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Developing an Index for the Orthodontic Treatment Need in Pediatric Patients with Obstructive Sleep Apnea: A Communication Tool between Physicians and Orthodontists

  • Author / Creator
    Altalibi, Mostafa
  • Purpose: To develop a physician screening index for the oral and facial assessment of the orthodontic treatment-need in pediatric patients with Obstructive Sleep Apnea (OSA) that may diminish the severity of their OSA symptoms. Methods: Based on the available literature and WHO guidelines for index development, a draft index was produced, and subjected to multiple iterative revisions based on the feedback from: 1) the Index Development Group; 2) the External Review Group; and 3) the Steering Committee. Once the index was formalized, it was subjected to reliability testing Results: Based on the feedback from the Index Development Group, the External Review Group and the Steering Committee, an index has been developed that is simple, easy to understand and easy to use. The index also exhibits a fair to substantial inter-rater reliability, and moderate to almost perfect intra-rater reliability. The orthodontic residents scored better than the medical residents in the reliability tests and took less time to use the index. The average time to use the index on 15 cases was 17:14min. Conclusions: This is a much needed, simple, and easy to use index that is reliable among orthodontic residents and among medical residents.

  • Subjects / Keywords
  • Graduation date
    2016-06
  • Type of Item
    Thesis
  • Degree
    Master of Science
  • DOI
    https://doi.org/10.7939/R3JS9HK00
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
  • Language
    English
  • Institution
    University of Alberta
  • Degree level
    Master's
  • Department
    • Medical Sciences-Orthodontics
  • Supervisor / co-supervisor and their department(s)
    • MacLean, Joanna (Faculty of Medicine and Dentistry)
    • Major, Paul W (Faculty of Medicine and Dentistry)
    • Roberts, Mary R (Occupational Therapy)
  • Examining committee members and their departments
    • MacLean, Joanna (Faculty of Medicine and Dentistry)
    • Flood, Patrick (School of Dentistry)
    • Witmans, Manisha (Faculty of Medicine and Dentistry)
    • Roberts, Mary R (Occupational Therapy)
    • Major, Paul W (Faculty of Medicine and Dentistry)