The document describes the Index of Orthodontic Treatment Need (IOTN), which is used to assess the severity of malocclusion or misalignment of teeth. It assigns severity levels from 1 to 5 for various dental traits, with 1 indicating little or no need for treatment and 5 indicating the most extreme need for treatment. Traits assessed include overjet, overbite, crossbite, displacement of teeth, missing teeth, impeded eruption, and cleft lip or palate. Each level provides guidelines on the parameters that define the severity of the trait.