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12–14 yaş arası Batman Üniversitesi başvuran çocuklarda IOTN indeksine göre ortodontik tedavi ihtiyacının değerlendirilmesi

Year 2026, Volume: 9 Issue: 2, 393 - 399, 12.03.2026
https://izlik.org/JA29AK66YF

Abstract

Amaç:

Bu çalışmanın amacı, 12–14 yaş arası çocukların ortodontik tedavi ihtiyaçlarını Ortodontik Tedavi İhtiyacı İndeksinin (IOTN) Dental Sağlık Bileşeni (DHC) ve Estetik Bileşeni (AC) kullanılarak değerlendirmektir.

Yöntem:

Batman Üniversitesi Diş Hekimliği Fakültesi Pedodonti Kliniği’ne başvuran toplam 407 çocuk çalışmaya dahil edildi. IOTN-DHC ve IOTN-AC skorları kaydedildi. Tedavi ihtiyacının cinsiyet ve yaşa göre dağılımı ki-kare testi ile analiz edildi. AC ile DHC arasındaki ilişki Spearman korelasyon analizi kullanılarak değerlendirildi. İstatistiksel anlamlılık düzeyi p<0.05 olarak kabul edildi.

Bulgular:

Katılımcıların %52.09’u IOTN-DHC derece 4–5 kategorisinde sınıflandırıldı; bu durum belirgin bir fonksiyonel ortodontik tedavi ihtiyacına işaret etmektedir. Estetik değerlendirmeye göre katılımcıların %9.09’u IOTN-AC derece 8–10 grubunda yer aldı. Cinsiyet veya yaş ile DHC ya da AC skorları arasında anlamlı bir fark bulunmadı (p>0.05). AC ve DHC arasında pozitif ve orta düzeyde bir korelasyon saptandı (r=0.722; p<0.001).

Sonuç:

İncelenen popülasyonda fonksiyonel ortodontik tedavi ihtiyacının estetik ihtiyaçtan daha yüksek olduğu görülmüştür. Yaş ve cinsiyet tedavi ihtiyacında anlamlı belirleyiciler değildir. Bu bulgular, adölesan dönemde ortodontik değerlendirmenin önemini vurgulamakta ve bölgedeki tedavi ihtiyacının görece yüksek olduğunu göstermektedir.

Ethical Statement

Çalışma, Batman Üniversitesi Bilimsel Araştırma Değerlendirme ve Etik Kurulu’nun izniyle gerçekleştirilmiştir (Tarih: 02.10.2025, Karar No: 2025/10-13).

Supporting Institution

Bu araştırma herhangi bir kurum veya kuruluş tarafından desteklenmemiştir.

Thanks

Bu çalışma kapsamında katkı sağlayan tüm katılımcılara ve Batman Üniversitesi Pedodonti Kliniği çalışanlarına teşekkür ederiz.

