scholarly journals Acceptance of Orthodontic Therapy according to the Aesthetic Component of the Index of Orthodontic Treatment Need among Schoolchildren - a CrossSectional Study

2021 ◽  
Vol 49 (3) ◽  
pp. 217
Author(s):  
Ruzica Zovko ◽  
Kristina Gorseta ◽  
Stipo Cvitanovic ◽  
Mirela Mabic ◽  
Anka Coric ◽  
...  

<p><strong>Objective</strong>. Orthodontic anomalies with impaired facial aesthetics and disturbed oral functions have a major effect on emotional and social development. It is necessary to determine the degree of acceptance of treatment. This study includes an evaluation of the Index of Orthodontic Treatment Need (IOTN) according to the Aesthetic Component (AC) of dental health in schoolchildren.</p><p><strong>Methods</strong>. The research included 300 schoolchildren (150 girls, 150 boys) with an age range from 12 to 15 years. An evaluation of the need for orthodontic treatment according to the AC consisted of a ten-grade scale illustrated with a sequence of ten intraoral photographs showing different degrees of acceptability of dental appearance. Results were expressed as absolute and relative frequencies. The Chi-square test (in the absence of the expected frequencies of Fisher’s Exact test) was used for testing the significance of differences. Cohen’s kappa statistic measure was used for measuring the agreement between the children and<br /> dentists.</p><p><strong>Results</strong>. There is a significant substantial agreement between children and dentists in assessing the need for orthodontic treatment. Differences in assessment of the degree of orthodontic anomalies by the doctor of dental medicine with respect to boys and girls, are negligible, and statistical analysis did not show any significant difference. Analysis of the need for orthodontic treatment with respect to the age of the children showed a significant difference.</p><p><strong>Conclusion</strong>. The need for orthodontic treatment is more pronounced in older children, and there is no difference between boys and girls.</p>

2012 ◽  
Vol 6 (1) ◽  
pp. 61-66 ◽  
Author(s):  
E.A Aikins ◽  
O.O daCosta ◽  
C.O Onyeaso ◽  
M.C Isiekwe

Introduction:The practice of orthodontics is very young in South-South Nigeria and there is need for base line data for informed planning. This study was carried out to investigate the self-perception of malocclusion among Nigerian school children aged 12 to 18 years in order to compare their perception with that of an orthodontist and also to determine the influence of gender and age on self-perception.Materials and Methodology:A total of 612 randomly selected schoolchildren comprising 299 (48.9%) males and 313 (51.1%) females with a mean age of 15 + 2.0 years were included in the study, the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) was the instrument used to measure the perception of malocclusion by both the school children and the orthodontist.Results:Majority of the students (82.5%) rated their teeth towards the more attractive end of the scale (Grades 1-4). Although self - perception was not found to be related to gender, older children (16-18 years) had an increased level of perception of need. Males and older children were found to be more in need of treatment by the orthodontist.Conclusions:A significant difference was found between the orthodontist’s rating and the students’ ratings of the attractiveness of their occlusions. Age and gender were not found to influence self- perceived orthodontic treatment need. Therefore, for effective orthodontic care, self- perception and not only professional assessment must be taken into consideration when formulating treatment plans to ensure patient satisfaction.


2021 ◽  
Vol 0 ◽  
pp. 1-8
Author(s):  
Sonu Kumar Pandit ◽  
Soumo Mitra ◽  
Prateeti Pal

