Orthodontic treatment need in a group of 6–12-year-old children in Szczecin

Liliana Szyszka-Sommerfeld, Monika Machoy, Jadwiga Buczkowska-Radlińska, Krzysztof Woźniak

Abstract


ABSTRACT

Introduction: The aim of the study was to assess orthodontic treatment need in a population of children in Szczecin, Poland, and to determine possible factors associated with this need.

Materials and methods: The sample comprised 532 children who had not undergone orthodontic treatment, that were divided into 2 groups: 279 aged 6–8 years and 253 aged 9–12 years. Orthodontic treatment need was assessed using both the dental health component (DHC) and the aesthetic component (AC) of the Index of Orthodontic Treatment Need. Results were analysed using a χ2 test. Multivariate logistic regression analysis was performed to identify relationships between treatment need and independent variables.

Results: Statistically significant differences in definite treatment need based on both components together (DHC ≥ 4 and/or AC ≥ 8) were observed between the 6–8-year-olds and the 9–12-year-olds (14% and 20.6%, respectively; p = 0.044). Factors such as dental abnormalities, Angle’s II molar relationship, increased overjet, crossbite, as well as contact point displacements, were significantly related to a definite need for treatment (DHC grades 4 and 5).

Conclusions: In the analysed population, orthodontic treatment need is similar or lower than that reported in various other European populations. The greater need for orthodontic treatment observed in the 9–12-year-olds highlights the importance of early identification of malocclusions and a timely referral of patients for treatment.

Keywords


Index of Orthodontic Treatment Need; malocclusion; orthodontic indices

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References


Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J 1982;32(3):281-91.

Silness J, Löe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121-35.

Borzabadi-Farahani A. An insight into four orthodontic treatment need indices. Prog Orthod 2011;12(2):132-42. doi: 10.1016/j.pio.2011.06.001.

Livas C, Delli K. Subjective and objective perception of orthodontic treatment need: a systematic review. Eur J Orthod 2013;35(3):347-53. doi: 10.1093/ejo/cjr142.

Bollen AM. Effects of malocclusions and orthodontics on periodontal health: evidence from a systematic review. J Dent Educ 2008;72(8):912-8.

Tang EL, Wei SH. Recording and measuring malocclusion: a review of the literature. Am J Orthod Dentofacial Orthop 1993;103(4):344-51.

Bellot-Arcís C, Montiel-Company JM, Almerich-Silla JM, Paredes-Gallardo V, Gandía-Franco JL. The use of occlusal indices in high-impact literature. Community Dent Health 2012;29(1):45-8.

Shaw WC, Richmond S, O’Brien KD. The use of occlusal indices: a European perspective. Am J Orthod Dentofacial Orthop 1995;107(1):1-10.

Summers CJ. The occlusal index: a system for identifying and scoring occlusal disorders. Am J Orthod 1971;59(6):552-67.

Cons NC, Jenny J, Kohout FJ. DAI: The dental aesthetic index. Iowa City: University of Iowa; 1986.

Evans R, Shaw WC. Preliminary evaluation of an illustrated scale for rating dental attractiveness. Eur J Orthod 1987;9(4):314-8.

Brook FH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod 1989;11(3):309-20.

Daniels C, Richmond S. The development of the index of complexity, outcome and need (ICON). J Orthod 2000;27(2):149-62. doi: 10.1093/ortho/27.2.149.

Boronat-Catalá M, Bellot-Arcís C, Montiel-Company JM, Catalá-Pizarro M, Almerich-Silla JM. Orthodontic treatment need of 9, 12 and 15 year-old children according to the Index of Orthodontic Treatment Need and the Dental Aesthetic Index. J Orthod 2016;43(2):130-6. doi: 10.1080/14653125.2016.1155815.

Chestnutt IG, Burden DJ, Steele JG, Pitts NB, Nuttall NM, Morris AJ. The orthodontic condition of children in the United Kingdom, 2003. Br Dent J 2006;200(11):609-12. doi: 10.1038/sj.bdj.4813640.

Souames M, Bassigny F, Zenati N, Riordan PJ, Boy-Lefevre ML. Orthodontic treatment need in French schoolchildren: an epidemiological study using the Index of Orthodontic Treatment Need. Eur J Orthod 2006;28(6):605-9. doi: 10.1093/ejo/cjl045.

Manzanera D, Montiel-Company JM, Almerich-Silla JM, Gandía JL. Orthodontic treatment need in Spanish schoolchildren: an epidemiological study using the Index of Orthodontic Treatment Need. Eur J Orthod 2009;31(2):180-3. doi: 10.1093/ejo/cjn089.

Cooper S, Mandall NA, DiBiase D, Shaw WC. The reliability of the Index of Orthodontic Treatment Need over time. J Orthod 2000;27(1):47-53. doi: 10.1093/ortho/27.1.47.

