Assessment of IOTN application among dental undergraduates-A pilot study
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Keywords

Aesthetic component (AC)
Boley Gauge
Dental health component (DHC),
Epidemiology
Index of orthodontic treatment need (IOTN)
Undergraduates

Abstract

Background: Various oral health problems can be affected with the presence of malocclusion such as compromising on dentofacial esthetics, speech, mandibular function, and psychological wellbeing of the individual. The degree of severity of malocclusion needs to be evaluated beforehand to plan orthodontic treatment accurately. This study was done to assess the application of dental health component and aesthetic component of IOTN among dental undergraduates. Materials and Methods: The sample consisted of 40 BDS students (24 females and 16 males) belonging to 2012-13 batch in their final year with a mean age of 24±2 years for grading the study models and photographs from the orthodontic department patient record library. The cast and photographs were examined for the dental health component (DHC) and esthetic component (EC) at faculty of dentistry, SEGi university. Results: The mean measurements of overjet, crossbite, displacement and overbite were 3.85mm, 4.09mm, 6.63mm and 4.34mm respectively of the students as against 3.50mm, 4.50mm, 7.00mm and 4.00mm of the control. The mean measurements were almost like the control value in overbite, crossbite and displacement. However, there was some variation with the measurement of overjet. 75% of students were able to get similar results as the control in the dental health component of IOTN while only 25% managed to get similar results with the control with the aesthetic component. Conclusion: Therefore, this suggests more emphasis is required in training before the skill demonstration of recording dental health component parameters and aesthetic component appreciation which can bias the overall grading and referral.

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References

Proffit WR, Fields Jr HW, Sarver DM. Contemporary Orthodontics. Fourth Edition: Mosby-Elsevier Inc. 2007. Chapter I, Malocclusion and dentofacial deformity in contemporary society; p.18-21.

Mtaya M, Brudvik P and Astrom AN. Prevalence of malocclusion and its relationship with socio- demographic factors, dental caries, and oral hygiene in 12- to 14-year old Tanzanian school children. Eur J Orthod. 2009;31:467-476.

Tulloch lFC, Shaw WC, Underhill C, et al. A comparison of attitudes toward orthodontic treatment in British and American communities. Am J Orthod. 1984; 85: 253-59.

Sharma J, Sharma RD. IOTN- a tool to prioritize treatment need in children and plan dental health services. Oral Health Dent Manag. 2014;13:65-70.

Summers CJ. The occlusal index: a system for identifying and scoring Occlusal disorders. Am J Orthod. 1971;59:552-567.

Grainger RM. Orthodontic Treatment Priority Index. Vital Health Stat. 2 1967;25:1-49.

Espeland LV, Ivarsson K and Stenvik A. A new Norwegian index of orthodontic treatment need related to orthodontic concern among 11-year-olds and their parents. Community Dent Oral Epidemiol. 1992;20:274-279.

Fox N, Daniels C, Gilgrass T. A comparison of the Index of Complexity Outcome and Need (ICON) with the Peer Assessment Rating (PAR) and the Index of Orthodontic Treatment Need (IOTN). Br Dent J. 2002;193:225-230.

de Oliveira CM. The planning, contracting and monitoring of orthodontic services, and the use of the IOTN index: a survey of consultants in dental public health in the United Kingdom. Br Dent J. 2003;195:704-706.

Abdullah M S B, Rock W P. Perceptions of dental appearance using Index of Treatment

Need (Aesthetic Component) assessments. Community Dent Health. 2002;19:161-165.

Cousley R. IOTN as an assessment of patient eligibility for consultant orthodontic care. J Orthod,2013;40:271-272.

Jawad Z, Bates C, Hodge T. Can dental registrants use the Index of Orthodontic Treatment Need accurately? Part 2. Factors influencing knowledge of IOTN among dental registrants. Br Dent J. 2016;220:527-532.

Jawad Z, Bates C, Hodge T. Can dental registrants use the Index of Orthodontic Treatment Need accurately? Part 2. Factors influencing knowledge of IOTN among dental registrants. Br Dent J. 2016;220:591-595.

Reddy S, Derringer KA, Rennie L. Orthodontic referrals: why do GDPs get it wrong? Br Dent J. 2016;221:583-587

Brook PH and Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11:309-320.

Proffit WR, Fields HW, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: Estimates from the NHANES-III survey. Int J Adult Orthod Orthogn Surg. 1998; 13: 97-106.

Hamdan AH. The relationship between patient, parent and clinician perceived need and normative Orthodontic treatment need. Eur J Orthod. 2004;26:265-271.

Holmes A, Willmot DR. The Consultant Orthodontists Group 1994 survey of the use of the Index of Orthodontic Treatment Need (IOTN). Br J Orthod. 1996;23:57-59.

Bhagyalakshmi Avinash et al., The Index of Orthodontic Treatment Need- A Review. Int J Recent Sci Res. 2015; 6:5835-5839.

Popat H, Corns S, Richmond S and Playle R. Preparing for practice – calibration of dental undergraduate students in the index of orthodontic treatment need. Br Dent J. 2013; 215: 469-71.

Loke ST. Efficacy Of Training Dental Officers In The Index Of Orthodontic Treatment Need (IOTN). Malaysian Dent J. 2007;28: 24-31.

Gilmour ASM, Jones RJ, Cowpe JG and Bullock AD. Clinical skills of a new foundation dentist: the expectations of dental foundation education supervisors. Br Dent J. 2018;225:73-80.

Puri A, Ho-A-Yun J, McGuinness NJ. Use and knowledge of IOTN among GDPs in Scotland. Br Dent J. 2015;218:399-404.

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