Objectives: The aim of the present study was to compare parents’ perceptions of their children’s malocclusion and clinician-measured normative orthodontic treatment need with the socioeconomic status of the parents as a means of assessing whether demand for treatment is uniform across socioeconomic groups. Materials and Methods: In this cross-sectional study, 212 (125 girls and 87 boys) subjects between the ages of 8 and 25 years (mean age 17.03 ± 3.9) were assessed. The parents were asked to score the dental attractiveness of their children and their socioeconomic status (SES) based on the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN) and the modified Kuppuswamy scale (2018), respectively. The subjects recorded their self-perception using the OASIS scale. These scores were then compared within themselves and with those of the clinician who also scored the Dental Health Component (DHC) and AC of the IOTN. The AC grade of the IOTN and parents’ SES was tested with the Chi-square test. The association between the AC scores of the IOTN, DHC, and the characteristics of the subjects was tested with Spearman’s correlation coefficient (rho). Results: Treatment uptake was uniform throughout the different socioeconomic groups. Association between the SES group and DHC group and clinician-measured AC were statistically not significant (P = 0.3958), (P = 0.3447). Parents, in this study population, irrespective of their socioeconomic status rated their children’s orthodontic treatment need less severely than the clinician (P = 0.0001). Severity of malocclusion as measured by DHC was much higher in male subjects than in females (P = 0.0348). Conclusion: Socioeconomic status of the parents did not seem to affect their perception of dental appearance. Self-perception of appearance and perceived treatment need was uniform throughout the different socioeconomic groups.


2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Kolawole Kikelomo Adebanke ◽  
Agbaje Hakeem Olatunde ◽  
Otuyemi Olayinka Donald

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.


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.


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.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Maria Rita Giuca ◽  
Marco Pasini ◽  
Silvia Caruso ◽  
Simona Tecco ◽  
Stefano Necozione ◽  
...  

Aim. This case-control retrospective study is aimed at assessing if obese adolescents need more orthodontic treatment in comparison with normal-weight patients of the same age.Methods. The test group included 100 obese subjects (50 males and 50 females; average age: 13.09 ± 1.19 years old) and the control group included 100 normal-weight patients matched for age and sex (50 males and 50 females; average age: 13.07 ± 1.26 years old). Clinical examinations were conducted on dental casts to assess the need of orthodontic treatment, by using the Index of Orthodontic Treatment Need (IOTN) (DHC, dental health component; AC, aesthetic components).Results. No statistically significant difference (P>0.05) was observed between the two groups with regard to AC. Obese females showed a significant (P<0.05) higher percentage of DHC 3 (32%) in comparison to the normal-weight girls (22%); for the other grades of DHC and for the single kind of malocclusion, no significant difference was found.Conclusions. Obese adolescents showed a similar need for orthodontic treatment compared to normal-weight patients of the same age. However, in obese females, a slightly greater need for orthodontic treatment was observed, compared to normal-weight patients.


2019 ◽  
Vol 24 (3) ◽  
pp. 44.e1-44.e9 ◽  
Author(s):  
Sharmin Sultana ◽  
Zakir Hossain

ABSTRACT Objective: The purpose of the present study was to assess the prevalence of normative and perceived orthodontic treatment need in schoolchildren and adolescents, related risk factors, and children/parent’s aesthetic perception, compared to orthodontist’s opinion, in Dhaka city, Bangladesh. Methods: A random sample of 800 schoolchildren aging 11-15 years was selected from different schools in the city of Dhaka, Bangladesh. The Dental Health Component (DHC) and Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) were assessed as normative treatment need. The Decayed, Missing, Filled Teeth (DMFT) index was used to record caries experience. Children were interviewed on the perception of orthodontic treatment need. Parents also completed a questionnaire on the perception of their child’s orthodontic treatment need, assessed by AC/ IOTN. Results: According to the DHC/IOTN, only 24.7% were in the category of definite need (grade 4-5) for orthodontic treatment. A significant difference was found between the clinician/children and clinician/parents perceived AC score of IOTN (p= 0.0001). Multiple logistic regression showed children with a higher DMFT were significantly more likely to need orthodontic treatment, according to the DHC of IOTN. Conclusion: A low proportion of schoolchildren needs normative orthodontic treatment in the city of Dhaka, Bangladesh. Children with a higher DMFT score were significantly more likely to need orthodontic treatment, according to the DHC of IOTN.


