Nickel and Cobalt Hypersensitive Reaction Before and After Orthodontic Therapy in Children

2004 ◽  
Vol 5 (4) ◽  
pp. 79-90 ◽  
Author(s):  
Aynur Medine Şahin Saǧlam ◽  
Vahide Baysal ◽  
A. Murat Ceylan
Keyword(s):  
Stainless Steel ◽  
Hypersensitivity Reaction ◽  
Orthodontic Treatment ◽  
Total Sample ◽  
Hypersensitive Reaction ◽  
Nickel Allergy ◽  
Cross Sectional ◽  
Orthodontic Therapy ◽  
Before And After ◽  
Conventional Stainless Steel

Abstract Nickel and cobalt are major components of alloys used in orthodontics. The objectives of this cross-sectional study was to determine the prevalence of a nickel hypersensitivity reaction before and after orthodontic treatment with conventional stainless steel brackets and wires. The total sample consisted of 82 patients (55 females, and 27 males) from the Orthodontic Department at the Faculty of Dentistry, Süleyman Demirel University. A patch test and a questionnaire were used to evaluate hypersensitivity to these metals. The statistical analysis was carried out using Fisher's exact X2 (2 x 2) test. The prevalence of nickel allergy was found to be higher in females than males (14.55% in females, 0% in males), and the prevalence of cobalt allergy was found to be 9.76% (7.27% in females, 14.81% in males). Orthodontic treatment with conventional stainless steel alloys does not appear to have an allergenic effect on the gingival and oral health of the patient. A family history of an allergy to these metals or the use of metallic objects in contact with the skin do not characterize nickel and cobalt hypersensitivity. This suggests orthodontic therapy with conventional stainless steel appliances does not initiate or aggravate a nickel hypersensitivity reaction. There was no association between the before treatment and after treatment to a nickel and cobalt hypersensitivity reaction. Citation Saglam AMS, Baysal V, Ceylan AM. Nickel and Cobalt Hypersensitive Reaction Before and After Orthodontic Therapy in Children. J Contemp Dent Pract 2004 November;(5)4:079-090.

scholarly journals Management of chronic periodontitis: an interdisciplinary approach

2016 ◽  
Vol 4 (2) ◽  
pp. 65
Author(s):  
Sneha Dani ◽  
Savitha A.N ◽  
Kenneth Tan ◽  
Anand Naik ◽  
Charan Chhatrala ◽  
...  
Keyword(s):  
Public Interest ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Primary Objective ◽  
Periodontal Therapy ◽  
The Other ◽  
Periodontal Health ◽  
Orthodontic Therapy ◽  
Single Tooth ◽  
Before And After

Objective: In recent years, advances in technique as well as a growing public interest in developing and maintaining a healthy and attractive smile, has resulted in a greater understanding of the interrelationships between periodontics and orthodontics. The primary objective of periodontal therapy is to restore and maintain the health and integrity of the attachment apparatus of teeth. In adults, the loss of teeth or periodontal support can result in pathological teeth migration involving either a single tooth or a group of teeth. This may result in the development of a diastema, incisal proclination, rotation with collapse of the posterior occlusion.Materials and methods: This case report is of a 32 year old female patient who reported with swollen gums, generalized spacing between the teeth and extruded upper anterior tooth. Periodontal therapy followed by fixed orthodontic therapy was planned.Results: At the end of 2 years a stable healthy periodontium was established that was both functional and esthetic.Conclusion: Adjunctive orthodontic therapy is often necessary for successful restoration of periodontal health. On the other hand, successful orthodontic treatment will depend on the periodontal preparation before and after treatment and the maintenance of periodontal health throughout all phases of mechano-therapy.

Psychological Effects of Attack on the World Trade Center: Analysis before and after

2004 ◽  
Vol 94 (2) ◽  
pp. 587-606 ◽  
Author(s):  
W. Cody Wilson ◽  
Beth Spenciner Rosenthal
Keyword(s):  
Psychological Distress ◽  
World Trade ◽  
World Trade Center ◽  
Total Sample ◽  
Traumatic Experiences ◽  
World Trade Center Attack ◽  
Cross Sectional ◽  
The World ◽  
Before And After ◽  
Trade Center

Four different studies using a total sample of 711 from the same New York City student population tested a model that has emerged from previous research on disasters. The model suggests that postdisaster psychological distress is a function of exposure to the disaster, predisaster psychological distress, acute distress following the disaster, time elapsed between disaster and observation of distress, and additional traumatic experiences since the disaster. Although findings replicate those of previous cross-sectional studies regarding association of exposure and distress after the disaster, before and after studies did not detect an effect on postdisaster psychological distress of the World Trade Center attack. Great caution must be used in attributing elevated psychological distress observed postdisaster to the effects of the disaster.

