Orthodontic Treatment Need Research Articles

The effects of professional expertise on perceptions of treatment need in patients with class II division 1 malocclusion: a comparison between orthodontists, general dentists, and lay people in Germany.

This study aimed to compare the perception of practitioners with varying levels of expertise and laypeople regarding the orthodontic treatment need and facial harmony in patients with increased anterior overjet. Three groups of observers (orthodontists, general dentists, and laypeople, in total n = 48) were asked to rate on images-using a10-point visual analog scale (VAS)-the facial harmony and treatment need of asample of 8patients with classII division1 malocclusion and overjets of 2, 4, 6, and 8 mm. Statistically significant differences were observed between the three groups of observers regarding patients with an overjet of 4 mm and above (p < 0.001). Treatment need was perceived at an overjet of 4 mm by orthodontists and 6 mm by general dentists, whereas laypeople did not perceive aneed for treatment in any of the groups (p < 0.001). Regarding perception of facial harmony, orthodontists had the lowest threshold (4 mm overjet), while dentists followed at agreater overjet of 6 mm or more (p < 0.001). Astatistically significant correlation between the noticed facial harmony and the perceived orthodontic treatment need was found in all observers (p < 0.001). The perceived orthodontic treatment need for classII division1 malocclusion increased with increasing professional expertise.

Prime Factors Influencing the Reluctance Expressed Toward Orthodontic Treatment Among a Tribal Population with No Prior History of Orthodontic Treatments in the Community: A Cross-sectional Study

Background Perceiving a need for orthodontic treatment is a heuristic process usually conditioned by the interplay between motivational factors and influencing factors in a community with orthodontic awareness and a history of already ongoing or completed orthodontic treatments. Using a verbally assigned index to elicit candid responses, the current study aimed at assessing reluctance toward orthodontic treatment in adolescents with clinically ascertained malocclusion in a community with no prior history of orthodontic treatment. Objectives Tribal adolescents from two regions with clinically ascertained malocclusion but no previous access to orthodontic treatment were evaluated for willingness or reluctance to undergo orthodontic treatment using a verbally assigned Simplified Malocclusion Index for Layperson Evaluation (SMILE index). Methods 2,835 tribal adolescents belonging to the tribal regions of Paderu and Parvathipuram in Andhra Pradesh were questioned to analyze factors related to reluctance toward orthodontic treatment in those with malocclusion. Necessary permission and consent were obtained from the institutional ethical clearance committee, tribal authorities, school authorities, and parents or guardians. Clinical screening employing appropriate infection prevention protocol under natural daylight was used to determine the presence of malocclusion. A verbally assigned SMILE index in the vernacular language of the students with malocclusion was used to record candid responses to analyze possible reluctance toward treatment. Specific reasons for reluctance to undergo treatment were documented and tabulated separately. Pearson chi-square statistical analysis of the data was performed to determine if there was any gender bias. Results At Paderu, of the 68% of the tribal adolescents presenting with malocclusion, the verbally assigned SMILE index revealed that 84.03% of the adolescents were reluctant. The chi-square statistical analysis of the data indicated a gender bias ( X 2 (1, N = 2,016) = 35.99, p &lt; .0001). At Parvathipuram, of the 93% of the tribal adolescents presenting with malocclusion, the SMILE index assigned revealed that 93.05% of the adolescents were reluctant. The chi-square statistical analysis of the data indicated a gender bias ( X 2 (1, N = 819) = 6.42, p = .11). Conclusion The use of the SMILE index allows for a qualitative analysis of reluctance based on the candid subjective inputs from each individual. The study reveals a high degree of orthodontic awareness among the tribal adolescents, and any reluctance toward orthodontic treatment is mainly related to difficulty in access to treatment.

Associations between oral health impacts attributed to malocclusion and normative and self-perceived orthodontic treatment need in Turkish adolescent patients.

