scholarly journals Prevalence of malocclusion and assessment of orthodontic treatment needs among Syrian refugee children and adolescents: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nesreen A. Salim ◽  
Mariam M. Al-Abdullah ◽  
Abeer S. AlHamdan ◽  
Julian D. Satterthwaite

Abstract Background There is a scarcity of data concerning the prevalence and pattern of malocclusion and orthodontic treatment needs in Syrian refugee. In this study, extra and intra-oral features of malocclusion and the dental health component of the Index of Orthodontic Treatment Need (IOTN) were reported. Methods Examination of 606 Syrian children/adolescents refugees attending Zaatari clinic was carried out (males = 280, females = 326, mean age = 11.84 ± 2.1 years). Subjects not within the age limit, with a history of orthodontic treatment, or with craniofacial anomalies were excluded. Both extra and intra-oral features of malocclusion were assessed. Intra-oral features included inter- and intra-arch occlusal characteristics: crowding, spacing, crossbite, overjet, overbite, molar and canine relationship, incisor relationship, and centerline shift. In addition, the dental health component (DHC) of the Index of Orthodontic Treatment Need (IOTN) was recorded. Gender and age variations in malocclusion characteristics and IOTN grading were tested using chi-square and nonparametric tests respectively (P < 0.05). Results The prevalence of malocclusion was 83.8% (52.6% class I, 24.2% class II, 7% class III). The most common features of malocclusion were crowding (71.1%) followed by centerline shift (52.1%), increased overjet (36.1%), high vertical proportions (34%) and deep overbite (31.2%); there were significant gender and age differences for a number of occlusal traits. The prevalence of moderate to severe need for orthodontic treatment was 67.7%. Conclusions This study provides baseline data on the prevalence of malocclusion in Syrian refugee children/adolescents in Zaatari camp where data concerning oral health of this population are lacking. The prevalence of orthodontic treatment need was high warranting the need for a comprehensive interceptive orthodontic program to prevent increasing oral health problems in the future. This high burden of oral diseases has a negative financial impact on the hosting country which can be reduced through public health interventions and implementing community-based dental healthcare for this underprivileged population.

2020 ◽  
Vol 32 (3) ◽  
pp. 182
Author(s):  
Rissa Zharfany Ernata ◽  
Gita Gayatri ◽  
Anne Agustina Suwargiani

Introduction: Malocclusion has an impact on the quality of life, thus becoming the motivation for orthodontic treatment. Subjective and objective needs for orthodontic treatment vary, where subjective needs are sometimes higher or maybe lower than objective needs, vice versa. The Index of Orthodontic Treatment Need (IOTN) is an index used to see the level of treatment needs. This study was aimed to analyse the correlation of orthodontic treatment motivation and the level of treatment needs based on the index of orthodontic treatment need (IOTN) of orthodontic patients. Methods: The research was correlation analytical. The motivation for orthodontic treatment was assessed using a questionnaire consisted of aspects of oral health motivation, oral function, aesthetics, psychosocial, and influence from others. The level of orthodontic treatment needs was assessed using the IOTN dental health component. Results: It was found that the patients’ motivation related to aesthetics was high. The motivation to get orthodontic treatment due to oral health, oral function, and psychosocial conditions was moderate, while related to the influence of others was low. The level of need for grade 4 treatment shows the largest percentage (48.57%). Gamma correlation analysis between motivation variables related to the oral and psychosocial function with the level of treatment needs showed a significantly positive correlation with the p-values of 0.003 and 0.022, categorized as weak correlation. Conclusion: There is a weak correlation of orthodontic treatment motivation and the level of treatment needs based on the index of orthodontic treatment need (IOTN) of orthodontic patients.


e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Monica A. V. Rumampuk ◽  
P. S. Anindita ◽  
Christy Mintjelungan

