Perception of orthodontic treatment need: opinion comparisons of patients, parents and orthodontists

Abstract

Objective: To investigate the aesthetic perceptions of 100 consecutive patients and their parents of orthodontic treatment need and to compare their observations with that of orthodontists. Methods:The sample consisted of 100 consecutive orthodontic patients seen for the first time at a Nigerian Hospital. Of the total sample, 49 were males and 51 were females, with ages ranging from 7 to 21 years (mean + SD; 12.81 + 3.08). The self-assessment by patients and the recording by parents and orthodontists were carried out using the Aesthetic (AC) and Dental Health (DHC) Components of Index of Orthodontic Treatment Need (IOTN) as applicable. Results:The results showed a strong association in the perception of dental appearance by patients and the views of other dental assessors. These correlations were highly statistically significant (P<0.001) with the highest correlation between the parents and the orthodontists (r =0.791) while the least was between the patients and the orthodontists (r = 0.653). The study also found that about one-half of the patients were in the "definite need for orthodontic treatment". Conclusions: There is a strong relationship in the perceptions of dental appearance by patients, parents and orthodontists. This index could therefore be used as an effective tool in communication and achieving realistic treatment decisions.

Orthodontic treatment motivation and cooperation: A cross-sectional analysis of adolescent patients' and parents' responses

“…However, 77% of their parents seek treatment due to irregular positioning of the teeth, 54% of parents want their children to look nice, and 64% due to fear of being accused that they neglected their parental duties. This findings is contrary to the study by Otuyemi and Kolawole[19] and also that by Marques et al[20]…”

“…Facial attractiveness has been found to be the main motivating factor for orthodontic treatment. [16171819] Esthetic concerns were rated as 91.6% and 93.4% by parents and children, respectively, as the most important factor in the study carried out by Daniels et al[1] This was in agreement with the studies of Wedrychowska-Szulc and Syrynska[2] which reveal esthetics as the main reason why children seek treatment while <5% is due to peer influence. However, 77% of their parents seek treatment due to irregular positioning of the teeth, 54% of parents want their children to look nice, and 64% due to fear of being accused that they neglected their parental duties.…”

“…Previous studies show that parents are usually more motivated for orthodontic treatment than their children,[1214] In a study carried out by Tung and Kiyak,[19] interest on the part of the parents plays a large role in treatment motivation and cooperation. Pratelli et al[21] reported that parents who had been treated themselves or who desired treatment or regretted not being treated or were dissatisfied with their own occlusion perceived orthodontic need in their child.…”

Evaluation of Child Self-perception Regarding Their Oro-dental Status

“…Phase 2 -69 children were examined and data was collected about oral hygiene, DMFT, malocclusion, dental malposition, AC of IOTN [4]. Here a group of 24 children presented diff erent grades of malocclusion, dental malposition, rotation and crowding.…”

Necessidade de tratamento ortodôntico: perceção pelos encarregados de educação e estudantes de medicina dentária

“…11 A opinião dos encarregados de educação comparativamente à dos médicos dentistas poderá ser divergente, sendo este tema controverso na literatura, uma vez que a perceção da necessidade de tratamento ortodôntico (PNTO) é influenciada por viários fatores, como idade, género, entre outros. 3,4,[12][13][14][15] É imprescindível a implementação de tratamentos ortodônticos intercetivos, de forma a prevenirem -se problemas dentofaciais, posturais e psicológicos futuros. Neste sentido é importante que os Encarregados de Educação sejam capazes de detetar alguma anormalidade dentofacial, e procurar tratamento atempado.…”