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

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.

2020 ◽  
Vol 19 ◽  
pp. e206537
Author(s):  
Sandra Denise Fachini Sedrez ◽  
Ana Paula Terossi de Godoi ◽  
Marcelo de Castro Meneghim ◽  
Silvia Amélia Scudeler Vedovello ◽  
Giovana Cherubini Venezian ◽  
...  

Aim: To evaluate the influence of social capital on self-perception related to orthodontic treatment need. Methods: A cross-sectional study was conducted with a sample of 578 11-16 years-old adolescents from a city in southern Brazil. Social capital was evaluated using the Social Capital Questionnaire for Adolescent Students (SCQ-AS). Index of Orthodontic Treatment Need (IOTN) assessed malocclusion and self-perception related to orthodontic treatment need. Sociodemographic aspects of adolescents were also evaluated. Individual analyses were performed, relating the study variables to the outcome, estimating the odds ratio with the respective confidence intervals of 95%. The variables with p<0.20 in the individual analyses were tested in the multiple logistic regression models, and those with p<0.10 remained in the model. Results: Social capital did not influence the self-perception related to orthodontic treatment need. Adolescents with high orthodontic needs were 5.35 (CI 95%: 2.68 to 10.65) times more likely to perceived orthodontic treatment need (p <0.05). Crowding and dental absence were associated with self-perception related to orthodontic treatment need (p <0.05). Conclusions: Social capital did not influence the self-perception related to orthodontic treatment need.


2020 ◽  
Vol 25 (6) ◽  
pp. 26e1-26e9
Author(s):  
Waqar Jeelani ◽  
Uroosa Sher ◽  
Maheen Ahmed

ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion in children suffering from β-thalassemia and to assess orthodontic treatment need using Grainger’s Treatment Priority Index (TPI) and index of orthodontic treatment need (IOTN)-dental health component (DHC). Methods: A cross-sectional study was conducted on 200 transfusion-dependent children diagnosed with homozygous β-thalassemia and 200 healthy school children aged 11-17 years. The TPI and IOTN-DHC data was recorded for both groups. Total TPI score for each subject was calculated and graded according to malocclusion severity estimate (MSE). Independent sample t-test was used to compare mean TPI scores, overjet and overbite between thalassemic and healthy children. Chi-square test was used to compare the frequency of IOTN-DHC grades, Angle’s classification, and MSE grades between thalassemic and healthy children. Results: The most prevalent malocclusion was Class I in normal children (67.5%) and Class II in thalassemic children (59%). The mean overjet and overbite were significantly (p<0.001) greater in thalassemic children than in healthy children. Severe tooth displacements were 3.5 times greater in thalassemic children, compared to controls. A greater proportion of thalassemic children were in IOTN grades 3 and 4, compared to the controls (p<0.001). MSE grades 4 and 5 were significantly (p<0.001) more prevalent in thalassemic children, compared to the controls. Conclusion: There is a high prevalence of Angle’s Class II malocclusion in thalassemic children. Majority of these children are categorized in higher grades of IOTN-DHC and TPI-MSE, showing a great severity of malocclusion and high orthodontic treatment needs.


Author(s):  
Kajol Chandra Paul ◽  
Md Zakir Hossain

Aim : The objectives of this study were to evaluate the severity of malocclusion and orthodontic treatment need in Bangladeshi young adults by using the Dental Aesthetic Index (DAI).Methods: This cross-sectional study was conducted at Government and private college of Dhaka and Netrokona, Bangladesh. A total of 405 students (from 17 to 25 years old) were selected by convenience sampling. Students wearing orthodontic appliance or reporting a history of orthodontic treatment were excluded from the study. Clinical examinations were conducted using the Dental Aesthetic Index (DAI). The chi-square test (x2) was used to compare malocclusion severity. The analysis of variance (ANOVA) test was used to compare the changes in DAI scores and the mean DAI scores between various age groups. The t test was used to compare the mean DAI scores between sex groups.Results: 405 college students were examined, 305(75.3%) were boys and 100(24.7%) were girls. Most of the  students 277(68.4%) had DAI scores ? 25 with no or little malocclusion requiring slight  or no  orthodontic  treatment, 76(18.8%) had DAI score of 26-30 with definite malocclusion requiring elective orthodontic  treatment, 34(8.4%) had DAI score of 31-35 with severe type of malocclusion requiring highly desirable orthodontic treatment, 18(4.4%) had DAI score ? 36 with very severe or handicapping malocclusion requiring mandatory orthodontic treatment.Conclusion: The majority of the students in our study (68.4%) required no or little treatment; (12.8%) had definite malocclusion requiring definite orthodontic treatment.Ban J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2