Beglin FM, Firestone AR, Vig KW, Beck FM, Kuthy RA, Wade D. A comparison of the reliability and validity of 3 occlusal indexes of orthodontic treatment need. Am J Orthod Dentofacial Orthop 2001;120(3):240-6. doi: 10.1067/mod.2001.116401.

Hamdan AM. The relationship between patient, parent and clinician perceived need and normative orthodontic treatment need. Eur J Orthod 2004;26(3):265-71.

Nobile CG, Pavia M, Fortunato L, Angelillo IF. Prevalence and factors related to malocclusion and orthodontic treatment need in children and adolescents in Italy. Eur J Public Health 2007;17(6):637-41. doi: 10.1093/eurpub/ckm016.

Tausche E, Luck O, Harzer W. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod 2004;26(3):237-44.

Josefsson E, Bjerklin K, Lindsten R. Malocclusion frequency in Swedish and immigrant adolescents – influence of origin on orthodontic treatment need. Eur J Orthod 2007;29(1):79-87. doi: 10.1093/ejo/cjl054.

Rolland SL, Treasure E, Burden DJ, Fuller E, Vernazza CR. The orthodontic condition of children in England, Wales and Northern Ireland 2013. Br Dent J 2016;221(7):415-9. doi: 10.1038/sj.bdj.2016.734.

Grzywacz I. The value of the aesthetic component of the Index of Orthodontic Treatment Need in the assessment of subjective orthodontic treatment need. Eur J Orthod 2003;25(1):57-63.

Kozanecka A, Sarul M, Kawala B, Antoszewska-Smith J. Objectification of orthodontic treatment needs: does the classification of malocclusions or a history of orthodontic treatment matter? Adv Clin Exp Med 2016;25(6):1303-12. doi: 10.17219/acem/62828.

Niedziejko D, Pniok MP, Michna W. Wskaźnik ortodontycznych potrzeb leczniczych IOTN w grupie dzieci szkolnych w Małopolsce i porównanie do IOTN w innych państwach. Forum Ortod 2013;9:173-81.

Liu Z, McGrath C, Hägg U. The impact of malocclusion/orthodontic treatment need on the quality of life. A systematic review. Angle Orthod 2009;79(3):585-91. doi: 10.2319/042108-224.1.

World Health Organization (WHO) Oral Health Surveys – Basic Methods. 4th ed. Geneva: World Health Organization; 1997.

Burden DJ, Pine CM, Burnside G. Modified IOTN: an orthodontic treatment need index for use in oral health surveys. Community Dent Oral Epidemiol 2001;29(3):220-5.

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33(1):159-74.

Laganà G, Masucci C, Fabi F, Bollero P, Cozza P. Prevalence of malocclusions, oral habits and orthodontic treatment need in a 7- to 15-year-old schoolchildren population in Tirana. Prog Orthod 2013;14:12. doi: 10.1186/2196-1042-14-12.

Almerich-Silla JM, Montiel-Company JM, Bellot-Arcís C, Puertes-Fernández N. Cross-sectional study of malocclusion in Spanish children. Med Oral Patol Oral Cir Bucal 2014;19(1):e15-9. doi: 10.4317/medoral.19096.

Mandall NA, Wright J, Conboy F, Kay E, Harvey L, O’Brien KD. Index of orthodontic treatment need as a predictor of orthodontic treatment uptake. Am J Orthod Dentofacial Orthop 2005;128(6):703-7. doi: 10.1016/j.ajodo.2004.10.011.

Burden DJ. Need for orthodontic treatment in Northern Ireland. Community Dent Oral Epidemiol 1995;23(1):62-3. doi: 10.1111/j.1600-0528.1995.tb00200.x.

Ngom PI, Diagne F, Dieye F, Diop-Ba K, Thiam F. Orthodontic treatment need and demand in Senegalese school children aged 12–13 years. An appraisal using IOTN and ICON. Angle Orthod 2007;77(2):323-30. doi: 10.2319/0003-3219(2007)077[0323:OTNADI]2.0.CO;2.

Kerosuo H, Kerosuo E, Niemi M, Simola H. The need for treatment and satisfaction with dental appearance among young Finnish adults with and without a history of orthodontic treatment. J Orofac Orthop 2000;61(5):330-40.

Fields HW, Vann WF, Vig KW. Reliability of soft tissue profile analysis in children. Angle Orthod 1982;52(2):159-65. 10.1043/0003-3219(1982)052<0159:ROSTPA>2.0.CO;2.

Flores-Mir C, Major PW, Salazar FR. Self-perceived orthodontic treatment need evaluated through 3 scales in a university population. J Orthod 2004;31(4):329-34. doi: 10.1179/146531204225020644.

Dias PF, Gleiser R. Orthodontic concerns of Brazilian children and their parents compared to the normative treatment need. J Oral Sci 2010;52(1):101-7. doi: 10.2334/josnusd.52.101.




DOI: https://doi.org/10.21164/pomjlifesci.450

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