Alhummayani Fadia M, Taibah Salwa M
Department of Orthodontic, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2018 Aug;39(8):822-828. doi: 10.15537/smj.2018.8.22337.
To evaluate orthodontic treatment needs using the index of orthodontic treatment need (IOTN) components and to estimate the required manpower in the city of Jeddah, Saudi Arabia.
A cross-sectional study involving 670 participants (390 females and 280 males) collected between November 2016 and April 2017, whose ages ranged from 12-19 years from secondary and high school students. Treatment needs were estimated using the IOTN components, dental health component (DHC), and aesthetic component (AC).
The results according to the severity of malocclusion using IOTN-DHC found that 24.3% of the cases required severe/extreme need and 54.3% were in the no/slight need category. The most frequent types of malocclusion were crowding (48.8%) followed by increased overjet (21.8%), and spacing (16.1%). Using Pearson's Chi-squared test, there was a statistically significant association (p less than 0.001) between IOTN-DHC and IOTN-AC; 51.2% of the sample was in agreement at the mild need category, indicating a strong correlation, with a coefficient of 0.687.
According to the IOTN's components, the present study showed that almost one-quarter of the sample had a severe/extreme need for orthodontic treatment. The most frequent type of malocclusion traits according to the severity was crowding followed by increased overjet and then spacing. The Ministry of Health must employ 90-110 orthodontists in Jeddah to meet the demands of the definite needs for orthodontics in adolescents.
使用正畸治疗需求指数(IOTN)的组成部分评估正畸治疗需求,并估计沙特阿拉伯吉达市所需的人力。
一项横断面研究,于2016年11月至2017年4月收集了670名参与者(390名女性和280名男性),他们是来自初中和高中的12至19岁学生。使用IOTN的组成部分、牙齿健康组成部分(DHC)和美学组成部分(AC)来估计治疗需求。
根据IOTN-DHC评估的错牙合畸形严重程度结果显示,24.3%的病例需要严重/极重度治疗,54.3%属于无需/轻度治疗类别。最常见的错牙合畸形类型是牙列拥挤(48.8%),其次是覆盖增加(21.8%)和牙列间隙(16.1%)。使用Pearson卡方检验,IOTN-DHC和IOTN-AC之间存在统计学显著关联(p小于0.001);51.2%的样本在轻度治疗类别上一致,表明相关性很强,系数为0.687。
根据IOTN的组成部分,本研究表明,近四分之一的样本有严重/极重度正畸治疗需求。根据严重程度,最常见的错牙合畸形特征类型是牙列拥挤,其次是覆盖增加,然后是牙列间隙。卫生部必须在吉达雇用90 - 110名正畸医生,以满足青少年对正畸治疗明确需求。