Abbad Nikhil Bharat, Srivastava Rajeev, Choukse Vivek, Sharma Vandana
Department of Prosthodontics, SMBT Dental College, Ghulewadi, Maharashtra, India.
Department of Prosthodontics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.
J Indian Prosthodont Soc. 2019 Apr-Jun;19(2):159-165. doi: 10.4103/jips.jips_269_18.
The purpose of the study is to evaluate and compare the horizontal mandibular positions recorded between intraoral conventional tracer and intraoral digital tracer in upright and supine position.
Twenty-four edentulous patients with well-formed ridge and adequate interarch distance space were selected. MATLAB software was assimilated with intraoral digital tracer and was utilized in the study for recording the horizontal movements of the mandible, i.e., gothic arch tracing by intraoral digital tracer and was observed on a laptop with the help of MATLAB Software. For each subject, multiple mandibular readings were recorded and analyzed through software, and similar readings were recorded with conventional intraoral tracers. The comparison between intraoral conventional tracer and intraoral digital tracer was done to assess the reliability. Moreover, the consistency of recording horizontal mandibular position was also compared between upright and supine position.
The data were procured and utilized in comparison for different positions revealed statistically significant difference by using Student's Paired -test. The test resulted in supine position better compared to upright position ( = 0.0001). The association between supine position with upright position was calculated using Fischer's exact test, and it was also found to be statistically significant ( = 0.002). The Pearson's Correlation analysis was performed to check the agreement between upright and supine position and very weak downhill correlation ( = -0.130) was observed between the two variables.
On evaluation and comparison of horizontal mandibular position, it was found that the intraoral digital tracing technique is more valid compared to conventional intraoral tracer technique. It was also observed that the consistency of reproducibility in recording horizontal mandibular position in supine position is significantly higher than upright position.
本研究旨在评估和比较在直立位和仰卧位时,口腔内传统描记器和口腔内数字描记器记录的下颌水平位置。
选取24例牙槽嵴形态良好且颌间距离足够的无牙颌患者。将MATLAB软件与口腔内数字描记器相结合,并用于本研究中记录下颌的水平运动,即通过口腔内数字描记器进行哥特式弓描记,并借助MATLAB软件在笔记本电脑上进行观察。对每个受试者,通过软件记录并分析多个下颌读数,同时用传统口腔内描记器记录类似读数。对口腔内传统描记器和口腔内数字描记器进行比较以评估可靠性。此外,还比较了直立位和仰卧位记录下颌水平位置的一致性。
通过配对t检验,对不同位置获取的数据进行比较显示出统计学上的显著差异。结果表明,仰卧位优于直立位(P = 0.0001)。使用费舍尔精确检验计算仰卧位与直立位之间的关联,发现其也具有统计学意义(P = 0.002)。进行皮尔逊相关分析以检查直立位和仰卧位之间的一致性,观察到两个变量之间存在非常弱的负相关(r = -0.130)。
在对下颌水平位置进行评估和比较时,发现口腔内数字描记技术比传统口腔内描记器技术更有效。还观察到,仰卧位记录下颌水平位置的可重复性一致性明显高于直立位。