In the socio-dental approach, the integration of normative oral health-related quality of life (OHRQoL) and behavioral propensity measures should be considered when assessing treatment needs and planning oral services. Therefore, this study aimed to evaluate the relationship between oral health impacts attributed to malocclusion and normative and self-perceived orthodontic treatment needs in adolescent patients and to determine the clinical, sociodemographic, and behavioral factors affecting their OHRQoL. This cross-sectional study was conducted using a convenience sample size of 105 adolescent patients aged 11-14 years who were referred to the Orthodontics Clinic in the Faculty of Dentistry, Istanbul. Data were collected using clinical examinations and a self-reported questionnaire, including the condition-specific Child Oral Impact on Daily Performances (CS-COIDP) attributed to malocclusion and sociodemographic, clinical, and behavioral factors. The index of complexity, outcome, and need (ICON), gingival index, and Decayed, Missing, Filled Teeth index was used to assess oral health status. Descriptive statistics and bivariate and multivariate regression analyses were used for the data analyses. A total of 70 patients (66.7%) reported at least one impact. Furthermore, 47% of the adolescents had very difficult and difficult complexity grades. The most affected performances were "emotional (52.4%) and smiling (40%)". No significant differences were found in the total CS-COIDP scores according to caries experience; however, the gingival status was associated with the total OHRQoL. Lower tooth brushing frequency, increased malocclusion complexity, and subjective treatment need were the most important predictors of worse OHRQoL, accounting for 39.3% of the variance in the scores. ( R2 = 0.422; p < 0.001) CONCLUSIONS: Oral health professionals should consider oral behaviors, malocclusion complexity, and subjective treatment need when planning orthodontic treatment plans. Integrating ICON, CS-COIDP, and behavioral assessment will help identify adolescents who should be prioritized for treatment.

Age-dependent prevalence of malocclusions requiring treatment according to the KIG classification : Amultipart cross-sectional study over a10-year period from the district of Viersen/North Rhine.

Patients with statutory health insurance (SHI) in Germany must undergo an assessment of orthodontic treatment need using the "Kieferorthopädische Indikationsgruppen" (KIG; orthodontic indication groups) classification system since 2002. Atreatment need only exists if anomalies of acertain degree of severity are present. The aim of this study was to evaluate the age-dependent prevalence and percentage distribution of KIG grades requiring treatment in patients with SHI before the age of 18over a10-year period. Between 2012 and 2021, treatment indication existed for 1951 (1025female, 926male) out of 2288 patients with SHI in the cohort of this study before the age of 18according to current SHI guidelines. The KIG classification was based on the highest existing KIG grade. There were no multiple classifications. The patient cohort was divided into three patient groups (PG) according to chronological age for analysis: PG1 < 10years of age (early treatment), PG2 10 to < 13years of age (main treatment) and PG3 13 to < 18years of age (late treatment). In PG1 (454 patients), the KIG classificationsD(26.5%), K(25.5%), M(19.4%), and P(18.0%) dominated. In PG2 (998 patients), classifications D(33.2%), predominated, whereas K(7.5%) and M(5.9%) rarely occurred. The classifications E(12.6%) and P(13.3%) appeared quite frequently. Transverse deviations occurred only about half as often in PG2 as in PG1 and PG3. In PG3 (499patients), the classification E(17.6%) was particularly common, while P(2.6%) was rare. The proportion of KIG grades 5decreased depending on age: 19% in PG1, 13.5% in PG2, 10.4% in PG3. The prevalence of sagittal classifications was highest in all age groups (45.9% in PG1, 39.1% in PG2, 31.5% in PG3). The distribution of KIG classifications requiring treatment was not homogeneous, but age dependent. The differences were particularly evident in the early treatment group and may be due to the limited applicability of the KIG classification system in patients before late mixed dentition. With increasing age at initial examination, the prevalence of sagittal classifications decreased, while that of vertical classifications increased. Still, the sagittal classifications DandM occurred most frequently in all age groups. The KIG classification Dwas always the most common in all patients until the age of18.

Impact of malocclusion and oral habits on oral health-related quality of life and sleep disturbance in young adults : Across-sectional study.

