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J Clin Exp Dent. 2017 Aug 01;9(8):e995-e1001. doi: 10.4317/jced.54005. eCollection 2017 Aug.

Evaluation of the orthodontic treatment need in a paediatric sample from Southern Italy and its importance among paediatricians for improving oral health in pediatric dentistry.

Journal of clinical and experimental dentistry

Valeria Luzzi, Gaetano Ierardo, Denise Corridore, Gabriele Di Carlo, Gianni Di Giorgio, Emanuele Leonardi, Guglielmo-Giuseppe Campus, Iole Vozza, Antonella Polimeni, Maurizio Bossù

Affiliations

  1. Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy.
  2. Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Roma, Rome, Italy.
  3. School of Dentistry, University of Sassari, Italy.
  4. WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, University of Milan, Italy.

PMID: 28936290 PMCID: PMC5601117 DOI: 10.4317/jced.54005

Abstract

BACKGROUND: Data from epidemiological studies investigating the prevalence and severity of malocclusions in children are of great relevance to public health programs aimed at orthodontic prevention. Previous epidemiological studies focused mainly on the adolescence age group and reported a prevalence of malocclusion with a high variability, going from 32% to 93%. Aim of our study was to assess the need for orthodontic treatment in a paediatric sample from Southern Italy in order to improve awareness among paediatricians about oral health preventive strategies in pediatric dentistry.

MATERIAL AND METHODS: The study used the IOTN-DHC index to evaluate the need for orthodontic treatment for several malocclusions (overjet, reverse overjet, overbite, openbite, crossbite) in a sample of 579 children in the 2-9 years age range.

RESULTS: The most frequently altered occlusal parameter was the overbite (prevalence: 24.5%), while the occlusal anomaly that most frequently presented a need for orthodontic treatment was the crossbite (8.8%). The overall prevalence of need for orthodontic treatment was of 19.3%, while 49% of the sample showed one or more altered occlusal parameters. No statistically significant difference was found between males and females.

CONCLUSIONS: Results from this study support the idea that the establishment of a malocclusion is a gradual process starting at an early age. Effective orthodontic prevention programs should therefore include preschool children being aware paediatricians of the importance of early first dental visit.

Conflict of interest statement

Conflict of interest statement:The authors declare that they have no conflict of interest.

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