Comparison of the Occlusal Feature Index (OFI) and Dental Aesthetic Index (DAI) in 10–14-year-old children at the Universitas Sumatera Utara Dental Hospital

Background: Malocclusion often occurs in children due to discrepancies between primary teeth and permanent teeth. An assessment of the severity of the malocclusion is necessary for establishing the diagnosis and determining the need for treatment. The Occlusal Feature Index (OFI) and Dental Aesthetic Index (DAI) are indices that assess the need for orthodontic treatment, but they use different weights. Purpose: This study aimed to compare the need for orthodontic treatment based on the OFI and DAI in 10–14-year-old children. Methods: The sample in this study is secondary data in the form of 66 study models pre-treatment in children aged 10–14 years at the Universitas Sumatra Utara (USU) Dental Hospital. All samples were collected based on inclusion and exclusion criteria. The measurement results were analysed statistically by the Chi-square test to see the comparison between the OFI and DAI. The results obtained are presented in the form of frequency and percentage. Results: For the OFI, 42.4% of the samples had no orthodontic treatment needed, 31.8% were indicated to treat, and 25.8% require mandatory treatment. For the DAI, 47% of samples had no/little treatment need, 25.8% had elective treatment need, 16.7% had treatment considered mandatory, and 10.6% treatment highly desirable. Based on the assessment to compare the OFI and DAI using the Chi-square test, p=0.001 was obtained. Conclusion: There was a significant difference in the need for orthodontic treatment between OFI and DAI in children aged 10–14 years at the USU Dental Hospital.

Orthodontic treatment need and perception: A comparative study between different socio-economic groups of patients

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.

A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

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.

Subjective prosthodontic treatment need, tooth loss and associated factors among dental patients in Dar es salaam, Tanzania

Background: A full complement of teeth has been shown to be a prerequisite for a healthy masticatory system and satisfactory function and having tooth loss can be undesirable.Objective: To determine the subjective prosthodontic treatment need, tooth loss and associated factors among patients attending dental clinics in Dar-es-salaam, Tanzania.Methods: This cross-sectional study was conducted among subjects with tooth loss aged 18 years and above attending public dental clinics in Dar-es-Salaam, Tanzania. A questionnaire and clinical examination were used to obtain data. Chi-Square test and logistic regression analyses were performed and a p-value of ≤0.05 was considered to be statistically significant.Results: Majority of the 402 participants were aged 18-34 years (52.2%), females (64.9%) and with primary level of education or less (52.2%). Subjective prosthodontic treatment need was indicated by more than half of the participants 54.2%) and those who lost 4 or more teeth and those who lost teeth upper anterior had higher odds of expressing subjective treatment need (OR=2.6; CI=1.5-4.3 & OR=4.9; CI=2.2-10.8 respectively).Conclusions: This study highlights that having four or more missing teeth and having tooth loss in the anterior location of the upper jaw were significant contributing factors in expressing patient’s subjective prosthodontic treatment need. Keywords: Subjective prosthodontic treatment need; tooth loss; dental patients; Dar es salaam; Tanzania.

Cephalometric Analysis, Severity Malocclusion, and Orthodontic Treatment Need Using IOTN in Deaf Children

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.