The aim of this study was to investigate the impact of malocclusion and oral habits on oral health-related quality of life and sleep disturbance in young adults. Across-sectional study was conducted with asample of 213 young adults aged 18-30years. Dental occlusion data were assessed through clinical examination. Aquestionnaire was used to collect data on oral habits. Outcomes were collected using the Oral Health Impact Profile (OHIP-14) and Mini Sleep Questionnaire. Anterior open bite (adjusted odds ratio [OR] = 2.41, 95% confidence interval [CI] = 1.02-5.67, p = 0.044), swallowing disorders (adjusted OR = 2.39, 95% CI = 1.13-5.05, p = 0.022), and sleeping on hands were associated with anegative impact on oral health-related quality of life. Females (adjusted OR = 2.61, 95% CI = 1.10-6.17, p = 0.029), teeth grinding (adjusted OR = 2.78, 95% CI = 1.08-7.14, p = 0.034), biting lips or cheeks (adjusted OR = 4.28, 95% CI = 1.49-12.29, p = 0.007), and self-perception of need for orthodontic treatment (adjusted OR = 7.88, 95% CI = 2.12-29.30, p = 0.002) were associated as arisk for sleep disturbances. The findings suggest that oral habits and some types of malocclusions can impact oral health-related quality of life. In addition, sleep disturbances were associated with agreater need for orthodontic treatment and ahabit of grinding teeth in young adults.

Orthodontic Treatment Need of an Iranian versus an Arab Population Using the Index of Orthodontic Treatment Need: A Cross-sectional Study

Aim: This study assessed the orthodontic treatment needs of Iranian and Arab university students using the Index of Orthodontic Treatment Need (IOTN). Methods: This cross-sectional study was conducted on 100 Arab and 100 Iranian patients presenting to Ajman University dental clinic in 2023. The subjects were selected by convenience sampling and were 19‒25 years of age. The dental health component (DHC) and esthetic component (AC) of the IOTN were used to assess their malocclusion and the need for orthodontic treatment. Data were analyzed using the chi-squared test at a significance level of 0.05. Results: According to the DHC, 60% of Arab and 64% of Iranian patients had malocclusion with moderate to extreme need for treatment. Of the Iranian population, 12% were Grade I (no need), 24% were Grade 2 (little or mild need), 28% were Grade 3 (moderate need), 20% were Grade 4 (severe need), and 16% were Grade 5 (extreme need). These values were 17%, 23%, 32%, 20%, and 8%, respectively, for the Arab population. According to the AC, 59% of Iranians and 56% of Arabs required little or no treatment, while 27% of Iranians and 31% of Arabs had moderate need, and 14% of Iranians and 13% of Arabs had severe need for treatment. The difference between the two populations was insignificant in the DHC (P=0.431) or AC (P=0.681) grading. Conclusion: The two groups with different ethnic backgrounds exhibited no significant difference regarding orthodontic treatment needs.

EVALUATION OF ORTHODONTIC TREATMENT NEED AND ITS ASSOCIATION WITH SELF-ESTEEM AND ORAL HEALTH-RELATED QUALITY OF LIFE OF PATIENTS RECEIVING CARE AT SAIDU COLLEGE OF DENTISTRY, SWAT

Orthodontic treatment needs can impact both self-esteem and oral health-related quality of life (OHRQoL). The relationship between these factors, particularly in a developing region, remains underexplored. Objective: To investigate the relationship between orthodontic treatment needs, self-esteem and oral health-related quality of life among patients at Saidu College of Dentistry, Swat. Methods: This cross-sectional study was conducted at Saidu College of Dentistry, Swat and included 115 participants aged 8-30 years. Data were collected using the Index of Orthodontic Treatment Needs (IOTN), Rosenberg Self-esteem Scale and Oral Health Impact Profile (OHIP-14) over a six-month period. Demographic variables such as age, gender and socioeconomic status were also analyzed. Descriptive statistics and statistical tests such as chi-square and t-tests were employed to evaluate associations between variables, with significance set at p &lt; 0.05. Results: Of the 115 participants, 59.1% were male and 40.9% were female. Age groups were distributed as 33% (8-15 years), 39.1% (15-22 years) and 27.8% (22-30 years). Socioeconomic analysis revealed that 25.2% belonged to the upper class, 49.6% to the middle class and 25.2% to the poor class. Severe orthodontic treatment needs were identified in 36.5% of participants. Self-esteem scores were unaffected by gender, age, or socioeconomic status. In contrast, oral health impact scores were notably high, with a mean OHIP-14 score of 19.77±17.7, indicating a significant need for comprehensive oral health care. Conclusion: Despite high orthodontic treatment needs, participants exhibited stable self-esteem levels, suggesting resilience in psychosocial health. The findings emphasize the strong connection between orthodontic needs, OHRQoL and patient demographics, providing important insights for oral health professionals in addressing both clinical and psychological aspects of care.

