Kuyl M H, Verbeeck R M, Dermaut L R
Department of dental materials, University Gent, Belgium.
Am J Orthod Dentofacial Orthop. 1994 Dec;106(6):597-604. doi: 10.1016/S0889-5406(94)70084-2.
The aim of this study was twofold: (1) to evaluate the importance of the level of training in orthodontics when estimating skeletal configuration by visual inspection of the soft tissue profile, and (2) to evaluate a possible discrepancy between integumental profile (IP) and skeletal class (SC). Four test groups comprising 10 orthodontists (O), 10 senior assistants (S), 10 junior assistants (J), and 10 dentists (D) assessed horizontal and vertical skeletal pattern from a series of slides of 100 patients. The assessments were repeated after a 1-month interval. Cephalometric analysis was also carried out by using a number of conventional analyses. Analysis of the results with Levene's test, two factor mixed-design variance analysis, and Newman-Keuls' Multiple-Range test showed that (1) orthodontists, independent of their level of training, are more consistent in assessing an IP than dentists; (2) assessments were more consistent for sagittal profile than for vertical profile; (3) sagittally the Wits' appraisal corresponds best with IP, and (4) vertically the Steiner analysis corresponds best with IP.
（1）通过对软组织侧貌的视觉检查来评估正畸培训水平在估计骨骼形态时的重要性，以及（2）评估体表轮廓（IP）与骨骼分类（SC）之间可能存在的差异。四个测试组分别由10名正畸医生（O）、10名高级助理（S）、10名初级助理（J）和10名牙医（D）组成，他们根据100名患者的一系列幻灯片评估水平和垂直骨骼模式。在间隔1个月后重复进行评估。还使用了一些传统分析方法进行头影测量分析。用Levene检验、双因素混合设计方差分析和Newman-Keuls多重范围检验对结果进行分析，结果表明：（1）正畸医生，无论其培训水平如何，在评估IP方面比牙医更一致；（2）矢状侧貌的评估比垂直侧貌更一致；（3）在矢状方向上，Wits评估与IP最相符，（4）在垂直方向上，Steiner分析与IP最相符。
