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A study on the reproducibility of cephalometric landmarks when undertaking a three-dimensional (3D) cephalometric analysis

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A study on the reproducibility of cephalometric landmarks when undertaking a three-dimensional (3D) cephalometric analysis

dc.contributor.author	Zamora Martínez, Natalia
dc.contributor.author	Llamas Carreras, José María
dc.contributor.author	Cibrián Ortiz de Anda, Rosa María
dc.contributor.author	Gandía Franco, José Luis
dc.contributor.author	Paredes Gallardo, Vanessa
dc.date.accessioned	2014-07-01T11:27:07Z
dc.date.available	2014-07-01T11:27:07Z
dc.date.issued	2012
dc.identifier.citation	Zamora Martínez, Natalia; Llamas, José María; Cibrián Ortiz de Anda, Rosa María; Gandía Franco, José Luis; Paredes Gallardo, Vanessa (2012) A study on the reproducibility of cephalometric landmarks when undertaking a three-dimensional (3D) cephalometric analysis Medicina Oral Patologia Oral y Cirugia Bucal
dc.identifier.uri	http://hdl.handle.net/10550/36756
dc.description.abstract	Objectives: Cone Beam Computerized Tomography (CBCT) allows the possibility of modifying some of the diagnostic tools used in orthodontics, such as cephalometry. The first step must be to study the characteristics of these devices in terms of accuracy and reliability of the most commonly used landmarks. The aims were 1- To assess intra and inter-observer reliability in the location of anatomical landmarks belonging to hard tissues of the skull in images taken with a CBCT device, 2- To determine which of those landmarks are more vs. less reliable and 3- To introduce planes of reference so as to create cephalometric analyses appropriated to the 3D reality. Study design: Fifteen patients who had a CBCT (i-CAT®) as a diagnostic register were selected. To assess the reproducibility on landmark location and the differences in the measurements of two observers at different times, 41 landmarks were defined on the three spatial axes (X,Y,Z) and located. 3.690 measurements were taken and, as each determination has 3 coordinates, 11.070 data were processed with SPSS® statistical package. To discover the reproducibility of the method on landmark location, an ANOVA was undertaken using two variation factors: time (t1, t2 and t3) and observer (Ob1 and Ob2) for each axis (X, Y and Z) and landmark. The order of the CBCT scans submitted to the observers (Ob1, Ob2) at t1, t2, and t3, were different and randomly allocated. Multiple comparisons were undertaken using the Bonferroni test. The intra- and inter-examiner ICC´s were calculated. Results: Intra- and inter-examiner reliability was high, both being ICC ≥ 0.99, with the best frequency on axis Z. Conclusions: The most reliable landmarks were: Nasion, Sella, Basion, left Porion, point A, anterior nasal spine, Pogonion, Gnathion, Menton, frontozygomatic sutures, first lower molars and upper and lower incisors. Those with less reliability were the supraorbitals, right zygion and posterior nasal spine.
dc.relation.ispartof	Medicina Oral Patologia Oral y Cirugia Bucal, 2012
dc.subject	Medicina
dc.subject	Tomografia
dc.title	A study on the reproducibility of cephalometric landmarks when undertaking a three-dimensional (3D) cephalometric analysis
dc.type	journal article	es_ES
dc.date.updated	2014-07-01T11:27:07Z
dc.identifier.doi	10.4317/medoral.17721
dc.identifier.idgrec	072599
dc.rights.accessRights	open access	es_ES
dc.identifier.url	10.4317/medoral.17721