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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study

Umesh WadgaveORCID iD: https://orcid.org/0000-0001-5359-834X / Nagesh Lakshminarayan
Published Online: 2019-05-03 | DOI: https://doi.org/10.1515/ijamh-2018-0204



The aim of this study was to compare the normative dental needs and sociodental needs in a sample of 18–21-year-old students in Davangere city in South India.


This cross-sectional survey was conducted on a sample of 250 students aged 18–21 years. Data was collected using a self-administered questionnaire and clinical examination. The normative needs were assessed by different indices. The impact of oral diseases on their quality of life was assessed using the standard Oral Impact on Daily Performance (OIDP) scale and propensity-related needs (PRNs) were assessed using three standard questions.


About 85.6% of the subjects fulfilled the criteria for professionally judged normative treatment need. Among them, 42% of the subjects were suffering from emergency/progressive oral conditions and the remaining 43.6% subjects were suffering from non-progressive oral conditions. In turn, a total of 28.4% of the subjects with non-progressive oral conditions fulfilled the criteria of impact-related treatment need. Finally, only 1.2% had sociodental needs (high PRNs).


A substantial reduction in treatment needs were found with the sociodental approach among youths in India. The considerable proportion of the children with impact-related need (IRN) did not have a high behavioral propensity, hence potentially needing alternative interventions and programs.

Keywords: behavior; oral health; quality of life; treatment needs


  • [1]

    Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83:661–9.PubMedGoogle Scholar

  • [2]

    Singh A, Purohit BM. Addressing geriatric oral health concerns through national oral health policy in India. Int J Heal Policy Manag. 2015;4(1):39–42.Google Scholar

  • [3]

    Cynthia M, Pine RH. Community Oral Health. 2nd ed. Dehli: Quintessence Publishing; 2007.Google Scholar

  • [4]

    Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JP, Green S, editors. Cochrane handbook for systematic reviews of interventions. Version 5.1.0. The Cochrane Collaboration. London: John Wiley & Sons; 2011.Google Scholar

  • [5]

    Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988;5(1):3–18.PubMedGoogle Scholar

  • [6]

    Gherunpong S, Tsakos G, Sheiham A. A sociodental approach to assessing dental needs of children: concept and models. Int J Paediatr Dent. 2006;16(2):81–8.PubMedCrossrefGoogle Scholar

  • [7]

    Heft MW, Gilbert GH, Shelton BJ, Duncan RP. Relationship of dental status, sociodemographic status, and oral symptoms to perceived need for dental care. Community Dent Oral Epidemiol. 2003;31(4):351–60.CrossrefPubMedGoogle Scholar

  • [8]

    Maizels J, Maizels A, Sheiham A. Sociodental approach to the identification of dental treatment-need groups. Community Dent Oral Epidemiol. 1993;21(6):340–6.CrossrefPubMedGoogle Scholar

  • [9]

    Gilbert GH, Heft MW, Duncan RP, Ringelberg ML. Perceived need for dental care in dentate older adults. Int Dent J. 1994;44(2):145–52.PubMedGoogle Scholar

  • [10]

    Gherunpong S, Sheiham A, Tsakos G. A sociodental approach to assessing children’s oral health needs: Integrating an oral health-related quality of life (OHRQoL) measure into oral health service planning. Bull World Health Organ. 2006;84(1):36–42.PubMedGoogle Scholar

  • [11]

    Srisilapanan P, Sheiham A. Assessing the difference between sociodental and normative approaches to assessing prosthetic dental treatment needs in dentate older people. Gerodontology. 2001;18(1):25–34.PubMedCrossrefGoogle Scholar

  • [12]

    Srisilapanan P, Korwanich N, Sheiham A. Assessing prosthodontic dental treatment needs in older adults in Thailand: normative vs. sociodental approaches. Spec Care Dentist. 2003;23(4):131–4.CrossrefPubMedGoogle Scholar

  • [13]

    Stevens A, Gabbay J. Needs assessment needs assessment. Health Trends. 1991;23(1):20–3.PubMedGoogle Scholar

  • [14]

    Wright J, Williams R, Wilkinson JR. Health needs assessment: development and importance of health needs assessment. Br Med J. 1998;316(7140):1310–3.CrossrefGoogle Scholar

  • [15]

    Tsakos G. Combining normative and psychosocial perceptions for assessing orthodontic treatment needs. J Dent Educ. 2008;72:876–85.PubMedGoogle Scholar

  • [16]

    Gherunpong S, Tsakos G, Sheiham A. A socio-dental approach to assessing children’s orthodontic needs. Eur J Orthod. 2006;28(4):393–9.CrossrefPubMedGoogle Scholar

  • [17]

    do Prado RL, Saliba NA, Garbin CA, Moimaz SA. Oral impacts on the daily performance of Brazilians assessed using a sociodental approach: analyses of national data. Braz Oral Res. 2015;29(1):1–9.CrossrefGoogle Scholar

  • [18]

    Ab-Murat N, Sheiham A, Tsakos G, Watt R. Periodontal treatment needs and workforce requirements: comparisons between the normative and sociodental approaches using different skill mix models. Community Dent Oral Epidemiol. 2015;43(2):106–15.Web of ScienceCrossrefPubMedGoogle Scholar

  • [19]

    Herkrath FJ, Rebelo MA, Herkrath AP, Vettore MV. Comparison of normative methods and the sociodental approach to assessing orthodontic treatment needs in 12-year-old schoolchildren. Oral Health Prev Dent. 2013;11(3):211–20.PubMedWeb of ScienceGoogle Scholar

  • [20]

    Usha GV, Thippeswamy HM, Nagesh L. Comparative assessment of validity and reliability of the Oral Impacts on Daily Performance (OIDP) frequency scale: a cross-sectional survey among adolescents in Davanagere city, Karnataka, India. Int J Dent Hyg. 2013;11(1):28–34.CrossrefWeb of SciencePubMedGoogle Scholar

  • [21]

    Zucoloto ML, Maroco J, Campos JA. Impact of oral health on health-related quality of life: a cross-sectional study. BMC Oral Health. 2016;16(1):55.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [22]

    Singh A, Purohit BM. Addressing oral health disparities, inequity in access and workforce issues in a developing country. Int Dent J. 2013;63(5):225–9.Web of ScienceGoogle Scholar

  • [23]

    Gill M, Pal K, Gambhir RS. Oral hygiene practices, attitude, and access barriers to oral health among patients visiting a rural dental college in North India. J Dent Res Rev. 2014;1(3):114.Google Scholar

  • [24]

    Murray JJ. Whither paediatric dentistry? Int J Paediatr Dent. 1998;8(4):235–42.PubMedCrossrefGoogle Scholar

  • [25]

    Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean? (Or it takes, at least two to tango). Soc Sci Med. 1997;44(5):681–92.PubMedCrossrefGoogle Scholar

  • [26]

    Kroeger A. Health interview surveys in developing countries: a review of the methods and results. Int J Epidemiol. 1983;12(4):465–81.PubMedCrossrefGoogle Scholar

About the article

Received: 2018-09-06

Accepted: 2018-12-02

Published Online: 2019-05-03

Declaration of conflicting interest: This study is not funded by any agency and both the authors confirm there is no conflict of interest.

Citation Information: International Journal of Adolescent Medicine and Health, 20180204, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0204.

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