Abstract: Orthodontic treatment need increases with the number of cases of malocclusion as one of the major problems in Indonesia and an oral health problems are sufficiently large as dental caries and periodontal disease. Orthodontic treatment need in a population is described by one measure, namely Index of Orthodontic Treatment Need (IOTN). The purpose of this study was to determine the needs of orthodontic treatment in the second-grade students of Junior High School 2 Bitung based IOTN consisting of Aesthetic Component and Dental Health Component. It was a cross sectional study of descriptive obsevational, conducted in Junior High School 2 Bitung at December 2013. It research was used the total population of the second grade students of Junior High School 2 Bitung, amounting to 460 students. The results showed, orthodontic care needs based on the AC is 304 people 77 % do not require nursing care or only mild, 74 people 19% of borderline and need care 18 4.5 really need treatment. While orthodontic treatment needs based DHC is 76% of 303 people do not require treatment or light treatment only, 63 people took care borderline 16%, 7.6% and 30 people really need treatment. Orthodontic treatment need by Index of Orthodontic Treatment Needs in second grade at Junior High School 2 Bitung mostly do not require or need minor maintenance in AC 77% and DHC 76%.Keywords: treatment need, IOTN, Student junior High School.  Abstrak: Kebutuhan perawatan ortodonsi meningkat seiring bertambahnya jumlah kasus maloklusi sebagai salah satu permasalahan utama di Indonesia dan merupakan masalah kesehatan gigi dan mulut yang cukup besar setelah karies gigi dan penyakit periodontal. Kebutuhan perawatan ortodonsi pada suatu populasi digambarkan dengan salah satu alat ukur yaitu Index of Orthodontic Treatment Need (IOTN). Tujuan penelitian ini ialah untuk mengetahui kebutuhan perawatan ortodonsi pada siswa-siswi kelas II SMP Negeri 2 Bitung berdasarkan IOTN yang terdiri dari Aesthetic Component (AC) dan Dental Health Component (DHC). Penelitian ini merupakan suatu penelitian Cross sectional yang bersifat deskriptif observasional, yang dilakukan di SMP Negeri 2 Bitung pada bulan Desember 2013. Pengambilan sampel pada penelitian ini menggunakan teknik total populasi pada siswa-siswi kelas II di SMP Negeri 2 Bitung yang berjumlah 460 orang. Hasil penelitian didapatkan, kebutuhan perawatan ortodonsi berdasarkan AC yaitu 304 orang 77 % tidak membutuhkan perawatan atau hanya perawatan ringan, 74 orang 18,7% butuh perawatan borderline dan 18 orang 4,5 sangat butuh perawatan. Sedangkan kebutuhan perawatan ortodonsi berdasarkan DHC yaitu 303 orang 76,5% tidak membutuhkan perawatan atau hanya perawatan ringan, 63 orang 15,9% butuh perawatan borderline, dan 30 orang 7,6% sangat butuh perawatan. Kebutuhan perawatan ortodonsi berdasarkan IOTN pada siswa kelas II di SMP Negeri 2 Bitung sebagian besar tidak membutuhkan atau butuh perawatan ringan pada AC 77% dan DHC 76%. Kata kunci: Kebutuhan Perawatani, IOTN, Siswa SMP.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Axel B. Oley ◽  
P. S. Anindita ◽  
Michael A. Leman

