Resumo

ELIZONDO DUENAZ, Ricardo; YUDOVICH BURAK, Manuel; AGUILAR SAAVEDRA, M  e  MELENDEZ OCAMPO, Arcelia. Handicapping malocclusions with a potential to deteriorate, an index proposal and its application. Rev. Odont. Mex [online]. 2011, vol.15, n.2, pp.77-95. ISSN 1870-199X.

The Public Health Sector need to select patients requiring orthodontic treatment at the 2^nd and 3^rd hospital level has led several authors to devise indexes to determine occlusal problems of non dental origin. However, none of these indexes can reliably measure the need in patients with cranial, facial and dental anomalies, which, at institutional level are a priority due to their transcendence, impact, magnitude and severity. For the purpose of this study we determined the most frequent cranial, facial and dental alterations in patients receiving treatment at the Orthodontics Department of the General Hospital "Dr Manuel Gea González" in 1996. A format was devised incorporating new variables. Each variable had nominal and ordinal values, so that their final addition would suggest the level of possibility and need for hospital based orthodontic treatment. This format was named "Index for handicapping malocclusions with a potential to deteriorate" (Índice de Maloclusiones Invalidantes con Potencial de Deterioro IMICPDD). It was applied to 80 patients who came to the hospital for treatment. Using the classification and the points system proposed, the lowest score was given to a totally edentulous female, patient with dysfunction while the highest score was for a female patient with a diagnosis of multiple facial fissures. The patient with multiple fissures would deserve a program of hospital administered orthodontic treatment while the edentulous one would not receive this service.

Palavras-chave : Occlusal indexes; handicapping malocclusions; potential to deteriorate; craniofacialdental anomalies; oral health areas.

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