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    IOTN - Cedees Smart Notes

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    Oyendrila Sarkar

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    IOTN - Cedees Smart Notes

    Uploaded by

    Oyendrila Sarkar
    20 views5 pages

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views5 pages

    IOTN - Cedees Smart Notes

    Uploaded by

    Oyendrila Sarkar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    Cedees SMART Notes

    “Index of Orthodontic Treatment Need”

    SMART NOTES

    INDIA’s BEST and Oldest MDS Coaching Centre since 17 years……………..


    Cedees SMART Notes

    Index of Orthodontic Treatment Need

    The Index of Orthodontic Treatment Need was developed in UK by Brook & Shaw in 1989. It
    was introduced as Index of Orthodontic Treatment Priority and later renamed as ‘IOTN’. It is a clinical
    index which prioritizes and classifies malocclusion according to treatment needs ultimately to compare
    populations.

    The IOTN has two separate components; a clinical component called the Dental Health
    Component (DHC) and an Aesthetic Component (AC). DHC and AC are two separate components
    and are not combined together. Both DHC & AC are recorded separately.

    1. Dental Health Component: has five grades ranging from grade one, ‘no need’, to grade five,
    ‘very great need’. A grade is allocated to the severity of the worst occlusal trait and describe
    the priority of treatment. In recording the worst trait following hierarchical scale is used in a
    descending order

    Hierarchical scale: Pneumonic acronym: MOCDO

    1. Missing teeth (including aplasia, displaced & impacted teeth)

    2. Overjets (including reverse sagittal overjets)

    3. Crossbites

    4. Displacements

    5. Overbites

    2. The Aesthetic Component of the IOTN consists of a ten-point scale illustrated by a series
    of photographs which were rated for attractiveness by a lay panel and selected as being equidistantly
    spaced through the range of grades. A rating is allocated for overall dental attractiveness rather than
    specific similarities to the photographs. The final value reflects the treatment need on the grounds of
    aesthetic impairment and by implication the socio-psychological need for orthodontic treatment

    - No treatment required

    INDIA’s BEST and Oldest MDS Coaching Centre since 17 years……………..


    Cedees SMART Notes

    Grad 2 - Little

    Smarter way of interpreting

    INDIA’s BEST and Oldest MDS Coaching Centre since 17 years……………..


    Cedees SMART Notes

    Smarter way of interpreting Dental Health Component

    INDIA’s BEST and Oldest MDS Coaching Centre since 17 years……………..


    Cedees SMART Notes

    The Modified IOTN-

    The modified IOTN is a two – grade scale, Grade 1- No Need Grade 2- Definite Need

    Instead of five grade scale with 30 sub categories, the modified IOTN is based on idea that
    the IOTN is not an index to measure the complexity; and therefore, there is no benefit in recording the
    occlusal anomaly that placed the child in treatment need category.

    The modified IOTN simplifies identifying people in need of treatment and improves there
    liability and validity of the index. By using the modified IOTN, every case with IOTN DHC ≥ 4
    and / or IOTN AC ≥ 8 is classified as being in need of treatment.

    Since its introduction, few epidemiological studies used the modified IOTN; the index has
    been simplified to two categories: Definite Need for Treatment and No Definite Need for Treatment

    INDIA’s BEST and Oldest MDS Coaching Centre since 17 years……………..

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