References

  • Curto A, Mihit F, Curto D, Albaladejo A. Assessment of orthodontic treatment need and oral health-related quality of life in asthmatic children aged 11–14 years: a cross-sectional study. Children (Basel). 2023;10(2):176. doi:10.3390/children10020176
  • Almerich-Silla JM, Montiel-Company JM, Bellot-Arcís C, Puertes-Fernández N. Cross-sectional study of malocclusion in Spanish children. Med Oral Patol Oral Cir Bucal. 2013;19(1):e15-19. doi:10.4317/medoral.19096
  • De Ridder L, Begnoni G, Declerck D, Yu L, Willems G, Cadenas de Llano-Pérula M. Assessment of orthodontic treatment need, treatment complexity, treatment priority, and oral health-related quality of life of healthy children and adolescents: a scoping review. Community Dent Health. 2026;43(1):32 41. doi:10.1038/s41405-025-00123-7
  • Sezer B, Çarıkçıoğlu B. 12–15 yaş aralığındaki adölesanlarda diş çürüğünün diş yaşı ve gelişimine etkisi. Curr Res Dent Sci. 2022;32(1):29-33. doi:10.17567/ataunidfd.1030578
  • Kavasoglu N, Ertugrul OF, Kotan S, Hazar Y, Eratilla V. Artificial Intelligence-assisted wrist radiography analysis in orthodontics: classification of maturation stage. Appl Sci. 2025;15(21):11681. doi:10. 3390/app152111681
  • Kavasoglu N, Bor S, Zortuk FB, Hamamci N. Effect of earthquake-related trauma on pubertal maturation: evidence from skeletal age assessment following the 2023 Kahramanmaraş earthquakes. Am J Hum Biol. 2025;37(10):e70161. doi:10.1002/ajhb.70161
  • Öza E, Küçükeşmen Ç. Çocuklarda maloklüzyon ve ortodontik tedavi ihtiyacı. Turkiye Klinikleri Dishekim Bilim Derg. 2019;25(2):193-200. doi:10.5336/dentalsci.2018-63491
  • Richmond S, Shaw W, O’Brien K, et al. The development of the PAR Index (Peer Assessment Rating): reliability and validity. Eur J Orthod. 1992;14(2):125-139. doi:10.1093/ejo/14.2.125
  • Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11(3):309-320. doi:10.1093/oxfordjournals.ejo.a035999
  • Shaw W, O’Brien K, Richmond S. Quality control in orthodontics: factors influencing the receipt of orthodontic treatment. Br Dent J. 1991; 170(2):66-68. doi:10.1038/sj.bdj.4807421
  • Sheats R, McGorray S, Keeling S, Wheeler T, King G. Occlusal traits and perception of orthodontic need in eighth grade students. Angle Orthod. 1998;68(2):107-114. doi:10.1043/0003-3219(1998)068<0107:OTAPOO>2. 3.CO;2
  • 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(4):410-416. doi:10. 1016/s0889-5406(96)70044-6
  • Lunn H, Richmond S, Mitropoulos C. The use of the Index of Orthodontic Treatment Need (IOTN) as a public health tool: a pilot study. Community Dent Health. 1993;10(2):111-121.
  • Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients’ satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805-808. doi:10. 14219/jada.archive.2007.0269
  • Kazancı F, Ceylan İ. Farklı maloklüzyon gruplarında ortodontik tedavi ihtiyacının belirlenmesi. Van Sağlık Bilimleri Derg. 2023;16(2):194-201. doi:10.52976/vansaglik.1298685
  • Almeida AB, Leite ICG. Orthodontic treatment need for Brazilian schoolchildren: a study using the Dental Aesthetic Index. Dent Press J Orthod. 2013;18(1):103-109. doi:10.1590/s2176-94512013000100021
  • Karaağaç E, Küçükeşmen Ç. 12–14 yaşlarındaki çocuklarda ortodontik tedavi ihtiyacı indeksinin değerlendirilmesi. SDÜ Sağlık Bilimleri Derg. 2015;7(3):18-23.
  • Asgari I, Ahmady AE, Yadegarfar G, Eslamipour F. Evaluation of orthodontic treatment need by patient-based methods compared with normative method. Dent Res J (Isfahan). 2013;10(5):636-642.
  • Yadav R, Ranabhat M, Yadav AK. Evaluation of orthodontic treatment need—an ethnic and gender perspective. J Indian Orthod Soc. 2023;57(1): 33-38. doi:10.1177/03015742221122946
  • İnce-Bingöl S, Kaya B, Mamuk A. Evaluation of factors associated with oral health-related quality of life in adolescents with class II malocclusion: a cross-sectional study. J Orofac Orthop. 2025;86(1):1-11. doi:10.1007/s00056-025-00605-x
  • Dahiya C, Mittal S, Teja PH, Mittal A, Gulia K. Correlation between severity of malocclusion and case complexity using Dental Aesthetic Index and ABO discrepancy index. Eur Dent Res Biomater J. 2024;5(1-2):18-27. doi:10.1055/s-0044-1787079
  • Khan HA, Mathur A, Shetty SS, Nair S. Early orthodontic treatment needs of children in high caries population using index for preventive and interceptive orthodontic treatment needs. Int J Clin Pediatr Dent. 2024;17(10):1099. doi:10.5005/jp-journals-10005-2961
  • Alatrach AB, Saleh FK, Osman E. The prevalence of malocclusion and orthodontic treatment need in Syrian children. Eur Sci J. 2014;10(30):42-52. doi:10.19044/esj.2014.v10n30p%42
  • Sen Yavuz B, Yilmaz MA, Yilmaz HN, Agrali OB, Ozsalih Bilsel S, Kargul B. Assessment of relationship between intelligence quotient and orthodontic treatment need. Acta Stomatol Croat. 2023;57(3):248-255. doi:10.15644/asc57/3/5
  • Nguyen SM, Nguyen MK, Saag M, Jagomagi T. The need for orthodontic treatment among Vietnamese schoolchildren and young adults. Int J Dent. 2014;2014:132301. doi:10.1155/2014/132301
  • Bernabé E, Flores-Mir C. Normative and self-perceived orthodontic treatment need of a Peruvian university population. Head Face Med. 2006;2:22. doi:10.1186/1746-160X-2-22
  • Vishnoi P, Shyagali TR, Bhayya DP. Prevalence of orthodontic treatment need in 7–16-year-old schoolchildren in Udaipur, India. Turk J Orthod. 2017;30(3):73-79. doi:10.5152/TurkJOrthod.2017.17022
  • Krisztina MI, Sorana R, Réka G, Katalin V. Evaluation of child self-perception regarding their oro-dental status. Acta Med Marisiensis. 2013;59(5):281-285. doi:10.2478/amma-2013-0047
  • Moghadam MM, Moghimbeigi A, Jafari F. Evaluation of orthodontic treatment needs in Iranian schoolchildren using the IOTN. Avicenna J Dent Res. 2011;3(2):93-101.
  • Puertes-Fernández N, Montiel-Company JM, Almerich-Silla JM, Manzanera D. Orthodontic treatment need in 12-year-olds in Western Sahara. Eur J Orthod. 2011;33(4):377-380. doi:10.1093/ejo/cjq086
  • Bilgic F, Gelgor IE, Celebi AA. Malocclusion prevalence and orthodontic treatment need in Central Anatolian adolescents. Dent Press J Orthod. 2015;20(6):75-81. doi:10.1590/2177-6709.20.6.075-081.oar
  • Demirsoy KK, Büyük SK, Becet N, Abay F. Evaluation of the relationship between orthodontic treatment need and oral health-related quality of life of 11–15-year-old children with different malocclusions: a cross-sectional study. Pediatr Pract Res. 2022;10(2):63-69. doi:10.21767/ppr. 10.2.63
  • Gassem AAB, Aldweesh AH, Alsagob EI, et al. Psychosocial impact of malocclusion and self-perceived orthodontic treatment need among young adult dental patients. Eur J Dent. 2023;17(3):713-719. doi:10. 1055/s-0042-1753452

