The relationship between demand and need for orthodontic treatment in high school students in Bangkok.

BACKGROUND: Orthodontic service is limited in Thailand and cannot meet the demand of the population. OBJECTIVE: (1) To assess the need for orthodontic treatment (OT) using the Index of Orthodontic Treatment Need (IOTN) to analyze the relationship between demand and need for OT and (2) to compare the demand and need for OT between genders. MATERIAL AND METHOD: A cross-sectional study was conducted on 450 students aged 12- to 14-years-old in three government high schools in Bangkok. A constructed questionnaire was used to assess demand for OT Clinical examination was done by two orthodontists to determine the needfor OT using the IOTN RESULTS: Most of the students (74.0%) wished to have OT while only one-third (37.5%) had severe need, and one-third (34.4%) had moderate need for OT as judge by the DHC of the IOTN. The AC of the IOTN indicated that most students (55.8%) had mild or no need for OT Females (79%) demanded OT more than males (66% p-value = 0.033) but the need was similar in both sexes. Most functional factors had strong relationships with the demand for OTexcept lower teeth bite on palate, but none was found to be associated with need for OT All of the aesthetic factors had strong relationships with demand for OT There were significant relationships with needs in five categories, 1) crooked, crowded, or spacing teeth, 2) worried when speaking or smiling, 3) had suggestedfor OT 4) breath smell and halitosis, and 5) wanted to put on braces to be like other people or for fashionable reasons. CONCLUSION: Most of the students requested OT but females had significantly higher demand for OT than males. Most of the samples needed to have OT The aesthetic factors that had strong relationships with the need for OT were 1) crooked, crowded, or spacing teeth, 2) worried when speaking or smiling, 3) had suggested for T07 4) breath smell and halitosis, and 5) wanted to put on braces to be like otherpeople orfor fashionable reasons.

Felt needs of parents who have a 0- to 3-month-old child with a cleft lip and palate.

OBJECTIVE: To describe the felt needs of parents who have children from birth to 3 months of age with a cleft lip and palate. DESIGN: Parents were interviewed using structured and semistructured questions at 1 week and 1, 2, and 3 months after birth. PARTICIPANTS: Fifteen parents, including 12 mothers and three fathers, of patients with cleft lip and palate aged 0 to 3 months were interviewed. RESULTS: During the first week after birth, the majority of parents needed to know about feeding and surgery. At 1, 2, and 3 months after birth, more information was required, especially on different surgeries during those periods and speech problems. In addition, a number of parents requested funding for every period, and very few had expectations of moral support from health care professionals. CONCLUSIONS: The felt needs expressed in this study changed according to periods of time and mainly concerned feeding, speech problems, and surgery, as well as financial support. The needs of parents, particularly during the transitional period, should be considered as a provision of holistic care for patients with cleft lip and palate and their families.