The level of knowledge about dental malocclusion in students at Islamic boarding schools

Introduction: Malocclusions often found daily include crowding of teeth, open bites, cross bites, protrusion, and maxillary or mandibular teeth. This proves that the community's need for orthodontic treatment is very high. Knowledge results from human knowledge, which occurs after people sense certain objects. A person's knowledge of an object contains two aspects, namely positive aspects and negative aspects. Purpose: To identify the level of knowledge about dental malocclusion in students at Islamic boarding schools. Methods: The questionnaire was prepared for pre and post-tests. The questionnaire contains 12 questions using the Guttman scale which has two answer choices "yes" or "no", where positive answers are given a score of 1 and negative answers are scored 0. Results: There was a significant increase of understanding in the mean of subject matter from the post-test mean was higher (14,4%) than the pre-test rate (12,1%) with a significant difference (P=0.000) Conclusion: The goal of this community service was to successfully provide counseling about the importance of awareness of dental malocclusion at the Islamic Boarding School in Karangmojo, Ponorogo, East Java by conducting a questionnaire of pretest and posttest to understand the level of knowledge of dental malocclusion. The level of knowledge was increased by the result of the post-test mean was higher (14,4%) than the pre-test rate (12,1%) with a significant difference (P=0.000).

Integrative approach for supernumerary teeth: a single-center retrospective analysis.

This study aimed to provide a comprehensive case analysis from a single center, with the objective of clarifying the optimal timing and recommendations for a preferred treatment strategy customized to the specific presentation of each type of supernumerary tooth identified in the research. A retrospective study was conducted on patients who presented with a supernumerary tooth and were treated interdisciplinarily at the clinic. In total, 55 patients with 81 supernumerary teeth of the permanent dentition were analyzed, 30 males and 25 females. The dentition status of the patients was as follows: 31 patients with mixed dentition, no patients with primary dentition, and 24 patients with permanent dentition. The diagnosis of supernumerary tooth was primarily made by general or pediatric dental practitioners and/or orthodontists. Patients were then referred to maxillofacial surgeons for treatment decision. The timing of treatment was mainly determined by the oral surgeon, based on the recommendations of the other specialists involved. Cases involving maleruption or malalignment of permanent teeth required both surgical and orthodontic treatment. Patients over 9 years old were treated either under local anesthesia or sedation, whereas those under 9 years old were treated under deep sedation or general anesthesia. A comprehensive investigation of cases involved the utilization of CBCT at the supernumerary tooth site to facilitate treatment planning. There was a significant correlation between younger age and the preference for treatment under sedation or general anesthesia (P &#61; .01, t test). Similarly, a strong association was found between younger age and the need for additional orthodontic treatment (P &#61; .016, t test). Cases of surgical removal of a supernumerary tooth at a young age typically did not require orthodontic traction of the permanent tooth, in contrast to cases of late surgical intervention (patients over 11 years old), which often did necessitate such traction. There was a strong tendency for treating supernumerary teeth in the maxilla. The proximity of supernumerary teeth to vital anatomical landmarks significantly influenced treatment decisions. Patients with supernumerary teeth near the mental foramen or the inferior dental canal in the premolar area were exclusively placed under follow-up care (P &#61; .002, Pearson chi-square test). However, in the maxilla, the proximity of supernumerary teeth to vital structures such as the floor of the nose and the incisive nerve did not affect the treatment approach, and those supernumerary teeth were mostly removed. A team approach for managing supernumerary teeth is recommended. The timing of treatment should carefully consider the advantages and disadvantages of early versus late intervention. Early surgical treatment in cases where eruption is disturbed might result in spontaneous eruption, eliminating the need for orthodontic traction of the permanent teeth.