Evaluation of the Perspectives of Orthodontists and Laypersons About the Effect of Orthodontic Treatment on Facial Aesthetics of Young Turkish Patients

2021 ◽  
pp. 232020682199856
Author(s):  
Ahmet Fidancioglu ◽  
Sıddık Malkoc ◽  
Özge Çelik Güler
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Class Iii ◽  
Facial Aesthetics ◽  
Cross Sectional ◽  
Angle Class ◽  
Before And After ◽  
Treatment Changes ◽  
And Gender ◽  
Turkish Patients

Aim: To compare the perspective of orthodontists and laypersons on the effects of orthodontic treatment on facial aesthetics in young Classes I, II, and III Turkish patients. Materials and Methods: In this cross-sectional study, a total of 60 patients (30 males and 30 females, 9 to 17 years of age) was included using randomization in strata and then divided equally ( n = 15) into four groups according to the Angle classification. Photographs during frontal and lateral resting and also smiling were obtained from each patient before and after orthodontic treatment. A panel consisting 50 laypersons and 50 orthodontists was invited for the evaluation of the initial and final photos by using the visual analogue scale and a five-point scale to determine similarities and differences of their perspectives in the effects of orthodontic treatment on facial aesthetics. The data were analyzed by independent t-test, one-way analysis of variance, and Pearson’s correlation test. Results: The evaluation of facial aesthetics and treatment changes were not affected by the age and gender of the panel members ( P <.05). Angle Class III patients were given lower scores by both orthodontists ( P < .001) and laypersons ( P < .05), but no significant differences were found between any of other classes ( P >.05). Orthodontists reported greater improvement for Class III than in Class II Division 1 ( P < .05) however laypersons did not notice the changes after orthodontic treatment for any of Angle classes ( P >.05). Conclusion: Class III patients received lower scores for aesthetics from both panels. Laypersons may not be concerned about the effects of orthodontic treatment on facial aesthetics in patients with any Angle class. Orthodontists have seen more facial aesthetic changes after orthodontic treatment in Class III patients.

scholarly journals Assessment of Occlusal Function in a Patient with an Angle Class I Spaced Dental Arch with Periodontal Disease Using a Brux Checker

2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Ayako Taira ◽  
Shiho Odawara ◽  
Shuntaro Sugihara ◽  
Kenichi Sasaguri
Keyword(s):  
Periodontal Disease ◽  
Chronic Periodontitis ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Dental Arch ◽  
Periodontal Tissue ◽  
Occlusal Force ◽  
Orthodontic Therapy ◽  
Before And After ◽  
Anterior Guidance

Comprehensive and appropriate occlusion reconstruction therapy is necessary for orthodontic treatment of adult patients with malocclusion with periodontal disease associated with occlusal trauma. We report the case of a patient with extensive moderate chronic periodontitis associated with occlusal trauma. The patient was diagnosed with extensive moderate chronic periodontitis associated with occlusal trauma and underwent thorough treatment for periodontal disease, oral management, and 20 months of orthodontic therapy. Moreover, reconstructed occlusion was performed to evaluate occlusal trauma for visualization using Brux Checker (BC) analysis before and after active orthodontic treatment. The patient acquired stable anterior guidance and a functional occlusal relationship. BC findings revealed weakening of the functional contact between the lateral occlusal force of the dentition and the front teeth and alveolar bone regeneration. The laminar dura became clearer, and the periodontal tissue improved. Our results suggest that assessment of occlusion function using BC analysis and periodontal examination was effective in enabling occlusal treatment goal clarification through orthodontic treatment in case of periodontal disease associated with occlusal trauma.