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>


2021 ◽  
Vol 50 ◽  
Author(s):  
Sandra Regina CAVINA ◽  
Silvia Amélia Scudeler VEDOVELLO ◽  
Patrícia Rafaela DOS SANTOS ◽  
Diego Patrik Alves CARNEIRO ◽  
Giovana Cherubini VENEZIAN ◽  
...  

Abstract Introduction Orofacial pain is a critical TMD symptom that can influence physical and social capacity. Objective To evaluate the association of temporomandibular disorders (TMD) symptoms with affective relationships and demographic variables in young adults. Material and method A cross-sectional study involving 395 young adults was developed. Diagnostic Criteria for TMD, anxiety, and depression were collected from questionnaires. The Dental Health Component of the Index of Orthodontic Treatment Need measures the orthodontic treatment need. Questionnaires also contained questions related to the previous orthodontic treatment. Logistic regression models were adjusted, estimating crude odds ratio with the 95% confidence intervals. The variables with p<0.20 in the analyses were assessed in a multiple logistic regression model, remaining with p≤0.10. Result There was no significant association of TMD symptoms with sex, age, medication use for pain, previous orthodontic treatment, orthodontic treatment need, anxiety, and depression (p>0.05). Individuals without an affective relationship are 1.78 (95%CI: 0.99-3.17) times more likely to report TMD symptoms. Conclusion Affective relationships showed an association with TMD symptoms in young adults.


Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


2016 ◽  
Vol 44 (3) ◽  
pp. 106
Author(s):  
Sri Alemina Ginting ◽  
Isra Firmansyah ◽  
Dedi Satria Putra ◽  
Dachrul Aldy ◽  
Syahril Pasaribu ◽  
...  

Background In Indonesia, medical problems are indicated bydiseases associated with low socioeconomic status. The preva-lence of intestinal worm is still high in Indonesia.Objective The purpose of this study was to find the associationbetween socioeconomic status and the prevalence of intestinalworm infection.Methods A cross sectional study was done on 120 primary schoolchildren in Suka Village, Karo District, North Sumatra Province.Subjects were selected by means of random sampling. Kato Katzmethod was used in stool examination. Socioeconomic status wasreferred from the Survey Keluarga Sejahtera (Wealth Family Sur-vey) 1998 by the BKKBN (the National Coordination Board onFamily Planning). Data of socioeconomic status were collected byinterview using a questionnaire and analyzed by chi square test; pvalue of <0.05 was considered to be statistically significant.Results Eighty-four subjects (70%) suffered from intestinal worminfection. There was no significant association between either age(p=0.811) or nutritional status (p=0.792) and intestinal worm infec-tion, but there was significant association between sex and intes-tinal worm infection (p=0.028). There was also association betweenintestinal worm infection and father’s education (p=0.044). Mother’soccupation had a significant association with intestinal worm in-fection (p=0.001), but father’s occupation (p=0.474) did not. Nei-ther parents’ income (p=0.429) nor socioeconomic status (p=0.098)was associated with intestinal worm infection.Conclusion There was significant association between intestinalworm infection and sex, father’s education or mother’s occupation


e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Monica A. V. Rumampuk ◽  
P. S. Anindita ◽  
Christy Mintjelungan

