Korean J Orthod.  2013 Feb;43(1):35-41. 10.4041/kjod.2013.43.1.35.

Prevalence of malocclusion and its relationship with caries among school children aged 11 - 15 years in southern India

Affiliations
  • 1Department of Dental Public Health, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, KAMC, National Guard Health Affairs, Riyadh, Saudi Arabia. drjaganb@gmail.com
  • 2Department of Orthodontics and Paediatric Dentistry, Pushpagiri College of Dental Sciences, Kerala, India.
  • 3Sri Adinath Hospital, Chennai, Tamilnadu, India.

Abstract


OBJECTIVE
To assess the prevalence of malocclusion and its relationship with dental caries among school children in southern India.
METHODS
This cross-sectional study included 1,800 students aged 11 - 15 years whose Dental Aesthetic Index (DAI) and dentition status were recorded and analyzed. The chi-square test, ANOVA, and Spearman's correlation tests were carried out.
RESULTS
The mean DAI score +/- the standard deviation was 18.61 +/- 6.1. Approximately 85% of the students (83.0% males, 86.8% females) had DAI scores of < 26 and were classified as not requiring orthodontic treatment. One tenth of the sample had mean DAI scores between 26 - 30 (indicating definite malocclusion and elective treatment), while about 3% had mean scores between 31 - 35 (indicating severe malocclusion and treatment desirability). Only 29 children (1.6%; 16 boys, 13 girls) had a DAI score of > 35, which suggested very severe or handicapping malocclusion requiring mandatory treatment. The mean decayed, missing, filled teeth (DMFT) was 2.28 +/- 1.47. A DMFT of > 0 was observed in 91.8% of the study subjects. Children with a DAI score of > 35 were found to have significantly (p < 0.001) higher caries experience as compared to other children. Moreover, the DAI scores showed a significant correlation with the mean DMFT scores (r = 0.368, p < 0.05).
CONCLUSIONS
A positive correlation was found between the severity of malocclusion and dental caries.

Keyword

Oral hygiene; Epidemiology; Cariology; Orthodontic index

MeSH Terms

Aged
Child
Cross-Sectional Studies
Dental Caries
Dentition
Humans
India
Male
Malocclusion
Oral Hygiene
Prevalence
Tooth