scholarly journals HUBUNGAN CUCI TANGAN DENGAN KEJADIAN PHLEBITIS DI RS JIH SOLO

2021 ◽  
Vol 13 (02) ◽  
pp. 179
Author(s):  
Sarwoko . ◽  
Titik Anggraeni ◽  
Titi Lestari
Keyword(s):  
Sampling Method ◽  
Univariate Analysis ◽  
Total Sample ◽  
Hand Washing ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Correlation Test ◽  
Purposive Sampling ◽  
Before And After ◽  
Quantitative Descriptive

ABSTRAKLatar Belakang: Penyebab dari terjadinya infeksi phlebitis bisa disebabkan oleh hygiene petugas dan pasien yang kurang melakukan cuci tangan dengan benar. Perawat melakukan tehnik cuci tangan yang aktif untuk menghilangkan organisme gram negatif sebelum dan setelah  melakukan prosedur pemasangan infus. Tujuan: penelitian ini bertujuan untuk mengetahui hubungan antara cuci tangan dengan kejadian phlebitis pada pasien di Rumah Sakit. Metode: Penelitian ini menggunakan penelitian kuantitatif, deskriptif korelasi dengan  pendekatan cross sectional. Populasi nya adalah perawat dan pasien di Rumah Sakit. Metode sampling menggunakan metode purposive sampling dengan jumlah sampel 45 perawat dan pasien. Instrumen penelitian berupa lembar observasi pelaksanaan cuci tangan dan tanda-tanda phlebitis. Analisis univariat dengan distribusi frekuensi tabulasi dan analisis bivariat dengan uji korelasi Kendall-tau. Hasil: Pada penelitian cuci tangan didapatkan hasil mayoritas perawat sebanyak  93,3% telah melakukan prosedur cuci tangan dengan cukup baik sebelum maupun sesudah memasang infus pada pasien. Untuk kejadian phlebitis diketahui sebagian besar pasien tidak ada tanda-tanda plebitis dengan karakteristik tersebut sebanyak 82,2%. Hasil pengujian korelasi Kendall-tau diketahui nilai probabilitas (sig) = 0,000 pada taraf signifikan a 5%. Karena nilai  sig < 0,05. maka ada hubungan antar variabel. Simpulan: Terdapat hubungan yang cukup signifikan antara pelaksanaan cuci tangan dengan kejadian phlebitis di Rumah Sakit. Saran : Agar perawat  selalu melaksanakan  tindakan cuci tangan baik sebelum maupun setelah melakukan Tindakan khususnya dalam pemasangan infus untuk menjaga agar tidak terjadi infeksi nosokomial khususnya phlebitis sesuai dengan SOP yang telah adaKata kunci           :  cuci tangan, kejadian phlebitis, perawat, pasienHAND HYGIENE RELATIONSHIP WITH PHLEBITIS EVENTS AT JIH SOLO HOSPITALABSTRACTBackground: The cause of phlebitis infection can be caused by the hygiene of officers and patients who do not wash their hands properly. Nurses perform active hand washing techniques to eliminate gram-negative organisms before and after performing the infusion procedure. Objective: This study aims to determine the relationship between hand washing and the incidence of phlebitis in patients at JIH Hospital Solo. Methods: This study uses quantitative, descriptive correlation with a cross sectional approach. The population is nurses and patients at JIH Hospital Solo. The sampling method used purposive sampling method with a total sample of 45 nurses and patients. The research instrument was an observation sheet on the implementation of hand washing and signs of phlebitis. Univariate analysis with tabulated frequency distribution and bivariate analysis with Kendall-tau correlation test. Results: In the hand washing study, the majority of nurses as much as 93.3% had carried out the hand washing procedure quite well before and after installing an infusion on the patient. For the incidence of phlebitis, it is known that most patients have no signs of phlebitis with these characteristics as much as 82.2%. The results of the Kendall-tau correlation test are known to have a probability value (sig) = 0.000 at a significant level of 5%. Because the value of sig < 0.05. then there is a relationship between variables. Conclusion: There is a significant relationship between the implementation of hand washing and the incidence of phlebitis at JIH Hospital Solo. Suggestion: Nurses should always carry out hand washing both before and after taking actions, especially in infusion to prevent nosocomial infections, especially phlebitis in accordance with existing SOPs.Keywords: Hand Hygiene, Phlebitis Incidence, Nurses, Patients

scholarly journals Evaluasi penggunaan sekrup ekspansi terhadap perubahan lebar interkaninus rahang bawah pada dua kelompok waktu aktivasiEvaluation of the use of expansion screws on changes in mandibular intercanine width of the two activation time groups

