Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination/Evaluacion de la Concordancia Diagnostica entre Mediciones Cefalometricas para la Determinacion de la Posicion e Inclinacion de los Incisivos

The incisors are a key factor in dental occlusion and dentofacial aesthetics; therefore, the sagittal position and inclination of the incisors is a key parameter in diagnosis and orthodontic treatment planning. In some cases, the orthodontist will use more than one cephalometric analysis, and thus d...

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Bibliographic Details
Published in:International journal of morphology 2020-09, Vol.38 (5), p.1386
Main Authors: Gomez-Medina, Ileana Paolina, Aguilar-Perez, David Alejandro, Colome-Ruiz, Gabriel Eduardo, Zuniga-Herrera, Ivan Daniel, Escoffie-Ramírez, Mauricio, Herrera-Atoche, Jose Ruben, Rodriguez-Chavez, Jacqueline Adelina, Aguilar-Perez, Fernando Javier
Format: Article
Language:English
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Summary:The incisors are a key factor in dental occlusion and dentofacial aesthetics; therefore, the sagittal position and inclination of the incisors is a key parameter in diagnosis and orthodontic treatment planning. In some cases, the orthodontist will use more than one cephalometric analysis, and thus different results can be obtained. The aim of this study was to establish the diagnostic agreement among the different cephalometric measurements used to determine the anteroposterior position and the inclination of the incisors. Lateral cephalometric radiograms of patients between 18 and 59 years old were measured (n=260). Digital cephalometric measurements were made with Dolphin Imaging software, by a single calibrated operator. Here, a specific cephalometric analysis was designed in the software analysis editor. The results for each variable and each measurement were registered and compared. Fleiss's Kappa statistical tests, Cohen's Kappa, and Kendall's coefficient were used to determine the strength of agreement using the Minitab software. The results showed diagnostic strength agreement between slight and moderate among measurements of the same variable. This indicates that same diagnosis might not be obtained when using different approaches to measure the anteroposterior position and inclination of the incisors. It was concluded that there is a difference in the diagnosis between one measurement and another because the results showed slight or moderate strength of agreement. However, in some cases, better agreement was found when the measurements were compared as a function of the diagnostic response. KEY WORDS: Cephalometry; Orthodontics; Diagnosis. Los incisivos son un factor clave en la oclusion dental y la estetica dentofacial; por lo tanto, la posicion sagital y la inclinacion de los incisivos es un parametro clave en el diagnostico y la planificacion del tratamiento de ortodoncia. En algunos casos, el ortodoncista utilizara mas de un analisis cefalometrico y, por lo tanto, se pueden obtener resultados diferentes. El objetivo de este estudio fue establecer el acuerdo de diagnostico entre las diferentes mediciones cefalometricas utilizadas para determinar la posicion anteroposterior y la inclinacion de los incisivos. Se midieron radiografias cefalometricas laterales de pacientes entre 18 y 59 anos (n = 260). Las mediciones cefalometricas digitales se realizaron con el software Dolphin Imaging, por un solo operador calibrado. Aqui, se diseno un analisis
ISSN:0717-9367
0717-9502