Burhan Ahmad S, Nawaya Fehmieh R
aDepartment of Orthodontics, Faculty of Dentistry, Damascus University bDepartment of Pediatric Dentistry, Faculty of Dentistry, Syrian Private University, Damascus, Syria.
J Egypt Public Health Assoc. 2016 Jun;91(2):90-4. doi: 10.1097/01.EPX.0000483238.83501.60.
Preventing or intercepting a developing malocclusion in a public health program requires identifying or measuring the degree of malocclusion. The present study aimed to quantify the proportion of Syrian children in Damascus who would benefit from preventive and interceptive orthodontic treatment.
In total, 1096 children (431 boys and 665 girls) of grade 1 up to grade 3 from 16 government elementary schools in Damascus city were evaluated using the index for preventive and interceptive orthodontic need (IPION). On the basis of IPION, the overall scores of children were distributed into three groups - no treatment need, moderate treatment need, and definite treatment need. According to dental development, children were divided into two groups - IPION-6 and IPION-9.
Of the enrolled children, 15.4% showed no treatment need, 26.7% showed moderate treatment need, and 57.9% showed definite treatment need. Comparison between male and female children indicated no significant effect on the overall treatment need distribution (P=0.439). The IPION groups had a significant effect on treatment distribution (6 vs. 9, P=0.038); the IPION-9 scores were significantly higher than the IPION-6 scores.
The prevalence of preventive and interceptive orthodontic needs is unsatisfactorily high in Syrian children, which emphasizes the importance of including preventive and interceptive orthodontic treatment in the local dental healthcare program.
在公共卫生项目中预防或阻断正在发展的错牙合畸形需要识别或测量错牙合畸形的程度。本研究旨在量化大马士革市叙利亚儿童中可从预防性和阻断性正畸治疗中受益的比例。
使用预防性和阻断性正畸需求指数（IPION）对大马士革市16所政府小学一年级至三年级的1096名儿童（431名男孩和665名女孩）进行评估。根据IPION，将儿童的总体得分分为三组——无需治疗、中度治疗需求和明确治疗需求。根据牙齿发育情况，将儿童分为两组——IPION-6和IPION-9。
在登记的儿童中，15.4%显示无需治疗，26.7%显示中度治疗需求，57.9%显示明确治疗需求。男童和女童之间的比较表明，对总体治疗需求分布没有显著影响（P = 0.439）。IPION组对治疗分布有显著影响（6对9，P = 0.038）；IPION-9得分显著高于IPION-6得分。
叙利亚儿童预防性和阻断性正畸需求的患病率高得令人不满意，这凸显了将预防性和阻断性正畸治疗纳入当地牙科保健项目的重要性。