Orthodontic treatment need among adolescents in a university hospital

Year 2026, Volume: 9 Issue: 2, 393 - 399, 12.03.2026
https://izlik.org/JA29AK66YF

Abstract

Aims: This study aimed to evaluate the orthodontic treatment needs of children aged 12–14 years using the dental health component (DHC) and aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN).
Methods: A total of 407 children who presented to the Pediatric Dentistry Clinic of Batman University Faculty of Dentistry were included. IOTN-DHC and IOTN-AC scores were recorded. The distribution of treatment needs by sex and age was analyzed using the chi-square test. The relationship between AC and DHC was evaluated using Spearman correlation analysis. Statistical significance was set at p<0.05.
Results: Of the participants, 52.09% were classified within IOTN-DHC grades 4–5, indicating a clear functional need for orthodontic treatment. Based on aesthetic assessment, 9.09% were classified within IOTN-AC grades 8–10. No significant differences were found between gender or age and DHC or AC scores (p>0.05). A positive, moderate correlation was observed between AC and DHC (r=0.722; p<0.001).
Conclusion: Functional orthodontic treatment needs were higher than aesthetic needs among the examined population. Age and gender were not significant determinants of treatment need. These findings underscore the importance of orthodontic evaluation during adolescence and indicate a comparatively high level of treatment need in the region.

Ethical Statement

The study was carried out with the permission of the Batman University Scientific Research Evaluation and Ethics Committee (Date:02.10.2025, Decision No: 2025/10-13).

Supporting Institution

This research received no specific grant from any funding agency.

Thanks

“The authors thank all participants and the staff of the Pediatric Dentistry Clinic at Batman University for their contributions.”