Abstract: Orthodontic treatment need increases with the number of cases of malocclusion as one of the major problems in Indonesia and an oral health problems are sufficiently large as dental caries and periodontal disease. Orthodontic treatment need in a population is described by one measure, namely Index of Orthodontic Treatment Need (IOTN). The purpose of this study was to determine the needs of orthodontic treatment in the second-grade students of Junior High School 2 Bitung based IOTN consisting of Aesthetic Component and Dental Health Component. It was a cross sectional study of descriptive obsevational, conducted in Junior High School 2 Bitung at December 2013. It research was used the total population of the second grade students of Junior High School 2 Bitung, amounting to 460 students. The results showed, orthodontic care needs based on the AC is 304 people 77 % do not require nursing care or only mild, 74 people 19% of borderline and need care 18 4.5 really need treatment. While orthodontic treatment needs based DHC is 76% of 303 people do not require treatment or light treatment only, 63 people took care borderline 16%, 7.6% and 30 people really need treatment. Orthodontic treatment need by Index of Orthodontic Treatment Needs in second grade at Junior High School 2 Bitung mostly do not require or need minor maintenance in AC 77% and DHC 76%.Keywords: treatment need, IOTN, Student junior High School.  Abstrak: Kebutuhan perawatan ortodonsi meningkat seiring bertambahnya jumlah kasus maloklusi sebagai salah satu permasalahan utama di Indonesia dan merupakan masalah kesehatan gigi dan mulut yang cukup besar setelah karies gigi dan penyakit periodontal. Kebutuhan perawatan ortodonsi pada suatu populasi digambarkan dengan salah satu alat ukur yaitu Index of Orthodontic Treatment Need (IOTN). Tujuan penelitian ini ialah untuk mengetahui kebutuhan perawatan ortodonsi pada siswa-siswi kelas II SMP Negeri 2 Bitung berdasarkan IOTN yang terdiri dari Aesthetic Component (AC) dan Dental Health Component (DHC). Penelitian ini merupakan suatu penelitian Cross sectional yang bersifat deskriptif observasional, yang dilakukan di SMP Negeri 2 Bitung pada bulan Desember 2013. Pengambilan sampel pada penelitian ini menggunakan teknik total populasi pada siswa-siswi kelas II di SMP Negeri 2 Bitung yang berjumlah 460 orang. Hasil penelitian didapatkan, kebutuhan perawatan ortodonsi berdasarkan AC yaitu 304 orang 77 % tidak membutuhkan perawatan atau hanya perawatan ringan, 74 orang 18,7% butuh perawatan borderline dan 18 orang 4,5 sangat butuh perawatan. Sedangkan kebutuhan perawatan ortodonsi berdasarkan DHC yaitu 303 orang 76,5% tidak membutuhkan perawatan atau hanya perawatan ringan, 63 orang 15,9% butuh perawatan borderline, dan 30 orang 7,6% sangat butuh perawatan. Kebutuhan perawatan ortodonsi berdasarkan IOTN pada siswa kelas II di SMP Negeri 2 Bitung sebagian besar tidak membutuhkan atau butuh perawatan ringan pada AC 77% dan DHC 76%. Kata kunci: Kebutuhan Perawatani, IOTN, Siswa SMP.


2021 ◽  
Vol 15 (8) ◽  
pp. 1903-1905
Author(s):  
Muhammad Azeem ◽  
Zubair Hassan Awaisi ◽  
Sohaib Hassan ◽  
Farhan Ahmad ◽  
Saadia Ata ◽  
...  

Background: The Index of Orthodontic Treatment Need (IOTN) is one of the important index to find out orthodontic need of patients. Aim: To find out the need of orthodontic treatment in patients visiting Nishter Institute of Dentistry, Multan (NID). Method: The index was applied using plaster models and intraoral examination. The measurements of various components of IOTN index was taken with the help of digital vernier calliper. Results: The results of various measurements of IOTN index was taken, recorded and analyzed statistically. Result of the present cross-sectional study showed that 65% patients were in grade 4 and 5 of IOTN. The analysis showed that 13% were in grade 4 of IOTN, 52% were in grade 5, 15% were in grade 3, 16% were in grade 2 and 4% patients was in grade 1 of IOTN index. Conclusion: No significant sex differences were shown for the need of orthodontic therapy in any category of IOTN. The need of orthodontic treatment is very high in patients of Southern Punjab, Pakistan. Keywords: Treatment Need; IOTN; Orthodontics.


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.


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