Reference

1. Jenny J, Cons NC. Comparing and contrasting two orthodontic indices, the Index of Orthodontic Treatment need and the Dental Aesthetic Index. Am J Orthod Dentofacial Orthop. 1996. 110:410–416.
Article
2. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007. 369:51–59.
Article
3. Williams DM, Bentley R, Cobourne MT, Gibilaro A, Good S, Huppa C, et al. Psychological characteristics of women who require orthognathic surgery: comparison with untreated controls. Br J Oral Maxillofac Surg. 2009. 47:191–195.
Article
4. Kolmakow S, Honkala E, Puranen M, Sainio P. Dento-facial morphology and caries experience: an epidemiological study. J Clin Pediatr Dent. 1991. 16:31–37.
5. Alexander S, Hegde S, Sudha P. Prevalence of malocclusion and periodontal status in Tibetan school children of Kushalnagar, Mysore district. J Indian Soc Pedod Prev Dent. 1997. 15:114–117.
6. Singh A, Purohit B, Sequeira P, Acharya S, Bhat M. Malocclusion and orthodontic treatment need measured by the dental aesthetic index and its association with dental caries in Indian school children. Community Dent Health. 2011. 28:313–316.
7. Shue-Te Yeh M, Koochek AR, Vlaskalic V, Boyd R, Richmond S. The relationship of 2 professional occlusal indexes with patients' perceptions of aesthetics, function, speech, and orthodontic treatment need. Am J Orthod Dentofacial Orthop. 2000. 118:421–428.
Article
8. Cons N, Jenny J, Kohout F. dental aesthetic index. 1986. Iowa City: College of Dentistry, University of Iowa.
9. World Health Organization. Oral health surveys: basic methods. 1997. 4th ed. Geneva: World Health Organization.
10. International Institute for Population Sciences (IIPS) and Macro International. National family health survey (NFHS-3), 2005-06, India: Key Findings. 2007. Mumbai: IIPS.
11. Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001. 23:153–167.
Article
12. Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989. 11:309–320.
Article
13. Ansai T, Miyazaki H, Katoh Y, Yamashita Y, Takehara T, Jenny J, et al. Prevalence of malocclusion in high school students in Japan according to the Dental Aesthetic Index. Community Dent Oral Epidemiol. 1993. 21:303–305.
Article
14. Otuyemi OD, Ogunyinka A, Dosumu O, Cons NC, Jenny J. Malocclusion and orthodontic treatment need of secondary school students in Nigeria according to the dental aesthetic index (DAI). Int Dent J. 1999. 49:203–210.
Article
15. Esa R, Razak IA, Allister JH. Epidemiology of malocclusion and orthodontic treatment need of 12-13-year-old Malaysian schoolchildren. Community Dent Health. 2001. 18:31–36.
16. Onyeaso CO, Aderinokun GA. The relationship between dental aesthetic index (DAI) and perceptions of aesthetics, function and speech amongst secondary school children in Ibadan, Nigeria. Int J Paediatr Dent. 2003. 13:336–341.
Article
17. Poonacha KS, Deshpande SD, Shigli AL. Dental aesthetic index: applicability in Indian population: a retrospective study. J Indian Soc Pedod Prev Dent. 2010. 28:13–17.
Article
18. Sureshbabu AM, Chandu GM, Shafiulla MD. Prevalence of malocclusion and orthodontic treatment needs among 13-15 year old school going children of Davangere city, Karnataka, India. J Indian Assoc Public Health Dent. 2005. 6:32–35.
19. Shivakumar KM, Chandu GN, Subba Reddy VV, Shafiulla MD. Prevalence of malocclusion and orthodontic treatment needs among middle and high school children of Davangere city, India by using Dental Aesthetic Index. J Indian Soc Pedod Prev Dent. 2009. 27:211–218.
Article
20. Aznar T, Galán AF, Marín I, Domínguez A. Dental arch diameters and relationships to oral habits. Angle Orthod. 2006. 76:441–445.
21. Stahl F, Grabowski R. Orthodontic findings in the deciduous and early mixed dentition--inferences for a preventive strategy. J Orofac Orthop. 2003. 64:401–416.
Article
22. Ng'ang'a PM, Ohito F, Ogaard B, Valderhaug J. The prevalence of malocclusion in 13- to 15-year-old children in Nairobi, Kenya. Acta Odontol Scand. 1996. 54:126–130.
23. Seemann J, Kundt G, Stahl de Castrillon F. Relationship between occlusal findings and orofacial myofunctional status in primary and mixed dentition: part IV: interrelation between space conditions and orofacial dysfunctions. J Orofac Orthop. 2011. 72:21–32.
Article
24. Marshall TA, Broffitt B, Eichenberger-Gilmore J, Warren JJ, Cunningham MA, Levy SM. The roles of meal, snack, and daily total food and beverage exposures on caries experience in young children. J Public Health Dent. 2005. 65:166–173.
Article
25. Tickle M, Kay EJ, Bearn D. Socio-economic status and orthodontic treatment need. Community Dent Oral Epidemiol. 1999. 27:413–418.
Article
26. Foster Page LA, Thomson WM. Malocclusion and uptake of orthodontic treatment in Taranaki 12-13-year-olds. N Z Dent J. 2005. 101:98–105.
27. Gábris K, Márton S, Madléna M. Prevalence of malocclusions in Hungarian adolescents. Eur J Orthod. 2006. 28:467–470.
Article
28. Borzabadi-Farahani A, Eslamipour F, Asgari I. Association between orthodontic treatment need and caries experience. Acta Odontol Scand. 2011. 69:2–11.
Article
29. Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. J Public Health Dent. 2007. 67:132–139.
Article
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