Malocclusion and Deleterious Oral Habits in Vietnamese Children Between the Ages of 8 and 12 years: A Cross Sectional Study

Abstract Aim: This study aimed to determine the relationship between malocclusion and deleterious oral habits in the Vietnamese children aged 8–12 years. Materials and Methods: A cross-sectional descriptive analysis was undertaken on a total of 434 children (8–12 years old, 208 males and 226 females), separated into five age groups: 8 years old (16.8%), 9 years old (18.5%), 10 years old (20.7%), 11 years old (21.4%), and 12 years old (22.6%), with all four first permanent molars erupted, no previous orthodontic treatment, loss of the second primary molar or presence of the second primary molar root or decay, loss of surface material on the second primary molar, and underfilling of the second primary molar size in the mesiodistal direction. The deleterious oral habits and malocclusion were assessed through a clinical examination and questionnaires for parents. The descriptive statistical analysis revealed the following findings: mean and standard deviation. The chi-squared test and Fisher’s exact test were used to compare categorical variables. The data were considered significant at P &lt; 0.05. Result: Deleterious oral habits were found to have a significant relationship with malocclusion. Mouth breathing habits were associated with anterior open bites (P &lt; 0.05). The tongue thrusting habit was associated with anterior open bite (P &lt; 0.05), posterior crossbite (P &lt; 0.01), overbite greater than 4 mm (P &lt; 0.01), and angle class I malocclusion (P &lt; 0.05). Chewing habits on one side were associated with posterior crossbite (P &lt; 0.01) and posterior open bite (P &lt; 0.05). The habit of pen/pencil/nail biting was associated with midline deviation (P &lt; 0.05). As children got older, there was a greater need for orthodontic treatment for dental healthcare, according to the index of orthodontic treatment need. In the 8-year-old patient group, the need was 4.1%; in the 9-year-old patient group, it was 5%; in the 10-year-old patient group, it was 9%; in the 11-year-old patient group, it was 19.4%; and in the 12-year-old patient group, it was 22.4%. The distribution of orthodontic treatment needs for dental health was significantly different based on the number of deleterious oral habits children had (P &lt; 0.01). Conclusion: Abnormal oral habits were prevalent in about 30.6% of the study participants. Mouth breathing, tongue thrusting, pen/pencil/nail biting, and one-side chewing had a significant impact on malocclusion.

Artificial Intelligence for Predicting the Aesthetic Component of the Index of Orthodontic Treatment Need.

The aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN) is internationally recognized as a reliable and valid method for assessing aesthetic treatment need. The objective of this study is to use artificial intelligence (AI) to automate the AC assessment. A total of 1009 pre-treatment frontal intraoral photos with overjet values were collected. Each photo was graded by an experienced calibration clinician. The AI was trained using the intraoral images, overjet, and two other approaches. For Scheme 1, the training data were AC 1-10. For Scheme 2, the training data were either the two groups AC 1-5 and AC 6-10 or the three groups AC 1-4, AC 5-7, and AC 8-10. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were measured for all approaches. The performance was tested without overjet values as input. The intra-rater reliability for the grader, using kappa, was 0.84 (95% CI 0.76-0.93). Scheme 1 had 77% sensitivity, 88% specificity, 82% accuracy, 89% PPV, and 75% NPV in predicting the binary groups. All other schemes offered poor tradeoffs. Findings after omitting overjet and dataset supplementation results were mixed, depending upon perspective. We have developed deep learning-based algorithms that can predict treatment need based on IOTN-AC reference standards; this provides an adjunct to clinical assessment of dental aesthetics.