Abstract: Dental and oral health is an important factor that must be maintained. Things that affect dental health problems and oral one of them is malocclusion. The application needs orthodontic treatment is aimed at correcting malocclusions that can affect the health of the teeth and oral cavity as well as the appearance of a person's face. Research conducted a descriptive study. The purpose of this study to determine the needs of orthodontic treatment based Index of Orthodontic Treatment Need (IOTN), which consists of two components, namely the Aesthetic Component (AC) and the Dental Health Component (DHC). The study was conducted in high school 3 Tondano country with the number of students 390 people. Data collection was performed by inspection and measurement using the AC and DHC. The results showed that 85.94% based on the air-conditioning was not / little need of treatment, 9.37% needed treatment and of 4.69% borderline desperate need of care, while 51.56% based DHC no / little need of treatment, 35.94% need treatment of borderline and 12.5% in dire need of treatment.Keywords: malocclusion, Index of Orthodontic Treatment Need, Aesthetic Component, Dental Health Component.Abstrak: Kesehatan gigi dan rongga mulut merupakan faktor penting yang harus dijaga. Hal yang mempengaruhi masalah kesehatan gigi dan rongga mulut salah satunya ialah maloklusi.Penerapan kebutuhan perawatan ortodonti ditujukan untuk memperbaiki maloklusi yang dapat mempengaruhi kesehatan gigi dan rongga mulut serta penampilan wajah seseorang.Penelitian yang dilakukan merupakan suatu penelitian yang bersifat deskriptif.Tujuan dari penelitian ini untuk mengetahui kebutuhan perawatan ortodonti berdasarkan Index of Orthodontic Treatment Need (IOTN), yang terdiri dari dua komponen yaitu Aesthetic Component (AC) dan Dental Health Component (DHC).Penelitian dilakukan di SMA negeri 3 Tondano dengan jumlah siswa 390 orang.Pengambilan data dilakukan dengan pemeriksaan dan pengukuran menggunakan AC dan DHC. Hasil penelitian menunjukan bahwa berdasarkan AC 85,94% tidak/sedikit membutuhkan perawatan, 9,37% membutuhkan perawatan borderline dan 4,69% sangat membutuhkan perawatan, sedangkan berdasarkan DHC 51,56% tidak/sedikit membutuhkan perawatan, 35,94% membutuhkan perawatan borderline dan 12,5% sangat membutuhkan perawatan.Kata kunci: Maloklusi, Index Of Orthodontic Treatment Need, Aesthetic component, Dental Health Component.


2020 ◽  
Vol 25 (6) ◽  
pp. 26e1-26e9
Author(s):  
Waqar Jeelani ◽  
Uroosa Sher ◽  
Maheen Ahmed

ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion in children suffering from β-thalassemia and to assess orthodontic treatment need using Grainger’s Treatment Priority Index (TPI) and index of orthodontic treatment need (IOTN)-dental health component (DHC). Methods: A cross-sectional study was conducted on 200 transfusion-dependent children diagnosed with homozygous β-thalassemia and 200 healthy school children aged 11-17 years. The TPI and IOTN-DHC data was recorded for both groups. Total TPI score for each subject was calculated and graded according to malocclusion severity estimate (MSE). Independent sample t-test was used to compare mean TPI scores, overjet and overbite between thalassemic and healthy children. Chi-square test was used to compare the frequency of IOTN-DHC grades, Angle’s classification, and MSE grades between thalassemic and healthy children. Results: The most prevalent malocclusion was Class I in normal children (67.5%) and Class II in thalassemic children (59%). The mean overjet and overbite were significantly (p<0.001) greater in thalassemic children than in healthy children. Severe tooth displacements were 3.5 times greater in thalassemic children, compared to controls. A greater proportion of thalassemic children were in IOTN grades 3 and 4, compared to the controls (p<0.001). MSE grades 4 and 5 were significantly (p<0.001) more prevalent in thalassemic children, compared to the controls. Conclusion: There is a high prevalence of Angle’s Class II malocclusion in thalassemic children. Majority of these children are categorized in higher grades of IOTN-DHC and TPI-MSE, showing a great severity of malocclusion and high orthodontic treatment needs.