2021 ◽  
Vol 33 (1) ◽  
pp. 25
Author(s):  
Nadhira Fathir Rahmaningrum ◽  
Deni Sumantri Latif ◽  
Yuliawati Zenab
Keyword(s):  
Orthodontic Treatment ◽  
Sampling Technique ◽  
Dental Arch ◽  
Activation Time ◽  
Active Components ◽  
Hospital Data ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Before And After ◽  
Activation Times

Pendahuluan: Gigi berjejal adalah salah satu kasus maloklusi yang sering dikeluhkan oleh pasien dalam perawatan ortodonti, khususnya pada regio anterior. Sekrup ekspansi adalah salah satu komponen aktif dalam alat ortodonti lepasan yang digunakan untuk melebarkan lengkung gigi dalam kasus gigi berjejal. Keberhasilan perawatan dengan sekrup ekspansi dapat dievaluasi dengan mengukur lebar interkaninus. Evaluasi ini dapat dilihat dalam satu sampai tiga minggu setelah aktivasi. Penelitian ini bertujuan untuk menganalisis perubahan lebar interkaninus rahang bawah setelah aktivasi sekrup ekspansi pada perawatan ortodonti lepasan dengan membandingkan waktu aktivasi dua dan tiga minggu sekali. Metode: Jenis penelitian ini adalah analitik cross-sectional dengan teknik pengambilan sampel secara purposive sampling. Pengumpulan data dilakukan dengan cara mengukur lebar interkaninus pada 18 model studi rahang bawah pasien sebelum dan setelah sepuluh kali aktivasi sekrup ekspansi pada kelompok waktu aktivasi dua dan tiga minggu sekali di Klinik Ortodonti RSGM Unpad. Data dianalisis dengan uji t menggunakan aplikasi SPSS 23. Hasil: Lebar interkaninus rahang bawah mengalami perubahan secara bermakna pada kelompok waktu aktivasi tiga minggu sekali, yaitu sebesar 1,38 mm, yang dua kali lebih besar daripada kelompok waktu aktivasi dua minggu sekali, yaitu sebesar 0,6 mm, dengan p<0,05. Nilai standar deviasi dari seluruh data terbilang kecil, menunjukkan bahwa data bersifat homogen. Simpulan: Perawatan ortodonti menggunakan sekrup ekspansi rahang bawah menunjukkan tidak terdapat perubahan yang bermakna pada kelompok waktu aktivasi dua dan tiga minggu sekali, namun secara klinis aktivasi lebih efektif apabila dilakukan lebih dari dua minggu sekali.Kata kunci: Sekrup ekspansi, lebar interkaninus, rahang bawah. ABSTRACTIntroduction: Tooth crowding is a malocclusion case often complained in orthodontic treatment, especially in the anterior region. The expansion screw is one of the active components in a removable orthodontic appliance used to enlarge the dental arch in cases of tooth crowding. The success of treatment with expansion screws can be evaluated through intercanine width measurement. This evaluation can be seen within one to three weeks after activation. This study was aimed to analyse changes in mandibular intercanine width after expansion screw activation in removable orthodontic treatment by comparing the activation times in the second and third weeks. Methods: This research was cross-sectional analytic with a purposive sampling technique. The data was collected by measuring the intercanine width in 18 study models of the patient’s mandible before and after ten expansion screw activation in the second and third-week activation time group at the Orthodontics Clinic of Universitas Padjadjaran Dental Hospital. Data were analysed by t-test using SPSS 23 software. Results: The mandibular intercanine width experienced a significant change in the third-week activation time group, which was 1.38 mm, twice larger than the second-week activation time group, which was 0.6 mm, with p<0.05. The standard deviation value of all data was relatively small, indicating that the data was homogeneous. Conclusion: Orthodontic treatment using mandibular expansion screw showed no significant changes in the second and third week activation time groups. However, clinical activation is more effective if performed more than once every two weeks.Keywords: Expansion screw, intercanine width, mandible.

scholarly journals Influence of political and medical leaders on parental perception of vaccination: a cross-sectional survey in Australia