Prevalence of malocclusion and orthodontic treatment needs in children with special needs in district Mandi, Himachal Pradesh, India

Malocclusion plays an important role in overall oral health of every individual because it is associated with periodontal disease, temporomandibular disorder and may be complicated by an individual disability and special need.To determine the prevalence of malocclusion in children with special needs in District, Mandi, Himachal, Pradesh, India, using DAI and IOTN, and to assess whether the observed malocclusion is affected by sex. The study was consists of 200 children with mental retardation, physical disability, sensory impairment between 10-18 years of age from various special schools for people with special needs. A pre-structured proforma was used to record the findings and socio-demographic information. The special need children were examined in respective schools under natural light, using Dental aesthetic Index (DAI) and Index of orthodontic treatment need (IOTN).The prevalence of the malocclusion was found to be more in the subjects with the mental retardation and physical disability followed by hearing and visual impairment. There were no statistically significant differences in DAI and IOTN scores between gender.: The need for orthodontic treatment was found to be more in mentally retarded group than the other groups of special need children as per the IOTN and DAI scores in District, Mandi, Himachal, Pradesh.

The severity level of malocclusion and orthodonthic treatment needs based on the index of orthodonthic treatment need (IOTN) on students aged 9-12 years old at candijati jember 1 state elementary school

Malocclusion is a condition of dental occlusion that is not suitable from normal conditions that affect oral function and facial aesthetics and has now become a great concern in the health sector. Malocclusion occurs mostly in children aged 9-12 years which is the second phase of the mixed teeth period. The severity’s level of malocclusion and orthodontic treatment needs can be measured using the malocclusion index, one of which is the Index of Orthodontic Treatment Need (IOTN). Dental Health Component (DHC) is one component of IOTN that is effective in overcoming malocclusion and has good potential for orthodontic treatment because it assesses objectively by examining and measuring the circumstances of the teeth. The purpose of this study was to determine the severity of malocclusion and orthodontic treatment needs based on the Index of Orthodontic Treatment Need (IOTN) in students aged 9-12 years at SDN 01 Candijati Jember. Sampling was determined using the total sampling method on subjects encountered inclusion criteria; 96 samples were obtained. This study was conducted by measuring the study model of the patient's dental printing results based on DHC from IOTN and analyzed descriptively. The results of the study found the severity of malocclusion and the need for orthodontic treatment based on the Index of Orthodontic Treatment Need (IOTN) in students aged 9-12 years SDN 01 Candijati Jember is most commonly found in grade 2, namely mild malocclusion with little need for treatment. Then the severity’s level of malocclusion and the need for orthodontic treatment is greater in women than men and great-est in students aged 12 years.

Comparison of the Opinions of Adolescents With Different Orthodontic Treatment Needs.

The aim of this study was to compare oral health-related quality of life (OHRQoL) among adolescents granted (G) versus not granted (NG) publicly funded orthodontic treatment. Adolescents aged 15-20 years who were granted versus not granted publicly funded orthodontic treatment responded to a web-based survey, assessing OHRQoL in relation to functional impact, psychological impact, and motivators for orthodontic treatment. Before the survey, pretesting of the questionnaire was conducted to ensure its reliability. Differences between the groups were tested using the chi-squared and Mann-Whitney U-tests. Reliability was assessed using Cohen's κ and Pearson's correlation coefficient during the pretest phase. One hundred and forty patients, equally distributed between a G and an NG group, responded to the survey. Gender, age, and demographic distribution were comparable in both groups. All respondents expressed a high subjective treatment need and similar answers regarding functional aspects. Orthodontic treatment motivators (G: 86.2% and NG: 94.7%, p = 0.443) were primarily related to improved self-esteem, overall well-being, facial appearance, and being able to laugh without embarrassment. The NG group expressed a more negative OHRQoL impact due to the appearance of their teeth compared with the G group (p < 0.001) and a negative impact caused by the position of their teeth (p < 0.001). Orthodontic treatment need indices should aim to reinforce subjective measures as adolescents express similar motivators for orthodontic treatment, regardless of the clinician's objectively based decision about treatment need.

Validation of Age Estimation Using the Compositional Variation of Dental Hard Tissue: An X-ray Diffraction Analysis.