2016 ◽  
Vol 63 (1) ◽  
pp. 22-28
Author(s):  
Mirjana Umićević Davidović ◽  
Marijana Arapović Savić ◽  
Adriana Arbutina

SUMMARY Introduction Need for orthodontic treatment is determined by the severity of specific malocclusion. Orthodontic indices are used to objectively present treatment needs. The most commonly used is the Index of Orthodontic Treatment Need (IOTN). The aim of this study was to determine the need for orthodontic therapy in 11 to 13 years old schoolchildren in Republika Srpska. Material and Methods 1377 patients, 11 to 13 years old, were included in this study. The examinations were performed in elementary schools, using daylight, flat mirror and two-dimensional orthodontic caliper. Patients were ranked into 5 grades according to the Dental Health Component (DHC) and graded on a scale 1 to 10 for the Aesthetic Component (AC) of the IOTN index. Results According to the Dental Health Component (DHC), 79.23% of patients needed orthodontic treatment. Little and borderline orthodontic need was present in 27.74% and 24.83% children, respectively, while severe need was present in 19.98% and 6.68% respectively. 20.77% of subjects did not need orthodontic treatment. In regards to the Aesthetic Component (AC) (face appearance related to orthodontic need) little or no treatment was needed in 91.42% of subjects while 6.42% were borderline and 2.16% of subjects had severe relation between orthodontic need and facial appearance. Conclusion Due to the wide presence of orthodontic irregularities in schoolchildren 11-13 years old in Republika Srpska, it is important to introduce orthodontic indices in clinical practice in order to determine orthodontic treatment needs.


2008 ◽  
Vol 78 (5) ◽  
pp. 786-792 ◽  
Author(s):  
Liselotte Paulsson ◽  
Björn Söderfeldt ◽  
Lars Bondemark

Abstract Objective: To evaluate if prematurely born children have higher prevalence of malocclusion traits and greater orthodontic treatment need than matched full-term born controls. Materials and Methods: Seventy-three preterm children were selected from the Medical Birth Register and divided into two subgroups according to their gestational age. One group consisted of 37 very preterm children (VPT), born in gestational week 29–32, and the other of 36 extremely preterm children (EPT), born before the 29th gestational week. The subjects were compared with a control group of 41 full-term children, who were matched for sex, age, and nationality. Data from clinical examinations, study casts, and panoramic radiographs were used to determine malocclusion traits. The dental health component of the index of orthodontic treatment need (IOTN) was used to rank the treatment need. Results: Two or more malocclusion traits occurred significantly more often among EPT (83.3%) and VPT children (73.0%), compared with the full-term children (51.2%). Significantly higher prevalence of deep bites and was found in EPT and VPT groups compared with the full-term control group. Deep bite was the most common malocclusion trait in the EPT and VPT group. Higher orthodontic treatment need was found for the preterm children but no differences in prevalence of malocclusion traits and treatment need were found between VPT and EPT children. Conclusion: The clinician should be aware of the potential for a higher number of malocclusion traits and greater orthodontic treatment need in prematurely born children compared with full-term children.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Varun Pratap Singh ◽  
Amita Sharma

Objective. To evaluate the prevalence of malocclusion and orthodontic treatment needs among 12- to 15-year-old schoolchildren in eastern Nepal and compare the findings with those of other populations. Methods. Two thousand seventy-four children (1149 males and 925 females) aged between 12 and 15 years were evaluated. Their orthodontic treatment need was assessed using the Index of Orthodontic Treatment Needs (IOTN) (dental health component (DHC)). Angle’s classes of malocclusion were also evaluated. Results. The prevalence of classes I, II, and III was 48.50%, 32.68%, and 4.32%, respectively. The IOTN showed that 21.59% had an extreme treatment need, 24.67% had severe treatment need, 24.07% had moderate treatment need, 14.7% had mild treatment need, and 15.02% had no treatment need. Conclusion. Class I malocclusion is the most common, while class III is the least prevalent in eastern Nepal. The majority of the children need orthodontic treatment.


