Normative and perceived orthodontic treatment need of senior year dental students

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.


2017 ◽  
Vol 13 (3) ◽  
pp. 171
Author(s):  
Randa F. Abidia ◽  
Ambreen Azam ◽  
Ahmed. A. El –Hejazi ◽  
Khuloud .K. Al-Mugbel ◽  
Mehdiya. S. Haider ◽  
...  

Objectives: This study aims to assess the self-perception of female dental students of their dental aesthetics regarding their satisfaction, its effect on their quality of life and felt need for treatment. Materials and Method: This is a descriptive study for 1st, 2nd and 3rd year dental students (n=110) in the College of Dentistry at Princess Nourah University (PNU). The survey was distributed via link "Google form". A 20 item questionnaire was prepared and tested before on seven students for clarity. Questions were regarding how students feel about their dental aesthetics and what they desire for treatment. Whether they felt their teeth affected their attractiveness, confidence and quality of life. Data was entered in SPSS for statistical analysis. Results: With a response rate of 94.5% majority (89.4%) of students felt their teeth affected the attractiveness of their faces. Almost one third (30.8%) have tried to hide their smile. Around half (51%) were not satisfied with their tooth colour. Almost two thirds of students (61.5%) felt their quality of life is affected by the appearance of their teeth. ‘Tooth whitening’ was selected by almost two thirds of students (64.4%) followed by almost half (46.2%) the students wanting ‘orthodontic treatment’. Conclusion: Dental aesthetics is rated highly among female dental students.The majority of the students felt that their teeth affected the attractiveness of their face and influenced their quality of life. Students desired teeth whiteneing followed by orthodontic treatment as their perceived need for aesthetic dental treatments.


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.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Son Minh Nguyen ◽  
Minh Khac Nguyen ◽  
Mare Saag ◽  
Triin Jagomagi

Objective. The aim of this study was to evaluate the need for orthodontic treatment among 12-year-old school children and 18-year-olds from Da Nang, Vietnam.Basic Research Design. A random representative sample of 200 12-year-old children from primary schools in Da Nang city was gathered. In addition, 200 18-year-old students were randomly selected from among the 4000 students studying at Da Nang University of Medical Technology and Pharmacy, Vietnam. All the subjects were evaluated according to Angle’s molar relationship, the presence of malocclusion, and the components of the Index of Orthodontic Treatment Need (Dental Health Component, DHC, and Aesthetic Component, AC).Results. The DHC of index of orthodontic treatment need (IOTN) for 12-year-olds was in 60% of casesno or little, in 21% of casesmoderate, and in 19% of casesdefinitive, while the prevalence of moderate and definitive need for treatment among the 18-year-olds was 24% and 30.5%, respectively. The prevalence of class III malocclusion, contact point displacement, and crossbite was higher in 18-year-olds than among the 12-year-olds, while the prevalence of increased overjet and increased overbite had decreased in 18-year-olds compared to the group of 12-year-olds.Conclusions. There is a strong need for orthodontic treatment in Vietnam’s population. The need for orthodontic treatment was determined by contact point displacement, crossbite, increased overjet, and increased overbite.


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>


e-GIGI ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Fanessa E. Kolonio ◽  
P. S. Anindita ◽  
Christy N. Mintjelungan

Abstract: Malocclusion is a form of occlusal disorders caused by irregular teeth growthas well as sizes and position of teeth. Malocclusion could create some disturbances in both physical and mental health of a person including problems in oral function, mastication, highly risk of trauma, periodontal diseases, and caries. Esthetically, malocclusion could affect a person’s appearances and psychological development especially in adolescent. Orthodontic treatment is performed to fix the malocclusion that could affect one’s oral health. The needs of orthodontic treatment itself can be leveled by using Index of Orthodontic Treatment Need (IOTN). This study was aimed to obtain the needs of orthodontic treatment based on IOTN among students aged 12-13 years old at SMPN 1 Wori. This was an observational descriptive study with a cross sectional design. There were 30 respondents obtained by using purposive sampling technique. The need of treatment was leveled by using IOTN consisted of two components: aesthetic component (AC) and dental health component (DHC). The needs of orthodontic treatment measured with AC, 27 person (90%) were as follows: no need or little need for treatment in 27 students (90%); borderline need in 2 students (6.7%); and treatment required in 1 student (3.3%). The needs of orthodontic treatment based on DHC were as follows: no need or little need for treatment in 18 students (60%); borderline need in 8 students (26.7%); and treatment required in 4 students (13.3%).Keywords: malocclusion, needs of orthodontic treatment, IOTN. Abstrak: Maloklusi merupakan penyimpangan oklusi akibat tidak teraturnya pertumbuhan, posisi, serta ukuran gigi. Maloklusi dapat menyebabkan gangguan kesehatan fisik dan psikis, antara lain dapat mengganggu fungsi oral, mastikasi, berisiko tinggi terhadap trauma, penyakit periodontal, dan karies. Maloklusi secara estetis juga dapat memengaruhi penampilan wajah seseorang dan perkembangan psikologis terutama pada remaja. Perawatan ortodonsi ditujukan untuk memperbaiki maloklusi yang dapat memengaruhi kesehatan gigi dan rongga mulut. Perawatan ortodonsi yang tepat dapat dilihat dari tingkat kebutuhan perawatan ortodonsi yang diukur dengan Index of Orthodontic Treatment Need (IOTN). Penelitian ini bertujuan untuk mengetahui kebutuhan perawatan ortodonsi berdasarkan IOTN pada siswa berusia 12 - 13 tahun di SMP N 1 Wori. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Subjek penelitian berjumlah 30 siswa diperoleh dengan teknik purposive sampling. Kebutuhan perawatan ortodonsi menggunakan Index of Orthodontic Treatment Need (IOTN) dengan dua komponen, yaitu Aesthetic Component (AC) dan Dental Health Component (DHC). Kebutuhan perawatan ortodonsi berdasarkan AC yaitu: 27 orang (90%) tidak atau butuh perawatan ringan; 2 orang (6,7%) perawatan borderline; dan 1 orang (3,3%) sangat butuh perawatan. Kebutuhan perawatan ortodonsi berdasarkan DHC yaitu: 18 orang (60%) tidak atau butuh perawatan ringan; 8 orang (26,7%) perawatan borderline, dan 4 orang (13,3%) sangat butuh perawatan. Kata kunci: maloklusi, kebutuhan perawatan, IOTN


