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Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 1/2023

Open Access 01-01-2023 | Original Article

Comparison of orthodontic treatment need and malocclusion prevalence according to KIG, ICON, and mIOTN in German 8- to 9-year-old children of the Sixth German Oral Health Study (DMS 6)

Authors: PD Dr. Dr. Christian Kirschneck, Kathrin Kuhr, Cristiana Ohm, Nicolas Frenzel Baudisch, Andreas Rainer Jordan

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Special Issue 1/2023

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Abstract

Purpose

The aim of the present study was to compare the malocclusion indices KIG (Kieferorthopädische Indikationsgruppen, Orthodontic Indication Groups), ICON (Index of Complexity, Outcome and Need), and mIOTN (modified Index of Orthodontic Treatment Need) regarding differences in malocclusion prevalence and their assessment of orthodontic treatment need in German 8‑ to 9‑year-old children of the Sixth German Oral Health Study (Deutsche Mundgesundheitsstudie, DMS 6).

Methods

The necessary data for the calculation of the KIG, mIOTN, and ICON were collected by a dentist as part of a clinical orthodontic examination during the field phase of the DMS 6 and by a subsequent digital orthodontic model–analytical evaluation of intraoral scans of the dental arches and the occlusal situation in habitual occlusion.

Results

Prevalence, severity, and treatment need of tooth and jaw misalignments differed in part considerably depending on the index used for assessment. On the other hand, there were several outcomes which yielded quite similar results for the different indices used, such as orthodontic treatment need, which ranged from 40.4% (KIG) over 41.6% (ICON) to 44.2% (mIOTN). Interestingly, orthodontic treatment need for the individual subject could differ considerably, when assessed using different indices.

Conclusions

In general, the results show that the mIOTN is much more conservative in assessing malocclusion prevalences often being smaller than those derived by KIG or ICON. In contrast, KIG and ICON often yield similar prevalences with certain distinct differences due to discrepancies in the respective definitions and also clearly differentiate between treatment possibility and arbitrarily determined treatment need.
Literature
1.
go back to reference (2003) Richtlinien des Bundesausschusses der Zahnärzte und Krankenkassen für die kieferorthopädische Behandlung in der Fassung vom 04. Juni 2003 und vom 24. September 2003 veröffentlicht im Bundesanzeiger Nr. 226 (S. 24 966) vom 03. Dezember 2003in Kraft getreten am 1. Januar 2004 (2003) Richtlinien des Bundesausschusses der Zahnärzte und Krankenkassen für die kieferorthopädische Behandlung in der Fassung vom 04. Juni 2003 und vom 24. September 2003 veröffentlicht im Bundesanzeiger Nr. 226 (S. 24 966) vom 03. Dezember 2003in Kraft getreten am 1. Januar 2004
11.
go back to reference Kirschneck C, Proff P (2017) Indizes zur objektiven Beurteilung des Behandlungsergebnisses. In: Ihlow D, Rudzki I (eds) Kieferorthopädische Retention, 1st edn. Thieme, Stuttgart, pp 110–111; 124–127 Kirschneck C, Proff P (2017) Indizes zur objektiven Beurteilung des Behandlungsergebnisses. In: Ihlow D, Rudzki I (eds) Kieferorthopädische Retention, 1st edn. Thieme, Stuttgart, pp 110–111; 124–127
13.
go back to reference Micheelis W, Bauch J (1991) Mundgesundheitszustand und -verhalten in der Bundesrepublik Deutschland. Ergebnisse des nationalen IDZ-Survey 1989. IDZ-Materialienreihe, Bd. 11.1. Deutscher Ärzte-Verlag, Köln Micheelis W, Bauch J (1991) Mundgesundheitszustand und -verhalten in der Bundesrepublik Deutschland. Ergebnisse des nationalen IDZ-Survey 1989. IDZ-Materialienreihe, Bd. 11.1. Deutscher Ärzte-Verlag, Köln
17.
go back to reference Schopf P (2013) Kieferorthopädische Abrechnung. BEMA KIG GOZ 2012GOÄ, 2nd edn. Quintessenz, Berlin Schopf P (2013) Kieferorthopädische Abrechnung. BEMA KIG GOZ 2012GOÄ, 2nd edn. Quintessenz, Berlin
Metadata
Title
Comparison of orthodontic treatment need and malocclusion prevalence according to KIG, ICON, and mIOTN in German 8- to 9-year-old children of the Sixth German Oral Health Study (DMS 6)
Authors
PD Dr. Dr. Christian Kirschneck
Kathrin Kuhr
Cristiana Ohm
Nicolas Frenzel Baudisch
Andreas Rainer Jordan
Publication date
01-01-2023
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue Special Issue 1/2023
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-023-00446-6