Does clinical experience affect the reproducibility of cervical vertebrae maturation method?

Rongo, Roberto; Valleta, Rosa; Bucci, Rosaria; Bonetti, Giulio Alessandri; Michelotti, Ambrosina; D’Antò, Vincenzo

doi:10.2319/080414-544.1

Cited by 13 publications

(5 citation statements)

References 29 publications

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“…Also, findings from Rongo et al indicated that the CVM method reproducibility was not improved by the level of experience in orthodontic practice, as the group with less than 1 year of clinical experience yielded better results. 32 The Greulich and Pyle method 24 for the HW evaluation and the CVM method of Baccetti and coworkers 12 were chosen due to the quicker and more user-friendly approaches. 12,33 The validity and reliability of the CVM method in comparison with HW assessments have been investigated in a series of studies over the years, mainly through correlation and agreement coefficients, such as: ICC, Cohen's κ coefficient, Kendall's W coefficient, Pearson and Spearman correlation tests.…”

Section: Staging Hand-wrist and Cervical Vertebrae: A Reproducibilitymentioning

confidence: 99%

Staging hand-wrist and cervical vertebrae images: a comparison of reproducibility

Cunha

Cevidanes

Sant’Anna

et al. 2018

Dentomaxillofacial Radiology

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Section: Staging Hand-wrist and Cervical Vertebrae: A Reproducibilitymentioning

confidence: 99%

Staging hand-wrist and cervical vertebrae images: a comparison of reproducibility

Cunha

Cevidanes

Sant’Anna

et al. 2018

Dentomaxillofacial Radiology

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“…A precise diagnosis is essential for choosing the correct therapy and determining the prognosis adequately. Therefore, orthodontic treatment planning requires an accurate prediction of the amount and direction of craniofacial development [2][3][4]. Since Broadbent [5] introduced lateral cephalometric radiography in 1931, studies on craniofacial growth and development have increased in number and many researchers have suggested definitions and norms for the normal occlusion.…”

Section: Introductionmentioning

confidence: 99%

Distribution of the Condylion-Gonion-Menton (CoGoMe^) Angle in a Population of Patients from Southern Italy

et al. 2019

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The condylion-gonion-menton angle (CoGoMe^) is commonly used as a pre-treatment indicator of responsiveness in Class II patients treated with functional appliances. The distribution of this angle in the Caucasian population is still unknown. This study aimed to determine the distribution of the CoGoMe^ and its relationship with age, sagittal jaw relationship (ANPg^), and mandibular inclination (SN^GoGn) in patients from Southern Italy. The sample included 290 subjects (median14 years of age; Interquartile range, IQR, 12–17) with lateral cephalograms taken before the orthodontic treatment. The distribution of the CoGoMe^ was assessed with the Shapiro–Wilk test, and the differences according to the ANPg^ and the SN^GoGn were estimated using one-way ANOVA. Linear regression analysis was performed to evaluate how the CoGoMe^ varied according to age. The statistical significance was set at P < 0.05. The results showed that the CoGoMe^ was normally distributed (P = 0.290) with a mean value of 127.2° ± 7.7°. The distribution of the CoGoMe^ in groups with different SN^GoGn angles was significantly different (P < 0.001). These angles showed a positive association (Beta coefficient B = 0.6; 95% CI: 0.51, 0.67; P < 0.001). In growing patients, the CoGoMe^ decreased every year by 0.6° (B = −0.6; 95% CI: −1.05, −0.12; P = 0.014). In conclusion, the CoGoMe^ was associated with mandibular inclination and could be considered to be a predictor of vertical growth patterns.

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“…analyzing the cervical vertebrae maturation method 17 and undergraduate students showed better volumetric landmark location in 3-dimensional images than orthodontic residents, 18 confirming that the level of experience do not always improve reliability. The intra-observer weighted kappa coefficients of suture-FS were substantial for both observers.…”

Section: Discussionmentioning

confidence: 93%

Midpalatal suture maturation assessment by individuals with different levels of academic degree using cone beam computed tomography

Lopes¹,

Lisboa²,

Christovam³

et al. 2019

CRORJ

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Avaliar a confiabilidade da classificação dos estágios de fusão da sutura palatina mediana em adolescentes do sexo feminino através de tomografia computadorizada cone beam (TCCB) por aluno da graduação em dois tempos (intraexaminador) e comparado a um ortodontista (interexaminador). Métodos: Foram selecionadas tomografias de 40 meninas na faixa etária de 14 a 19 anos feitas previamente ao tratamento ortodôntico. No software InVivo Dental 5.1 as imagens da cabeça foram orientadas de forma padronizada. Os cortes axiais desejados foram selecionados por um pesquisador ou por cada examinador e cada imagem resultante foi classificada quanto ao estágio de fusão da sutura palatina mediana. Os operadores realizaram todas as classificações duas vezes com intervalo de duas semanas entre as sessões, cada um individualmente. O coeficiente kappa ponderado de acordo com Landis e Kock foi utilizado para avaliar a concordância intraexaminador e interexaminador. Resultados: O kappa intraexaminador do aluno da graduação foi de 0,824 pra cortes pré-selecionados e 0,692 para os orientados por ele mesmo, e do ortodontista foi de 0,919 e 0,695, respectivamente. O coeficente kappa entre eles foi 0,479 e 0,300. Conclusão: Apesar do aluno de graduação ser mais inexperiente, sua concordância intraexaminador foi muito boa, semelhante à do ortodontista. No entanto, a concordância entre eles não foi boa, demonstrando necessidade de aprimoramento no treinamento do método.

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Does clinical experience affect the reproducibility of cervical vertebrae maturation method?

Abstract: The reproducibility of the method was not improved by the level of orthodontic experience. The group with the lowest level of orthodontic experience had the best performance.

Cited by 13 publications

References 29 publications

Staging hand-wrist and cervical vertebrae images: a comparison of reproducibility

Staging hand-wrist and cervical vertebrae images: a comparison of reproducibility

Distribution of the Condylion-Gonion-Menton (CoGoMe^) Angle in a Population of Patients from Southern Italy

Midpalatal suture maturation assessment by individuals with different levels of academic degree using cone beam computed tomography

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