title: IOTN - a tool to prioritize treatment need in children and plan Dental Health services.
abstract: OBJECTIVE
  The study aimed to evaluate the orthodontic treatment need in school going children in Moradabad, North India, to assess the malocclusion traits, concern towards Dental Health and individual aesthetic perception compared to orthodontist's opinion.
  
  
  METHODS
  5232 children, aged 11-14 yrs formed the sample. The Dental Health Component (DHC) and Aesthetic Component (AC) were recorded as defined by Brook and Shaw, with slight modification for AC assessment.
  
  
  RESULTS
  Statistical analysis revealed that only 12.5% children had no treatment need while 87.5% presented malocclusion with varying treatment needs. There was insignificant sex difference for aesthetic perception. Examiner graded children less attractive than children. Class I was the most common malocclusion and crowding was the most common malocclusion trait. High intra-examiner and substantial inter-examiner agreements were observed for DHC and substantial intra- examiner and moderate inter-examiner agreements for AC.
  
  
  CONCLUSIONS
  It can be concluded from the present study that, IOTN is a reliable epidemiologic tool to benefit local health services in planning their budget, and improve focus of services by inducing greater uniformity and standardization in the assessment of Orthodontic treatment need.
authors.affiliation: Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India, Tel: +91- 9815353822, 9216215687; e-mail: jaideep_sharma2006@yahoo.com.
authors.forename: Jaideep
authors.initials: J
authors.lastname: Sharma
authors.forename: Ruchi Dhir
authors.initials: RD
authors.lastname: Sharma