Orthodontic treatment need and occlusal traits in the early mixed dentition among 8-9-year old Saudi children

Purpose The present study aimed to assess the prevalence of occlusal traits and to evaluate the orthodontic treatment need among children aged 8-9 years in Al Ahsa, Eastern region of Saudi Arabia. Materials and Methods A descriptive cross-sectional study was conducted among 282 Saudi children who were randomly selected from those visiting dental outpatient clinics at the College of dentistry in King Faisal University, AlAhsa. All the children were evaluated using the DHC and AC components of Index of Orthodontic Treatment Need (IOTN). Descriptive statistics, chisquare test and Fisher’s Exact test were used for data analysis with statistical significance set at p< 0.05. Results The most prevalent malocclusal trait was crowding (39.7%) followed by increased overjet (28.4%). About 30.9% and 17% of the children were in definite need for orthodontic treatment according to DHC and AC of IOTN, respectively. There was no statistical difference in the distribution of DHC (p=0.116) and AC (p=0.177) scores between the gender. Conclusion This study demonstrated high percentage of malocclusal traits and orthodontic treatment need in the mixed dentition period among 8-9-year-old children in the Eastern region. Emphasis should be placed on early orthodontic screening and treatment in the mixed dentition stage of dental development.

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  • 1. Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod 1989;11: 309-20. [CrossRef ]
  • 2. Richmond S, Shaw W, O’brien K, Buchanan I, Jones R, Stephens C, et al. The development of the PAR index (Peer Assessment Rating): reliability and validity. Eur J Orthod 1992; 14: 125-39. [CrossRef ]
  • 3. Daniels C, Richmond S. The development of the index of complexity, outcome and need (ICON) J Orthod 2000; 27: 149-62.
  • 4. Coetzee CE. Development of an index for preventive and interceptive orthodontic needs (IPION) [MSc dissertation]. South Africa: University of Pretoria; 1999. URI: http://hdl.handle. net/2263/25984.
  • 5. Akbari M, Lankarani KB, Honarvar B, Tabrizi R, Mirhadi H, Moosazadeh M. Prevalence of malocclusion among Iranian children: A systematic review and meta-analysis. Dent Res J (Isfahan) 2016; 13: 387-95. [CrossRef ]
  • 6. Mugonzibwa EA, Eskeli R, Kuijpers-Jagtman AM, LaineAlava MT, van’t Hof MA. Occlusal characteristics during different emergence stages of the permanent dentition in Tanzanian Bantu and Finnish children. Eur J Orthod 2004; 26: 251-60. [CrossRef ]
  • 7. Steinmassl O, Steinmassl PA, Schwarz A, Crismani A. Orthodontic Treatment Need of Austrian Schoolchildren in the Mixed Dentition Stage. Swiss Dent J 2017; 127: 122-28.
  • 8. Nur Yilmaz RB, Oktay I, Ilhan D, Fişekçioğlu E, Özdemir F. Normative and subjective need for orthodontic treatment within different age groups in a population in Turkey. Niger J Clin Pract 2017; 20: 1632-8.
  • 9. Rapeepattana S, Thearmontree A, Suntornlohanakul S. The prevalence of orthodontic treatment need and malocclusion problems in 8–9-year-old schoolchildren: A study in the south of Thailand. APOS Trends Orthod 2019; 9: 99-104. [CrossRef ]
  • 10. Alsughier ZA. Prevalence of malocclusal traits among 6–9-year- old male schoolchildren in Rass, Saudi Arabia. J Int Oral Health 2019; 11: 384-7. [CrossRef ]
  • 11. Albakri FM, Ingle N, Assery MK. Prevalence of malocclusion among male school children in Riyadh city. Open Access Maced J Med Sci 2018; 6: 1296-9. [CrossRef ]
  • 12. Alharbi F. The prevalence of malocclusion traits in Saudi Arabia 2015–2019: An epidemiological cross sectional study. J Int Oral Health 2020; 12: 129-34. [CrossRef ]
  • 13. Mohammed Almalky N, Mohammad Elattar H. Prevalence of different types of malocclusion among school children in Makkah Governorate of Saudi Arabia. Int J Dent Oral Sci 2018; 5: 645-8.
  • 14. Recommended infection-control practices for dentistry, 1993 Centers for Disease Control and Prevention. MMWR Recomm Rep 1993; 42(RR-8):1–12.
  • 15. Yu X, Zhang H, Sun L, Pan J, Liu Y, Chen L. Prevalence of malocclusion and occlusal traits in the early mixed dentition in Shanghai, China. Peer J 2019; 7: e6630.
  • 16. Burden DJ, Pine CM, Burnside G. Modified IOTN: an orthodontic treatment need index for use in oral health surveys. Community Dent Oral Epidemiol 2001; 29: 220-5. [CrossRef ]
  • 17. Sandoval VP, Ceballos CM, Acevedo AC, Jans MA. Orofacial characteristics in relation to the need of orthodontic treatments in children. Int J Odontostomat 2010; 4:59-64. [CrossRef ]
  • 18. Baeshen H. The Prevalence of Major Types of Occlusal Anomalies among Saudi Middle School Students. J Contemp Dent Pract 2017; 18: 142-6. [CrossRef ]
  • 19. Alhummayani FM, Taibah SM. Orthodontic treatment needs in Saudi young adults and manpower requirements. Saudi Med J 2018; 39: 822-8. [CrossRef ]
  • 20. Alajlan SS, Alsaleh MK, Alshammari AF, Alharbi SM, Alshammari AK, Alshammari RR. The prevalence of malocclusion and orthodontic treatment need of school children in Northern Saudi Arabia. J Orthod Sci 2019; 8:10. [CrossRef ]
  • 21. Mohamed M Alizae, Ariffin WFM, Rosli TI, Mahyuddin Alida. The feasibility of Index of Orthodontic Treatment Need (IOTN) in labial segment malocclusion among 8-10 years old. Arch Orofac Sci 2014; 9: 76-84.
  • 22. Abu-Fanas A, Hashim R, Al-Ali S. Orthodontic treatment needs among 9-12 years old children in the Emirate of Ajman, United Arab Emirates. J Adv Oral Res 2015; 6: 39-42. [CrossRef ]
  • 23. Grzywacz I. The value of the aesthetic component of the Index of Orthodontic Treatment Need in the assessment of subjective orthodontic treatment need. Eur J Orthod 2003; 25: 57–63. [CrossRef ]
  • 24. Hammad M, Awad M. Orthodontic treatment need in Egyptian schoolchildren. Pediatr Dent Journal 2013; 21: 39-43. [CrossRef ]
  • 25. daCosta OO, Aikins EA, Isiekwe GI, Adediran VE. Malocclusion and early orthodontic treatment requirements in the mixed dentitions of a population of Nigerian children. J Orthod Sci 2016; 5: 81-6. [CrossRef ]
  • 26. Fatani NH, Hammam MB, Oraif H, Taher S, Taju W, Bukhari O. Prevalence of Malocclusion among Schoolchildren in Makkah, Saudi Arabia. Open Access Maced J Med Sci 2019; 7: 856-81. [CrossRef ]