Influence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning

Durão, Ana Reis; Alqerban, Ali; Ferreira, Afonso Pinhão; Jacobs, Reinhilde

doi:10.2319/011214-41.1

Cited by 42 publications

(21 citation statements)

References 6 publications

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“…This study selected 10 experienced raters from the 16 used in the study by Reis et al, 11 and employed both facial images and lateral view cephalometric radiographs. However, the reproducibility of experienced raters also showed moderate Kappa index values, which indicated the important role of the soft tissue criterion in classifying facial pattern and little influence of lateral radiograph in orthodontic diagnosis, which is in accordance with Durão et al 13 …”

Section: Discussionsupporting

confidence: 87%

Analysis of reliability, accuracy, sensitivity and predictive value of a subjective method to classify facial pattern in adults

Queiroz

Neto

Paiva

et al. 2016

Dental Press J. Orthod.

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Introduction: Craniofacial pattern diagnosis is vital in Orthodontics, as it influences decision-making regarding treatment options and prognosis. Capelozza Filho proposed a subjective method for facial classification comprising five patterns: I, II, III, Long Face and Short Face. Objective:To investigate the accuracy of a subjective classification method of facial patterns applied to adults. Methods:A sample consisting of 52 adults was used for this study. Frontal and lateral view photographs were taken with subjects at rest position, including frontal smile. Lateral cephalometric radiographs were organized in a PowerPoint® presentation and submitted to 20 raters. Method performance was assessed by examining reproducibility with Kappa test and calculating accuracy, sensitivity and positive predictive values, for which 70% was set as critical value. The gold standard of the classification was personally set by the author of the method. Results: Reproducibility was considered moderate (Kappa = 0.501); while accuracy, sensitivity and positive predictive values yielded similar results, but below 70%. Conclusions:The subjective method of facial classification employed in the present study still needs to have its morphological criteria improved in order to be used to discriminate the five facial patterns.

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Section: Discussionsupporting

confidence: 87%

Analysis of reliability, accuracy, sensitivity and predictive value of a subjective method to classify facial pattern in adults

Queiroz

Neto

Paiva

et al. 2016

Dental Press J. Orthod.

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“…The role of cephalometry within orthodontics has been brought into sharper focus in recent years with some evidence that its influence on treatment planning decisions is declining . This may relate simply to emphasis being placed on clinical rather than radiographic findings, or to issues emanating from problems with measurement error .…”

Section: Discussionmentioning

confidence: 99%

A cross‐sectional analysis of Wits and Riedel in adults with skeletal III malocclusion: How informative are they?

Oliver

Grimes

Pandis

et al. 2018

Orthod Craniofacial Res

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“…Devereux et al 6 conducted a study in 2011 using 199 orthodontists and six patient cases and found that, for all patients but one, the lateral cephalometric image did not have a significant impact on treatment. Most recently, Durao et al 7 conducted a study in Portugal using 10 orthodontists and 43 patients that found that the majority of the orthodontists felt that using the lateral cephalometric image was key for proper diagnosis but the results seemed to indicate the contrary. The uncertainty surrounding the issue indicated that further research on the utility of the lateral cephalometric radiograph would be beneficial.…”

Section: Introductionmentioning

confidence: 99%

Value-addition of lateral cephalometric radiographs in orthodontic diagnosis and treatment planning

Dinesh¹,

Mutalik²,

Feldman³

et al. 2020

The Angle Orthodontist

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Objective To investigate the value-addition of obtaining lateral cephalometric radiographs during the treatment planning phase of orthodontic treatment. Materials and Methods The records of 100 orthodontic patients were presented to seven scorers during two phases that were 6 weeks apart. In the first phase, scorers completed a seven-question survey with questions regarding treatment planning. They were given various diagnostic records that did not include a lateral cephalometric radiograph. Six weeks later, the same scorers completed the same survey for the same patient cases with the same diagnostic records that additionally included a lateral cephalometric radiograph. Correlation coefficients were used to calculate intrarater agreement and inter-rater agreement within the study. Results Cohen's kappa values showed moderate to almost perfect agreement for the majority of survey questions. Intrarater agreement ranged between 0.430 and 1. Cronbach's alpha reliability statistics showed good interrater agreement for all questions in the survey. Agreement ranged from 0.710 to 0.913 across the survey questions. Diagnosing Angle classification of occlusion had the highest level of agreement and differentiating between skeletal and dental malocclusion had the lowest level of agreement. Conclusions The lateral cephalometric radiograph is not a necessary diagnostic tool for most cases in orthodontic diagnosis and treatment planning. Weighing the usefulness of a lateral cephalometric on a case-by-case basis should be recommended to align with the principle of ALARA (as low as reasonably achievable), especially in a primarily pediatric population.

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Influence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning

Abstract: The results of our study suggest that the majority of Portuguese orthodontists judge that LCR is important to producing a treatment plan. Despite that, it does not seem to have an influence on orthodontic treatment planning.

Cited by 42 publications

References 6 publications

Analysis of reliability, accuracy, sensitivity and predictive value of a subjective method to classify facial pattern in adults

Analysis of reliability, accuracy, sensitivity and predictive value of a subjective method to classify facial pattern in adults

A cross‐sectional analysis of Wits and Riedel in adults with skeletal III malocclusion: How informative are they?

Value-addition of lateral cephalometric radiographs in orthodontic diagnosis and treatment planning

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