Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination

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, a...

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Autores principales: Gómez-Medina,Ileana Paolina, Aguilar-Pérez,David Alejandro, Colomé-Ruíz,Gabriel Eduardo, Zúñiga-Herrera,Iván Daniel, Escoffié-Ramírez,Mauricio, Herrera-Atoche,José Rubén, Rodríguez-Chávez,Jacqueline Adelina, Aguilar-Pérez,Fernando Javier
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000501386
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spelling oai:scielo:S0717-950220200005013862021-06-10Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and InclinationGómez-Medina,Ileana PaolinaAguilar-Pérez,David AlejandroColomé-Ruíz,Gabriel EduardoZúñiga-Herrera,Iván DanielEscoffié-Ramírez,MauricioHerrera-Atoche,José RubénRodríguez-Chávez,Jacqueline AdelinaAguilar-Pérez,Fernando Javier Cephalometry Orthodontics Diagnosis 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.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.38 n.5 20202020-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000501386en10.4067/S0717-95022020000501386
institution Scielo Chile
collection Scielo Chile
language English
topic Cephalometry
Orthodontics
Diagnosis
spellingShingle Cephalometry
Orthodontics
Diagnosis
Gómez-Medina,Ileana Paolina
Aguilar-Pérez,David Alejandro
Colomé-Ruíz,Gabriel Eduardo
Zúñiga-Herrera,Iván Daniel
Escoffié-Ramírez,Mauricio
Herrera-Atoche,José Rubén
Rodríguez-Chávez,Jacqueline Adelina
Aguilar-Pérez,Fernando Javier
Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
description 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.
author Gómez-Medina,Ileana Paolina
Aguilar-Pérez,David Alejandro
Colomé-Ruíz,Gabriel Eduardo
Zúñiga-Herrera,Iván Daniel
Escoffié-Ramírez,Mauricio
Herrera-Atoche,José Rubén
Rodríguez-Chávez,Jacqueline Adelina
Aguilar-Pérez,Fernando Javier
author_facet Gómez-Medina,Ileana Paolina
Aguilar-Pérez,David Alejandro
Colomé-Ruíz,Gabriel Eduardo
Zúñiga-Herrera,Iván Daniel
Escoffié-Ramírez,Mauricio
Herrera-Atoche,José Rubén
Rodríguez-Chávez,Jacqueline Adelina
Aguilar-Pérez,Fernando Javier
author_sort Gómez-Medina,Ileana Paolina
title Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
title_short Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
title_full Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
title_fullStr Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
title_full_unstemmed Evaluation of Diagnostic Agreement Among Cephalometric Measurements for Determining Incisor Position and Inclination
title_sort evaluation of diagnostic agreement among cephalometric measurements for determining incisor position and inclination
publisher Sociedad Chilena de Anatomía
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000501386
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