The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Orthodontic diagnosis rates based on panoramic radiographs in children aged 6-8 years: A retrospective study

  • You-Sun Lee (Department of Orthodontics, Korea University Anam Hospital) ;
  • Ji-Yeon Lee (Department of Orthodontics, National Health Insurance Service Ilsan Hospital)
  • Received : 2024.01.04
  • Accepted : 2024.04.29
  • Published : 2024.05.25
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Abstract

Objective: This study aimed to retrospectively analyze the prevalence of orthodontic problems and the proportion of patients who underwent orthodontic diagnosis among children aged 6 (n = 300), 7 (n = 400), and 8 (n = 400) years who had undergone panoramic radiography. Methods: Children were divided into five groups according to their chief complaint and consultation: conservative dentistry, oral and maxillofacial surgery, orthodontics, periodontics, and prosthodontics). Chief complaints investigated included first molar eruption, lack of space for incisor eruption, frequency of eruption problems, lack of space, impaction, supernumerary teeth (SNT), missing teeth, and ectropion eruption. The number of patients whose chief complaint was not related to orthodontics but had dental problems requiring orthodontic treatment was counted. The proportion of patients with orthodontic problems who received an orthodontic diagnosis was also examined. Results: Dental trauma and SNT were the most frequent chief complaints among the children. The proportion of patients with orthodontic problems increased with age. However, the orthodontic diagnosis rates based on panoramic radiographs among children aged 6, 7, 8 years were only 1.5% (6 years) and 23% (7 and 8 years). Conclusions: Accurate information should be provided to patient caregivers to correct misconceptions regarding the appropriateness of delaying orthodontic examination until permanent dentition is established.

Keywords

Acknowledgement

We thank Korean Association of Orthodontists Foundation (KAOF) and Jun-Ho Park, Young-Seok Kim, Young-Wook Chung, and Jung-Yun Han, who are the members of Former Committee of Planning of KAO.

