthodontic treatment need was assessed on study models by five indices: the Dental Health Component of the Index of Orthodontic Treatment Need (IOTN-DHC), the Aesthetic Component of the IOTN (IOTN-AC), the Dental Aesthetic Index (DAI), the Index of Complexity Outcome and Need (ICON), and the Peer Assessment Rating (PAR). The psychosocial impact of malocclusion on participants and sociodemographic factors were obtained from a questionnaire. Logistic regression was used to examine the correlations between treatment need and the psychosocial impact of malocclusion as well as their associations with sociodemographic factors.Results. The final number of participants was 667 (339 boys and 328 girls, participation rate 667/687 = 97.1%). The prevalence of orthodontic treatment need varied depending on the indices used (10.9–47.8%), but significant correlations were found among the five indices (p< 0.01). The uptake of treatment among the cohort was 2.3%. Boys had higher IOTN-DHC (p< 0.05), DAI (p< 0.05), and PAR (p= 0.05) scores than girls. IOTN-AC was significantly associated with the psychosocial impact of malocclusion (p< 0.05). Parents’ level of education and household income were not significantly associated with either treatment need or the psychosocial impact of malocclusion (p> 0.05).Conclusion. The need for orthodontic treatment in 12-year-old children in Hong Kong remained high, and the uptake of treatment was low. Boys had a higher normative treatment need than girls. Among the five indices, IOTN-AC appears to be the best indicator of the psychosocial impact of malocclusion.

Economic Burden of Public Health Care Was Higher than that of Hospitalization and Treatment Associated with COVID-19 In China

2020 ◽  
Author(s):  
Xiaohua Liang ◽  
Lun Xiao ◽  
Xue-Li Yang ◽  
Xuefei Zhong ◽  
Peng Zhang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Economic Burden ◽  
Public Health Care
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