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Bedarf und Wunsch nach kieferorthopädischer Behandlung bzw. Wiederbehandlung bei 35jährigen Norwegern

Need and desire for orthodontic (re-)treatment in 35-year-old Norwegians

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Zusammenfassung

Anhand einer Untersuchung der Zahnfehlstellung und des Behandlungsbedarfs bei Gruppen von behandelten und unbehandelten Erwachsenen können die langfristigen Ergebnisse der kieferorthopädischen Therapie erforscht werden. Ziel der vorliegenden Arbeit war es, die Ergebnisse der kieferorthopädischen Behandlungen zu untersuchen, um sowohl den ärztlich definierten als auch den vom einzelnen empfundenen Bedarf zu ermitteln. Das Untersuchungsmaterial umfaßt Daten von 111 unselektierten 35jährigen aus Oslo, Norwegen. Anhand einer klinischen Untersuchung und Analysen von dentalen Studienmodellen wurden die Probanden in eine von vier Bedarfskategorien nach dem norwegischen Indikationssystem („Need for Orthodontic Treatment Index“ [NOTI]), das von der staatlichen Sozialversicherung angewendet wird, eingeteilt. Mittels eines Fragebogens wurde nach der Zufriedenheit mit der eigenen dentofazialen Ästhetik und dem Wunsch, sich einer kieferorthopädischen Behandlung zu unterziehen, gefragt. Danach wurden die Antworten hinsichtlich des vom einzelnen empfundenen Behandlungsbedarfs analysiert. Zufriedenheit mit der eigenen dentofazialen Ästhetik wurde bei 85% der unbehandelten und 92% der früher behandelten Probanden festgestellt, während der Wunsch nach einer Behandlung bei 19% der unbehandelten und 3% der behandelten Probanden bestand. Okklusale Anomalien wurden sowohl bei behandelten als auch bei unbehandelten Probanden festgestellt, und die klinische Signifikanz der Befunde in bezug auf Zahn/Kiefer-Fehlstellungen wird erörtert.

Summary

Long-term outcome of orthodontic care systems may be studied by examining malocclusion and treatment need in groups of treated and untreated adults. The objective of the present work was to investigate the professionally defined need as well as the need perceived by the individuals in an attempt to study the outcome of orthodontic services. The material comprised data from 111 individuals collected from a random sample of 35-year-olds from Oslo, Norway. From a clinical examination and measurements on dental study casts, the subjects were classified into either of 4 levels of need according to the Need for Orthodontic Treatment Index (NOTI) used by the Norwegian Health Insurance System. Perceived need for treatment was analyzed from responses to questions about satisfaction with dental appearance and desire for orthodontic treatment presented in a questionnaire. Satisfaction with dental appearance was recorded in 85% and 92% of untreated and previously treated, respectively. Desire for treatment was expressed by 19% of the untreated and 3% of the treated individuals. Occlusal anomalies were present among both the treated and untreated subjects, and the clinical significance of the malocclusion traits observed is discussed.

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References

  1. Behrents, R. G.: The consequences of adult craniofacial growth. In: Carlson, D. S. (ed.): Orthodontics in an aging society. Monograph 22, Craniofacial Growth Series, Center for Human Growth and Development, The University of Michigan, Ann Arbor, Michigan 1988, p. 53–100.

    Google Scholar 

  2. Berg, R.: Post-retention analysis of treatment problems and failures in 264 consecutively treated cases. Europ. J. Orthodont. 1 (1979), 55–68.

    Article  Google Scholar 

  3. Berg, R.: Evaluation of orthodontic results — a discussion of some methodological aspects. Angle Orthodont. 61 (1991), 261–266.

    PubMed  Google Scholar 

  4. Bjertness, E., H. M. Eriksen: Design of a socio-ecologic caries model and testing on 50-year-old citizens of Oslo, Norway. Acta odontol. scand. 50 (1992), 151–162.

    Article  PubMed  Google Scholar 

  5. Bjertness, E., H. M. Eriksen, B. F. Hansen: Caries prevalence of 35-year-old Oslo citizens in 1973 and 1984. Community Dent. oral Epidem. 14 (1986), 277–282.

    Article  Google Scholar 

  6. Burgersdijk, R. C. W., G. J. Truin, F. W. A. Frankenmolen, H. Kalsbeek, M. A. van't Hof, J. Mulder: Malocclusion and orthodontic treatment need of 15–74-year-old Dutch adults. Community Dent. oral Epidem. 19 (1991), 64–67.

    Article  Google Scholar 

  7. Dugoni, S. A., J. S. Lee, J. Varela, A. A. Dugoni: Early mixed dentition treatment: postretention evaluation of stability and relapse. Angle Orthodont. 65 (1995), 311–320.

    PubMed  Google Scholar 

  8. Espeland, L. V., K. Ivarsson, A. Stenvik: A new Norwegian index of orthodontic treatment need related to orthodontic concern among 11-year-olds and their parents. Community Dent. oral Epidem. 20 (1992), 274–279.

