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BMC Oral Health
Published in: BMC Oral Health 1/2014

Open Access 01-12-2014 | Research article

Orthodontic treatment of children/adolescents with special health care needs: an analysis of treatment length and clinical outcome

Authors: Moritz Blanck-Lubarsch, Ariane Hohoff, Dirk Wiechmann, Thomas Stamm

Published in: BMC Oral Health | Issue 1/2014

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Abstract

Background

The aim of this retrospective study was to analyse the treatment time and differences between the pre- and post-treatment peer assessment rating (PAR) index and aesthetic component (AC) of the index of orthodontic treatment need (IOTN) scores in children/adolescents with special health care needs (SHCNs), compared to non-special health care needs (NSHCNs) controls.

Methods

Based on certain inclusion and exclusion criteria, medical records of SHCNs and randomly selected NSHCNs controls at the Department of Orthodontics, University Hospital Muenster were analysed retrospectively for the treatment time, number of appointments, chair time (“moderate” or “considerable”), PAR scores, and AC scores. Sample size calculation, descriptive statistics, and explorative analyses were performed using the Mann–Whitney U Test.

Results

Twenty-nine children with SHCNs (21 boys, 9 girls; median age: 11 years, pre-treatment) and 29 children with NSHCNs (12 boys, 17 girls; median age: 12 years, pre-treatment) were enrolled in this study.
The overall treatment time did not differ between the patient groups. However, more “considerable chair time” was needed for the SHCNs group compared to the control group (p < 0.05), whereas “moderate chair time” was more often needed in patients with NSHCNs (p = 0.001).
The age of the patients at the first and last appointments showed significant statistical differences: children in the SHCNs group commenced orthodontic treatment earlier, by a median of 1 year, compared to children in the NSHCNs group.
The SHCNs group had significantly higher pre- and post-treatment PAR scores (median 21/median 6) and AC scores (median 9/median 3) compared to NSHCNs patients (PAR: median 17/median 0; AC: median 5/median 1).
However, the overall treatment time and the overall PAR and AC score reduction did not differ significantly between the SHCNs and NSHCNs groups.

