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The European Journal of Orthodontics Advance Access published online on November 9, 2006

The European Journal of Orthodontics, doi:10.1093/ejo/cjl045
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© The Author 2006. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

Article

Orthodontic treatment need in French schoolchildren: an epidemiological study using the Index of Orthodontic Treatment Need

Mourad Souames 1 *, Francis Bassigny 2, Nil Zenati 2, Paul J. Riordan 3, and Marie Laure Boy-Lefevre 1

1 Department of Epidémiologie-Prévention-Economie de la santé, Paris University 7, France
2 Department of d'Orthopédie Dento-Faciale of Faculté d' Odontologie, Paris University 7, France
3 Department of Public Health of Faculté d' Odontologie, Clermont-Ferrand University, France

* To whom correspondence should be addressed.
Mourad Souames, E-mail: msouames{at}voila.fr


   Abstract

This survey was undertaken to assess the orthodontic treatment need in a sample of 9- to 12-year-old French children (mean age: 9.77 years; standard deviation: 0.84) attending 12 different schools in the same geographic area of Ile de France. Two examiners used the Index of Orthodontic Treatment Need (IOTN) in order to estimate treatment need. Five hundred and eleven children (268 males, 243 females) who had not previously received orthodontic treatment were examined. Two examiners, who had been previously trained in the use of occlusal indices, screened all the schoolchildren. No radiographs, study casts, or previously written records of the children were used; the IOTN was calculated from direct examination.

Qualitative data were analysed using the chi-square test to determine differences in treatment need between subgroups of subjects, and kappa({kappa}) statistics to analyse the findings. A correlation coefficient was used to compare professional assessments.

Twenty-one per cent of the children presented an objective need for orthodontic treatment, 28 per cent had crowding, 28 per cent an increased overjet, and 15 per cent an increased overbite. The dental health component (DHC) of the IOTN was found to be reliable and simple to use. The malocclusion status of French schoolchildren was lower than that recorded in epidemiological studies of European children.


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