Int J Comput Dent. 2021 Sep 23;24(3):275-282.
The present prospective clinical study aimed to validate the Greifswald Digital Analyzing System (GEDAS) as a method for digital assessment of the occlusion in primary and mixed dentition.
The reproducibility of GEDAS in primary and mixed dentition was assessed using the intraclass correlation coefficient (ICC). In addition, the acceptability of the method to the dentist, the child, and the parent/caregiver was assessed using a modified visual analog scale of faces, the Frankl behavior scale, and the 10-point Likert scale. In total, 20 participants aged between 3 and 9 years (mean age: 6; standard deviation: ± 1.74) with primary (n = 10) and mixed (n = 10) dentition were recruited.
The ICC for the number of contact points in all teeth was 0.94 and for the area of contact points was 0.97, indicating good to excellent reproducibility. The average total number of contacts per bite registration per arch in the primary and mixed dentition was 36.5 (17 to 66) and 37.9 (9 to 74), respectively. The average of the total area of interocclusal contact area in the primary and mixed dentition was 25.55 mm2 (5.39 to 70.20) and 29.59 mm2 (2.80 to 78.53), respectively. During the procedure, the majority of dentists reported the child's behavior to be positive (85%) and found the procedure easy to perform (80%), short (6.0 min), and tolerable (80%).
GEDAS is an occlusal analysis tool with good acceptability and reproducibility in children and could be considered for the planning and assessment of restorative and orthodontic treatment in the intermediate stages.
本前瞻性临床研究旨在验证 Greifswald 数字分析系统(GEDAS)作为一种评估儿童替牙期和混合牙列咬合的数字方法。
使用组内相关系数(ICC)评估 GEDAS 在替牙期和混合牙列中的可重复性。此外,使用改良面部视觉模拟评分法、Frankl 行为量表和 10 分 Likert 量表评估该方法对牙医、儿童和家长/照顾者的可接受性。共招募了 20 名年龄在 3 至 9 岁(平均年龄:6 岁;标准差:±1.74)的儿童,包括替牙期(n=10)和混合牙列(n=10)。
所有牙齿接触点数的 ICC 为 0.94,接触面积的 ICC 为 0.97,表明具有良好到极好的可重复性。替牙期和混合牙列每侧每牙弓的平均总咬合接触点数分别为 36.5(17 至 66)和 37.9(9 至 74)。替牙期和混合牙列的总咬合接触面积平均值分别为 25.55mm2(5.39 至 70.20)和 29.59mm2(2.80 至 78.53)。在操作过程中,大多数牙医报告说儿童的行为是积极的(85%),并发现该操作易于进行(80%)、时间短(6.0 分钟)和可耐受(80%)。
GEDAS 是一种具有良好可接受性和可重复性的咬合分析工具,可考虑用于计划和评估中期修复和正畸治疗。