Assessment of Malocclusion and Orthodontic Treatment Need Among Hearing and Speech Impaired Children


Affiliations

  • Pt. Deendayal Upadhyay Memorial Health Sciences and Ayush University of Chhattisgarh, Department of Orthodontics and Dentofacial Orthopedics, Rungta College of Dental Sciences & Research, Bhilai, Chhattisgarh, 490024, India

Abstract

Aim: Children with special needs are prone to poor oral health due to their potential sensory, motor and intellectual disturbances. The purpose of this study was to evaluate type and severity of malocclusion and assess orthodontic treatment need in hearing and speech impaired children. Materials and Methods: Sixty-seven hearing and speech impaired children aged 7-14 years studying in special schools in Bhilai and Durg were included in this study. The Dental Health Component (DHC) and Aesthetic Component (AC) of Index of Orthodontic Treatment Need (IOTN) were recorded by one examiner. Data were analysed using student’s t-test and chi-square test at a level of significance of .05. Results: According to AC, 61.2% children had no/little need, 35.8% had moderate need and 3% had great need of orthodontic treatment. According to DHC, 35.8% children had no/little treatment need, 43.3% had moderate need and 20.9% had great treatment need. Chi-square test showed a highly significant gender difference (P<.001), according to gender based DHC grade. Also, a highly significant difference between patient’s perception and orthodontist’s opinion for both AC and DHC (P<.001). Conclusion: The patient’s perception and orthodontist’s opinion differed for assessment of malocclusion of hearing and speech impaired children. There was a moderate need of orthodontic treatment in these children of Bhilai and Durg.

Keywords

Hearing and Speech Impaired, Orthodontic Treatment Need, IOTN

Subject Discipline

Dentistry

Full Text:

References

Ciger S, Akan S. Occlusal characteristics of deaf-mute individuals in the Turkish population. Eur J Dent. 2010; 4:128–136. PMid:20396442. PMCid:PMC2853818

Chaushu S, Becker A. Behaviour management needs for the orthodontic treatment of children with disabilities. Eur J Orthod. 2000; 22:143–149. https://doi.org/10.1093/ejo/22.2.143. PMid:10822887

Avasthi K. Oral health status of sensory impaired children in Delhi and Gurgaon. Int J Dent Clin. 2011; 3:21–23.

Jain M, Bharadwaj SP, Kaira LS, Chopra D, Prabu D, Kulkarni S. Oral health status and treatment need among institutionalised hearing-impaired and blind children and young adults in Udaipur, India. A comparative study. Oral Health Dent Management. 2013; 12:41–49. PMid:23474580

Waldman HB, Perlman SP, Swerdloff M. Orthodontics and the population with special needs. Am J Orthod Dentofacial Orthop. 2000; 118:14–17. https://doi.org/10.1067/mod.2000.105236.PMid:10893467

Waldman HB. Special pediatric population groups and their use of dental services. J Dent Child. 1989; 56:211–215. PMid:2524512

Brook H, Shaw WC. The development of an orthodontic treatment priority index. Eur J Orthod.1989; 11:309–320. https://doi.org/10.1093/oxfordjournals.ejo.a035999. PMid:2792220

Bhowate R, Dubey A. Dentofacial changes and oral health status in mentally challenged children. J Indian Soc Pedod Prev Dent. 2005; 23:71–73. https://doi.org/10.4103/09704388.16445.PMid:16012208

Nowak AJ. Dental care for the handicapped patient – past, present, future. In: Nowak AJ, editor. Dentistry for the Handicapped patient. 1st ed. St. Louis, MO: CV Mosby;1976. p.3–20.

Sarheed M, Bedi R, Hunt NP. Orthodontic treatment need and self-perception of 11-16 year old Saudi Arabian children with a sensory impairment attending special schools. J Orthod. 2003; 30:39–44. https://doi.org/10.1093/ ortho/30.1.39. PMid:12644606

Desai M, Messer LB, Calache H. A study of the dental treatment needs of children with disabilities in Melbourne, Aust Dent J. 2001; 46:41–50. https://doi. org/10.1111/j.1834-7819.2001.tb00273.x. PMid:11355240

Soni S, Aggarwal P, Dua V. The use of Index of Orthodontic Treatment Need (IOTN) in children with special needs. Int J Contemporary Dentistry. 2011; 2:72–79.

Maurya R. Determination of dentofacial deformities & orthodontic treatment requirement in differentially abled children using IOTN. Int J Dent Oral Health. 2015; 1(3):114–118.

Vellappally S, Gardens SJ, Al Kheraif AA, Krishna M, Babu S, et al. The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents. BMC Oral Health. 2014; 14:1–7.

Nguyen SM, Nguyen MK, Saag M, Jagomagi T. The need for orthodontic treatment among Vietnamese school children and young adults. Int J Dent. 2014; 4:1–5. https://doi.org/10.1155/2014/132301. PMid:25136367 PMCid:PMC4130147

Thakur R. Assessment of Severity of Malocclusion and Orthodontic Treatment needs in School children of Bhilai, using Index of Orthodontic Treatment Need (IOTN) - A Perspective Study [Thesis]. Rungta College of Dental Sciences and Research; 2013.

Sharma J, Sharma RD. Assessment of orthodontic treatment need for children in Moradabad, North India. Oral Health Dent Management. 2014; 13:1–6.


Refbacks

  • There are currently no refbacks.