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The European Journal of Orthodontics Advance Access originally published online on November 21, 2008
The European Journal of Orthodontics 2009 31(1):95-102; doi:10.1093/ejo/cjn069
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© The Author 2008. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

Factors determining perceived orthodontic treatment need in adolescents of Swedish and immigrant background

Eva Josefsson, Krister Bjerklin and Rune Lindsten

Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden

Address for correspondence Eva Josefsson, Department of Orthodontics, The Institute for Postgraduate Dental Education, P.O. Box 1030, SE-551 11 Jönköping, Sweden, E-mail: eva.m.josefsson{at}lj.se


  Abstract

The aim of this study was to evaluate the association between self-perceived orthodontic treatment need and malocclusion in 12 to 13-year-old-adolescents of Swedish and immigrant background. The sample consisted of 379 students, stratified according to geographic background: both parents born in A/Sweden (n = 269), B/Eastern Europe (n = 56), and C/the Middle East (n = 54). Registrations were based on a questionnaire, a clinical examination, radiographs, and patient records. Treatment need was classified according to the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN). Logistic regression analysis was used for comparison of the results.

There was a strong association between subjects who thought that they needed an orthodontic appliance and IOTN-DHC grades 4 and 5, an anterior crossbite, those who avoided smiling because of their teeth, and those who considered their teeth to be somewhat worse or much worse than those of their peers. The self-perceived need for orthodontic treatment was significantly (P < 0.05) higher in the Swedish than in the eastern European group.


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