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Orthodontic Treatment Need and Demand in Appalachian Youth and Their Parents (Preliminary draft version)

This study explores orthodontic treatment demand and need in Appalachian youth and parents, highlighting cultural issues and disparities in oral health care access. Findings indicate historical and generational differences, emphasizing the importance of addressing barriers to care. The research was supported by NIDCR grant R01.DE14899.

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Orthodontic Treatment Need and Demand in Appalachian Youth and Their Parents (Preliminary draft version)

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  1. Orthodontic Treatment Need and Demand in Appalachian Youth and Their Parents (Preliminary draft version)

  2. Authors and Affiliations • Chris A. Martin1 • Daniel W. McNeil1 • Peter Ngan1 • Richard J. Crout1 • Hilda Heady1 • Robert J. Weyant2 • Mary L. Marazita2 1West Virginia University 2University of Pittsburgh Center for Oral Health Research in Appalachia

  3. Background • People of Appalachia suffer a disproportionate burden of oral disease • Behavioral Risk Factor Surveillance System (BRFSS) • Edentuouslessness • Annual dental visits • Annual prophylaxis • Orthodontic care?

  4. Cultural Issues in Appalachia • Distinct and unique cultural group • Target of stereotyping and cultural bias • Health disparities • Strengths • Cultural Values (Jones, 1994). Examples: • Focus on family • Sense of community

  5. Method • Participants • 46 youth (age range 12 – 17; 31 females and 15 males); mean age of 14.6 years (SD = 1.5) • One or both of their biological parents (n = 57; age range 32 – 54; mean age = 41.5 years [SD = 5.3]; 41 mothers and 16 fathers) • Part of a pilot study for a larger project on oral health in Appalachia

  6. Method • Assessment • Occlusal measurements • IOTN with inter-rater reliability • NHANES III questions on orthodontic history, need, and demand • Distinction between need and demand

  7. Conclusions • Historical, generational differences • Similarity of Appalachian and NHANES III youth data • Possible dissimilarities in treatment received for youth at moderate IOTN levels • Possible reasons for “need but no demand”

  8. The End Thank you for your work and devotion to the oral health of people in rural areas of WV and PA Preparation of this presentation was supported in part by NIDCR grant R01 DE14899 - Genetic Factors Contributing to Oral Health Disparities in Appalachia

  9. What is Dental-Specific Fatalism? • Belief that one’s oral health is controlled by biological and environmental forces beyond one’s control (and perhaps understanding), and that the outcomes are likely to be negative

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