    Article  Google Scholar 

  9. Franklin, G. S., P. E. Rossouw, D. G. Woodside: A longitudinal study of dental and skeletal parameters associated with stability of orthodontic treatment. Amer. J. Orthodont. dentofac. Orthop. 109 (1996), 109.

    Google Scholar 

  10. Gorman, J. C: The effects of premolar extractions on the long-term stability of the mandibular incisors. In: Nanda, R., C. J. Burstone (eds.): Retention and stability in orthodontics. W. B. Saunders Comp., Philadelphia, PA 1993, p. 81–96.

    Google Scholar 

  11. Hansen, B. F., J. R. Johansen: Dental visits, teeth remaining, and prosthetic appliances in a Norwegian urban population. Community Dent. oral Epidem. 4 (1976) 176–181.

    Article  Google Scholar 

  12. Hansen, B. F., J. R. Johansen: Periodontal treatment needs of 35-year-old citizens in Oslo. J. clin. Periodont. 4 (1977), 263–271.

    Article  Google Scholar 

  13. Helm, S., P. E. Petersen, S. Kreiborg, B. Solow: Effect of separate malocclusion traits on concern for dental appearance. Community Dent. oral Epidem. 14 (1986), 217–220.

    Article  Google Scholar 

  14. Ingervall, B., B. Mohlin, B. Thilander: Prevalence and awareness of malocclusion in Swedish men. Community Dent. oral Epidem. 6 (1978), 308–314.

    Article  Google Scholar 

  15. Little, R., R. Riedel, J. Årtun: An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Amer. J. Orthodont. dentofac. Orthop. 93 (1988), 423–428.

    Article  Google Scholar 

  16. Little, R., T. Wallen, R. Riedel: Stability and relapse of mandibular anterior alignment — first premolar extraction cases treated by traditional edgewise orthodontics. Amer. J. Orthodont. 80 (1981), 349–365.

    Article  Google Scholar 

  17. Mohlin, B.: Need and demand for orthodontic treatment in a group of women in Sweden. Europ. J. Orthodont. 4 (1982), 231–242.

    Article  Google Scholar 

  18. Norges offentlige utredninger: Folketrygdens finansiering av tannhelsearbeid. Universitetsforlaget, Oslo, NOU 1986, no. 25.

  19. Pancherz, H., B. Hahn: Kieferorthopädischer Behandlungsbedarf bei jungen Erwachsenen. Eine epidemiologische Untersuchung an Rekruten. Fortschr. Kieferorthop. 53 (1992), 33–39.

    Article  PubMed  Google Scholar 

  20. Riedel, R. A.: Post-pubertal occlusal changes. In: McNamara Jr., J. A. (ed.): The biology of occlusal development. Monograph 22, Craniofacial Growth Series, Center for Human Growth and Development, The University of Michigan, Ann Arbor, Michigan 1977, p. 113–140.

    Google Scholar 

  21. Riedel, R. A.: A post-retention assessment of relapse, recidivism, adjustment, change, and stability. In: Moorrees, C. F. A., F. P. G. M. van der Linden (eds.): Orthodontics: evaluation and future. Department of Orthodontics, University of Nymegen, The Netherlands 1988, p. 281–306.

    Google Scholar 

  22. Sadowsky, C., B. J. Schneider, E. A. Be-Gole, E. Tahir: Long-term stability after orthodontic treatment: nonextraction with prolonged retention. Amer. J. Orthodont. dentofac. Orthop. 106 (1994), 243–249.

    Article  Google Scholar 

  23. Salonen, L., B. Mohlin, B. Götzlinger, L. Helldén: Need and demand for orthodontic treatment in an adult Swedish population. Europ. J. Orthodont. 14 (1992), 359–368.

    Article  Google Scholar 

  24. Stermer Beyer-Olsen, E. M., E. Bjertness, H. M. Eriksen, B. F. Hansen: Comparison of oral radiographic findings among 35-year-old Oslo citizens in 1973 and 1984. Community Dent. oral Epidem. 17 (1989), 68–70.

    Article  Google Scholar 

  25. Tannregulering. Rettledning for kjeveortoped ved utfylling av RTV-blankett 2.13. Document nr. 2 bokstav b. Rikstrygdeverket, Oslo 1991.

  26. Zachrisson, B. U.: Excellence in finishing and retention. Parts I and II. J. clin. Orthodont. 20 (1986), 460–482, 536–559.

    Google Scholar 

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Authors and Affiliations

  1. Abteilung für Kieferorthopädie, Universität Oslo, Norwegen

    A. Stenvik, L. Espeland & B. U. Zachrisson

  2. Abteilung für Kariologie, Universität Oslo, Norwegen

    G. P. Berset & H. M. Eriksen

Authors
  1. A. Stenvik
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  2. L. Espeland
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  3. G. P. Berset
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  4. H. M. Eriksen
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  5. B. U. Zachrisson
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Stenvik, A., Espeland, L., Berset, G.P. et al. Bedarf und Wunsch nach kieferorthopädischer Behandlung bzw. Wiederbehandlung bei 35jährigen Norwegern. J Orofac Orthop/Fortschr Kieferorthop 57, 334–342 (1996). https://doi.org/10.1007/BF02215670

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