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.


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.


2021 ◽  
pp. 030157422110562
Author(s):  
Uday Kumar Digumarthi ◽  
R. Prakash

Background: Self-perceived orthodontic treatment need is strongly influenced by what is perceived to be the esthetic norm amongst a community, and reluctance toward treatment amongst adolescents with clinically ascertained malocclusion may often be due to readily remediable factors. Of particular interest is the prevalence of malocclusion amongst such communities as a probable indicator of the role of diet and genetics in establishing a predominant clinical phenotype that may also play a role in the construct of what is perceived as the esthetic norm amongst the community, thereby influencing the self-perceived need for treatment. Studies aimed at evaluating the association between self-perceived esthetics, and self-perceived treatment need have not been performed amongst a population with no prior exposure to orthodontic treatment Objectives: The purpose of this study was to evaluate the self-perceived orthodontic treatment need amongst the tribal adolescents belonging to regions with remote access to orthodontic treatment by way of a verbally assigned index and to also identify the reasons of reluctance toward treatment to better understand how to make orthodontic treatment readily accessible to such populations. Participants, Materials, and Methods: The agency areas of Paderu located at 18.0833°N 82.667°E and Parvathipuram located at 18°46'N 83°25'E are 2 revenue districts of Visakhapatnam and Vizianagaram, respectively, in the state of Andhra Pradesh, India, that are home to various tribal populations with remote access to orthodontic treatment. A total of 2,016 school-going tribal adolescents of the Paderu revenue division and 819 tribal adolescents of the Parvathipuram revenue division were examined to ascertain the prevalence of malocclusion. Necessary consent and permissions were obtained from the tribal authorities, the school authorities, parents, and the institutional ethical clearance committee. The screening was done utilizing natural daylight in compliance with infection prevention and control protocol. Clinical examination aimed at categorizing the observed occlusion into either ideal occlusion or one of the three classes of Angle’s class I, II, and III malocclusions. The Simplified Malocclusion Index For Layperson Evaluation (SMILE) was verbally assigned in the vernacular language while interacting with each child and the findings made note of for calculation of relevant scores related to their orthodontic awareness, self-esteem as related to self-perceived esthetics, and their self-perceived need for treatment. Reasons for reluctance to undergo treatment were noted down if expressed. An initial group of 31 adolescents categorized as presenting with clinical malocclusion were randomly picked up and assigned the SMILE index a second time to assess the reliability of the index by way of Cohen’s kappa statistic. Results: The initial test group of 31 individuals assigned the SMILE twice showed a Cohen’s kappa of 0.93 validating almost perfect intraoperator agreement. The SMILE index revealed that 80.95% of the adolescents of Paderu revenue division had orthodontic awareness and 79.51% had self-perceived esthetics but only 15.97% felt a need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 1,371] = 19.71, P < .001). The Index assigned to the Parvathipuram division revealed that 77.04% had orthodontic awareness and 78.38 had self-perceived esthetics but only 6.95% felt the need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 764] = 4.95, P = .02). Conclusion: The self-perceived need for orthodontic treatment is often based on the self-perceived esthetics of an individual or the self-esteem as influenced by the perceived esthetic norm of the community. Orthodontic treatment of adolescents with borderline malocclusion derangements requires careful ascertaining of the actual perceived need of the patient to enable the rendering of a justifiable orthodontic treatment with the complete trust of the young patient. This helps build community trust in regions where orthodontic treatment has not yet made in roads and may help ensure higher end of treatment satisfaction levels.


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.


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