References

  1. Grippaudo MM, Quinzi V, Manai A, Paolantonio EG, Valente F, La Torre G, et al. Orthodontic treatment need and timing: assessment of evolutive malocclusion conditions and associated risk factors. Eur J Paediatr Dent 2020;21:203-8. https://doi.org/10.23804/ejpd.2020.21.03.09 
  2. Van Der Linden FPGM. Problems and procedures in dentofacial orthopedics (Van Der Linden series). Chicago: Quintessence Publishing Co., Ltd.; 1990. https://www.amazon.com/Problems-Procedures-Dentofacial-Orthopedics-LINDEN/dp/0867152125 
  3. Tausche E, Luck O, Harzer W. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod 2004;26:237-44. https://doi.org/10.1093/ejo/26.3.237 
  4. Lombardo G, Vena F, Negri P, Pagano S, Barilotti C, Paglia L, et al. Worldwide prevalence of malocclusion in the different stages of dentition: a systematic review and meta-analysis. Eur J Paediatr Dent 2020;21:115-22. https://doi.org/10.23804/ejpd.2020.21.02.05 
  5. De Ridder L, Aleksieva A, Willems G, Declerck D, Cadenas de Llano-Perula M. Prevalence of orthodontic malocclusions in healthy children and adolescents: a systematic review. Int J Environ Res Public Health 2022;19:7446. https://doi.org/10.3390/ijerph19127446 
  6. Egic B. Prevalence of orthodontic malocclusion in schoolchildren in Slovenia. A prospective aepidemiological study. Eur J Paediatr Dent 2022;23:39-43. https://doi.org/10.23804/ejpd.2022.23.01.07 
  7. Kathariya MD, Nikam AP, Chopra K, Patil NN, Raheja H, Kathariya R. Prevalence of dental anomalies among school going children in India. J Int Oral Health 2013;5:10-4. https://pubmed.ncbi.nlm.nih.gov/24324298/  https://doi.org/10.5005/jp-journals-10024-1395
  8. Lee JH, Yang BH, Lee SM, Kim YH, Shim HW, Chung HS. A study on the prevalence of dental anomalies in Korean dental-patients. Korean J Orthod 2011;41:346-53. https://doi.org/10.4041/kjod.2011.41.5.346 
  9. Bilge NH, Yesiltepe S, Torenek Agirman K, Caglayan F, Bilge OM. Investigation of prevalence of dental anomalies by using digital panoramic radiographs. Folia Morphol (Warsz) 2018;77:323-8. https://doi.org/10.5603/FM.a2017.0087 
  10. Eliacik BK, Atas C, Polat GG. Prevalence and patterns of tooth agenesis among patients aged 12-22 years: a retrospective study. Korean J Orthod 2021;51:355-62. https://doi.org/10.4041/kjod.2021.51.5.355 
  11. Baron C, Houchmand-Cuny M, Enkel B, Lopez-Cazaux S. Prevalence of dental anomalies in French orthodontic patients: a retrospective study. Arch Pediatr 2018;25:426-30. https://doi.org/10.1016/j.arcped.2018.07.002 
  12. Dang HQ, Constantine S, Anderson PJ. The prevalence of dental anomalies in an Australian population. Aust Dent J 2017;62:161-4. https://doi.org/10.1111/adj.12443 
  13. Keski-Nisula K, Lehto R, Lusa V, Keski-Nisula L, Varrela J. Occurrence of malocclusion and need of orthodontic treatment in early mixed dentition. Am J Orthod Dentofacial Orthop 2003;124:631-8. https://doi.org/10.1016/j.ajodo.2003.02.001 
  14. McNamara JA Jr. Early intervention in the transverse dimension: is it worth the effort? Am J Orthod Dentofacial Orthop 2002;121:572-4. https://doi.org/10.1067/mod.2002.124167 
  15. Lee JB, Jang CH, Kim CC, Hahn SH, Lee SH. Eruption disturbances of teeth in Korean children. J Korean Acad Pediatr Dent 2007;34:13-8. https://journal.kapd.org/journal/view.php?number=30 
  16. Baccetti T. Tooth anomalies associated with failure of eruption of first and second permanent molars. Am J Orthod Dentofacial Orthop 2000;118:608-10. https://doi.org/10.1067/mod.2000.97938 
  17. Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A. Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal 2011;16:e56-61. https://doi.org/10.4317/medoral.16.e56 
  18. Lee YS, Kim JW, Lee SH. A study of the correlation between the features of mesiodens and complications. J Korean Acad Pediatr Dent 1999;26:275-83. https://journal.kapd.org/journal/view.php?number=1101  101
  19. Patil S, Maheshwari S. Prevalence of impacted and supernumerary teeth in the North Indian population. J Clin Exp Dent 2014;6:e116-20. https://doi.org/10.4317/jced.51284 
  20. Jang DH, Chae YK, Lee KE, Nam OH, Lee HS, Choi SC, et al. Determination of the range of intervention timing for supernumerary teeth using the Korean health insurance review and assessment service database. J Clin Pediatr Dent 2023;47:67-73. https://doi.org/10.22514/jocpd.2022.036 
  21. Kindelan SA, Day PF, Kindelan JD, Spencer JR, Duggal MS. Dental trauma: an overview of its influence on the management of orthodontic treatment. Part 1. J Orthod 2008;35:68-78. https://doi.org/10.1179/146531207225022482 
  22. Sastri MR, Tanpure VR, Palagi FB, Shinde SK, Ladhe K, Polepalle T. Study of the knowledge and attitude about principles and practices of orthodontic treatment among general dental practitioners and non-orthodontic specialties. J Int Oral Health 2015;7:44-8. https://pubmed.ncbi.nlm.nih.gov/25878478/ 
  23. Lee SJ, Suhr CH. Recognition of malocclusion and orthodontic treatment need of 7~18 year-old Korean adolescent. Korean J Orthod 1994;24:367-94. https://www.koreamed.org/SearchBasic.php?RID=2271388 
  24. Yang WS. The study on the orthodontic patients who visited department of orthodontics, Seoul National University Hospital during last 10 years (1985-1994). Korean J Orthod 1995;25:497-509. https://e-kjo.org/journal/view.html?uid=1274&vmd=Full 
  25. Yu HS, Ryu YK, Lee JY. A study on the distributions and trends in malocclusion patients from department of orthodontics, college of dentistry, Yonsei University. Korean J Orthod 1999;29:267-76. https://e-kjo.org/journal/view.html?volume=29&number=2&spage=267 
  26. Fernandez CCA, Pereira CVCA, Luiz RR, Vieira AR, De Castro Costa M. Dental anomalies in different growth and skeletal malocclusion patterns. Angle Orthod 2018;88:195-201. https://doi.org/10.2319/071917-482.1 
  27. Zou J, Meng M, Law CS, Rao Y, Zhou X. Common dental diseases in children and malocclusion. Int J Oral Sci 2018;10:7. https://doi.org/10.1038/s41368-018-0012-3 
  28. Ku JH, Han B, Kim J, Oh J, Kook YA, Kim Y. Common dental anomalies in Korean orthodontic patients: an update. Korean J Orthod 2022;52:324-33. https://doi.org/10.4041/kjod21.280 
  29. Warkhandkar A, Habib L. Effects of premature primary tooth loss on midline deviation and asymmetric molar relationship in the context of orthodontic treatment. Cureus 2023;15:e42442. https://doi.org/10.7759/cureus.42442 
  30. Gupta KP, Garg S, Grewal PS. Establishing a diagnostic tool for assessing optimal treatment timing in Indian children with developing malocclusions. J Clin Exp Dent 2011;3:e18-24. https://doi.org/10.4317/jced.3.e18 
  31. Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009;140:1485-93. https://doi.org/10.14219/jada.archive.2009.0099 
  32. Jain S, Debbarma S. Patterns and prevalence of canine anomalies in orthodontic patients. Med Pharm Rep 2019;92:72-8. https://doi.org/10.15386/cjmed-907 
  33. Sigler LM, Baccetti T, McNamara JA Jr. Effect of rapid maxillary expansion and transpalatal arch treatment associated with deciduous canine extraction on the eruption of palatally displaced canines: a 2-center prospective study. Am J Orthod Dentofacial Orthop 2011;139:e235-44. https://doi.org/10.1016/j.ajodo.2009.07.015 
  34. Karaiskos N, Wiltshire WA, Odlum O, Brothwell D, Hassard TH. Preventive and interceptive orthodontic treatment needs of an inner-city group of 6- and 9-year-old Canadian children. J Can Dent Assoc 2005;71:649. https://pubmed.ncbi.nlm.nih.gov/16271161/ 
  35. Shalish M, Gal A, Brin I, Zini A, Ben-Bassat Y. Prevalence of dental features that indicate a need for early orthodontic treatment. Eur J Orthod 2013;35:454-9. https://doi.org/10.1093/ejo/cjs011