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Comparison of manual, digital and lateral CBCT cephalometric analyses
Ricardo de Lima Navarro1, Paula Vanessa Pedron Oltramari-Navarro, Thais Maria Freire Fernandes
1Oral and Maxillofacial Surgery Division, Saint Francis Hospital, Cambé, PR, Brazil.
Objective:
The aim of this study was to compare the reliability of three different methods of cephalometric analysis.
Material And Methods:
Conventional pretreatment lateral cephalograms and cone beam computed tomography (CBCT) scans from 50 subjects from a radiological clinic were selected in order to test the three methods: manual tracings (MT), digitized lateral cephalograms (DLC), and lateral cephalograms from CBCT (LC-CBCT). The lateral cephalograms were manually analyzed through the Dolphin Imaging 11.0™ software. Twenty measurements were performed under the same conditions, and retraced after a 30-day period. Paired t tests and the Dahlberg formula were used to evaluate the intra-examiner errors. The Pearson's correlation coefficient and one-way analysis of variance (ANOVA) tests were used to compare the differences between the methods.
Results:
Intra-examiner reliability occurred for all methods for most of the measurements. Only six measurements were different between the methods and an agreement was observed in the analyses among the 3 methods.
Conclusions:
The results demonstrated that all evaluated methodologies are reliable and valid for scientific research, however, the method used in the lateral cephalograms from the CBCT proved the most reliable.
