Etiology and treatment need of malocclusion.
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Biomedical subjects
Publications and source records attributed to S Helm.
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Intra-examiner consistency in the recording of single traits of malocclusion according to a previously described method was assessed by duplicate registrations on study models of 292 children. The level of agreement was expressed by the consistency ratio and the phi coefficient. A high level of consistency was obtained for most of the malocclusion traits, and it was concluded that the method employed is appropriate also for analyses of interrelations between these traits.
Mean times of emergence of the permanent teeth (except the first and third molars and mandibular central incisors) were studied cross-sectionally in an unmixed East Greenland population in 1957 and in present West Greenland Eskimo children. In spite of differences in racial and environmental conditions, practically no difference was found between the two samples in the timing of dental development in general, taking into account the average difference in emergence times of the individual teeth. Both samples showed advanced dental development in comparison with two unmixed Caucasoid and two unmixed Mongoloid populations. The mutual similarity in timing of tooth emergence between the East and West Greenland Eskimo children considerably greater than the similarity between each of the Eskimo samples and any of the other four populations.
Orthodontic treatment need has been assessed on the basis of complete orthodontic records in a random sample of 293 Danish children aged 13-17 years by a group of postgraduate orthodontic students and by three orthodontists. The estimates of treatment need ranged from 45% to 61%. Interexaminer agreement in pairs was observed in 77%-92% (mean 83%) of the cases. Uniformity in four individual assessments was reached in 69% of the cases: 38% were considered in need of treatment and 31% were considered not to present such need; conversely, 31% gave rise to disagreement. It is argued that, at present, the orthodontist's subjective estimate of treatment need probably constitutes a more realistic approach to the problem of assigning treatment priority than the various indices of malocclusion.
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The earliest Danish study of mean age at menarche by Ravn (Fenger 1850) is analysed with special reference to age recordings and their subsequent groupings into age-classes. Uncertainties of interpretation of the age designations are discussed, and it is argued that, in all probability, mean age at menarche was 17 years in the samples of Danish women born around 1820, rather than below 16 years as believed previously.
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