References

  • Curto A, Mihit F, Curto D, Albaladejo A. Assessment of orthodontic treatment need and oral health-related quality of life in asthmatic children aged 11–14 years: a cross-sectional study. Children (Basel). 2023;10(2):176. doi:10.3390/children10020176
  • Almerich-Silla JM, Montiel-Company JM, Bellot-Arcís C, Puertes-Fernández N. Cross-sectional study of malocclusion in Spanish children. Med Oral Patol Oral Cir Bucal. 2013;19(1):e15-19. doi:10.4317/medoral.19096
  • De Ridder L, Begnoni G, Declerck D, Yu L, Willems G, Cadenas de Llano-Pérula M. Assessment of orthodontic treatment need, treatment complexity, treatment priority, and oral health-related quality of life of healthy children and adolescents: a scoping review. Community Dent Health. 2026;43(1):32 41. doi:10.1038/s41405-025-00123-7
  • Sezer B, Çarıkçıoğlu B. 12–15 yaş aralığındaki adölesanlarda diş çürüğünün diş yaşı ve gelişimine etkisi. Curr Res Dent Sci. 2022;32(1):29-33. doi:10.17567/ataunidfd.1030578
  • Kavasoglu N, Ertugrul OF, Kotan S, Hazar Y, Eratilla V. Artificial Intelligence-assisted wrist radiography analysis in orthodontics: classification of maturation stage. Appl Sci. 2025;15(21):11681. doi:10. 3390/app152111681
  • Kavasoglu N, Bor S, Zortuk FB, Hamamci N. Effect of earthquake-related trauma on pubertal maturation: evidence from skeletal age assessment following the 2023 Kahramanmaraş earthquakes. Am J Hum Biol. 2025;37(10):e70161. doi:10.1002/ajhb.70161
  • Öza E, Küçükeşmen Ç. Çocuklarda maloklüzyon ve ortodontik tedavi ihtiyacı. Turkiye Klinikleri Dishekim Bilim Derg. 2019;25(2):193-200. doi:10.5336/dentalsci.2018-63491
  • Richmond S, Shaw W, O’Brien K, et al. The development of the PAR Index (Peer Assessment Rating): reliability and validity. Eur J Orthod. 1992;14(2):125-139. doi:10.1093/ejo/14.2.125
  • Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11(3):309-320. doi:10.1093/oxfordjournals.ejo.a035999
  • Shaw W, O’Brien K, Richmond S. Quality control in orthodontics: factors influencing the receipt of orthodontic treatment. Br Dent J. 1991; 170(2):66-68. doi:10.1038/sj.bdj.4807421
  • Sheats R, McGorray S, Keeling S, Wheeler T, King G. Occlusal traits and perception of orthodontic need in eighth grade students. Angle Orthod. 1998;68(2):107-114. doi:10.1043/0003-3219(1998)068<0107:OTAPOO>2. 3.CO;2
  • 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(4):410-416. doi:10. 1016/s0889-5406(96)70044-6
  • Lunn H, Richmond S, Mitropoulos C. The use of the Index of Orthodontic Treatment Need (IOTN) as a public health tool: a pilot study. Community Dent Health. 1993;10(2):111-121.
  • Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients’ satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805-808. doi:10. 14219/jada.archive.2007.0269
  • Kazancı F, Ceylan İ. Farklı maloklüzyon gruplarında ortodontik tedavi ihtiyacının belirlenmesi. Van Sağlık Bilimleri Derg. 2023;16(2):194-201. doi:10.52976/vansaglik.1298685
  • Almeida AB, Leite ICG. Orthodontic treatment need for Brazilian schoolchildren: a study using the Dental Aesthetic Index. Dent Press J Orthod. 2013;18(1):103-109. doi:10.1590/s2176-94512013000100021
  • Karaağaç E, Küçükeşmen Ç. 12–14 yaşlarındaki çocuklarda ortodontik tedavi ihtiyacı indeksinin değerlendirilmesi. SDÜ Sağlık Bilimleri Derg. 2015;7(3):18-23.
  • Asgari I, Ahmady AE, Yadegarfar G, Eslamipour F. Evaluation of orthodontic treatment need by patient-based methods compared with normative method. Dent Res J (Isfahan). 2013;10(5):636-642.
  • Yadav R, Ranabhat M, Yadav AK. Evaluation of orthodontic treatment need—an ethnic and gender perspective. J Indian Orthod Soc. 2023;57(1): 33-38. doi:10.1177/03015742221122946
