Comparison of the malocclusion and orthodontic treatment needs of Down syndrome and non‐syndromic subjects by using the dental aesthetics index

Mohamed, Alizae Marny Fadzlin Syed; Wei, Tan; Sean, Cheh Jing; Rosli, Tanti Irawati

doi:10.1111/scd.12790

Cited by 4 publications

(1 citation statement)

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“…Malocclusions can be caused by a number of factors, including inherited, environmental, or a combination of both, as well as regional ones like poor dental cleanliness habits and irregular tooth development in terms of placement, form, and size. 3 Throughout adolescence, as the permanent dentition is beginning to form, malocclusion treatments are usually given. Adolescence is also considered to begin at this age, when a person begins to feel that his or her look is very important and has gained the freedom to unilaterally request or reject orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Assessment of malocclusion and patients' need for orthodontic treatment.

Ariffullah Khan,

Aasim Masood,

Muhammad Salman Khan

et al. 2023

TPMJ

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Objective: To document the frequency of various classes of Angle’s malocclusion and its treatment need among children of both gender between 13-17 years age attending government high schools in Peshawar District. Study Design: Cross sectional study. Setting: Khyber Medical University Institute of Dentistry. Period: Jan 2020 to Nov 2021. Material & Methods: 900 patients of both genders between the ages of 13 and 17 were used in the current investigation. A performa was used to record malocclusions e.g. Angle's classification, overjet, overbite, open bite and cross bite. For various malocclusions, the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN) index was reported. Results: We looked at 900 students between the ages of 13 and 17 whose guardians had signed a written consent form. Among the 900 students who were examined, 60% (540) were males, and 40% (360) were females. 175 individuals had normal dental health, 420 had class 1 malocclusions, 265 had class 2s, and 40 had class 3s. Overjet was excessive in 210 cases and reduced in 53. Overbite was excessive in 201 cases and reduced in 34. In 185, there was an open bite. The difference was significant (P < 0.05). In 489 cases, DHC grade I and II, 310 cases, grade III, and 101 cases, grade IV, and grade V. The difference was significant (P< 0.05). Conclusion: The most frequent malocclusion is class 1. DHC grades I and II were more frequently observed in patients. Malocclusion can be identified using the Dental Health Components (DHC) of the Index of Orthodontic Treatment Need (IOTN).

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Section: Introductionmentioning

confidence: 99%

Assessment of malocclusion and patients' need for orthodontic treatment.

Ariffullah Khan,

Aasim Masood,

Muhammad Salman Khan

et al. 2023

TPMJ

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Development and evaluation of a new website on oral health and Down syndrome

Otero,

Mundiña,

García‐Mato

et al. 2024

Special Care in Dentistry

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AimsThe objective of this study was to develop a new website in Spanish on oral health and dental care for use by the relatives/caregivers of individuals with Down syndrome, with the aim of incorporating the strengths and avoids the deficiencies of existing websites.MethodsA freely accessible website was developed with dental content, whose access criteria included the age of the individual undergoing the consultation and the area of interest (tongue or teeth disease, oral functionality, oral hygiene, and dental visits). The definitive version of the website was analyzed by five external examiners, applying the DISCERN criteria and the Questionnaire to Evaluate Health Web Sites According to European Criteria (QEEC). The website's traffic during the first year of activity was recorded.ResultsThe new website is known as “DentiDown”, and its access domain is https://odontoloxia‐accessible.org/dentidown/. On the home screen, the age group of interest to the user can be accessed. A dropdown menu then opens, listing the various options according to the area of interest. The oral hygiene section provides advice for improving toothbrushing efficacy through demonstration videos. With the DISCERN tool, an overall score of 4.75 ± 0.5 was achieved. With the QEEC, the external examiners’ general opinion was highly favorable. The website received the seal of quality from the Accredited Medical Web (AMW). During the first year of activity, a total of 4536 visits from a total of 45 countries were recorded.ConclusionA new Spanish website has been developed on oral health for use by the relatives/caregivers of individuals with Down syndrome. The website has been favorably evaluated by external experts and, to date, is the only one with these characteristics with the AMW seal of quality.

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Orofacial findings and orthodontic treatment conditions in patients with down syndrome – a retrospective investigation

et al. 2023

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Introduction The most common chromosomal anomaly is Down syndrome/Trisomy 21, which can be associated with varying degrees of intellectual disability and physical malformation. Specific orofacial characteristics regarding orthodontic treatment options and features are described on the basis of a patient collective from the Witten/Herdecke University, Germany. Methods Data of 20 patients (14 boys and 6 girls, mean age: 11.69 ± 3.94 years) who underwent orthodontic treatment between July 2011 and May 2022 were analyzed. Baseline skeletal and dental conditions were assessed, as well as the presence of hypodontia, displacements, and treatment-related root resorptions. The treatment need was evaluated based on the main findings according to the German KIG classification. In addition, treatment success was determined in relation to patient compliance. Results The patient group was characterized predominantly by a class III relationship (ΔANB: −2.07 ± 3.90°; ΔWITS: −3.91 ± 4.33 mm) and a brachyfacial cranial configuration (ΔML-NL: −4.38 ± 7.05°, ΔArGoMe: − 8.45 ± 10.06°). The transversal discrepancy of the dental arch width from maxilla to mandible was −0.91 ± 3.44 mm anteriorly and −4.4 ± 4.12 mm posteriorly. Considering the orthodontic indication groups, the most frequent initial finding and treatment indication represented hypodontia (85%), followed by frontal (75%) and unilateral lateral (35%) crossbite. In 55% of the cases, the teeth had a regular shape, but in 35% a generalized and in 15% an isolated hypoplasia. Only 25% of the patients could be treated with a fixed multiband appliance due to sufficient cooperation. In each of these patients, varying degrees of root resorptions were detected during treatment, and 45% of all treatments had to be terminated prematurely due to a lack of cooperation by patients or parents. Conclusion The extent of dental and skeletal malformations and the high rate of findings requiring treatment in patients with Down syndrome represent a significant indication for orthodontic therapy, which can be well illustrated by the KIG classification. However, this is in contrast to the eventually increased risk of root resorption, with significantly reduced patient cooperation. A compromised treatment outcome and process must be expected. Consequently, the orthodontic treatment must be simple and realistic to achieve fast and therapeutically satisfactory treatment result.

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Comparison of the malocclusion and orthodontic treatment needs of Down syndrome and non‐syndromic subjects by using the dental aesthetics index

Cited by 4 publications

References 30 publications

Assessment of malocclusion and patients' need for orthodontic treatment.

Assessment of malocclusion and patients' need for orthodontic treatment.

Development and evaluation of a new website on oral health and Down syndrome

Orofacial findings and orthodontic treatment conditions in patients with down syndrome – a retrospective investigation

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