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ORTHODONTIC TREATMENT NEEDS AMONG 12-15 YEAR-OLDS IN MOSHI, TANZANIA
Abstract
ABSTRACT
Objective: To assess malocclusion and orthodontic treatment needs among 12-15-year-olds in Moshi
municipality, Tanzania.
Design: A cross-sectional study.
Setting: Moshi municipality, Tanzania.
Subjects: Two hundred and eighty nine randomly selected primary school children in Moshi
municipality in the year 2003.
Results: Maxillary median diastema occurred in 20.1% of the children. Crowding and spacing in
the incisor segments occurred in 41.2% and 28.4% respectively with significantly more crowding
in males than in females (p = 0.009). Anterior irregularities occurred in 46% of the sample in the
maxilla and 51.6% in the mandible. These irregularities were significantly more common in the
females than in males in the maxilla and mandible (p=0.014, p=0.037 respectively). Reverse overjet
was extremely rare (0.3%). Anterior openbite and antero-posterior molar relation discrepancies
occurred in 6.2% and 32.5% of the sample, respectively. Crowding, irregularities in the incisor
segments and antero-posterior molar relation discrepancies were dominant malocclusion traits
in this population. The sample mean DAI score was 24.6 points (CI 95% 23.86–25.36). There was
no statistically significant gender difference of DAI scores (p = 0.473). About 65% of the subjects
had either no need or had slight need for treatment whereas 35.3% were found with orthodontic
treatment needs ranging from elective (21.5%), highly desirable (6.9%) to mandatory (6.9%).
There was no significant gender difference in the categories of treatment need (p = 0.942). Unmet
orthodontic treatment needs were present in this population with a very small proportion of
subjects exhibiting handicapping malocclusion.
Conclusion: The information from this study forms part of the basis not only for further research,
but also for planning orthodontic care in this community where unmet orthodontic treatment
needs are present.
Objective: To assess malocclusion and orthodontic treatment needs among 12-15-year-olds in Moshi
municipality, Tanzania.
Design: A cross-sectional study.
Setting: Moshi municipality, Tanzania.
Subjects: Two hundred and eighty nine randomly selected primary school children in Moshi
municipality in the year 2003.
Results: Maxillary median diastema occurred in 20.1% of the children. Crowding and spacing in
the incisor segments occurred in 41.2% and 28.4% respectively with significantly more crowding
in males than in females (p = 0.009). Anterior irregularities occurred in 46% of the sample in the
maxilla and 51.6% in the mandible. These irregularities were significantly more common in the
females than in males in the maxilla and mandible (p=0.014, p=0.037 respectively). Reverse overjet
was extremely rare (0.3%). Anterior openbite and antero-posterior molar relation discrepancies
occurred in 6.2% and 32.5% of the sample, respectively. Crowding, irregularities in the incisor
segments and antero-posterior molar relation discrepancies were dominant malocclusion traits
in this population. The sample mean DAI score was 24.6 points (CI 95% 23.86–25.36). There was
no statistically significant gender difference of DAI scores (p = 0.473). About 65% of the subjects
had either no need or had slight need for treatment whereas 35.3% were found with orthodontic
treatment needs ranging from elective (21.5%), highly desirable (6.9%) to mandatory (6.9%).
There was no significant gender difference in the categories of treatment need (p = 0.942). Unmet
orthodontic treatment needs were present in this population with a very small proportion of
subjects exhibiting handicapping malocclusion.
Conclusion: The information from this study forms part of the basis not only for further research,
but also for planning orthodontic care in this community where unmet orthodontic treatment
needs are present.
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