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Context: Although the role of ankyloglossia as an etiologic factor in the development of the malocclusion is well established, the guidelines for its clinical examination are still not clear especially in adult subjects. Aim: The aim of the study was to evaluate dento-skeletal characteristics in patients with ankyloglossia and to correlate ankyloglossia with various malocclusion traits. Settings and Design: Descriptive cross-sectional study. Materials and Methods: Fifty patients were divided into two groups using Kotlow’s method: without ankyloglossia (group WA) and ankyloglossia (group A). Five skeletal characteristics- SNA, SNB, ANB, GoGn-SN and five dental characteristics - Class of malocclusion, crowding, spacing, overjet and overbite were assessed. Statistical analysis used: Independent t test was used to compare skeletal and dental characteristics between group WA and A. Pearson correlation coefficient was used to determine interrelationship between ankyloglossia and skeletal and dental characteristics. The level of significance was set at .05. Results: There were statistically significant differences between group WA and group A with respect to SNA, SNB and overjet (P<0.05). Also, a significant positive correlation was seen between ankyloglossia and Class of malocclusion. (r=0.501, P<0.05). Conclusions: This study suggests patients with ankyloglossia have increased overjet with more retrognathic maxilla and mandible as compared to patients without ankyloglossia.

Keywords

Ankyloglossia, Kotlow’s Method, Maloccusion

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Assessment of Malocclusion and Orthodontic Treatment Need Among Hearing and Speech Impaired Children

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Authors

Javed Sodawala ¹, Nidhi Agrawal ¹, Sumit Gandhi ¹, Shaheen Hamdani ¹, Swalpa Agrawal ¹, Harsha Malhotra ¹

Affiliations
1 Department of Orthodontics and Dentofacial Orthopedics, Rungta College of Dental Sciences & Research, Pt. Deendayal Upadhyay Memorial Health Sciences and Ayush University of Chhattisgarh, Bhilai - 490024, Chhattisgarh, IN

Source

Journal of Pierre Fauchard Academy (India Section), Vol 32, No 1-2 (2018), Pagination: 21-26

Abstract

Aim: Children with special needs are prone to poor oral health due to their potential sensory, motor and intellectual disturbances. The purpose of this study was to evaluate type and severity of malocclusion and assess orthodontic treatment need in hearing and speech impaired children. Materials and Methods: Sixty-seven hearing and speech impaired children aged 7-14 years studying in special schools in Bhilai and Durg were included in this study. The Dental Health Component (DHC) and Aesthetic Component (AC) of Index of Orthodontic Treatment Need (IOTN) were recorded by one examiner. Data were analysed using student’s t-test and chi-square test at a level of significance of .05. Results: According to AC, 61.2% children had no/little need, 35.8% had moderate need and 3% had great need of orthodontic treatment. According to DHC, 35.8% children had no/little treatment need, 43.3% had moderate need and 20.9% had great treatment need. Chi-square test showed a highly significant gender difference (P<.001), according to gender based DHC grade. Also, a highly significant difference between patient’s perception and orthodontist’s opinion for both AC and DHC (P<.001). Conclusion: The patient’s perception and orthodontist’s opinion differed for assessment of malocclusion of hearing and speech impaired children. There was a moderate need of orthodontic treatment in these children of Bhilai and Durg.

Keywords

Hearing and Speech Impaired, Orthodontic Treatment Need, IOTN

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