2012 ◽  
Vol 13 (3) ◽  
pp. 294-298 ◽  
Author(s):  
CM Manjith ◽  
Srinivas Kumar Karnam ◽  
Sunil Manglam ◽  
MN Praveen ◽  
Anirudh Mathur

ABSTRACT Aim The aim of this study was to assess the effect of different orthodontic treatment needs on the OHQoL of adolescents. Materials and methods 200 subjects (100 males and 100 females), 11 to 15 years of age were recruited for the study. OHQoL was assessed with the short form of the oral health impact profile (OHIP-14), and malocclusion severity was assessed with the index of orthodontic treatment need (IOTN). The Chi-square test was used to analyse the qualitative data. The level of significance was 0.05. Results The more severe the malocclusion the worse was the impact on the OHQoL. Orthodontic treatment need had almost similar impact on the daily activities of both males and females. Pronunciation and taste was not significantly affected by the need for orthodontic treatment in either males or females. The proportions of orthodontic patients who found it uncomfortable to eat any food and had to interrupt their meals were significantly correlated with orthodontic treatment needs in both males and females. Conclusion Orthodontic treatment need had an impact on OHQoL of adolescents with no significant difference between males and females. Clinical significance Orthodontists should be aware of the impact caused by malocclusion and orthodontic treatment on the quality of life of the patients and should provide regular positive reinforcements to them. How to cite this article Manjith CM, Karnam SK, Manglam S, Praveen MN, Mathur A. Oral Health-Related Quality of Life (OHQoL) among Adolescents Seeking Orthodontic Treatment. J Contemp Dent Pract 2012;13(3):294-298.


Author(s):  
Ioulia-Maria Mylonopoulou ◽  
Iosif Sifakakis ◽  
Elias Berdouses ◽  
Katerina Kavvadia ◽  
Konstantinos Arapostathis ◽  
...  

The purpose of this research was to assess the orthodontic status and orthodontic treatment needs of 12- and 15-year-old schoolchildren in Greece, in relation to sociodemographic factors and parental education level. A total of 1102 12-year-old children and 1131 15-year-old adolescents across Greece were assessed using the Modified Dental Health component (DHC) of the Index of Orthodontic Treatment Need (IOTN). An amount of 38.7% of 12-year-olds and 33.7% of 15-year-olds were in definite need of orthodontic treatment. The most common etiologic factors were tooth eruption and position anomalies. A higher rate of orthodontic treatment need was recorded among subjects with lower parental education level. Class I malocclusion was found in 50.9%, Class II in 38.4% and Class III in 10.8% of the total sample. A higher incidence of dental trauma was found in the 12-year-olds presenting with a Class II molar relationship and >3 mm overjet. The need for orthodontic treatment in Greece was higher, in comparison to other European countries, with one out of two children presenting a severe overjet associated with a high incidence of dental trauma. One out of three adolescents were still judged as having a need for orthodontic treatment by the age of 15.


2019 ◽  
Vol 12 (1) ◽  
pp. 321-324
Author(s):  
Albena Reshitaj ◽  
Krenar Reshitaj ◽  
Betina Bytyqi

Background: To date, no survey was done in Kosovo for the identification of orthodontic treatment needs. The aim of this study is to assess the prevalence of orthodontic treatment need among Kosovar children of ages 11-13, using the DAI and the DHC-IOTN in the identification of orthodontic treatment need. Methods: A sample of 185 children (50.3% female, 49.7% male), aged between 11-13, was randomly selected from one elementary school in Prishtina. Orthodontic treatment need was measured using the Dental Aesthetic Index (DAI) and the dental health component of the Index of Orthodontic Treatment Need (DHC-IOTN). Results: Based on DAI, treatment was found as elective in 11.9 percent of the children. Treatment was found as highly desirable and mandatory in 5.9 percent and 4.3 percent of children, respectively. No gender-based significant differences were noted. According to IOTN DHC: 16.2 percent of children had borderline treatment need, while 66.5 percent had severe and extreme treatment need (grades 4 and 5). Again, no significant gender-based differences in the treatment need were found. Conclusion: High prevalence of orthodontic treatment need was identified in Kosovar children of ages 11-13, while no gender-based statistically significant differences were noted in the need for orthodontic treatment.


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