Author(s):  
S. S. Etim ◽  
E. A. Aikins ◽  
C. O. Onyeaso

Objective: This study was carried out to assess and compare the normative orthodontic treatment need of adolescents aged 12 to 16 years from the three major ethnic groups in Nigeria. Methods: The study population comprised one thousand, four hundred and forty-nine (1449) adolescents selected from nine public schools within nine Local Government Areas from three (3) selected states (Lagos, Kano, Imo) in Nigeria. Randomization based on multistage sampling technique was used to determine the selected participants. Consent and assent forms were duly completed and signed by parents and participants respectively. Participants’ parents were from the same ethnic group. Oral examination of the participants was done and their normative treatment need assessed following the standard protocols of Index of Complexity, Outcome and Need. (ICON) Data collected were analyzed using Statistical Package for Social Science version 20.0. Descriptive, as well as parametric (ANOVA) and non-parametric (Chi-square) statistical analyses were conducted. Results: Normative (objective) orthodontic treatment need was observed in 27.7%, 31.5% and 42.8% of Igbo, Hausa and Yoruba adolescents, respectively. The mean ICON scores recorded were for Hausa, 33.0±16.1 (SD), 32.1 ± 16.6 (SD) for Igbo and 34.8 ± 16.2 (SD) for the Yoruba, with a statistically significant difference noted among the groups. The mean scores were 33.9 ± 16.2 for males and 32.8 ± 16.4 for females while the combined population mean was 33.4 ±16.3. The males had more orthodontic treatment need than the females in the combined population. Conclusion: Yoruba adolescents statistically had the greatest normative orthodontic treatment need while Igbo adolescents had the least among the three major Nigerian tribes.


Author(s):  
Noengki Prameswari ◽  
Herniyati Herniyati ◽  
Bambang Sucahyo ◽  
Arya Brahmanta ◽  
Meralda Rossy Syahdinda

Abstract Objectives Studies associated with deaf children's malocclusion and their treatment need are still very rare. Therefore, cephalometric analysis with the ability to access the skeletal, dental, and soft tissues can be used to score the severity of malocclusion and index of orthodontic treatment need (IOTN) in deaf children. This study examined the use of cephalometric analysis, severity malocclusion, and orthodontic treatment need in deaf students at special need school type B (SLB-B) Tunarungu Karya Mulia in Surabaya using IOTN along with investigating IOTN correlation with the result of dental cephalometric analysis and dental health component (DHC) and aesthetic component (AC) in IOTN index. Material and Methods Sample data consisted of 33 students between the ages of 8 to 12 years old and never had any orthodontic treatment. This investigation applied the indices from IOTN, in which DHC had 10 malocclusions, and AC with the aesthetic anterior dentition comprising 10 color photographs and different dental attractiveness levels. In addition, scores were chosen from the worst feature, with the data analyzed at a significant correlation test of 0.05%. Result There was no skeletal abnormality in deaf children. It displayed the highest number of malocclusion severity scores, while the DHC assessment showed the moderate and severe categories. Based on AC evaluation, the highest numbers of malocclusion severity were found in good and moderate category in terms of teeth arrangement and aesthetic. Conclusion There was a correlation between the dental cephalometric analysis in deaf children and treatment need using IOTN with AC and DHC.


2013 ◽  
Vol 3 (1) ◽  
pp. 19-25
Author(s):  
Sujita Shrestha ◽  
Rabindra Man Shrestha

Objective: To analyze the prevalence of malocclusion and occlusal characteristics in referred Nepalese orthodontic patients with respect to age, gender, Angle’s classification. Materials & Method: Study models of 464 orthodontic patients (165 male and 299 female) of the age ranging from 11 to 30 years were studied to evaluate the prevalence of malocclusion using Angle’s classification and occlusal characteristics of overjet, overbite, open bite, cross bite, displacement, and hypodontia according to the method of Dental Health Component of Index of Orthodontic Treatment Need. The association between DHC grades and Angle’s classification and gender were assessed using chi-square test (p < 0.01). Result: The malocclusion status among the Nepalese seeking orthodontic treatment was 54.7% Class I, 36.9% Class II, and 8.4% Class III. The occurrence of occlusal discrepancies were overjet in 43.8%, increased overbite in 20.7%, open bite in 8.2%, cross bite in 23.3%, displacement in 65.7% and hypodontia in 11.3%. Conclusion: 16.2 % required no/little treatment need, 20.4% required borderline treatment need, and 63.4 % required great/severe treatment need according to DHC scale. There was statistically significant association between DHC grades and distribution of malocclusion and gender of the Nepalese subjects. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9272 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 19-25


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