  • İnce-Bingöl S, Kaya B, Mamuk A. Evaluation of factors associated with oral health-related quality of life in adolescents with class II malocclusion: a cross-sectional study. J Orofac Orthop. 2025;86(1):1-11. doi:10.1007/s00056-025-00605-x
  • Dahiya C, Mittal S, Teja PH, Mittal A, Gulia K. Correlation between severity of malocclusion and case complexity using Dental Aesthetic Index and ABO discrepancy index. Eur Dent Res Biomater J. 2024;5(1-2):18-27. doi:10.1055/s-0044-1787079
  • Khan HA, Mathur A, Shetty SS, Nair S. Early orthodontic treatment needs of children in high caries population using index for preventive and interceptive orthodontic treatment needs. Int J Clin Pediatr Dent. 2024;17(10):1099. doi:10.5005/jp-journals-10005-2961
  • Alatrach AB, Saleh FK, Osman E. The prevalence of malocclusion and orthodontic treatment need in Syrian children. Eur Sci J. 2014;10(30):42-52. doi:10.19044/esj.2014.v10n30p%42
  • Sen Yavuz B, Yilmaz MA, Yilmaz HN, Agrali OB, Ozsalih Bilsel S, Kargul B. Assessment of relationship between intelligence quotient and orthodontic treatment need. Acta Stomatol Croat. 2023;57(3):248-255. doi:10.15644/asc57/3/5
  • Nguyen SM, Nguyen MK, Saag M, Jagomagi T. The need for orthodontic treatment among Vietnamese schoolchildren and young adults. Int J Dent. 2014;2014:132301. doi:10.1155/2014/132301
  • Bernabé E, Flores-Mir C. Normative and self-perceived orthodontic treatment need of a Peruvian university population. Head Face Med. 2006;2:22. doi:10.1186/1746-160X-2-22
  • Vishnoi P, Shyagali TR, Bhayya DP. Prevalence of orthodontic treatment need in 7–16-year-old schoolchildren in Udaipur, India. Turk J Orthod. 2017;30(3):73-79. doi:10.5152/TurkJOrthod.2017.17022
  • Krisztina MI, Sorana R, Réka G, Katalin V. Evaluation of child self-perception regarding their oro-dental status. Acta Med Marisiensis. 2013;59(5):281-285. doi:10.2478/amma-2013-0047
  • Moghadam MM, Moghimbeigi A, Jafari F. Evaluation of orthodontic treatment needs in Iranian schoolchildren using the IOTN. Avicenna J Dent Res. 2011;3(2):93-101.
  • Puertes-Fernández N, Montiel-Company JM, Almerich-Silla JM, Manzanera D. Orthodontic treatment need in 12-year-olds in Western Sahara. Eur J Orthod. 2011;33(4):377-380. doi:10.1093/ejo/cjq086
  • Bilgic F, Gelgor IE, Celebi AA. Malocclusion prevalence and orthodontic treatment need in Central Anatolian adolescents. Dent Press J Orthod. 2015;20(6):75-81. doi:10.1590/2177-6709.20.6.075-081.oar
  • Demirsoy KK, Büyük SK, Becet N, Abay F. Evaluation of the relationship between orthodontic treatment need and oral health-related quality of life of 11–15-year-old children with different malocclusions: a cross-sectional study. Pediatr Pract Res. 2022;10(2):63-69. doi:10.21767/ppr. 10.2.63
  • Gassem AAB, Aldweesh AH, Alsagob EI, et al. Psychosocial impact of malocclusion and self-perceived orthodontic treatment need among young adult dental patients. Eur J Dent. 2023;17(3):713-719. doi:10. 1055/s-0042-1753452
There are 33 citations in total.

Details

Primary Language English
Subjects Paedodontics
Journal Section Research Article
Authors

Serap Gülçin Çetin 0009-0001-0551-9499

Özge Sönmez Uzel 0000-0001-7349-3211

Submission Date December 11, 2025
Acceptance Date February 2, 2026
Publication Date March 12, 2026
IZ https://izlik.org/JA29AK66YF
Published in Issue Year 2026 Volume: 9 Issue: 2

Cite

AMA 1.Çetin SG, Sönmez Uzel Ö. Orthodontic treatment need among adolescents in a university hospital. J Health Sci Med / JHSM. 2026;9(2):393-399. https://izlik.org/JA29AK66YF

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