scholarly journals Index of Complexity, Outcome, and Need (ICON) in Dubai school-aged adolescents

2020 ◽  
Vol 10 ◽  
pp. 32-37
Author(s):  
Hebah Ali AlHammadi ◽  
Donald J. Ferguson ◽  
Laith Makki

Objectives: The purpose of the study was to epidemiologically assess the prevalence of malocclusion and orthodontic treatment need in school-aged adolescents in Dubai using the Index of Complexity, Outcome, and Need (ICON). Null hypothesis tested was no significant differences in ICON scores among Dubai students as a function of gender or geographic/ethnic background. Materials and Methods: The sample was 17,763 adolescents with nearly equal by gender; India and the United Arab Emirates were represented about the same. Scores for malocclusion from Peer Assessment Rating (PAR) index evaluations combined with the esthetic component of the Index of Orthodontic Treatment Need (IOTN) comprised the ICON score. Results: Male ICON scores were significantly greater than female scores. Three scores contributing to ICON were significantly higher in males, i.e., buccal anterior-posterior occlusion, incisor overbite, and esthetic component. ICON scores for South Asia were significantly higher than the Middle East, i.e., 59.9 versus 52.4, P = 0.000. ICON scores were no different for the UAE males and females but otherwise significantly different (>) as follows: Indian males > Indian females > UAE males = UAE females. Conclusions: Dubai school-aged adolescents treatment need is the same for the UAE males and females, but there is a significantly greater orthodontic treatment need for males and females from India.

2016 ◽  
Vol 40 (2) ◽  
pp. 169-174
Author(s):  
Emine Kaygisiz ◽  
Fatma Deniz Uzuner ◽  
Lale Taner

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.


1996 ◽  
Vol 23 (3) ◽  
pp. 211-220 ◽  
Author(s):  
Elizabeth A. Turbill ◽  
Stephen Richmond ◽  
Jean L. Wright

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.


Author(s):  
George Naufal ◽  
Ismail Genc ◽  
Carlos Vargas-Silva

The purpose of this chapter is to present new empirical research on the Arab Spring and, specifically, to focus on the attitudes of residents of one country in the Middle East towards the Arab Spring. This research was conducted in the United Arab Emirates (UAE), which has been one of the main migrant destinations in the world for the last two decades. This allows for comparisons regarding attitudes towards the Arab Spring across individuals from different regions of origin such as GCC, South Asia, and Western countries. The attitudes of university students are important because the Middle East and North Africa (MENA) region has experienced a substantial increase in the 17 to 23 years of age population. Existing reports suggest that, by far, those involved in Arab Spring protests were young individuals. The analysis places particular emphasis on the correlation of attitudes towards the Arab Spring with three key aspects: religiousness, attachment to the GCC countries, and attachment to country of origin.


2008 ◽  
Vol 87 (6) ◽  
pp. 584-588 ◽  
Author(s):  
H. Kerosuo ◽  
M. Väkiparta ◽  
M. Nyström ◽  
K. Heikinheimo

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.


2020 ◽  
Vol 54 (2) ◽  
pp. 147-149
Author(s):  
Ashwin Mathew George ◽  
Ketan K. Vakil ◽  
Aravinthrajkumar Govindaraj ◽  
M. Vadivel Kumar ◽  
Rajaganesh Gautam ◽  
...  

A proposal to formulate an orthodontic index specific for the Indian Board of Orthodontics (IBO) to determine the acceptability and degree of difficulty of a cases submitted for the phase III examination was discussed at the College of Diplomates meet (CDIBO). To ascertain the degree of difficulty of a case is very subjective; therefore, the need to quantify the complexity of a case in a standard format is required. To develop a Discrepancy Index for the IBO, 20 Dental and Cephalometric components of a malocclusion and 20 intraoral frontal photographs would have to be evaluated and a weightage score for each component would be assigned. Components such as upper and lower anterior proclination, commonly seen in our Asian population which have been omitted in the commonly used indices such as PAR (Peer Assessment Review) IOTN (Index of Orthodontic Treatment Need) and the ICON (Index of Complexity,Outcome and Need) have been included. The proposed IBO Index would add uniformity and standardization in assessing the degree of difficulty and also the degree of improvement of a case, which would be a beneficial tool for a fair evaluation.


2002 ◽  
Vol 122 (5) ◽  
pp. 463-469 ◽  
Author(s):  
Allen R. Firestone ◽  
F.Michael Beck ◽  
Frank M. Beglin ◽  
Katherine W.L. Vig

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.


2019 ◽  
Vol 32 (1) ◽  
pp. 1-5
Author(s):  
Lale Taner ◽  
◽  
Fatma Deniz Uzuner ◽  
Yagmur Caylak ◽  
Zeynep Gencturk ◽  
...  

2011 ◽  
Vol 68 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Jelena Djordjevic ◽  
Ivana Scepan ◽  
Branislav Glisic

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.


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