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Tropical Dental Journal - 1st Pan African international dental journal


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Published in English in Tropical Dental Journal Volume 31 - June 2008 pages 11-19

The need for orthodontic treatment in a school and referred population of Nigeria using the Index of Orthodontic Treatment Need (IOTN)The need for orthodontic treatment in a school and referred population of Nigeria using the Index of Orthodontic Treatment Need (IOTN) est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Article Open access

Authors : K. A Kolawole, O. D. Otuyemi, S. O. Jeboda, A. A. Umweni - Nigeria


Résumé

Objectifs : Déterminer le besoin objectif de traitement orthodontique d'un groupe d'enfants scolarisés et d'une population reçue en consultation, ceci en utilisant l'Indice de Besoins pour le Traitement d'Orthodontie afin d'établir une relation entre le besoin subjectif et objectif de traitement orthodontique.
Patients et méthodes : Le groupe d'étude était constitué de 250 enfants scolarisés et de 157 enfants reçus en consultation au service d'orthodontie du C.H.U Obafemi Awolowo. Ils ont évalué eux-mêmes leur besoin de traitement. Leur moulage ont été également évalué par l'examinateur (KAK) en utilisant l'indice de besoins pour le traitement d'orthodontie.
Résultats : L'évaluation professionnelle du besoin en traitement orthodontique chez les enfants scolarisés montrait les résultats suivants : 62.8 % n'avaient aucun besoin, 30 % un besoin modéré et 7.2 % nécessitaient un grand besoin de traitement orthodontique. La population issue de la consultation représentait respectivement 19.7%, 36.3 % et 43.9 %. En ce qui concerne la santé bucco-dentaire des enfants scolarisés, 66 % n'avaient aucun besoin, 20% un besoin modéré et 14% un réel besoin. Ces pourcentages étaient pour la population venue en consultation, respectivement de 20.4 %, 16.6 % et 63 %. Des différences statistiquement significatives étaient retrouvées dans les deux populations entre l'évaluation subjective du patient et celle du professionnel dentaire. Il n'y avait pas de différence significative en fonction du sexe.
Conclusion : Les résultats de cette étude indiquent que le besoin en orthodontie est évalué différemment par le patient et le professionnel de santé bucco-dentaire. Les traits occlusifs déviants mentionnés par l'indice de besoins en traitement d'orthodontie sont fiables et peuvent être utilisés pour justifier un besoin de traitement.

Abstract
The need for orthodontic treatment in a school and referred population of Nigeria using the Index of Orthodontic Treatment Need (IOTN)

Objectives: To determine the objective orthodontic treatment need of a group of school children and a referred population using the Index of Orthodontic Treatment Need (IOTN) and establish the relationship between subjective and objective orthodontic treatment need.
Participants and methods: The study groups were 250 school children and 157 children referred to the orthodontic unit of the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC). They assessed their need for treatment, their dental casts were also assessed by the examiner (K.A.K) using the IOTN.
Results: The professional assessment of treatment need of the children in the school population based on the Aesthetic Component of IOTN were 62.8% no need, 30% moderate need and 7.2% great need for orthodontic treatment, the referred population had 19.7%, 36.3% and 43.9% respectively. The Dental health component resulted in 66% no need, 20% moderate need and 14% great need for treatment in the school population. These percentages were 20.4%, 16.6% and 63% respectively in the referred population. Statistically significant differences were found between subjective and professional assessment of orthodontic treatment need in both populations. There were no significant gender differences in objective orthodontic treatment need.
Conclusion: The results of the study indicate that there is a difference of opinion on orthodontic treatment need between laypersons and professionals. The IOTN reliably records deviant occlusal traits can be used to prioritize treatment need.

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