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Applicability of the IOTN-AC index in a bimaxillary protrusion population Cover

Applicability of the IOTN-AC index in a bimaxillary protrusion population

Open Access
|Mar 2023

Figures & Tables

Figure 1.

IOTN-AC score sheet.
IOTN-AC score sheet.

Figure 2.

IOTN Aesthetic Scale.
IOTN Aesthetic Scale.

Figure 3.

Participants assessments of their aesthetics.
Participants assessments of their aesthetics.

Figure 4.

Frequency of scores for patient IOTN-AC and orthodontist IOTN-AC and IOTN-DHC.
Frequency of scores for patient IOTN-AC and orthodontist IOTN-AC and IOTN-DHC.

Responses to questionnaire administered to participants_

Question1(Not a reason)234 (very much a reason)
  1. To make my smile nicer5 (4.5)17 (15.5)22 (20.0)61 (55.5)
  2. To help me chew food better41 (37.3)27 (24.5)19 (17.3)18 (16.4)
  3. To make my family happy70 (63.6)11 (10.0)15 (13.6)9 (8.2)
  4. To help me with my schoolwork88 (80.0)7 (6.4)6 (5.5)4 (3.6)
  5. To make my teeth look nicer7 (6.4)6 (5.5)21 (19.1)71 (64.5)
  6. To help my breathing84 (76.4)9 (8.2)8 (7.3)3 (2.7)
  7. To feel more confident21 (19.1)14 (12.7)23 (20.9)46 (41.8)
  8. To help my top and bottom teeth fit together8 (7.3)15 (13.6)24 (21.8)57 (51.8)
  9. To help me speak more clearly47 (42.7)21 (19.1)13 (11.8)24 (21.8)
10. To make my face look better31 (28.2)23 (20.9)28 (25.5)23 (20.9)
11. To make me feel better about myself32 (29.1)14 (12.7)23 (20.9)36 (32.7)
12. To keep my gums healthy16 (14.5)19 (17.3)32 (29.1)37 (33.6)
13. To make me feel healthier30 (27.3)16 (14.5)17 (15.5)41 (37.3)
14. To keep me from losing teeth in future23 (20.9)15 (13.6)14 (12.7)52 (47.3)
15. To help me make friends84 (76.4)10 (9.1)6 (5.5)5 (4.5)
16. To keep my jaw joints healthy23 (20.9)23 (20.9)25 (22.7)33 (30.0)
17. To help my front teeth fit together9 (8.2)14 (12.7)31 (28.2)51 (46.4)
18. To make me look better25 (22.7)16 (14.5)25 (22.7)39 (35.5)
19. To make me feel better about going out42 (38.2)23 (20.9)19 (17.3)20 (18.2)
20. To help keep my jaw joint from clicking47 (42.7)20 (18.2)18 (16.4)19 (17.3)
21. To help my back teeth fit together26 (23.6)19 (17.3)19 (17.3)40 (36.4)
22. To make it easier to get on with people79 (71.8)8 (7.3)9 (8.2)8 (7.3)
23. To make it easier to bite into food40 (36.4)17 (15.5)14 (12.7)34 (30.9)

Inter and intra examiner reliability for orthodontist IOTN scores_

TestIntra-examiner reliability (IOTN-AC)Intra-examiner reliability (IOTN-DHC)Inter-examiner reliability (IOTN-AC)Inter-examiner reliability (IOTN-DHC)
Spearman’s correlation0.821<0.0010.6040.0020.914<0.0010.713<0.001
Cohen’s Kappa0.681<0.0010.477<0.0010.872<0.0010.599<0.001

Correlation between patient IOTN AC and Questionnaire items Q1 and Q5_

IOTN-AC patient vs Q1Patient IOTN-AC vs. Q5Q1 vs Q5
Testp valuep valuep value
Pearson correlation0.1100.2260.1430.1470.437<0.001

Frequency of IOTN scores by severity and gender_

GENDER
Male (%)Female (%)Total (%)
Patient -Ac
    Mild40 (49.4)41 (50.6)81 (73.6)
    Moderate7 (63.6)4 (36.4)11 (10)
    Severe4 (23.5)13 (76.5)17 (15.5)
    Total51 (46.8)58 (53.2)109 (99.1)
    Missing 1 (0.9)
Orthodontist -Ac
    Mild38 (45.2)46 (54.8)84 (76.4)
    Moderate0 (0)0 (0)0 (0)
    Severe14 (58.3)10 (41.7)24 (21.8)
    Total52 (48.1)56 (51.9)108 (98.2)
    Missing 2 (1.8)
Orthodontist -DHC
    Moderate5 (50)5 (50)10 (9.1)
    Severe47 (47)53 (53)100 (90.9)
    Total52 (47.3)58 (52.7)110 (100)

Agreement and correlation between patient and orthodontist IOTN AC scores and normative need_

IOTN-AC patient vs. OrthodontistPatient IOTN-AC vs. IOTN-DHCOrthodontist IOTN-AC vs. IOTN-DHC
Testp valuep valuep value
Spearman’s correlation0.435<0.0010.1240.1980.0940.334
Cohen’s Kappa0.395<0.0010.0170.3070.0140.329
DOI: https://doi.org/10.2478/aoj-2023-0010 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 120 - 129
Submitted on: Dec 1, 2022
Accepted on: Jan 1, 2023
Published on: Mar 15, 2023
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2023 Trudee Hoyte, Anil Ali, David Bearn, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.