Evaluation of relationship between orthodontic treatment need according Dental Aesthetic Index (DAI) and student's perception in 11-14 year old students in the city of Shiraz in 2012

Abstract

Although the demand for orthodontic treatment is affected by understanding the needs for treatment and costs, patients' concerns do not always match with experts' assessments. Studies have reported various degrees of correlation between patients' perception of need for treatment and treatment needs based on abnormalities. Yet, no study has reported the correlation to exceed 60%, and treatment need indexes normally ABSTRACT Background: Although the demand for orthodontic treatment is affected by understanding the needs for treatment and costs, patients' concerns do not always match with expert's assessments. To gain a clearer understanding of children's orthodontic needs, treatment recommendations and how an abnormality can affect a child's quality of life is critical. Information on the relationship between assessment of need for treatment and an individual's perception of need for orthodontic treatment is of great interest for orthodontic service providers. The present study aimed to assess the relationship between need for orthodontic treatment according to Dental Aesthetic Index (DAI) and individuals' perception of need for treatment in 11-14 year old students. Methods: In this study, 240 primary and middle school students from the four educational districts of Shiraz were selected through multi-stage random sampling and completed the study questionnaire. Then dental examination was done by the dentist according to DAI index to determine the student's need for orthodontic treatment. Results: According to the results, 73.8% of the students had DAI score of13-25 (little or no need for treatment), 15.2% had DAI score of 25-30 (specific malocclusion with elective need for treatment), 4.4% had DAI score of 30-35 (severe malocclusion with extreme need for treatment), and 6.7% had DAI score exceeding 35 indicating their serious need for orthodontic treatment. The total mean score of DAI was 23.57. Conclusion: The results revealed a significant relationship between the students' perception of need for treatment and professional assessment of need for orthodontic treatment based on DAI index (P = 0.002).

The Effect of Orthodontic Intervention on Mental Health and Body Image

“…Making coordination between the upper and lower teeth, orthodontic intervention can improve the performance of chewing and crushing and, consequently, prevent indigestion in the long run. Together with tooth alignment, orthodontics can improve the health of the teeth and the gums [ 7 ]. Since orthodontic treatments can directly change clients’ appearance and face, there is a need for orthodontic experts to recognize the underlying issues of social psychology and facial attractiveness theory [ 8 ].…”

Malocclusion and orthodontic treatment needs among Tanta secondary school students

“…DAI is designed to assess the relative social acceptability of dental appearance based upon public perception of the dental aesthetic in all countries without adjusting it for each country (3) . Therefore, it has become a universally accepted method for reliably assessing occlusion and objectively comparing the malocclusion in different populations (17) . In this study, a representative sample was attempted by following the pathfinder survey methodology as guided by WHO, 2013 including non-orthodontically treated students of both sexes at different types of secondary schools and different geographic locations in Tanta city.…”

“…DAI scores are designed to reflect aesthetic and psychosocial values without the perceived bias of most other indices (11,12) . With the adoption of DAI by the WHO coupled with its simplicity and high examiner reliability, the index has gained a great international potential to assess various levels of malocclusion and orthodontic treatment needs in epidemiological studies (13)(14)(15)(16)(17) .…”

Parent’s Experiences During Orthodontic Treatment of Their Children With Cleft Lip and Palate: Phenomenological Study

“…At present, many of the dental and maxillofacial deformities of patients with CLP are corrected by orthodontic interventions. Orthodontic treatment creates a harmony between the function of the upper and lower teeth in mastication and promotes dental and gingival health (Danaee et al, 2015).…”