İzgi Elif, Pekiner Filiz Namdar
Department of Oral Diagnosis and Radiology, Marmara University School of Dentistry, İstanbul, Turkey.
Department of Oral Diagnosis and Radiology, Medipol University School of Dentistry, İstanbul, Turkey.
Turk J Orthod. 2019 Jun;32(2):87-95. doi: 10.5152/TurkJOrthod.2019.18038. Epub 2019 Jun 1.
Cephalometry can be measured with traditionally conventional analysing methods (hand tracing), as well as using computers. Many dental softwares have been developed for this purpose. The reliability of these programs are often compared with the conventional method. The aim of the present study was to compare the conventional method of manual cephalometric analysis with a computerized one, OnyxCeph ™ (Image Instruments, Chemnitz, Germany) dental software.
Lateral cephalometric radiographs of 150 patients (75 males and 75 females) age range 12-34 were traced by two methods. Conventional method and computerized (OnyxCeph) cephalometric analysis method. 2 maxillar, 3 mandibular, 2 maxillo-mandibular, 3 vertical, 7 dental and 1 soft tissue parameters; 10 angular, 8 linear totally 18 cephalometric parameters were measured. Intra-class correlation coefficients were performed for both methods to assess the reliability of the measurements.
The results 9 of 18 parameters were found statistically significant. They were Cd-A distance, Cd-Gn distance, Go-Me distance, GoGnSN angle, ANS-Me distance, upper incisor-NA distance, lower incisor-NB distance, lower incisor-NB angle, overbite distance.
Despite some discrepancies in measured values between hand-tracing cephalometric analysis method and the OnyxCeph cephalometric analysis method, statistical differences were minimal and only Cd-A, Cd-Gn, Go-Me, ANS-Me, GoGnSN° were clinically important for cephalometric analysis OnyxCeph was evaluated as an efficient method to replace conventional method.
头影测量可以通过传统的常规分析方法(手工描图)以及使用计算机来进行。为此已经开发了许多牙科软件。这些程序的可靠性常常与传统方法相比较。本研究的目的是将手工头影测量分析的传统方法与一种计算机化方法,即OnyxCeph™(德国开姆尼茨图像仪器公司)牙科软件进行比较。
对150名年龄在12至34岁之间的患者(75名男性和75名女性)的头颅侧位X线片采用两种方法进行描图。传统方法和计算机化(OnyxCeph)头影测量分析方法。测量了2个上颌、3个下颌、2个上颌-下颌、3个垂直、7个牙齿和1个软组织参数;总共18个头影测量参数,包括10个角度参数和8个线性参数。对两种方法都进行了组内相关系数分析,以评估测量的可靠性。
18个参数中有9个参数在统计学上具有显著意义。它们是Cd-A距离、Cd-Gn距离、Go-Me距离、GoGnSN角度、ANS-Me距离、上切牙-NA距离、下切牙-NB距离、下切牙-NB角度、覆合距离。
尽管手工描图头影测量分析方法和OnyxCeph头影测量分析方法之间在测量值上存在一些差异,但统计学差异极小,并且对于头影测量分析而言,只有Cd-A、Cd-Gn,、Go-Me、ANS-Me、GoGnSN°在临床上具有重要意义。OnyxCeph被评估为一种替代传统方法的有效方法。