Introduction X-rays and X-ray diffraction (XRD) are two non-destructive techniques that determine a material's crystallographic structure, chemical composition, and physical properties. They can also be used to estimate a person's age when it is unknown, assess the need for orthodontic treatment, or predict the likelihood of tooth decay. This research aims to validate the accuracy of age estimation through X-ray diffraction analysis of tooth hard tissue with compositional changes. Methodology Four tooth samples were analyzed using the Pan Analytical XRD (Malvern Panalytical Ltd., UK) unique d8 family platform, which uses Cu Kα radiation (0.154 nm) and a 0.02° scan rate from 0 to 80°. Results The angle of incidence (ω) is established between the sample and the X-ray source. The angle of diffraction, 2θ, is established between the detector and the incident beam. The detector angle 2θ and the incident angle ω always equal half. Inter-atomic distance, or d-spacing (D = 10^-8 cm in Angstrom units), is measured. A greater crystal size or a greater degree of crystallinity may be indicated by a higher peak intensity, which translates to an increased amount of atoms in the crystal. Conclusion The study's findings suggest that XRD is a promising new technique for age determination, as it has an advanced and dynamic approach to finding the crystallographic characteristics of the provided sample.

Reliability and self-perception of semi-automatically assessed orthodontic treatment need in elderly patients undergoing supportive periodontal therapy – a cross-sectional study

ABSTRACT Purpose Patients with periodontitis, who currently make up a large proportion of the adult population, show high interest in orthodontic therapy. It is therefore important to recognize and assess orthodontic treatment need in these patients. The index of orthodontic treatment (IOTN) is an established tool to determine malocclusions clinically and digitally. Materials and methods A semi-automatic IOTN-assessment using OnyxCeph3TM was performed on patients undergoing supportive periodontal therapy (SPT). Intra- and inter-rater reliability were investigated using intra-class-coefficient (ICC). Self-perceived aesthetic by patients and perception by the investigator according to the aesthetic component (AC) were compared to both each other and normative need, measured by the dental health component (DHC). Periodontitis stage and grade and the possibility of an orthodontic treatment were determined. Results The mean age of the 64 included patients in this study was 62.1 years (SD ± 8.6; min-max 45–81) at the time of the examination. Self-related AC was different to the investigator’s assessment (ICC: = 0.474; 95%-CI: [0.262, 0.643]). Normative treatment need compared to self-perceived treatment need resulted in poor reliability (ICC: = 0.098; 95%-CI: [−0.071, 0.298]). Comparison of IOTN between investigators showed moderate reliability for AC (ICC: = 0.618; 95%-CI: [0.331, 0.799]) and an excellent reliability for DHC (ICC: = 0.932; 95%-CI: [0.863, 0.967]). AC Intra-rater reliability was considered good (ICC: = 0.796; 95%-CI: [0.613, 0.898]). Orthodontic treatment was possible in 48 of the 64 patients. Conclusion Semi-automated IOTN-assessment showed satisfying inter- and intra-rater reliability, but patients’ self-perceived dental aesthetics differed from the dentist’s assessment as well as from the normative treatment need.

Prevalence of Malocclusion and Orthodontic Treatment Need in 9- to 12-Year-Old Schoolchildren in Ulaanbaatar, Mongolia.