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025866 ◽  
Author(s):  
Elissa J Zhang ◽  
Abrar Ahmad Chughtai ◽  
Anita Heywood ◽  
Chandini Raina MacIntyre
Keyword(s):  
Outcome Measures ◽  
Parental Attitudes ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Secondary Outcome ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Market Research Company ◽  
Before And After

ObjectivesThe aim of this survey was to investigate parental vaccination attitudes and responses to vaccine-related media messages from political and medical leaders.DesignThis was a cross-sectional study using a semiquantitative questionnaire. Data were analysed using descriptive statistics, X2tests and logistic regression.SettingData were collected from a web-based questionnaire distributed in Australia by a market research company in May of 2017.Participants411 participants with at least one child under 5 were included in this study. The sample was designed to be representative of Australia in terms of gender and state of residence.Primary and secondary outcome measuresThe primary outcome measures were parental attitudes towards childhood immunisation before and after viewing vaccine-related messages from political and medical leaders, including Donald Trump (USA), Pauline Hanson (Australia) and Michael Gannon (Australia). Parents were classified as having ‘susceptible’ (not fixed) or ‘fixed’ (positive or negative) views towards vaccination based on a series of questions.ResultsParents with fixed vaccination views constituted 23.8% (n=98) of the total sample; 21.7% (n=89) were pro-vaccination and 2.2% (n=9) were anti-vaccination. The remaining 76.2% of participants were classified as having susceptible views towards vaccination. Susceptible parents were more likely to report a change in their willingness to vaccinate after watching vaccine-related messages compared with fixed-view parents, regardless of whether the messaging was positive or negative (Trump OR 2.54, 95% CI (1.29 to 5.00); Hanson OR 2.64, 95% CI (1.26 to 5.52); Gannon OR 2.64, 95% CI (1.26 to 5.52)). Susceptible parents were more likely than fixed-view parents to report increased vaccine hesitancy after viewing negative vaccine messages (Trump OR 2.14, 95% CI (1.11 to 4.14), Hanson OR 2.34, 95% CI (1.21 to 4.50)).ConclusionsThe findings suggest that most parents including the vaccinating majorty are susceptible to vaccine messaging from political and medical leaders. Categorising parents as ‘fixed-view’ or ‘susceptible’ can be a useful strategy for designing and implementing future vaccine promotion interventions.

scholarly journals White Spot Lesions on Teeth during or Postorthodontic Treatment: A Knowledge Based Cross-sectional Survey of Dentists

2021 ◽  
Author(s):  
Ullal Anand Nayak ◽  
Elaf Youssef Nawawi ◽  
Lama Mohammed Bazuhair ◽  
Maryam Nabeel Nasser ◽  
Renad Khalid Sait ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Orthodontic Treatment ◽  
White Spot ◽  
P Value ◽  
White Spot Lesions ◽  
High Concentration ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Orthodontic Therapy ◽  
Validated Questionnaire

Introduction: White Spot Lesions (WSLs) observed during or after fixed orthodontic therapy has known to cause several dental problems clinically and aesthetically. It becomes imperative to understand the perception of treating dentists of the paediatric dentists to whom the children first visit, and also of the treating orthodontists and restorative dentists. Aim: To assess the knowledge, attitude, and practices of dentists regarding WSLs related to orthodontic treatment, and also to assess the preferences of these dentists regarding its management. Materials and Methods: A cross-sectional survey was planned for a period of two months (15th August 2020 to 15th October 2020) using a close ended, multiple choice questionnaire directed to evaluate the perspective of 260 dentists of Saudi Arabia towards white spot lesions associated with orthodontic treatment. The self designed validated questionnaire was prepared and mailed to dentists across the Kingdom of Saudi Arabia. Descriptive statistics followed by Chi-sqaure test was done to compare variables in the questionnaire. Results: A total of 52 paediatric dentists, 53 orthodontists, 51 restorative dentists, and 104 general dentists participated in the study. Out of 260 dentists, 236 (90.8%) of them have observed WSLs in their patients during/after orthodontic treatment. Adolescent patients more commonly complained of undesirable aesthetics due to WSLs. Incisors were the most commonly affected teeth. All dentists except orthodontists believed that they were proficient in diagnosing superficial or deep WSLs (p-value=0.005). Most dentists preferred professional application of high concentration topical fluorides. Most patients demanded an instant correction of these WSLs as reported by all groups of dentists. Conclusion: WSLs are commonly observed by dentists during the initial 7 to 12 months period of starting orthodontic therapy, more commonly on incisor teeth among the adolescent age group. The dentists recommended maintaining good oral hygiene as the most effective way of preventing WSLs. They also believed that high concentration fluoride agents are well suited for treating superficial lesions and composite resin restorations for deeper lesions.

