Abstract

Background: To date, no survey was done in Kosovo for the identification of orthodontic treatment needs. The aim of this study is to assess the prevalence of orthodontic treatment need among Kosovar children of ages 11-13, using the DAI and the DHC-IOTN in the identification of orthodontic treatment need. Methods: A sample of 185 children (50.3% female, 49.7% male), aged between 11-13, was randomly selected from one elementary school in Prishtina. Orthodontic treatment need was measured using the Dental Aesthetic Index (DAI) and the dental health component of the Index of Orthodontic Treatment Need (DHC-IOTN). Results: Based on DAI, treatment was found as elective in 11.9 percent of the children. Treatment was found as highly desirable and mandatory in 5.9 percent and 4.3 percent of children, respectively. No gender-based significant differences were noted. According to IOTN DHC: 16.2 percent of children had borderline treatment need, while 66.5 percent had severe and extreme treatment need (grades 4 and 5). Again, no significant gender-based differences in the treatment need were found. Conclusion: High prevalence of orthodontic treatment need was identified in Kosovar children of ages 11-13, while no gender-based statistically significant differences were noted in the need for orthodontic treatment.

Highlights

  • Several studies show that there is an increase in the prevalence of orthodontic anomalies, leading to an increase in the need for orthodontic treatment [1 - 11]

  • Kosovo as a new state has no data about the prevalence of malocclusion or orthodontic treatment need, research articles on the epidemiology of malocclusion offer information on oral health anomalies among specific age population

  • According to Dental Health Component (DHC) Index of Orthodontic Treatment Need (IOTN) as an objective method, as much as 66.5 percent had definite treatment need because they were categorized in grades 4 and 5 of treatment need

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Summary

Introduction

Several studies show that there is an increase in the prevalence of orthodontic anomalies, leading to an increase in the need for orthodontic treatment [1 - 11]. Kosovo as a new state has no data about the prevalence of malocclusion or orthodontic treatment need, research articles on the epidemiology of malocclusion offer information on oral health anomalies among specific age population. The index for assessing the orthodontic treatment priority was developed by Brook and Shaw and was later modified by Richmond [1, 13]. The Index of Orthodontic Treatment Need (IOTN) has two components: Dental Health Component (DHC) and Aesthetic Concern (AC). The latter has 10 subcategories and is used only when the patient is assessed in DHC group 3. The aim of this study is to assess the prevalence of orthodontic treatment need among Kosovar children of ages 11-13, using the DAI and the DHC-IOTN in the identification of orthodontic treatment need

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