Comparison of orthodontic treatment need by professionals and parents with different socio-demographic characteristics

Abstract

The aim of this study was to compare the socio-demographic features and self-perception of parents concerning the malocclusion of their children with the orthodontist's opinion of normative orthodontic treatment need. The parents of 208 children (101 girls and 107 boys, between 9 and 18 years: mean 12.8 ± 2.5), who sought orthodontic treatment were asked to score the dental attractiveness of their children using the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN). These scores were then compared with those of the orthodontist, who also scored the Dental Health Component (DHC) of the IOTN. The influence of the socio-demographic features of the parents on both the orthodontist- and parent-rated IOTN scores was assessed. The AC grade of the IOTN and patient characteristics were tested with the Spearman's correlation coefficient (rho). The difference between the two dependent variables (orthodontists' and parents' AC grade) was compared using Wilcoxon's test. A high need for orthodontic treatment was recorded in 74.0 per cent of the subjects. Although orthodontists rated 51.4 per cent of the patients as having a severe malocclusion on aesthetic grounds, only 33.6 per cent of parents rated their child malocclusion as severe. Although socio-demographic factors were not related to the parents' perception of malocclusion, they had an influence on orthodontic treatment need as assessed by the orthodontist. Parents, in this study population, rated their children's orthodontic treatment need less severely than the orthodontist regardless of their socio-demographic characteristics. Thus, orthodontists should involve parents in the orthodontic treatment decision-making process.

Fatores individuais e contextuais associados à má oclusão em crianças brasileiras

“…6,12,17 Using multilevel analysis was due to the importance of investigating interactions between variables on different levels (individual and contextual), which showed greater statistical effi ciency, more power and less bias than the one contained in a multivariate analysis as the logistic regression. 7 The study highlighted the infl uence of variables related to the socioeconomic context on the severity of malocclusion.…”

Total and Interregional Differences of the Need for Orthodontic Treatment in Turkey: Epidemiologic Surveillance Analysis

“…In previous studies, the study samples were collected from one region and assumed to represent the whole population. 9,11,17,21,22,24 This may be true for under- Reverse overjet greater than 3.5 mm with reported masticatory or speech difficulties. Impeded eruption of teeth (with the exception of third molars) due to crowding, displacement, the presence of supernumerary teeth, retained primary teeth, and any other pathological cause.…”

“…Similarly, orthodontic investigations of treatment need were performed in the Mediterranean region of Turkey. 22,23 However, there is yet no study that covers all regions and comparatively evaluates their need for orthodontic treatment.…”

Orthodontic Treatment Need, Self-Esteem, and Oral Health-Related Quality of Life Assessment of Primary Schoolchildren: A Cross-Sectional Pilot Study

“…Despite the increasing attention drawn to the field of quality of life studies, orthodontic treatment need and patient triage is often carried out using clinically defined norms in Turkey. [24][25][26][27] Dogan et al…”