Kaur Sukhjit, Datta Kusum
Department of Prosthodontics and Crown and Bridge, Punjab Government Dental College and Hospital, Amritsar, Punjab, India.
J Indian Prosthodont Soc. 2018 Jan-Mar;18(1):35-41. doi: 10.4103/jips.jips_243_17.
The study was conducted to evaluate the accuracy of orthopantomograph (OPG) as an aid to determine condylar guidance.
The condylar guidance was measured using the impressions of glenoid fossae and radiographs (OPG) on thirty dried human skulls. Frankfurt horizontal plane (FHP) was used as a reference plane in both the methods and wire markers were adapted to make the contours of glenoid fossae discernible for both the methods. The condylar inclination angle was measured between FHP and a line joining the most concave point on the glenoid fossa with the most inferior point on the articular eminence on both right and left sides.
Pearson correlation was used for statistical analysis, and it showed a strong correlation between anatomic and radiographic methods ( = 0.864 for the left side, = 0.873 for the right side) as well as between right and left sides ( = 0.830). The data were also subjected to regression analysis (linear and panel estimation approach) which showed that OPG could be effectively used to predict the condylar guidance ( = 0.6160).
Although OPG shows a higher value than anatomic method, it can be used as an aid to set condylar guidance on semi-adjustable articulator.
本研究旨在评估全景曲面断层片(OPG)作为确定髁突引导的辅助手段的准确性。
在30个干燥的人类头骨上,使用关节窝印模和X线片(OPG)测量髁突引导。两种方法均以法兰克福水平面(FHP)作为参考平面,并使用金属丝标记以使两种方法都能清晰显示关节窝轮廓。测量左右两侧FHP与连接关节窝最凹点和关节结节最下点的直线之间的髁突倾斜角度。
采用Pearson相关性进行统计分析,结果显示解剖学方法与影像学方法之间具有强相关性(左侧r = 0.864,右侧r = 0.873),左右两侧之间也具有强相关性(r = 0.830)。数据还进行了回归分析(线性和面板估计方法),结果显示OPG可有效用于预测髁突引导(r = 0.6160)。
虽然OPG显示的值高于解剖学方法,但它可作为在半可调牙合架上设置髁突引导的辅助手段。