KONSEP PEMAKAIAN DAUR ULANG GREYWATER UNTUK KEPERLUAN MCK SEKOLAH

Water is one of the natural resources that has very important role in the daily life of all living creatures. Mishandling of water might result in water catastrophe. Associates want to give learning to students regarding the environment, use water wisely, and do greywater recycling. Associates need help to make discussion topic regarding the use and saving also conceptual of greywater recycle for rest room necessity. Water treatment need to be done which is one of important factor to accomplish sustainable development related to our natural resources in this case is water. This devotion aim is to supply material to discuss between teachers and students about water necessity and give understanding to next generation regarding the important of clean water, to use water responsibly and understand greywater recycle. The output of greywater recycling can be used as an alternative water resource to solve the lack of water. Recycled water can be used for toilet and watering plant. Associate’s problem solving to introduce self-conscious the important of using water responsibly and also share knowledge about greywater recycle to next generation, by giving presentation to be discuss by students and teachers. Booklet will be use as discussion between students, and also included with conceptual drawing of greywater use for rest room at SMAN 96. Included in this service, prediction calculation of clean water being used per days in SMAN 96 based on teachers, and students during spring semester of 2020/2021 was provided. The calculation based on the number of active individuals at busy days and also according to SNI 037065-2005 and resulted with usage of 67 m3. When calculation was done based on holiday prediction then it will be saved as much 1968 m3 a year. Air merupakan salah satu sumber daya alam yang sangat dibutuhkan dalam kehidupan sehari-hari bagi mahluk hidup. Kesalahan dalam memanfaatkan/pemakaian air dapat mengakibatkan terjadinya krisis air. Mitra berkeinginan untuk melakukan semacam pembelajaran kepada siswa-siswanya tentang lingkungan hidup, pemanfaatan air secara bijak, dan melakukan daur ulang air limbah (greywater ). Mitra meminta dibantu membuatkan bahan diskusi tentang pemakaian dan penghematan serta konsep daur ulang greywater untuk keperluan MCK sekolah. Pengelolaan air perlu dilakukan yang merupakan salah satu bagian penting untuk mewujudkan pembangunan berkelanjutan terkait sumber daya alam yang kita miliki dalam hal ini adalah air. Pengabdian ini bertujuan memberi bantuan berupa bahan-bahan untuk diskusi antara guru dan siswa tentang kebutuhan air serta memberikan pemahaman kepada generasi penerus akan pentingnya air bersih dan menggunakan secara bijak pemakaian air serta mengerti daur ulang greywater . Hasil daur ulang greywater ini dapat dimanfaatkan sebagai sumber air alternatif guna mengatasi defisit air. Air hasil daur ulang dapat digunakan untuk keperluan MCK dan menyiram tanaman. Solusi permasalahan mitra untuk menanamkan kesadaran akan penggunaan air secara bijak serta memberikan pengetahuan akan daur ulang greywater bagi generasi penerus. dengan memberikan bahan presentasi/paparan untuk diskusi antara siswa dan guru. Bahan buku saku yang akan menjadi bahan diskusi diantara siswa, serta gambar konsep Pemakaian Daur Ulang Greywater untuk Keperluan MCK sekolah SMAN 96. Pada pengabdian ini juga dilakukan perhitungan perkiraan kebutuhan air bersih perhari di SMAN 96 berdasarkan dari data guru, tenaga didik dan peserta didik pada semester genap tahun ajaran 2020/2021. Hasil perhitungan ini berdasarkan jumlah manusia yang aktif pada hari sibuk dan perdasarkan peraturan SNI 037065-2005 yang diperoleh di sebanyak 67m3.Bila dilakukan perhitungan berdasarkan prediksi hari libur maka dapat dilakukan penghematan sebesar 1968m3 dalam setahun.

Orthodontic Status and Orthodontic Treatment Need of 12- and 15-Year-Old Greek Adolescents: A National Pathfinder Survey

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.

Regional Variation in Restorative Treatment Need among Finnish Young People

Aim. To evaluate the regional variation in restorative treatment need among Finnish young people based on the socioeconomic factors. Materials and Methods. This cross-sectional study was conducted in 20 garrisons of the Finnish Defence Forces in January and July 2011. The study population comprised 13,819 Finnish conscripts born in the beginning of 1990s, including females. A computer-based survey was done together with clinical oral examination to gather background information, e.g., educational status. Furthermore, average annual income of the conscript’s residence municipality was achieved from the Statistics of Finland. The zip code of the place of residence of each conscript was later extracted from the Mildoc® system. Georeferenced place of residence and income status were merged as information on provinces’ level in a dataset. The association between the outcome variable and explanatory variables was determined by using the generalized linear mixed model, and geomaps were constructed. Results. Mean D value was 1.41 ranging from 0.89 (Kymenlaakso) to 2.33 (Kainuu). Higher education and high-income level were protective factors for restorative treatment need. Restorative treatment need was also low in those areas with high (OR: 0.70, 95% CI: 0.56–0.87) and medium (OR: 0.79, 95% CI: 0.70–0.89) yearly income compared to low yearly income. The high odds for the need of restorative treatment were discovered in Northern Ostrobothnia (OR: 2.26, 95% CI: 1.53–3.33) followed by Central Ostrobothnia (OR: 2.08, 95% CI: 1.17–3.70), Uusimaa (OR: 1.55, 95% CI: 1.16–2.08), and Central Finland (OR: 1.54, 95% CI: 1.10–2.16) compared to Varsinais-Suomi. Conclusion. In conclusion, there is a significant regional variation in restorative treatment need among Finnish young people in their twenties based on the socioeconomic factors.