Background The prevalence of malocclusion in Mongolia is increasing every year. Estimating the need for orthodontic treatment in the population is crucial for planning orthodontic care services and monitoring oral health programs. Therefore, the present study aimed to assess the need for orthodontic treatment among schoolchildren in Ulaanbaatar, Mongolia, using the Index of Orthodontic Treatment Need (IOTN). Methods A total of 656 schoolchildren aged 9-12 years were enrolled from 8 schools located in urban and suburban areas of 6 districts of Ulaanbaatar city. All the children were assessed according to the two components of the IOTN, the Dental Health Component (DHC) and the aesthetic component (AC). Statistical analyses were carried out using IBM SPSS Statistics for Windows, Version 28 (Released 2021; IBM Corp., Armonk, New York, United States). Results The prevalence of malocclusion was 561 (84.5%), consisting of 452 (68%) Angle Class I, 178 (26.8%) Angle Class II, and 34 (5.2%) Angle Class III malocclusion. For the DHC, the moderate need for treatment was 194 (29.3%) and the definite need was 53 (8.1%). For the AC, the moderate need was 148 (22.3%) and the definite need was 45 (6.9%). The association between the DHC and the AC was found to be statistically significant (p<0.001). The most common malocclusions were an increased overjet (maxillary protrusion), a contact point displacement (crowding), and an increased overbite (deep bite). The AC, Angle's molar relationship, an increased overjet, a contact point displacement, and an increased overbite were factors associated with the need for orthodontic treatment. Conclusion Approximately one-third of schoolchildren in Ulaanbaatar, Mongolia, require orthodontic treatment. This finding helps dental practitioners to better understand oral health problems, leading to an improvement in the overall quality of life of children.

Determining the need for early orthodontic treatment of children with harmful habits

Determining the need for early orthodontic treatment of children with harmful habits

Orthodontic findings and treatment need in patients with amelogenesis imperfecta: a descriptive analysis

Introduction: Amelogenesis imperfecta (AI) is a genetically determined, non-syndromic enamel dysplasia that may manifest as hypoplasia, hypomaturation, or hypocalcification and can commonly be classified into four primary groups. In this retrospective analysis, specific orofacial characteristics are described and associated with each of the AI types based on a patient cohort from Witten/Herdecke University, Germany.MethodsData from 19 patients (ten male and nine female, mean age 12.27 ± 4.06 years) with AI who presented at the Department of Orthodontics between July 2011 and December 2023 were analyzed. Baseline skeletal and dental conditions were assessed, including the presence of hypodontia, displacements, and taurodontism. AI was classified into classes I–IV based on phenotype. Treatment needs were evaluated according to the main findings following the German KIG classification, while the radiological enamel situation was determined using panoramic radiographs.ResultsAn approximately equal distribution between classes II and III was found and a slight inclination toward a dolichofacial configuration (ΔML-NSL: 5.07 ± 9.23°, ΔML-NL: 4.24 ± 8.04°). Regarding orthodontic findings, disturbance in tooth eruption as well as open bite were the most prevalent issues (both 36.8%, n = 7). The most common AI classes were type I and II, which show an almost even distribution about the skeletal classes in sagittal dimension, while dolichofacial configuration was found most frequently in vertical dimension.ConclusionBoth clinical and radiological orthodontic findings in context with AI are subject to extensive distribution. It seems that no specific orofacial findings can be confirmed in association with AI with regard to the common simple classes I–IV. It may be more appropriate to differentiate the many subtypes according to their genetic aspects to identify possible associated orthodontic findings.

Assessment of Dentists' Knowledge of Space Maintainer Indications After Primary First Molar Extraction: A Cross-Sectional Study.

Background Space maintainer appliances can potentially reduce the need for extensive orthodontic treatment in the future for children. However, they can also lead to various complications, such as an increased risk of dental caries and gingival diseases. It is crucial for dentists to carefully evaluate a decision each child's specific situation before deciding whether to apply a space maintainer or not. This study aimed to evaluate the knowledge of dentists at Damascus University, both at undergraduate and specialist levels, regarding when space maintainers should be recommended. Methods A cross-sectional study was conducted involving 158 dentists (151 at the undergraduate level and seven at the specialist level). The questionnaire included 13 questions, covering demographic information and self-assessment, and 10 scenarios that are commonly encountered in clinical practice. Results The response rate was 50%. A majority of the participants (85, 53.8%) demonstrated inadequate knowledge. No significant correlations were found between knowledge level and gender (P = 0.853), practice experience (P = 0.171), or self-assessment (P = 0.383). Conclusions Most dentists exhibited a lack of knowledge about space maintainers, with no correlation identified between knowledge level, gender, practice experience, and self-assessment. It is recommended that educational curricula be updated to ensure that clinicians have a better understanding of when to use space maintainers in children.