Aesthetic Treatment Needs for Buccally Displaced Canines in Orthodontics


  • Palwasha Gul
  • Syed Suleman Shah
  • Tahira Hussain



Background and Objectives: Aesthetic and related psychosocial impairment are the major ill effects of malocclusion. Many studies
have concluded that aesthetics, especially alignment of the visible anterior teeth, is often a main motivating factor for see king
orthodontic treatment. The objective of the study was to assess the aesthetic treatment need of orthodontic patients with buccally
displaced maxillary canines using the “Aesthetic Component of Index of Orthodontic Treatment Need (AC-IOTN)”.
Methodology: We recruited 158 subjects at Khyber College of Dentistry (KCD), with a chronological age range of 12 to 30 years.
Age, gender, aesthetic grade and category of treatment need were noted for all the patients. Version 20.0 of the Statistical Package
for Social Sciences was used to enter and analyze the data.
Results: Our sample consisted of 71 (44.9%) males and 87 (55.1%) females. The mean age of the overall sample was 18.51± 4.2
years. There were 82 (51.9%) patients in the “no or little need” category, 25 (15.8%) patients in the “mod erate” treatment need
category, and 51 (32.8%) patients in the “definite” treatment need category, where most of the patients had a grade 8 need on IOTNAC.
Conclusion: On aesthetic need, majority of patients in definite treatment need category fell in the grade 8. Therefore it can be
concluded that buccally displaced canine is one of the primary motivating factors for people to seek orthodontic treatment.