scholarly journals Comparison of Abundance of Premolar and Molar Pulp Stones Before and After Orthodontic Treatment Using Panoramic Radiography

2021 ◽  
Author(s):  
Erfaneh Afsari ◽  
Elmira Niksolat ◽  
Farzaneh Ostovar ◽  
Shaghayegh Karimi
Keyword(s):  
Root Canal ◽  
Orthodontic Treatment ◽  
Stone Formation ◽  
Easy Access ◽  
Cross Sectional ◽  
Before And After ◽  
The Difference ◽  
Underlying Mechanisms ◽  
The Right ◽  
Pulp Stones

Objectives: Pulp stone is a focal calcification in dental pulp, which is often detected on conventional dental radiographs. Pulp stones can complicate easy access to the root canal and pulp chamber in root canal treatment. Orthodontic treatment may be associated with the formation of pulp stones. Therefore, this study examined the number of pulp stones pre- and post-orthodontic treatment. Materials and Methods: In this retrospective cross-sectional comparative study, 222 digital panoramic radiographs collected from private orthodontic offices in Rasht, were divided into two groups: radiographs of patients undergoing orthodontic and non-orthodontic treatment according to the inclusion criteria. The obtained data were analyzed by SPSS via the Wilcoxon and Mann-Whitney tests (P<0.05). Results: The difference in the number of pulp stones pre- and post-orthodontic treatment was significant (P<0.0001). The maximum number of pulp stones after orthodontic treatment was observed in second molars (P=0.016). The change in the number of pulp stones in the mandible (P=0.001) was significantly higher than that in the maxilla (P=0.002). This change was also greater in the left side (P<0.0001) than in the right side (P=0.002). The changes in the number of pulp stones was significant in females (P=0.02). Age had an insignificant effect on pulp stone formation (P>0.05). Conclusion: This study showed the effect of orthodontic treatment on the number of pulp stones. Further studies are required to clarify the underlying mechanisms for this increase and come up with strategies to prevent it.

scholarly journals Index of Complexity, Outcome and Need (Icon) for Determining Treatment Need in The Northern Border Region of Saudi Arabia: An Epidemiological Study

2020 ◽  
Author(s):  
Ibadullah kundi
Keyword(s):  
Saudi Arabia ◽  
Orthodontic Treatment ◽  
Epidemiological Studies ◽  
Cross Sectional Study ◽  
Border Region ◽  
Treatment Needs ◽  
Cross Sectional ◽  
Treatment Need ◽  
Orthodontic Therapy ◽  
Northern Border

Abstract Background: Assessment of orthodontic treatment need is a complicated issue. As integral part of oral health care programs, Orthodontic treatment needs to be based on information of treatment needs. The evaluation of malocclusion is the essential component in establishing the diagnosis and treatment need of the orthodontic patient.Taking decision of whether or not one should undergo orthodontic treatment, both the desire of the patient (and/ or parents) and the opinion of the orthodontist must be taken into account. One of the major problems in studying malocclusion is the availability of a suitable objective method for recording the occurrence and severity of orthodontic problem. Thus, orthodontic indices are used in clinical and epidemiological studies of malocclusion. The aim of this study is to determine the necessity and complexity of orthodontic anomalies by applying Index of Complexity, Outcome and Need (ICON) in Saudi population.Methods: A descriptive cross-sectional study was conducted on dental casts of 150 patients (mean age 15.66±1.07) adolescents randomly selected from the northern border region of Saudi Arabia (KSA). Index of Complexity Outcome and Need (ICON) was applied to find out the orthodontic treatment need and initial stage complexity grades. The data was performed using the statistical software package IBM SPSS Statistics 24.0. Results: 80% of the patients needed some sort of orthodontic therapy. More than 65% of the cases were classified as being difficult and very difficult to treat. Conclusion: It was concluded that a high number of cases were in need of the orthodontic therapy and majority of the patients undergoing orthodontic treatment were in difficult grades.

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