“…The validation panel judged grades 1-4 to represent 'no or little need', grades 5, 6, and 7 as 'borderline need', and grades 8, 9, and 10 to represent a clear need for treatment on aesthetic grounds. However, different cut-off points and major changes in the Aesthetic and Dental Health Components of the IOTN has been suggested (Lunn et al, 1993;Beglin et al, 2001). An improved reliability has been reported for the IOTN if both Dental Health and Aesthetic Components were reduced to three grades (Lunn et al, 1993).…”