Conclusions

While the overall treatment time and number of appointments did not differ, the overall chair time was higher in the SHCNs group. The pre- and post-treatment PAR and AC scores were significantly higher in the SHCNs group.
Appendix
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Literature
1.
2.
Bhushan V, Paneth N, Kiely JL: Impact of improved survival of very low birth weight infants on recent secular trends in the prevalence of cerebral palsy. Pediatrics. 1993, 91 (6): 1094-1100.PubMed
3.
Becker A, Shapira J, Chaushu S: Orthodontic treatment for disabled children: motivation, expectation, and satisfaction. Eur J Orthod. 2000, 22 (2): 151-158. 10.1093/ejo/22.2.151.CrossRefPubMed
4.
Becker A, Shapira J: Orthodontics for the handicapped child. Eur J Orthod. 1996, 18 (1): 55-67. 10.1093/ejo/18.1.55.CrossRefPubMed
5.
Hunt JA, Hobar PC: Common craniofacial anomalies: the facial dysostoses. Plast Reconstr Surg. 2002, 110 (7): 1714-1725. 10.1097/00006534-200212000-00014. quiz 1726; discussion 1727–1718CrossRefPubMed
6.
Shaw WC, Rees G, Dawe M, Charles CR: The influence of dentofacial appearance on the social attractiveness of young adults. Am J Orthod. 1985, 87 (1): 21-26. 10.1016/0002-9416(85)90170-8.CrossRefPubMed
7.
Shaw WC: The influence of children’s dentofacial appearance on their social attractiveness as judged by peers and lay adults. Am J Orthod. 1981, 79 (4): 399-415. 10.1016/0002-9416(81)90382-1.CrossRefPubMed
8.
Olsen JA, Inglehart MR: Malocclusions and perceptions of attractiveness, intelligence, and personality, and behavioral intentions. Am J Orthod Dentofacial Orthop. 2011, 140 (5): 669-679. 10.1016/j.ajodo.2011.02.025.CrossRefPubMed
9.
Cohen MM, Winer RA: Dental and facial characteristics in Down’s syndrome (mongolism). J Dent Res. 1965, 44 (SUPPL): 197-208.CrossRefPubMed
10.
Franklin DL, Luther F, Curzon ME: The prevalence of malocclusion in children with cerebral palsy. Eur J Orthod. 1996, 18 (6): 637-643. 10.1093/ejo/18.6.637.CrossRefPubMed
11.
Chaushu S, Becker A: Behaviour management needs for the orthodontic treatment of children with disabilities. Eur J Orthod. 2000, 22 (2): 143-149. 10.1093/ejo/22.2.143.CrossRefPubMed
12.
Hobson RS, Nunn JH, Cozma I: Orthodontic management of orofacial problems in young people with impairments: review of the literature and case reports. Int J Paediatr Dent. 2005, 15 (5): 355-363. 10.1111/j.1365-263X.2005.00642.x.CrossRefPubMed
13.
Becker A, Shapira J, Chaushu S: Orthodontic treatment for disabled children–a survey of patient and appliance management. J Orthod. 2001, 28 (1): 39-44. 10.1093/ortho/28.1.39.CrossRefPubMed
14.
Shaw WC, Richmond S, O’Brien KD: The use of occlusal indices: a European perspective. Am J Orthod Dentofacial Orthop. 1995, 107 (1): 1-10. 10.1016/S0889-5406(95)70151-6.CrossRefPubMed
15.
Richmond S, Shaw WC, O’Brien KD, Buchanan IB, Jones R, Stephens CD, Roberts CT, Andrews M: The development of the PAR Index (Peer Assessment Rating): reliability and validity. Eur J Orthod. 1992, 14 (2): 125-139. 10.1093/ejo/14.2.125.CrossRefPubMed
16.
Richmond S, Shaw WC, Roberts CT, Andrews M: The PAR index (Peer Assessment Rating): methods to determine outcome of orthodontic treatment in terms of improvement and standards. Eur J Orthod. 1992, 14 (3): 180-187. 10.1093/ejo/14.3.180.CrossRefPubMed
17.
Shaw WC, Richmond S, O’Brien KD, Brook P, Stephens CD: Quality control in orthodontics: indices of treatment need and treatment standards. Br Dent J. 1991, 170 (3): 107-112. 10.1038/sj.bdj.4807429.CrossRefPubMed
18.
Grzywacz I: The value of the aesthetic component of the index of orthodontic treatment need in the assessment of subjective orthodontic treatment need. Eur J Orthod. 2003, 25 (1): 57-63. 10.1093/ejo/25.1.57.CrossRefPubMed
19.
Trulsson U, Klingberg G: Living with a child with a severe orofacial handicap: experiences from the perspectives of parents. Eur J Oral Sci. 2003, 111 (1): 19-25. 10.1034/j.1600-0722.2003.00001.x.CrossRefPubMed
20.
Abanto J, Ciamponi AL, Francischini E, Murakami C, de Rezende NP, Gallottini M: Medical problems and oral care of patients with down syndrome: a literature review. Spec Care Dentist. 2011, 31 (6): 197-203. 10.1111/j.1754-4505.2011.00211.x.CrossRefPubMed
21.
Brown BR, Inglehart MR: Orthodontists’ and orthodontic residents’ education in treating underserved patients: effects on professional attitudes and behavior. J Dent Educ. 2009, 73 (5): 550-562.PubMed
22.
Heffez L, Doku HC: The Goldenhar syndrome: diagnosis and early surgical management. Oral Surg Oral Med Oral Pathol. 1984, 58 (1): 2-9. 10.1016/0030-4220(84)90355-4.CrossRefPubMed
23.
de Kleijn-de Vrankrijker MW: The long way from the international classification of impairments, disabilities and handicaps (ICIDH) to the international classification of functioning, disability and health (ICF). Disabil Rehabil. 2003, 25 (11–12): 561-564.CrossRefPubMed
24.
Brook PH, Shaw WC: The development of an index of orthodontic treatment priority. Eur J Orthod. 1989, 11 (3): 309-320.PubMed
25.
Fox NA, Daniels C, Gilgrass T: A comparison of the index of complexity outcome and need (ICON) with the peer assessment rating (PAR) and the index of orthodontic treatment need (IOTN). Br Dent J. 2002, 193 (4): 225-230. 10.1038/sj.bdj.4801530.CrossRefPubMed
26.
Noether GE: Sample-size determination for some common nonparametric-tests. J Am Stat Assoc. 1987, 82 (398): 645-647. 10.1080/01621459.1987.10478478.CrossRef
27.
Brown BR, Inglehart MR: Orthodontic care for underserved patients: professional attitudes and behavior of orthodontic residents and orthodontists. Angle Orthod. 2011, 81 (6): 1090-1096. 10.2319/013111-64.1.CrossRefPubMed
28.
Firestone AR, Beck FM, Beglin FM, Vig KW: Evaluation of the peer assessment rating (PAR) index as an index of orthodontic treatment need. Am J Orthod Dentofacial Orthop. 2002, 122 (5): 463-469. 10.1067/mod.2002.128465.CrossRefPubMed
29.
van der Linden FP: Genetic and environmental factors in dentofacial morphology. Am J Orthod. 1966, 52 (8): 576-583. 10.1016/0002-9416(66)90138-2.CrossRefPubMed
Metadata
Title
Orthodontic treatment of children/adolescents with special health care needs: an analysis of treatment length and clinical outcome
Authors
Moritz Blanck-Lubarsch
Ariane Hohoff
Dirk Wiechmann
Thomas Stamm
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2014
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-14-67

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