The Gold Standard: orthodontist agreement in assessing malocclusion
Journal Title: Forum Ortodontyczne - Year 2010, Vol 6, Issue 3
Abstract
Abstract Objective: the aim of this study was to assess the level of agreement of a panel of orthodontists, considered the “Gold Standard” in assessing malocclusion. Particularly, this investigation attempted to determine the specific occlusal traits that led to their decision and the level of agreement between orthodontists in prioritizing such traits. Material and Methods: Thirteen orthodontists from the San Francisco Bay area examined 153 models from the UCSF Orthodontic clinic and recorded the need for treatment of each as a score of 1 – 12 on an adjectival scale. Results: Twelve occlusal traits were identified as contributory to the orthodontist’s cast score. The presence of impacted teeth and crossbite were the two variables that most influenced the total score. Orthodontists agreed the most on adequacy of midline, function, spacing, and impacted teeth as determinants (or not) of the given score. They agreed the least on alignment, esthetics, overbite or open bite, and the sagittal relationship. Conclusions: This study presents a new perspective by evaluating agreement in the inclusion of a specific occlusal trait when determining the cast score. We conclude that the assessment of certain occlusal traits of any malocclusion may vary greatly among different orthodontists. (Orthod. Forum 2010; 6: 77 - 88). Received: 26.04.2010 Accepted: 12.07.2010
Authors and Affiliations
Maria F Orellana, Mary C Cooke, Gerald Nelson, Arthur Miller
Keywords
Related Articles
- EP ID EP68765
- DOI -
- Views 81
- Downloads 0
Sprawozdanie z XXXVI Sympozjum Sekcji Ortopedii Szczękowej PTS
Trzydziestoletnia obserwacja warunków zgryzowych u kobiety z pojedynczymi brakami zębowymi
Cel pracy: Ocena zmian warunków zgryzowych na przestrzeni trzydziestu lat życia u kobiety z pojedynczymi brakami zębowymi z uwzględnieniem zmian wysokości koron klinicznych zębów pozbawionych antagonistów. Materiał i me...
Orthodontic treatment as part of complex care in a patient with Prader-Willi syndrome. Case report
Hopkins in 1861 was the first one to describe Prader-Willi syndrome, followed by Down in 1865. In 1956 Prader, Labhart and Willi described a hereditary form of obesity. This syndrome is a rare hereditary multi-systemic d...
Assessment of friction reduction in beta-titanium archwires by heat- induced structural changes
Aim. Friction is a limiting factor in sliding mechanics inOrthodontics. The goal of this study was to test the reductionof friction in Beta-Titanium wires while keeping theirelasticity. Material and methods. 38 groups o...
Higiena jamy ustnej dzieci z rozszczepem podniebienia leczonych różnymi technikami ortodontycznymi
Leczenie pacjentów z rozszczepem - to długotrwały proces,który wymaga ścisłego przestrzegania zasad higienywewnątrzustnej. CEL: Celem prezentowanej pracy byłoustalenie czy poziom higieny jamy ustnej pacjentów zrozszczep...