Mawani Dipal, Muddugangadhar Byrasandra Channappa, Das Arindam, Mukhopadhyay Arindam
Department of Prosthodontics and Crown and Bridge Including Implantology, MR Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.
J Indian Prosthodont Soc. 2019 Apr-Jun;19(2):113-119. doi: 10.4103/jips.jips_266_18.
The aim of the study was to compare two radiographic techniques, orthopantomograph (OPG), and cone-beam computed tomography (CBCT) in determining the sagittal condylar guidance (SCG) and to find out if CBCT can serve as an alternative aid to program semi-adjustable and fully adjustable articulators.
Following the inclusion and exclusion criteria, 40 individuals (20 males and 20 females) aged between 20 and 40 years were selected. An OPG and a CBCT radiograph were obtained for each individual. Using appropriate software, the SCG was measured for both the sides, for both the radiographic methods. The values for each individual were obtained by two investigators for both the methods using the respective software and the average value was taken. After performing the Shapiro-Wilk test, paired -test was used to compare the mean difference pairwise (for both right and left side) while -test was used to compare the mean difference between two groups.
Results showed that the right and left SCG values obtained from both, OPG and CBCT methods were comparable and there were no significant differences. Statistically significant difference was not found between the left and ride side condylar inclination values for both the sex obtained from both the methods. With increasing age, condylar inclination values obtained from both the radiographic methods tend to decrease. The values for SCG obtained from both the methods (CBCT and OPG) are thus comparable and correlated.
The values for SCG obtained from both the methods (CBCT and OPG) are comparable and correlated. Thus, CBCT being a better radiographic technique can be used for obtaining the condylar inclination for programming the semi-adjustable and fully adjustable dental articulators.
本研究旨在比较两种影像学技术——曲面体层摄影(OPG)和锥形束计算机断层扫描(CBCT)在确定髁突矢状向引导(SCG)方面的效果,并探究CBCT是否可作为一种替代辅助手段来设置半可调式和全可调式牙合架。
按照纳入和排除标准,选取40名年龄在20至40岁之间的个体(20名男性和20名女性)。为每名个体拍摄一张OPG片和一张CBCT片。使用合适的软件,针对两种影像学方法,测量双侧的SCG。由两名研究人员分别使用各自的软件获取每名个体两种方法的测量值,并取平均值。进行 Shapiro-Wilk 检验后,配对t检验用于比较双侧(左右两侧)的平均差异,而独立样本t检验用于比较两组之间的平均差异。
结果显示,通过OPG和CBCT方法获得的左右两侧SCG值具有可比性,且无显著差异。两种方法获得的不同性别左右两侧髁突倾斜度值之间未发现统计学上的显著差异。随着年龄的增长,两种影像学方法获得的髁突倾斜度值均呈下降趋势。因此,两种方法(CBCT和OPG)获得的SCG值具有可比性且相互关联。
两种方法(CBCT和OPG)获得的SCG值具有可比性且相互关联。因此,CBCT作为一种更好的影像学技术,可用于获取髁突倾斜度,以设置半可调式和全可调式牙合架。