Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children

Malocclusion represents a public health problem in Chile. Government policies create preventive and interceptive programs for these conditions. Nevertheless, there are no uniform criteria for the selection of patients who need early treatment; the decision is made by a specialist during orthodontic...

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Autores principales: Sandoval Vidal,Paulo, Ceballos Casanova,Mónica, Acevedo Atala,Claudia, Jans Muñoz,Alejandra
Lenguaje:English
Publicado: Universidad de La Frontera. Facultad de Medicina 2010
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2010000100010
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spelling oai:scielo:S0718-381X20100001000102012-01-19Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in ChildrenSandoval Vidal,PauloCeballos Casanova,MónicaAcevedo Atala,ClaudiaJans Muñoz,Alejandra malocclusion occlusal index screening Malocclusion represents a public health problem in Chile. Government policies create preventive and interceptive programs for these conditions. Nevertheless, there are no uniform criteria for the selection of patients who need early treatment; the decision is made by a specialist during orthodontic treatment. Here, we propose the Index for Early Intervention (IEI) for early detection of malocclusions. We treat malocclusions with a simple interceptive treatment to minimize or eliminate the need for orthodontic treatment in a child population. Furthermore, the IEI can be used in general dentistry as a screening method. The purpose of this study was to compare the reliability and validity of an index used to assess the need for orthodontic treatment, as compared to the view of a panel of experts formed by three orthodontists. We used a set of 55 study casts representing all types of malocclusion. The accuracy of the diagnostic or the validity of each index was calculated using the opinions of three orthodontic raters as a “gold standard;” these measures obtained an agreement of 0.82. Receiver Operating Characteristic curves was plotted for the index. Results: Diagnostic accuracy was determined by the area under the curve, the cut point was 20, sensitivity was 0.977 and specificity was 0.167. Conclusions: This occlusal index provided valuable information for selecting children in need of early and simple orthodontic treatment.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.4 n.1 20102010-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2010000100010en10.4067/S0718-381X2010000100010
institution Scielo Chile
collection Scielo Chile
language English
topic malocclusion
occlusal index
screening
spellingShingle malocclusion
occlusal index
screening
Sandoval Vidal,Paulo
Ceballos Casanova,Mónica
Acevedo Atala,Claudia
Jans Muñoz,Alejandra
Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
description Malocclusion represents a public health problem in Chile. Government policies create preventive and interceptive programs for these conditions. Nevertheless, there are no uniform criteria for the selection of patients who need early treatment; the decision is made by a specialist during orthodontic treatment. Here, we propose the Index for Early Intervention (IEI) for early detection of malocclusions. We treat malocclusions with a simple interceptive treatment to minimize or eliminate the need for orthodontic treatment in a child population. Furthermore, the IEI can be used in general dentistry as a screening method. The purpose of this study was to compare the reliability and validity of an index used to assess the need for orthodontic treatment, as compared to the view of a panel of experts formed by three orthodontists. We used a set of 55 study casts representing all types of malocclusion. The accuracy of the diagnostic or the validity of each index was calculated using the opinions of three orthodontic raters as a “gold standard;” these measures obtained an agreement of 0.82. Receiver Operating Characteristic curves was plotted for the index. Results: Diagnostic accuracy was determined by the area under the curve, the cut point was 20, sensitivity was 0.977 and specificity was 0.167. Conclusions: This occlusal index provided valuable information for selecting children in need of early and simple orthodontic treatment.
author Sandoval Vidal,Paulo
Ceballos Casanova,Mónica
Acevedo Atala,Claudia
Jans Muñoz,Alejandra
author_facet Sandoval Vidal,Paulo
Ceballos Casanova,Mónica
Acevedo Atala,Claudia
Jans Muñoz,Alejandra
author_sort Sandoval Vidal,Paulo
title Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
title_short Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
title_full Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
title_fullStr Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
title_full_unstemmed Orofacial Characteristics in Relation to the Need of Orthodontic Treatments in Children
title_sort orofacial characteristics in relation to the need of orthodontic treatments in children
publisher Universidad de La Frontera. Facultad de Medicina
publishDate 2010
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2010000100010
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