Agreement of the Discrepancy Index Obtained Using Digital and Manual Techniques-A Comparative Study
Por:
Burgos-Arcega, Nestor A., Scougall-Vilchis, Rogelio J., Morales-Valenzuela, Adriana A., Hegazy-Hassan, Wael, Lara-Carrillo, Edith, Toral-Rizo, Victor H., Velazquez-Enriquez, Ulises, Salmeron-Valdes, Elias N.
Publicada:
1 jun 2022
Resumen:
The discrepancy index evaluates the complexity of the initial
orthodontic diagnosis. The objective is to compare whether there is a
difference in the final discrepancy index score of the American Board of
Orthodontics (ABO) when obtained using digital and manual techniques.
Fifty-six initial orthodontic records in a digital and physical format
were included (28 each) in 2022 at the Center for Research and Advanced
Studies in Dentistry. For the digital measurements, iTero and TRIOS 3
intraoral scanners were used, along with Insignia software and
cephalometric tracing with Dolphin Imaging software. Manual measurements
were obtained in dental casts using the ruler indicated for the
previously mentioned discrepancy index, in addition to conventional
cephalometric tracing. Student's t-test did not show statistically
significant differences between the digital and manual techniques, with
final discrepancy index scores of 24.61 (13.34) and 24.86 (14.14),
respectively (p = 0.769). Cohen's kappa index showed very good agreement
between both categorical measurements (kappa value = 1.00, p = 0.001).
The Bland-Altman method demonstrated a good agreement between continuous
measurements obtained by both techniques with a bias of 0.2500 (superior
limit of agreement =9.0092988, inferior limit of agreement =
-8.5092988). Excellent agreement was observed in obtaining the
discrepancy index through digital technique (Intraoral scanning and
digital records) and manual technique (conventional records).
Filiaciones:
Burgos-Arcega, Nestor A.:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Scougall-Vilchis, Rogelio J.:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Morales-Valenzuela, Adriana A.:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Hegazy-Hassan, Wael:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Lara-Carrillo, Edith:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Toral-Rizo, Victor H.:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Velazquez-Enriquez, Ulises:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
Salmeron-Valdes, Elias N.:
Autonomous Univ Mexico State, Sch Dent, Ctr Res & Adv Studies Dent, Toluca 50130, Estado De Mexic, Mexico
gold
|