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Title: 2852 - Orthodontic Treatment Uptake and Ethnicity in Children in the UK

Authors:

Matoula Taloumtzi, University College London (UCL)
Susan Cunningham, University College London
Jonathan Newton, King's College London Dental Institute
Georgios Tsakos (Presenter)
University College London

Abstract:

Objectives: This study aimed to assess the association between the orthodontic treatment uptake and ethnic background among 12- and 15-year-olds in England, Wales and Northern Ireland.

Methods: We analysed data from the 2013 Children’s Dental Health Survey, a nationally representative survey that used multistage sampling among schoolchildren in England, Wales and Northern Ireland. Separate analyses were conducted for those aged 12 years (n=2,182) and 15 years (n=2,074). Information on the ethnic background of students was obtained from school records. Additionally, separate analyses were performed for 15-year-olds who (i) were undergoing orthodontic treatment at the time of the survey and (ii) had completed their orthodontic treatment prior to the survey. Poisson regressions assessed the potential association between ethnicity and orthodontic treatment uptake, adjusting for gender, socioeconomic status and dental attendance.

Results: The overall prevalence of orthodontic treatment uptake was 9.5% among 12-year-olds and 32.5% among 15-year-olds. There was no significant association between the ethnic background of adolescents and the overall orthodontic treatment uptake for both ages. However, 15-year-old adolescents in the non-white ethnic group were 1.46 (1.01-2.11) times more likely to be receiving orthodontic treatment at the time of survey than their white counterparts. Bivariate analysis showed that white 15-years-old adolescents were more likely to have completed orthodontic treatment than their non-white peers (14.8% vs 14.6%; p=0.048), but this association was explained after adjustments for gender, socio-economic status and dental attendance.

Conclusions: There was no significant association between overall orthodontic treatment uptake and ethnicity. However, there was variation in the time of treatment uptake with white adolescents tending to get their orthodontic treatment earlier in childhood while as growing older, more non-white adolescents receive treatment. Considering factors such as the severity of orthodontic treatment need when examining the above association would be an interesting focus for future research.

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE

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