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Journal of Indian Society of Pedodontics and Preventive Dentistry Official publication of Indian Society of Pedodontics and Preventive Dentistry
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Year : 2021  |  Volume : 39  |  Issue : 1  |  Page : 29-35

Baby-Risk of malocclusion assessment index: An assessment tool for preventive orthodontic treatment needs in a selected population of children in southeast of Iran

1 Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
2 Private Practice, Kerman University of Medical Sciences, Kerman, Iran
3 Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
4 Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
5 Department of Pediatric Dentistry, School of Dentistry, Kerman, Iran

Correspondence Address:
Dr. Reyhaneh Aftabi
Shafa Street, Department of Pediatric Dentistry, Kerman Dental School, Kerman
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisppd.jisppd_9_21

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Context: Preventive orthodontic treatments are performed in the primary or mixed dentition period and provide a proper development of occlusion to avoid dentofacial anomalies. Aims: This study aims to evaluate the Baby-Risk of Malocclusion Assessment Index (ROMA) index regarding ease of use, reproducibility, and the epidemiological assessment of major orthodontic problems in children aged 4–6-year-old in Kerman (Iran) kindergartens. Setting and Design: This cross-sectional study was conducted on 1000 children aged 4–6 in Kerman (Iran) kindergartens, selected by cluster sampling, and data were collected using the Baby-ROMA index. Methods: After recording a demographic data collection form, the clinical examination of the teeth was carried out by a dental student. The data were analyzed with SPSS 18 using t-test, analysis of variance, Chi-squared test, and Mann–Whitney test at a significance level of P < 0.05. Results: In this study, the most common cause of malocclusion was dental caries (7.5%), followed by crossbite (6.1%). Furthermore, 31.6% of the subjects had one type of malocclusion, and 20.5% needed monitoring the occlusion before the growth spurt, while 11.1% needed immediate orthodontic treatment (mostly 6-year-old children). Moreover, 15.3% of the subjects had systemic problems; 3.4% had craniofacial, 22% had dental, and 2% had functional problems. The prevalence of class I canine relationship in the right canines was 82.32%, with 82.5% on the left side. The prevalence of open bite was higher in females with thumb-sucking habit. Conclusion: The Baby-ROMA index presented good reliability and ease of use for evaluating early orthodontic treatment needs in primary and mixed dentition periods.


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